Home

Maquet-Servo-i-Operator`s-Manual

1. 0 000 SVX 5087_XX To set alarm limits 1 Press the fixed key Alarm Profile 2 Press the touchpad corresponding to the alarm limit you want to adjust or press the Alarm sound level touchpad 3 Turn the Main Rotary Dial to adjust values 4 Confirm each setting by pressing the parameter touchpad or Main Rotary Dial 5 Press Autoset if desired to geta proposal for alarm limits in VC PC and PRVC modes Important 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 e Autoset is not possible in Standby mode because the ventilator requires patient values in order to propose alarm limits e Autoset is not available in X NIV modes e Current alarm limits are displayed during ventilation in smaller figures to the right of the parameter display e 36 Infant Adult R Universal X Options Note When you reach the maximum or minimum allowed value for a given alarm setting the Main Rotary Dial becomes inoperative for 2 seconds This feature implemented only in the Universal and Infant versions of the Servo i alerts you that a safety limit has been reached Servo User s manual English edition Order No 65 14 892 E313E 4 8 Starting Ventilation X 4 8 2 Starting Noninvasive The fixed key Standby is
2. SVX 578_EN 104 Alarm Alarm profile setup Possible selections By pressing the autoset in controlled Pressure upper modes of ventilation the alarm limits are Profile Minute Volume lower and upper automatically set for Respiratory Rate lower and upper Pressure End Expiratory Pressure lower Volume Alarm sound level 20 100 Resp Rate End Tidal CO2 lower and upper PEEP In spontaneous modes an alarm setting for apnea time is available Note In NIV the alarm sound can be permanently silenced Audio off Note Autoset is not possible in NIV History This shows alarms that have benn activated The alarms are listed in chronological order Audio off Audio pause Silence or pre silence alarms Recorded waveforms Review trends recorded waveforms event log or configuration Event log View configuration CO Calibration The calculation of the circuit Compliance value is performed during Pre use check The calculated value is displayed in the window To activate or to deactivate select the appropriate soft key c d Copy data event log recordings trends OLT data Start up opy data configuration to PC card Copy screen to PC card O cell Measured O concentration will be adapted in relation adaptation to set value Panel lock Locks all user input functions on the User In
3. SVX 583_EN 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 measurement of the end expiratory lung pressure It can be used for static compliance measurement and to determine the total PEEP Note Expiratory hold is not available in Nasal CPAP Inspiratory hold is activated by manually pressing the fixed key The maximum time is 30 seconds The inspiratory and expiratory valves close after inspiration This function can provide an exact measurement of the end inspiratory lung pressure lt can be used during xray or to determine Plateau pressure or static compliance calculation Note Inspiratory hold is not available in Nasal CPAP Servo User s manual English edition Order No 65 14 892 E313E Universal X Options 101 A 3 Quick Access Key This function allows the user to disconnect the patient from the ventilator and turning off the alarms for apnea minute volume frequency alarm check tubing EtCO2 low PEEP during suction support Suction Support Note Suction Support is not available when NIV or O2 Breaths is activated Loops are graphs that show two measured values one measured value xaxis against another measured value y axis Loops are updated breath by breath Wo loops are available p Note A refer
4. 00O SVX 5099_EN Note The No battery capacity alarm and technical alarms cannot be silenced 7 2 5 Permanently Silencing Alarms To permanently silence certain alarms in NIV mode 1 Press the Alarm Profile fixed key 2 Press the touchpad corresponding to one of the following alarms e Minute Volume e Respiratory Rate e PEEP e End tidal CO X CO Analyzer e CPAP x Nasal CPAP 3 Press the bell symbol touchpad The symbol changes to a crossed bell indicating audio is off Note If the system returned to standby and used in an invasive mode the NIV alarms will return to their default states X Infant 4 Adult sh Universal X Options 63 7 2 6 Turning Off the Apnea Alarm To turn off the apnea alarm in Nasal CPAP mode 1 Press the fixed key Alarm Profile 2 Press the touch pad corresponding to the apnea alarm 3 Turn the control wheel until the time limit has reached its maximum 4 Continue turning the control wheel A message is displayed indicating the apnea alarm is turned off 7 2 7 Responding to Technical Alarms In some cases restarting the system may resolve a technical alarm However technical alarms often necessitate taking the ventilator out of operation and having it serviced See the Specifications chapter for further details 64 Y Infant 4 Adult sh Universal X Options 7 3 Alarm Settings for Breathing Parameters This section discus
5. ee ns 11 2 3 3 Fixed KEYS a viii eed E eel ees 11 2 3 4 Direct Access Knobs oooooooooooooooooooo 11 2 39 Menu Key cis sis ee BE Re ee 13 2 3 6 Status Touchpad osr rer does Sara te Hie Pali Pak ode be 13 2 4 Patient Unit os ita at Oa eS aaah seca Ae a ees 14 2 4 1 Patient Unit ComponentS o oooooooocooooo 14 2 4 2 Patient Unit Diagrames ee se wesa ee ee 15 2 4 3 Patient Unit SymbolS o ooo o o o 16 2 5 Transport and Storage oooooooo oo oo 17 2 5 1 Before Transport oo ooo ooo oooo ooo oo a 17 2 5 2 During Transport o o ooooooocoooo oo oo o 17 2 5 3 ps A ea eee 17 3 e Power SUPplY 19 SN a O 19 3 1 1 Power Supply Specifications lt o ooooo ooo o 19 3 1 2 Battery Data Summary o ooooooooooo ooo 19 3 2 Viewing Battery StatuS o ooo ooo o oo 20 3 3 Alarms and Safety e rc a aa ci 21 3 3 1 AC Power Failure o ooo oooooooooooo ooo 21 A A Aa ite eed ees Bh ae Bie 21 3 3 3 Status Messages 2 ee eee ee ee ee 22 4 e Operation OvervieW 23 4 1 Work Flow Summary oooooooo ooo oo ooo 23 4 2 Pre Use Check esene coania was AA 23 4 2 1 Performing a Pre Use Check oooooooooooo eee 24 4 3 Patient Circuit TeSt ooooooooo oo we es 30 4 4 Start up Configuration oooooooooooo 31 4 4 1 Accessing the Start Up Configuration
6. Checks that no Technical error alarms are active during the Pre Use Check Refer to service technician Barometer Checks the barometric pressure measured by the internal barometer Check the barometric pressure value in the Status Window Battery switch If battery modules are installed tests switching to battery power when AC power is lost and back to AC power when it is restored Check that the total remaining time for the connected battery modules are at least 10 minutes If not replace the discharged battery with a fully charged battery and repeat the test Flow transducer Checks the inspiratory flow transducers Calibrates and checks the expiratory flow transducer Check that the connected gas supply pressure air and O7 is within the specified range Check that the cassette is correctly seated in the cassette compartment Gas supply pressure Checks that the gas supply pressures air and 02 measured by the internal gas supply pressure transducers are within the specified range Check that the gas supply pressure air and O2 is within the specified range Internal leakage Checks for internal leakage with test tube connected using the inspiratory and expiratory pressure transducers Allowed leakage 10ml min at 80 cmH 0 If message Leakage or Excessive leakage appears e check that the test tube is correctly connected e check all connections for the expiratory
7. Oxygen Breaths 100 for 1 minute Start Breath Initiation of 1 breath in all modes In SIMV mode initiation of one mandatory breath Pause Hold Inspiratory or expiratory 10 13 Communication Interface Serial Port RS 232C isolated For data communication via the Communication Interface Emulator CIE XAlarm Output Connection Option Isolated 4 pole modular connector for communication of high and medium priority alarms The alarm output connection option is a non guaranteed alarm in accordance with IEC60601 1 8 Max 40 V DC Max 500 mA Max 20 W Data Transfer via Ventilation Record Card File format is Unicode big endian Required software is Microsoft Excel 2000 with Visual Basic for applications Service Preventive maintenance must be performed by authorized personnel at least once every year as long as the unit is not operated for more than 5000 hours per year The Status menu on the user interface 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 Service mode should only be used without a patient connected to the ventilator 10 14 X Servo Ultra Nebulizer Patient Unit Weight approximate g 125 Dimensions mm 60 W x 108 L x 105 H Nebulizer T Piece Connections Inlet outlet 22 15 mm outside inside diameter 22 mm inside diameter ISO standard In
8. The System Messages chapter lists all alarms along with possible causes and remedies WARNING The default setting of the high airway pressure alarm is 40 cmH20 It is important to adjust this setting as appropriate to avoid excessive airway pressures 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 Output Connection Option If your system is equipped with the alarm output connection option high and medium priority alarms can be transferred to an external signal system The alarm output signal is active as long as the audio alarm is active on the ventilator Servo User s manual English edition Order No 65 14 892 E313E WARNINGS e Never leave the patient unattended the external alarm is designed to alert those already in attendance The alarm output is a nonguaranteed alarm according to IEC 60601 1 8 and it is recommended that users establish a Pre Use Check routine for this application 7 1 2 Visual Alarm Display N Ne A ANV W A V ANM am a SVX 6002_XX When an alarm is activated the following information is supplied on the screen 1 A text message explaining the cause of the alarm flashes in the alarm message area The alarm with highest priority is displa
9. We strongly recommend that all service on the Servo i Ventilator System be performed as part of a service contract with MAQUET 1 1 7 Disclaimers e Improper Use MAQUET has no responsibility for the safe operation of Servo i Ventilator System if the Intended Use requirements specified in this document are not followed Servo User s manual English edition Order No 65 14 892 E313E e Improper User MAQUET has no responsibility for the safe operation of Servo i Ventilator System if the Intended User requirements specified in this document are not followed Improper Use Environment MAQUET has no responsibility for the safe operation of Servo i Ventilator System if the Intended Use Environment requirements specified in this document are not followed Nonprofessional Servicing MAQUET has no responsibility for the safe operation of the Servo i Ventilator System if service or repairs are performed by persons without the appropriate professional training Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 1 2 Warnings Follow these safety guidelines Additional warnings appear in context throughout this document 1 2 1 General e This manual summarizes the functions and safety features of the Servo i Ventilator System It is not all inclusive and should not be construed as a substitute for training e Always perform a Pre use Check before connecting
10. ard a eje CH SVX 9007_XX 4 After inserting the VRC Press the fixed key Menu 1 2 Press the Copy touchpad 3 Press the Copy screen touchpad 4 Press OK to continue 5 Press the fixed key Save A copy of the screen is stored on the VRC Servo User s manual English edition Order No 65 14 892 E313E Notes To make another screen copy press the Save key again e When the VRC is removed or the ventilator is restarted the Save key is automatically 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 Name Patient ID Ventilator Serial Number and Pre Use Check Status a SVX 6095_XX To copy patient data to a VRC 1 Press the fixed key Menu 2 Press the Copy touchpad 3 Press the Copy data touchpad Insert the VRC 4 Press the Copy data touchpad Remove the VRC Servo User s manual English edition s Order No 65 14 892 E313E es Infant Adult Universal X Options 51 52 Y Infant 4 Adul
11. 15 0 V DC 10A Caution When using external 12 V DC at least one installed battery module is required to ensure proper operation Maximum power consumption At 110 120V 2A 190VA 140W At 220 240V 1A 190VA 140W Alarms and Messages See Alarms and Safety later in this chapter Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal 3 1 2 Battery Data Summary Lifetime 2 5 years from manufacture date Minimum modules 2 installed Maximum modules 6 installed Running time per fully 30 minutes charged module Running time with n n x 30 minutes fully charged modules installed Module recharge time 3 hours Recommended storage 15 20 C temperature disconnected battery Maximum storage time 1 week disconnected battery X Options 19 3 2 Viewing Battery Status When operating from batteries the estimated remaining battery time in minutes is displayed in the upper right corner of the screen on the Status touch pad WARNING If the remaining battery time on the Status touchpad is displayed in red the battery modules have very little operational time left and at least one battery module must be replaced If possible connect the ventilator to AC power Detailed battery status information is available via the Battery Status Window 1 Press the Status touchpad at the top right of the user interface to display the Status
12. 31 4 4 2 Editing the Start up Configuration 31 4 5 Entering Patient Data 34 4 6 Setting Ventilation Mode oooooooo o 35 4 7 Setting Alarm Limits oooooooooo o 36 4 8 Starting Ventilation taa dd 37 4 8 1 Starting Invasive Ventilation 37 4 8 2 Starting Noninvasive Ventilation NIV 37 4 9 Additional Settings Window ooooooo o 38 4 10 Using Suction Support ooooooo ooo ween 39 4 10 1 Preparation Phase ooo oo 39 4 10 2 Disconnect Phase o oooooooo ooo o 40 4 10 3 Post Oxygen Phase o o ooooococooococooo noo 40 4 11 Recalibrating the Oxygen Cell 40 4 12 Disconnecting the Patient 41 5 e Monitoring and Recording 43 5 1 Measured Values Display ooooooo o 43 Dale DESEMPtiOn hos dieta bt ao we hoe ete eae 43 5 1 2 Displaying Additional Pages oooooooo o 43 5 1 3 Parameter Listo ia a aha eee dee dios 44 5 2 Waveform Display ooooooooooooo o 45 5 2 41 DESENMPLION o seas Seance svete dat ace A a ace 45 5 2 2 Showing and Hidin8 ooo o 45 5 2 3 Adjusting Scale Sweep Speed 0 eee eee 46 5 3 Showing the Event L08 ooooooooo o 46 9 4 Showing LOOPS ieciocio sis o ee eee a eS 47 5 5 SHOWING TONOS cua e Se Sere es 47
13. 5 6 The Open Lung To00l oooooooooo oo oo 48 5 6 1 Using the Open Lung Tool 0 2 eee eee 48 5 6 2 Adjusting Scales in the Open Lung Tool Display 48 5 7 Saving Data ec bck ese we Bie eS ee a Ee we 49 5 7 1 Recording Waveforms 2 eee ee eee eee 49 5 7 2 Using Recorded Waveforms 20 0 e eee eee eee 50 5 7 3 Ventilation Record Card o oooooooooooooo o 50 6 e Ventilation Modes 53 6 1 Introduction das 53 GT E a sn ee ire AA dica 53 62 1 2 SOLES esr sate Re whl 54 6 1 3 SUMMARY 203 05 a8 eS ee ra A od a ae ii 55 6 2 Ventilator Operation 0 ccc eee we we wee 56 6 2 1 Setting Ventilation Mode oooooooooooo oo 56 6 2 2 Recalling a Previous Ventilation Mode 56 6 2 3 Special FUNCIONS ooooooooooooo ee ee 56 6 2 4 Backup Ventilation o eee eee eee eee 57 6 3 Breathing Parameters o oooooooo ooo ooo 57 FERIAS sida a ae ed TON Lal Introducti n dia da meat po a Se eh we ee 61 7 1 1 Alarm Output Connection Option 61 7 1 2 Visual Alarm Display 2 2 eee eee eee eee 61 7 2 Handling Alarms comodato a a se Bek a a 62 7 2 1 Viewing the Current Alarms Window lt o o 62 7 2 2 Resetting Latched Alarms 2 020020 ee eee 62 7 2 3 Responding to Alarms 0 cee eee eee ee eee 62 7 2 4 Presilencing Alarms oooooooooooo
14. 76 Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E Note Expiratory Minute Volume Low Considerable leakage may occur around the endotracheal tube if it is uncuffed The combination of small tidal volumes leakage around the tube 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 difference between the Vti 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 triggering this alarm If leakage persists adjust the alarm limit to its lowest level 10 ml if this is clinically appropriate Finally if the leakage still has not been remedied deactivate the compliance compensation to avoid triggering the alarm If the compliance compensation is deactivated from Pressure Control Pressure Support or SIMV Pressure Control ventilation modes then no further settings need to be adjusted However if volume related modes are used the set volumes must be adjusted Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 77 9 3 Medium Priority Alarms Alarm message Air supply pressure High Possible causes Air supply pressure above 6 5 kP
15. The ventilator will always start up with the previous Start Up Configuration The Start Up Configuration can be edited copied and saved You can edit the following Start Up Configuration settings e Patient category Adult or Infant e Type of ventilation Invasive or NIV Volume setting Breath cycle setting Pre post oxygenation concentration above set O concentration e Mode of ventilation including parameter settings This section provides instructions for accessing and editing the start up configuration changing the patient category and changing the type of ventilation 4 4 1 Accessing the Start Up Configuration OOO SVX 9046 Note The ventilator must 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 Servo User s manual English edition Order No 65 14 892 E313E e Service e Edit configuration e Copy configuration e Set date and clock e Change access code To alter ventilator settings press the appropriate touchpad and follow on screen instructions 4 4 2 Editing the Start up Configuration To edit the Start up Configuration 1 Press the Edit configuration touchpad in the Biomed subm
16. during normal operation Sensor powered from the CO Analyzer module Performance Measuring method Mainstream dual wavelength nondispersive infrared Stability within 8 hour period 0 to 100 mmHg 2mmHg 0 to 13 3 kPa 0 3 kPa 0 to 13 2 0 3 at a barometric pressure of 1013hPa Measuring range 0 to 100 mmHg CO partial pressure 0 to 13 3 kPa CO partial pressure 0 to 13 2 CO volume at a barometric pressure of 1013hPa Servo User s manual English edition Order No 65 14 892 E313E Accuracy 0 to 40 mmHg 2mmHg 41 to 70 mmHg 5 of reading 71 to 100 mmHg 8 of reading to 5 3 kPa 0 3 kPa 4 to 9 3 kPa 5 of reading 4 to 13 3 kPa 8 of reading t 0 5 3 0 3 4 to 9 2 5 of reading 9 3 to 13 2 8 of reading Measurement Conditions CO minute elimination and CO tidal elimination measurements are referenced to standard temperature and pressure STP Standard gas mixture of CO balance saturated air at 33 C barometric pressure 1013 hPa gas flow rate 2 l mm halogenated hydrocarbons lt 5 Step response time lt 25 ms 10 to 90 step response Warm up time 30 s to initial CO indication maximum 5 minutes to full specification Oxygen concentration compensation Automatic Values supplied from the Servo i Ventilator System Barometric pressure compensation Automatic Values supplied from the Servo i Ventilator System Digitizing Rate Hz 87 0
17. e when changing X type of ventilation or e when changing X patient category Always make sure relevant values are set 98 Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E 11 Definitions b min Breaths per minute Bias flow The continuous flow during the expiratory phase Breath cycle time Total cycle time per mandatory breath in SIMV inspiratory pause expiratory Set in seconds Cdyn Dynamic characteristics CMV Controlled Mechanical Ventilation CPAP Continuous Positive Airway Pressure Cstatic Static compliance respiratory system E Elastance etCO End tidal carbon dioxide concentration Expiratory hold Manual closure of inspiration and expiration valves after expiration max 30 seconds Measures Total PEEP Flow sensitivity level The flow that the patient must inhale to open the ventilator for and start an inspiration fraction of the bias flow The trigger functionality is set for either pressure or flow sensitivity HME Heat and moisture exchanger I E Inspiration to Expiration ratio only during controlled ventilation Inspiratory hold Manual closure of inspiration and expiration valves after inspiration max 30 seconds Measures plateau pressure Inspiratory cycle off Fraction of maximum flow at which inspiration should switch to expiration Inspiratory rise time Time to full inspiratory flo
18. y ce End expiratory flow 02 Measured Oxygen concentration etCO End tidal carbon dioxide concentration X CO Analyzer co Volume of expired CO per minute X CO Analyzer VTCO CO tidal elimination X CO Analyzer Servo User s manual 44 Y Infant 4 Adult sh Universal X Options Sune ea 892 E313E 5 2 Waveform Display If the optional CO Analyzer is connected the following color coded waveforms are shown on the user interface screen by default e pressure vs time e flow vs time e volume vs time e CO concentration vs time This section describes the waveform display provides a procedures for hiding displaying the volume and CO waveforms and for adjusting the sweep speed and scale of the waveforms 5 2 1 Description The default waveform display has the following characteristics e The value of a measured parameter vs time is displayed e The displayed parameter and the scale are indicated on the y axis e The pressure vs time display is dark yellow e The flow vs time display is green e The volume vs time display is light blue e The CO concentration vs time display is light yellow Servo User s manual English edition Order No 65 14 892 E313E 5 2 2 Showing and Hiding SVX 5086 XX SVX 6029_XX To show or hide the
19. 10 5 Expiratory channel Pressure Drop Maximum 3 cmH 0 at a flow of 1 liter s Internal Compressible Factor Maximum 0 1 ml cmH 20 PEEP Regulation Microprocessor controlled valve PEEP Setting Range 0 50 cmH 0 5 or 1 cmH 0 Expiratory Flow Measurements Flow range 0 3 2 liters s 5 or 2 5 ml s Rise time flow of 0 05 3 21 liters s lt 12 ms for 10 90 response 5 or 2 5 ml s 10 6 Monitoring Expiratory Minute Volume Adult Range 0 60 liters min 8 or 0 15 liters min NIV 10 Infant Range 0 20 liters min 8 or 0 15 l min NIV 10 NIV Nasal CPAP 25 or 0 15 liters min Expiratory Tidal Volume Adult Range 0 2000 4000 ml 8 or 18 ml Infant Range 0 350 ml 8 or 2 ml O Concentration Range 0 100 5 of read value Airway Pressure Range 40 160 cmH 20 5 or 1 cmH20 Supply Pressure Range 0 7 bar 5 of read value at RR lt 60 b min at RR lt 100 b min at constant leakage fraction lt 30 at RR lt 100 b min at constant leakage fraction lt 30 at constant leakage fraction lt 30 at Expiration time lt 4 s and RR lt 100 b min at Expiration time lt 1 s and RR lt 100 b min BO AON BY 2 eS Servo User s manual English edition Order No 65 14 892 E313E 10 7 Alarms 10 7 1 Allowed Alarm Settings Airway Pressure upper Adult 16 120 cmH 0 Infant 16 90 cmH 0 High Continuous Pressure gt
20. 10 8 3 Combined ventilation 90 10 9 Trend Function cee ee ee et eee tt es 91 10 10 Open Lung Tool Trend oooooooooo 91 10 11 Log function riada Pe el ee ae 91 10 12 Immediate functions ccc wee eres 92 10 13 Communication Interface o o 92 10 14 Servo Ultra Nebulizer 92 10 15 COS AnalyZ6r oie arar oe De ee de ES 93 10 16 Y Sensor Measuring o ooooooo ee tee ns 94 TOAZ AGCESSOMIOS ice ia aia 94 10 18 Breathing Parameters Default Values Allowed Settings Standard Configuration ooooooooooo 95 10 19 Alarm Limits Default Settings Allowed Ranges 97 11 Definiti0NS 99 12 e Appendix User Interface 101 AST Fixed KEYS oo a be SS AA hy ww ee aia 101 A 2 Special function keyS ee ee eee eens 101 A 3 Quick Access Key o ooooooooo ooo eens 102 A 4 Main Screen Key oooooooooo ooo ooo 103 A 5 Menu Key in Standby Mode oo o o o o o 103 A 6 Menu Key During Ventilation 104 A 7 Biomed Menu Standby Mode o o o o o o 105 A 8 Screen Touch Pads oooooooooooooooo 106 vi 1 Introduction 1 1 Device Description This section provides general information about the Servo i Ventilator System along with guidelines for appropriate use 1 1 1 Device Diagram User Interface Patient Pa
21. 8 2 3 CO Analyzer Calibration Before beginning the calibration procedure make sure the capnostat sensor is warm Values displayed during warm up have reduced accuracy If calibration is needed a message will appear There are two calibration options cell zero and verification see later in this section To calibrate the CO Analyzer 1 Press the fixed key Menu 2 Press the Options touchpad 3 Press the CO calibration touchpad 4 Press the Cell zero touchpad if the capnostat sensor has been shifted 5 Press the Verification touchpad to perform a calibration including cell zeroing verification against reference cell and adapter zeroing Important Verification calibration is recommended Always perform a verification when the airway adapter is altered a faulty capnostat sensor is suspected or the system requests calibration Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 69 Procedure Diagram CO Analyzer Calibration 3 e The etCO concentration low alarm can be permanently silenced Audio off when the message Silence alarm permanently is shown e During calibration no CO waveforms or measured CO values will be displayed e During zero calibration the a
22. F Storage relative humidity lt 95 Storage atmospheric pressure 470 1060 hPa 10 1 4 Power supply Power supply automatic range selection 100 120V 10 220 240 V 10 AC 50 60Hz Battery backup 2 6 battery modules rechargeable 12 V 3 5 Ah each Recharge time approximately 3 h battery Battery backup time approximately 3 h when using 6 batteries External 12V DC 12 0V 15 0V DC 10A Caution When external 12 V DC is used at least one installed Battery module is required to ensure proper operation Max power consumption At 110 120V 2A 190VA 140W At 220 240V 1A 190VA 140W X Options 87 10 2 Ventilator 10 2 1 General Dimensions mm User Interface 355 W x 53 D x 295 H Patient Unit 300 W x 205 D x 415 H Weight approximate kg Total 20 User interface 5 Patient Unit 15 Triggering Method Flow and pressure 10 2 2 Gas Supply Concentration Standards Supplied gases must be free of water oil and particles Air H20 lt 7 g m Oil lt 0 5 mg m Oxygen H 0 lt 20 mg m Inlet gas pressure 2 6 5 kPa x 100 29 94 PSI Connection standards available AGA DISS NIST or French 10 2 3 Patient System Connectors Conical fittings mm Male 22 and female 15 in accordance with ISO 5356 1 Gas exhaust port mm Male 30 cone 10 2 4 User Interface Attaches to the mobile cart a table railing or 15 30 mm diameter pipe 10 3 Standard Condition Specification Error
23. P 0413 the requirements of the Medical Device Directive 93 42 EEC CSA label Indicates compliance with Canadian standards Gas exhaust port label exhaust gas flow from ventilator Note This port should not be 57 connected to a spirometer because the volume through the exhaust port is not equal to the expired indicates classification according to volume from the patient Class equipment Type B IEC 60601 1 EN 6060 1 X Alarm output connection Ora option external alarm output xy Equipotentiality terminal communication Nebulizer Connector NY RS RS 232 Serial port connector for data communication Note This symbol may be different depending on panel version User Interface connector Panel m Note This symbol may be different depending on panel version Optional connector Expansion ES Note This symbol may be different depending on panel version 10A 10A Fuse for external DC power supply 12y 12V DC Ext bat 12V External 12V DC input Note This symbol may be different depending on panel version Caution When an external 12 V DC supply is used there must be at least one installed battery module to ensure proper operation gt Expiratory label gas flow from rc SE patient Servo User s manual English edition 16 Y Infant 4 Adult sh Universal X Options Order No 65 14892 E313E 2 5 Transport and Storage SVX 5096_XX 2 5 1 Before Transport Before t
24. RH Relative humidity X Infant 4 Adult sh Universal X Options 99 Respiratory Rate Rate of controlled mandatory breaths or used for calculating target volume b min Ri inspiratory resistance RR Respiratory rate Service card Field service software card SIMV Synchronized Intermittent Mandatory Ventilation SIMV rate Rate of controlled mandatory breaths b min Start breath Manually triggered 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 breath or target volume ml Thigh Time at Phigh level in Bi Vent s TPEEP Time at PEEP level in Bi Vent s V Flow V CO CO Minute elimination Vee End expiratory flow Vleak Leakage flow l min Ventilation record card Documentation card VTCO CO tidal elimination Va Alveolar ventilation VC Volume Control VDaw Airway dead space VS Volume Support VTA Alveolar Tidal Volume VTe Expiratory Tidal Volume VTi Inspiratory Tidal Volume 100 Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E Appendix User Interface A 1 Fixed Keys Audio off Audio pause Silence or pre silence alarms Alarm profile setup By pressing the autoset in controlled
25. SVX 6069_XX 48 Infant 4 Adult sh Universal X Options 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 cursor using the Main Rotary Dial or touch screen Note The cursor allows you to analyze the stored breath by breath data When the Cursor touchpad is activated the cursor values will be shown in the value field 4 Toclear all waveforms press the Clear touchpad Note The Clear touchpad is not active in Cursor Mode 5 To close the Open Lung Tool Window press the Close touchpad 6 Alter the resolution on the time axis 7 View the real time value field Note If additional windows such as loops are activated the Open Lung Tool Window will be minimized and some function buttons will not be visible 5 6 2 Adjusting Scales in the Open Lung Tool Display SVX 6006_XX Servo User s manual English edition Order No 65 14 892 E313E G SVX 6028_XX To set the amplitude for displayed waveforms 1 Press the fixed key Quick access 2 Press the Open Lung Tool scales touchpad 3 Press the touchpad corresponding to the waveform whose scale you want to adjust 4 Turn the Main Rotary Dial to the desired v
26. Window 0000 SVX 9033 2 Press the Batteries touch pad to display the Battery Status Window SVX 9032 e 20 Infant Adult R Universal X Options The following information is displayed for each mounted battery module e Slot number e Serial number e Charge indicator where O boxes filled lt 10 relative charge 1 box filled 10 25 relative charge 2 boxes filled 26 50 relative charge 3 boxes filled 51 75 relative charge 4 boxes filled 76 100 relative charge e Remaining operating time in minutes e Activity Instruction an instruction may be displayed next to the remaining operating time in minutes Activity Instruction Response Expires soon Order a new battery module Replace battery The battery no longer reliable replace it immediately Note The total usable backup time is the sum of the estimated operation time displayed for each battery module minus 10 minutes Note If the Replace battery or the Expires soon Activity Instruction is displayed the battery has become unreliable or will soon become unreliable regardless of the operating time displayed in the Battery Status Window In this situation replace the battery even when the status window indicates significant operating time remai
27. all preset and indicated volumes are referenced to ambient pressure at 21 C AP21 Servo User s manual English edition Order No 65 14 892 E313E 10 9 Trend Function Peak Airway Pressure Pause Airway Pressure Mean Airway Pressure End Expiratory Pressure Continuous Positive Airway Pressure Spontaneous breaths per minute Breathing frequency Spontaneous Exp Minute Volume Inspired Minute Volume Expired Minute Volume Leakage fraction Inspired Tidal Volume Expired Tidal Volume End Expiratory Flow Measured Oxygen Concentration CO End Tidal Concentration CO Minute Elimination CO Tidal Elimination Dynamic Characteristics Static Compliance Elastance Inspiratory Resistance Expiratory Resistance Work of Breathing ventilator Work of Breathing patient PO 1 Shallow Breathing Index SBI Servo User s manual English edition Order No 65 14 892 E313E Ppeak Pplat Pmean PEEP CPAP RRspont RR MVe sp Mi MVe Leakage VTi VTe V ee 02 etCO Vco VTCO Cdyn Cstatic E Ri Re WOB v WOB p PO 1 SBI Infant 4 Adult sh Universal 10 10 X Open Lung Tool Trend EIP PEEP VT VTe C dyn i VTCO X CO Analyzer 10 11 Log function Event Log Alarms Ventilator settings Apnea periods Immediate functions Service Log Technical alarms Test results Preventive maintenance Service report history Configuration log X Options 91 10 12 Immediate functions
28. discharged batteries When not in use the ventilator should always be connected to the power supply to ensure fully charged batteries When the ventilator is running on batteries the Servo Ultra Nebulizer is disabled to reduce power consumption Infant 4 Adult sh Universal X Options 21 3 3 3 Status Messages Message message type Technical error no 1 6 29 10001 technical error Meaning Power failure Remedy Contact a service technician Check battery status Informative Text Message There is a problem with the battery modules One or more battery modules must be replaced Open the Battery Status Window for information Replace and discard defective battery module s Battery mode Nebulizer switched off Medium Priority Alarm Ventilator is running on batteries and the Servo Ultra Nebulizer has been disabled to reduce the power consumption If it is necessary 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 capacity High Priority Alarm Less than 10 minutes left of battery operation Insert new battery modules or connect to AC power No battery capacity High Priority Alarm Less than 3 minutes left of battery operation Insert new battery modules or connect to AC power Low battery vo
29. eee eee 63 7 2 5 Permanently Silencing AlarmS ooooo ooo 63 7 2 6 Turning Off the Apnea Alarm oooooooo oo 64 7 2 7 Responding to Technical Alarms oo ooo 64 7 3 Alarm Settings for Breathing Parameters 64 7 3 1 Viewing Alarm Limits ooooooooooooo oo 64 7 3 2 Setting Alarm Limits ooooooooooo ooo 64 7 3 3 List of Alarm Settings o oooooooooooo ooo 64 7 3 4 Conditions Leading to Default Alarm Settings 65 7 3 5 Alarm Ranges and DefaultS ooooo oooo 66 iii 8 e ACCESSOLIES 3 i 3 6 oak aa 67 8 1 Servo Ultra Nebulizer ooooo oo 67 8 1 1 Nebulizer Use Guidelines oooooooo oo 67 8 1 2 Nebulizer Components 0 eee eee eee ee 68 9 1 3 Operation 0 ive km Mee ted id fed Ski Wek ws Ps td a 68 9 2 CO gt Analyzer oi eee ee ea pba ee eee eee 69 8 2 1 CO Analyzer Use Guidelines o ooooooo cee eee 69 8 2 2 CO Analyzer Components o oo oooocoomomo ooo ooo 69 8 2 3 CO2 Analyzer Calibration 69 IN SENSOR it AA Al Wee Ove 72 8 3 1 Y Sensor Use Guidelines ooooooooooooo ooo 72 8 3 2 Y Sensor Components ooooooocococococonnn o 72 9 e System Messages o oooo ooo oo ooo 73 9 1 introductio ss ica dd a ia a er Ea 73 9 2 High Priority Alar MS aa a 74 9 3 Medium Priority Alarms o oooooo oo 78 9 4 Low Pr
30. group 1 activate user interface functions such as Save and access various screens such as Menu e The keys in group 2 start special ventilatory functions Important The special ventilatory functions require continuous supervision 2 3 4 Direct Access Knobs The four dials along the bottom of the User Interface screen are the Direct Access Knobs They permit direct control of four breathing parameters which are automatically selected depending on ventilation mode X Infant 4 Adult sh Universal X Options 11 2 3 4 1 Using Direct Access Knobs Admit Auromode patient Volume Control Quick itional settings w 0000 To adjust a breathing parameter directly 1 Turn the Direct Access Knob corresponding to the parameter you wish to change until the desired value is displayed on the screen 2 Confirm your setting by pressing the Direct Access Knob Note When you adjust a breathing parameter using a Direct Access Knob the parameter will change immediately starting with the next breath no additional confirmation is required e 12 Infant Adult R Universal X Options 2 3 4 2 Direct Access Knobs Safety wf 9000 Q The four Direct Access Knob parameters are displayed at the bottom of the screen with color coded bars that indicate whether the parameter values are within gener
31. is no excess water in the expiratory cassette Safety valve test 84 Checks and adjusts the opening pressure for the safety valve to 117 3 cm H20 Y Infant 4 Adult sh Universal X Options Check the inspiratory section Ensure the safety valve membrane is correctly seated in the inspiratory pipe Ensure the inspiratory pipe is correctly mounted in inspiratory section Ensure the safety valve closes properly when the Pre Use Check is started a distinct clicking sound from the valve indicates proper closing Servo User s manual English edition Order No 65 14 892 E313E 9 7 X CO Analyzer Calibration Error Messages Message Description Remedies Adapter zero Failed An error was detected during the verification calibration adapter zero The airway adapter is occluded or CO gas is present in the adapter The calibration was cancelled and old cell zero parameters were not restored Perform a verification calibration Hardware problem contact a service technician CO cell zero failed An error was found during cell zero calibration The calibration was cancelled and old cell zero parameters were not restored Perform a cell zero calibration Hardware problem contact a service technician Verification against Reference cell Failed The capnostat sensor is faulty or there is an optical blockage of the capnostat sensor windows Clean the capnos
32. minutes The default time is 10 minutes During nebulization the time remaining is displayed in the nebulizer touch pai The nebulizer is automatically disabled during battery operation In the Status function you have an icon displaying which power source is currently active i e Mains Ext 12V or battery When one or more batteries are in use an information is also displayed showing the remaining time in minutes When the Status soft key is activated a window appears displaying the status of General system information Status of CO2 module if available Status ofY Sensor module e Status of Expiratory cassette if available Status of batteries e Installed options Status of Oocell sensor e Status of Pre use check Press the soft key Additional settings to see the settings available for the current mode Vital parameters are set using the Direct Access Knobs The bar below the numeric value is a graphical representation of the chosen value and gives information about the parameter ranges the bar is white if your setting is within what is generally considered safe ranges the bar turns yellow if your setting is slightly beyond what is generally considered safe ranges the bar turns red if your setting is significantly beyond what is generally considered safe ranges The trigger sensitivity bar is colored based on the setting e the bar is green for a normal setting for flow triggering the bar is red when
33. opens if system pressure exceeds 117 7 cmH20 Airway pressure exceeds preset Upper Pressure Limit Kinked or blocked tubing Mucus or secretion plug in endotracheal tube or in airways Patient coughing or fighting ventilator Inspiratory flow rate too high Improper alarm setting Blocked expiratory 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 technician Safety valve test failed During Pre Use Check the system found problems with the opening pressure for the safety valve Contact a service technician Settings lost Restart ventilator Software error memory corrupt Restart the ventilator and perform a Pre Use Check Check ventilator settings Technical error in Expiratory cassette Technical problem with the expiratory cassette Perform a Pre Use Check Change the expiratory cassette and perform a Pre Use Check Contact a service technician Technical error Restart ventilator Ventilator settings lost Restart the ventilator perform a Pre Use Check and check all settings Contact a service technician Time in waiting position exceeds 2 min Time in waiting position is exceeded Patient is not connected to the ventilator or leakage is excessive Check patient and breathing system
34. ranges in this document assume the following standard conditions and the worst case i e all errors are summarized positive Statistically 95 of all values will be within 2 3 of the given error Ambient pressure 101 3 kPa e Room temperature 20 C e Dry gases in patient system e Inlet pressure 4 3 kPa x 100 e Pre use check performed on a warmed up ventilator Default settings unless otherwise specified 88 Y Infant 4 Adult 10 4 Inspiratory Channel Pressure drop Maximum 3 cmH 0 at a flow of 1 liter s Internal compressible factor Maximum 0 1 ml cmH20 Gas delivery system Microprocessor controlled valves Gas delivery device Flow range 5 or 0 1 ml s Adult 0 3 3 l s Infant 0 0 55 l s Maximum pressure setting 5 or 1 cmH 0 80 120 cmH 0 Infant Adult NIV Max leakage compensation level Adult 50 liters min Infant 15 liters min Infant Nasal CPAP 10 liters min O concentration Setting range 21 100 3 O Inspiratory Minute Volume Adult Setting range 0 5 60 l min 6 Infant Setting range 0 3 20 L min 6 Inspiratory Tidal Volume Adult Setting range 100 2000 4000 ml 7 Infant Setting range 5 350 ml 6 at RR lt 100 b min at 2 5 60 l min and set I E lt 1 1 at 1 20 l min and set I E lt 1 1 at 400 4000 ml and set I E lt 1 1 at 20 350 ml and set I E lt 1 1 A Servo User s manual s English edition XA Universal X Options Order No 65 14 892 E313E
35. the alarm message remains on the screen 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 identified by the following symbol 4 Note The NIV alarm Leakage out of range is not latched 7 2 3 Responding to Alarms The procedure for responding to High Priority alarms differs slightly from that for Medium and Low Priority alarms For both refer to the Using the Audio Pause Key figure To respond to a High Priority alarm 1 If desired press the Audio Pause fixed key for less than two seconds to silence the alarm for two minutes 2 Take action to resolve the alarm condition The alarm may remain active if it is latched 3 Press the Audio Pause key to reset the latched alarm and clear the message from the screen To respond to a Medium Low priority alarm 1 If desired press the Audio Pause key for less than two seconds to reset the alarm even if the alarm condition remains 2 Take action to resolve the alarm condition The alarm is automatically reset once the alarm condition ceases Note The following Medium Priority alarms display an Audio off message when activated e Air Supply Pressure Low e O Supply Pressure Low e Battery Operation Servo User s manual English edition Order No 65 14 892 E313E For these alarms you can silence the audio sig
36. the O cell 13 When appropriate disconnect the patient The following sections describe each of the above steps in more detail Servo User s manual English edition Order No 65 14 892 E313E 4 2 Pre Use Check The Pre Use Check includes tests and measurements of e internal technical functionality e internal leakage e pressure transducers e O cell O sensor e flow transducers e safety valve e battery modules e patient breathing system leakage e circuit compliance WARNINGS e Always perform a Pre Use Check before connecting the ventilator to a patient e The separate Patient Circuit Test that can be performed in Standby mode does not replace the Pre Use Check e If any malfunctions are detected during the start up procedure refer to the System Messages chapter for more information Do not connect the ventilator to a patient while a malfunction persists e Do not lift the expiratory cassette while the ventilator is in operation instead lift the cassette while in Standby mode Important If you change the breathing circuit after calculating the circuit compliance compensation factor perform a new Pre Use Check Infant 4 Adult sh Universal X Options 23 4 2 1 Performing a Pre Use Check Start up SVX 5073_XX 1 Connect power and gas supplies e Power AC outlet e Gas Air and O Turn the ventilator on 3 Start the automatic test by pressing Yes Follow the on s
37. the ventilator to a patient e If any of the following occurs discontinue use of the ventilator and contact a service technician e Unfamiliar pop up windows on the screen e Unresolvable alarms e Unfamiliar sounds e Any unfamiliar or unexplained event e Keep the ventilator upright during use e When the ventilator is connected to a patient Do not leave the patient unattended e Make sure a resuscitator is readily available Do not lift the expiratory cassette e Continuously monitor the settings and measurements displayed on the screen 1 2 2 Power Supply e The power cord should be connected only to a properly grounded AC electrical outlet e Do NOT use antistatic or electrically conductive tubing with this system e Make sure there are at least two fully charged batteries installed at all times e Avoid contact with external electrical connector pins e Unused module compartments should e may be inaccurate if equipment not always contain an empty module to authorized by MAQUET is used protect the electrical connector pins from e should be discounted if they conflict spillage and dust with information on the ventilator screen 1 2 3 Fire Hazard e must not substitute for therapeutic or e Keep the system and its gas hoses clear of diagnostic decisions all ignition sources e Do not use the system with worn or frayed hoses or hoses that have been contaminated by combustible materials such as g
38. touchpad is pressed a keypad appears in the window 12 Press Accept to confirm new data 13 Press Cancel to cancel new data Es Important NA 8037 XX e Adult weights are in kilograms e Infant weights are in grams e Copy patient data before you enter a new name or ID otherwise all data corresponding to the previous patient will be lost e The calculation of tidal and minute volume is based on entered body weight If you omit this data default values will be used for ventilation An automatic A calculation of Tidal Volume based on SVX 6038 XX body weight and immediately executed will be performed only if the system is configured for Tidal Volume based on body weight refer to Service Manual Servo User s manual A English edition 34 Y Infant Adult R Universal X Options Order No 65 14 892 E313E 4 6 Setting Ventilation Mode Procedure Diagram Setting Ventilation weds i Mode To set the ventilation mode outside of the Start up Configuration e 1 Press the Mode touchpad 2 Press the arr
39. turns the alarm off Leakage in patient breathing system Leakage at patient connection cuff tracheal tube Check patient connection cuff pressure tracheal tube size Perform a Pre Use Check Check alarm settings Regulation pressure limited It is not possible to reach the Set volume in PRVC and VS due to restrictions imposed by the set upper pressure limit Set high pressure alarm limit this limits the regulatory pressure used in PRVC or VS Check ventilator settings Remove one CO module Two CO Analyzer modules are connected at the same time Remove one of the CO Analyzer modules Respiratory Rate High Respiratory frequency too high Auto triggering Attend to the patient Check the trigger setting Respiratory Rate Low Respiratory frequency too low Trigger sensitivity setting incorrect Large tidal volume Attend to the patient Check trigger setting Check inspiratory cycle off setting 80 Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E Alarm message VT inspiratory overrange Y Sensor mismatch Possible causes Setting causing larger volume than allowed for the selected category Limited adjustment of excessive tidal volume Y Sensor does not match the selected patient category Remedies Check the adjustment for the inspiratory tidal volume Check patient
40. 0 20 Inspiratory rise time s 0 15 0 15 0 15 0 15 0 0 2 0 0 4 0 0 2 0 0 4 Inspiratory rise time s 0 15 0 2 0 15 0 2 0 0 2 0 0 4 0 0 2 0 0 4 in NIV Maximum inspiratory 0 56 3 3 0 56 3 3 flow l s Maximum permitted 80 120 80 120 absolute pressure cmH20 Minute Volume l min 7 5 2 4 7 5 0 5 60 0 3 20 0 5 60 Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 95 Parameter Factory set default Setting range Infant Adult Universal Infant Adult Universal Infant Adult Infant Adult Mode in NIV PS PS PS PS Mode Invasive PC vc PC vc ventilation Nebulizer OFF OFF OFF OFF ON OFF ON OFF ON OFF ON OFF Nebulizer time min 10 10 10 10 5 30 5 30 5 30 5 30 NIV Rate b min 4 4 4 4 4 40 4 20 4 40 4 20 O concentration 40 40 40 40 21 100 21 100 21 100 21 100 PEEP cmH20 5 5 5 5 0 50 0 50 0 50 0 50 PEEP in NIV cmH20 5 5 5 5 2 20 2 20 2 20 2 20 Phigh cmH20 15 15 15 15 PEEP 1 PEEP 1 PEEP 1 PEEP 1 50 50 50 50 Press trig sensitivity 20 0 20 0 20 0 20 0 level cmH20 Pressure level above 20 20 20 20 0 80 0 120 0 80 O 120 PEEP cmH20 PEEP PEEP PEEP PEEP Pressure level above 5 5 5 5 0 32 0 32 0 32 0 32 PEEP in NIV cmH20 PEEP PEEP PEEP PEEP PS above PEEP cm
41. 14kPa 4 CPAP high MP Adult 0 55 cmH 0 10 Yes Infant 0 55 cmH 0 10 CPAP low MP Adult 0 47 cmH 0 10 Yes Infant 0 47 cmH 20 10 If Pay rises 6 cmH 0 above the se ao FP 66 HP High priority alarm MP Medium priority alarm limit or if system pressure exceeds 117 7 cmH 0 the safety valve opens Setting the alarm limit to 0 zero is equivalent to turning the alarm off If the alarm limit is set outside the measuring range no alarm will be activated even if the limit is exceeded Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E 8 Accessories 8 1 XServo Ultra Nebulizer The Servo Ultra Nebulizer is intended for administering nebulizing drugs to patients requiring mechanical ventilation or positive pressure breathing assistance via an endotracheal tube or face mask prongs The nebulizer operates continuously regardless of ventilation mode setting No extra gas volume is added to the inspiratory minute volume and thus neither the ventilator settings nor the readings are affected Important When using the Aeroneb Professional Nebulizer System the accuracy of the X Y Sensor measurement may be compromised Therefore you should remove the Y Sensor from the patient circuit when the Aeroneb Professional Nebulizer System is in use Important Before administering any medication via the nebulizer consult the ma
42. 15 sec Set PEEP level 15 cmH 0 O Concentration Set value 6vol or lt 18 vol Expired Minute Volume Upper alarm limit Adult 0 5 60 liters min Infant 0 01 30 liters min Expired Minute Volume Lower alarm limit Adult 0 5 40 liters min Infant 0 01 20 liters min Apnea Adult 15 45 s Infant 5 45 s Gas Supply lt 2 0 kPa x 100 or gt 6 5 kPa x 100 Respiratory Frequency 1 160 b min High End Expiratory Pressure 0 55 cmH20 Low End Expiratory Pressure 0 47 cmH 0 End Tidal CO upper and lower limit 11 0 5 20 4 100 mmHg 0 5 14 kPa CPAP Upper alarm limit Adult 0 55 cmH20 Infant 0 55 cmH20 CPAP Lower alarm limit Adult 0 47 cmH20 Infant 0 47 cmH20 9 The apnea alarm can be turned off in Nasal CPAP 10 Note Setting the alarm to 0 zero is equal to alarm off 11 In NIV low limit can be set to 0 zero X Infant 4 Adult sh Universal X Options 89 10 7 2 Autoset Alarm Limits High Airway Pressure Mean peak pressure 10 cmH20 or at least 35 cmH20 Expiratory Minute Volume upper 50 Expiratory Minute Volume lower 50 Respiratory Frequency upper 40 Respiratory Frequency lower 40 Mean End Expiratory Pressure high 5 cmH20 Mean End Expiratory Pressure low 3 cmH20 etCO Concentration upper 25 etCO Concentration lower 25 10 7 3 Alarms Miscellaneous Audio Pause Alarm silence reset Two minute silence
43. 5 9 0 5 Airway adapter dead space Adult lt 5 cm Infant lt 0 5 cm3 Infant 4 Adult sh Universal X Options 93 10 16 X Y Sensor Measuring Size mm Y Sensor Module 154 x 90 x 43 Y sensor adult Length 84 Y sensor infant Length 51 Weight g Y Sensor Module 400 Y sensor adult 10 5 Y sensor infant 7 5 Sensor Material Makrolon polycarbonate Tubing 2 0 m Medical grade PVC Power Source Y Sensor Module supply voltage powered from Servo i lt 5 Wat 12 V normal operation Y Sensor Measuring Performance Measuring method Fixed orifice differential pressure Parameters Airway pressure Airway flow Inspiratory Volume Expiratory Volume Measuring Range Adult 2 to 180 liters min Infant 0 125 to 40 liters min Airway Adapter Dead Space Adult lt 9 0 ml Infant lt 0 45 ml 10 17 Accessories X Mobile Cart Weight kg 20 Dimensions mm 542 W x 622 L x 1010 H X Drawer Kit Weight kg 4 5 Dimensions mm 300 W x 210 L x 240 H 94 Y Infant 4 Adult sh Universal X Options X Holder Weight kg 3 5 Dimensions mm 159 W x 247 L x 352 H X Shelf Base Weight kg 1 2 Dimensions mm 159 W x 205 L x 29H X Gas Cylinder Restrainer Maximum load Two 5 liter bottles X IV Pole Maximum Load total kg 6 X Gas Trolley Maximum load Two 10 kg bottles X Compressor Mini Dimensions mm 430 W x 330D x 250H Weight approximate kg lbs 26 70 Power suppl
44. Disconnected pressure transducer expiratory or inspiratory Blocked pressure transducer expiratory or inspiratory Water in expiratory limb of ventilator Wet or clogged bacteria filter Excessive leakage Refer to service Remove water from tubing and check humidifier settings e g relative humidity Check heater wires in humidifier if present Check connections of tubing and expiratory cassette Expiratory cassette The expiratory cassette is disconnected Connect the expiratory cassette disconnected or not connected properly Replace the expiratory cassette Perform a Pre Use Check if a new expiratory cassette is inserted Expiratory Minute Preset or default alarm limit exceeded Check patient and breathing Volume High Increased patient activity Ventilator self triggering autocycling Improper alarm limit setting system Check trigger sensitivity setting Check alarm limit settings Expiratory Minute Volume Low Also see note at the end of this table Preset or default alarm limit exceeded Note This alarm also works as a patient disconnect alarm Low spontaneous patient breathing activity Leakage around the cuff Leakage in the patient breathing system Improper alarm setting Check patient Check cuff pressure Check patient breathing system perform leakage test if necessary Check pause time and graphics to verify Consider increased ventilator
45. E Infant 4 Adult sh Universal X Options 41 42 Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E 5 Monitoring and Recording 5 1 Measured Values Display During ventilation measured or calculated values of breathing parameters are displayed This section describes the display gives the procedure for displaying additional pages of parameters and lists all viewable parameters 5 1 1 Description 000 SVX 5011_XX Breathing parameter values are displayed on the right side of the screen e Units are displayed e Alarm limits are displayed e If a high priority alarm limit is exceeded the box turns red e If a medium priority alarm limit is exceeded the box turns yellow e An up or down arrow indicates whether the upper or lower alarm limit has been exceeded kkkk e Off scale values are indicated by e It is possible to change which parameter values are displayed in the measured value boxes Servo User s manual English edition Order No 65 14 892 E313E 5 1 2 Displaying Additional Pages 1 08 18 31 Ppeak 34 Pplat 24 Pmean 12 PEEP 5 i SVX 5092_EN To view more parameters 1 Press the Additional values touchpad in the lo
46. H20 0 0 0 0 0 80 0 120 0 80 0 120 PEEP PEEP PEEP PEEP PS above Phigh cmH20 0 0 0 0 0 80 0 120 0 80 0 120 Phigh Puigh Phigh Phigh SIMV frequency 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 9 0 1 5 0 1 5 0 1 5 0 1 5 Tidal Volume ml 500 80 500 100 2000 5 350 100 4000 Tpause 10 10 10 0 30 0 30 0 30 Tpause s 0 4 0 2 0 4 0 1 5 0 1 5 0 1 5 TPEEP s 1 2 1 2 0 2 10 0 2 10 0 2 10 0 2 10 Weight kg 3 50 3 50 0 5 30 10 250 0 5 30 10 250 96 Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E 10 19 Alarm Limits Default Settings amp Allowed Ranges Alarm limits Factory set default Setting range Infant Adult Universal Infant Adult Universal Infant Adult Infant Adult Airway pressure upper 40 40 40 40 16 90 16 120 16 90 16 120 limit cmH 0 Airway pressure upper 20 20 20 20 16 60 16 60 16 60 16 60 limit cmH20 in NIV Apnea time till alarm s 10 20 10 20 5 45 15 45 5 45 15 45 CPAP high limit cmH20 10 10 10 10 0 55 0 55 0 55 0 55 CPAP lower limit cmH 0 10 10 10 10 0 47 0 47 0 47 0 47 Note Setting the alarm to zero turns off the alarm End expiratory pressure 10 10 10 10 0 55 0 55 0 55 0 55
47. MAQUET VENTILATOR SYSTEM SERVO i V3 0 CRITIGAL CARE Contents 1 e Introduction 1 1 1 Device Description o oooooooooo oo ooo 1 1 1 1 Device Diagram oo ooooooooocooooo oo os 1 1 1 2 Device Components o ooooooooo ooo ooo 1 1 1 3 IntendediUSe co iaa ae eee ee ete e 1 1 1 4 Intended User o ooooooooo oo ooo ooo ooooo 1 1 1 5 Intended Use Environment o ooooooooo o 1 1 1 6 Servicing Guidelines o ooooocooocoocooo nooo 1 1127 Disclaimers a ts ees A haa ace 1 1 2 Warnings a 8 es Hee ee BES ia 2 1 221 Generali cae sie ais eo a eee A Se dele ew ee ee 2 1 2 2 Power SUPPLY eect a be od acti at Wah ate ele ove a eee eee a 2 1 2 3 Fire Hazard ocios ees ease RGSS e 3 1 2 4 GaSeS iis ek a Ada Se Oe WG Sa Bh ands E 3 1 2 5 Auxiliary Equipment ooo oo 3 1 3 Version Configurations ooooooo o o 4 15331 Configurations Li a A aia 4 1 4 About this Manual oooooooo 6 2 e System OVerVIeW suo cada 7 ZA Ventilator oes Sie RA 7 2 2 User Interface s oeii s amp e ae wee Bee ew eae 8 2 2 1 User Interface Components ooooooooooooo eee 8 2 2 2 User Interface Diagram oooooooooooo ooo 9 2 2 3 User Interface Symbols oo o ooo o o o 10 2 3 Navigating the User Interface 10 2 321 Touch Screen uan a a ae a 10 2 3 2 Main Rotary Dial
48. The test was cancelled by the user You should always perform a Pre Use Check before connecting the ventilator to a patient Failed The test did not pass Check all connections and the Not completed The test was not completed The test case passed with some reservations This message appears when e the battery option is installed and the battery capacity is less than 10 minutes or the test could not be completed due to a missing gas expiratory cassette Perform a Pre Use Check again Contact a service technician The ventilator may still be used limited If you supply missing gas you must perform another Pre Use Check Passed The test case has passed and the None required device is working according to the test specifications Running A test is in process The message None required flashes during the test Servo User s manual English editi 82 Y Infant 4 Adult sh Universal X Options Order No 65 14 892 E313E 9 6 Pre Use Check Messages Specific Message Description Remedies if test fails Alarm state test Barometer test Verifying that no Technical Error Alarms are active Checking barometric pressure measured by the internal barometer Refer to Service Check the barometric pressure value in the Status Window Battery switch test If battery modules are connected checks the ability to toggle between AC power and backup power when AC power is l
49. VC Pressure Support t Suction Support Upgrade to universal all patient categories t t Volume Control t Volume Support t t t Y Sensor measuring t t t t standard t optional 2 Infant configuration 4 Adult configuration st Universal configuration Servo User s manual English edition 5 Y Infant 4 Adult sh Universal X Options Order No 65 14892 E313E 1 4 About this Manual Chapter 1 Introduction Contains information about the proper and safe use of the system as well as version and configuration information Chapter 2 System Overview Contains numbered diagrams corresponding to the system as a whole the user interface and the patient unit Provides procedures for basic user interface navigation Chapter 3 Power Supply Contains information about the three methods of powering the ventilator Describes the proper use of the battery modules Describes power supply related alarms Chapter 4 Operation Overview Provides brief procedures for the complete use of the ventilator including the preforming the Pre use Check entering patient data setting ventilation mode and disconnecting the patient Chapter 5 Monitoring and Recording Provides procedures for displaying the patient breathing data as it is collected by the ventilator Provides procedures for saving and recording data Chapter 6 Ventilation Modes Lists all available ventilation modes along with impor
50. a x 100 Air supply pressure at gas inlet is too high Remedies Check the gas supply lines Perform a Pre Use Check Contact a service technician Air supply pressure Low Alarm output connection error Air supply pressure below 2 0 kPa x 100 Air supply pressure at gas inlet is too low Gas supply line disconnected Note This alarm can be permanently silenced Audio off when activated Technical problems hardware or software with the external alarm function Check and connect gas supply lines Perform a Pre Use Check Contact a service technician Battery mode Nebulizer switched off Battery operation Ventilator is running on batteries and the Servo Ultra Nebulizer is disabled to reduce power consumption AC power interrupted Connect to AC power to use the Servo Ultra Nebulize Check the connection to AC power Check the connection to AC power Check alarm limits The persistent memory has corrupt contents Check the alarm limits Check CO airway adapter The data reference channel or both are out of range Usually occurs if the airway adapter is removed from the capnostat there is optical blockage on the windows of the airway adapter or the adapter type was changed and verification was not performed Make sure that the adapter is completely inserted Clean airway adapter if necessary Open the CO Calibration Window and perform Verification C
51. airway pressure Increased airway pressure could result from a clogged filter Replace the filter if the expiratory resistance increases or after 24 hours of nebulizer use whichever comes first During nebulization frequently check that moisture is being generated in the medication cup Infant 4 Adult sh Universal X Options 67 8 1 2 Nebulizer Components SVX 136_XX Gas from ventilator Cable from ventilator Ultrasonic generator Sterile buffer water AUS ISS Medication mist produced in the medication cup The 10 ml cup is disposable It can be filled during nebulization through an injection membrane in the T piece or before mounting the T piece The medication 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 um for droplets in the mist Larger droplets are renebulized 7 Injection membrane 68 Infant 4 Adult sh Universal X Options 8 1 3 Operation SVX 6886_XX To operate the nebulizer Press the Nebulizer touchpad Press the Time touchpad Set the time using the Main Rotary Dial Touch Accept to accept the time Check that medication mist is produced View the remaining nebulization time A OS Press the Nebulizer touchpad to change
52. ale press Auto Important MAQUET does not recommend using auto scale in Bi Vent mode when patient breathing is spontaneous on both levels To view the Event Log 1 Press the fixed key Menu 2 Press the Review touchpad 3 Press the Event log touchpad to view all logged events Servo User s manual English edition 46 Y Infant 4 Adult sh Universal X Options Order No 65 14 892 E313E 5 4 Showing Loops 5 5 Showing Trends The Loops function provides a graphical Trend values are stored every 60 seconds representation of the relationship between and retained as far back as 24 hours Stored flow volume and pressure volume events and system changes are shown as event stamps SVX 6004_XX SVX 5016_XX To show trends 1 Press the fixed key Trends 2 Use the Main Rotary Dial to adjust display parameters 3 View trended measured values 4 Use the up and down arrows to scroll 5 To quit the Trends Window press Close 6 To adjust the time resolution press the 6 4 Hours touchpad and turn the Main Rotary Dial To activate the Loops function 7 Activate the Cursor Move it back and 1 Press
53. ally recognized safety limits The figure above shows the following components 1 A Direct Access Knob 2 Awhite bar indicating the corresponding parameter value is within generally recognized safety limits 3 A yellow bar indicating the corresponding parameter value is outside safety limits advisory information is displayed 4 A red bar indicating the corresponding parameter value is significantly outside safety limits an advisory warning is displayed accompanied by an audible signal Note When you reach the defined safety limits for a given parameter the Direct Access Knob becomes inoperative for 2 seconds to indicate that a safety limit has been reached This feature is implemented only in the Universal and Infant versions of the Servo i SVX 5003_XX Servo User s manual English edition Order No 65 14 892 E313E 2 3 5 Menu Key E SVX 5019_XX To access the user interface windows 1 Press the fixed key Menu Touchpads leading to the user interface windows appear 2 If the touchpad shows a sheet icon press the touchpad to open a user interface window OR 3 If the touchpad shows an arrow icon press the touchpad to display the submenu Press any of the following touchpads 4 Alarm Submenus Profile History Mute 5 Review Submenus Tren
54. alue Notes e When you reach a maximum allowed value its display will flash The time parameter displayed in the lower right corner of the user interface screen indicates how long it will take at the current settings for the waveform to complete one left to right sweep across the screen Change the scaling with the zoom in out function to speed up or slow down 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 waveform to fill the screen Servo User s manual English edition Order No 65 14 892 E313E 5 7 Saving Data Waveforms and settings may be saved in the following ways e A 20 second recording may be taken for immediate on screen analysis e Screen data or patient data may be written to an optional Ventilation Record Card for later analysis file is readable by Microsoft Excel 5 7 1 Recording Waveforms SVX 5015_XX To save one recording of the current waveform along with breathing parameter values 1 Press the fixed key Save A total of 20 seconds of data will be recorded 10 seconds before the Save key was pressed and 10 seconds after the Save key was pressed Note If Save is pressed again the previous recording will be erased Using Admit patient also erases the p
55. and reset of latched alarms 90 Y Infant 4 Adult sh Universal X Options 10 8 Ventilation modes 10 8 1 Controlled Ventilation Pressure Control PC Pressure controlled ventilation Volume Control VC Volume controlled ventilation Pressure Regulated Volume Control PRVC Pressure regulated volume controlled ventilation NIV Pressure Control Noninvasive pressure controlled ventilation 10 8 2 Supported ventilation Volume Support VS Volume supported ventilation Pressure Support PS CPAP Pressure supported ventilation Continuous positive airway pressure ventilation NIV Pressure Support Noninvasive pressure supported ventilation Nasal CPAP Nasal continuous positive airway pressure ventilation 10 8 3 Combined ventilation SIMV VC PS Synchronized intermittent mandatory ventilation based on volume controlled ventilation with pressure support SIMV PC PS Synchronized intermittent mandatory ventilation based on pressure controlled ventilation with pressure support SIMV PRVC PS Synchronized intermittent mandatory ventilation based on pressure regulated volume controlled ventilation with pressure support Bi Vent Pressure controlled ventilation that allows the patient the opportunity of unrestricted spontaneous breathing Automode Control mode Support mode VC gror Terro enile gt VS PC gretai mmm gt PS PRVC lt gt VS In Servo i flow measurements
56. aneous 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 Apnea alarm and back up ventilation not available two pressure levels and durations are set alarms are handled for each Bi Vent cycle Non Invasive Ventilation PC NIV PS NIV PC NIV PS for ALL NIV modes avoid high inspiratory pressure use of nebulizer not recommended excessive leakage will cause a high priority ALARM trigger sensitivity and cycle off cannot be set NIV PC is a controlled breathing mode cm pib NIV nasal CPAP Automode Nasal CPAP none IMPORTANT to have a ventilator independent means of monitoring in place no backup ventilation available Apnea alarm can be turned off sb VC lt gt VS or PRVC lt gt VS or PC lt gt PS not in NIV a MVol Minute Volume patient initiated breath df decelerating inspira Servo User s manual English edition Order No 65 14 892 E313E UPL Upper Pressure Limit TVol Tidal Volume cm controlled ventilation mode pib ing mode sb spontaneous breathing mode eb patient can trigger extra breaths ory flow cf constant inspiratory flow Infant 4 Adult sh Universal X Options 55 6 2 Ventilator Operation This section contains information about setting the ventilation mode recalling previous ventilati
57. ator 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 target value The system has two gas modules one for air and one for O Gases may be supplied by a medical pipeline system a compressor or by gas tanks SVX 6019_XX Air and O supply Power cable User Interface Patient Unit Expiratory inlet Servo guard viral bacterial filter Inspiratory outlet Patient system Module compartment 1O PIN BS Servo User s manual English edition s Order No 65 14 892 E313E es Infant Adult Universal X Options 2 2 User Interface The User Interface includes e a screen with active touch pads e fixed keys e rotary dials 2 2 1 User Interface Components Refer to the User Interface Diagram for locations of the following numbered components 1 Patient category Active mode of ventilation 2 3 X Automode On Off 4 Admit patient Entered patient data and admission date X Nebulizer On Off System status parameters Fixed keys Main Rotary Dial used to select a menu touch pad or parameter box to adjust values and to confirm settings 9 Special Function Keys used to start special ventilatory functions 10 Direct Access Knobs used for immediate adjustment of breathing parameters 11 AC Power indicator green 12 Standby indicator yellow 13 Star
58. battery modules and O cells with ordinary waste Be sure the system is not exposed to temperatures below 25 C 13 F or above 60 C 140 F e Be sure the system is not exposed to a relative humidity above 95 percent X Infant 4 Adult sh Universal X Options 17 18 Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E 3 Power Supply 3 1 Introduction The Servo i Ventilator System is equipped with an AC power supply with automatic range selection The ventilator will automatically operate properly using 100 120 Volt AC or 220 240 Volt AC outlets The ventilator comes equipped with at least two battery modules which automatically supply 12 Volt DC power in case of an AC power failure ensuring that ventilator settings and stored data remain intact in the event of an AC power failure Note Batteries can be added to available slots during operation The ventilator also comes equipped with an input jack for an external 12 Volt DC power supply This power supply activates automatically in case of an AC 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 six battery modules each 12 V 3 5 Ah 3 hour recharge time providing up to three hours of backup operation External 12V DC 12 0 V
59. cassette and inspiratory channel e make sure the expiratory cassette and the inspiratory channel are clean and dry OR e contact a service technician Internal Audio test and other internal tests memory and safety related hardware Make sure the patient unit front cover and the user interface rear cover are correctly mounted O cell sensor 28 Calibrates and checks the O cell sensor at 21 O and 100 O Checks if the O cell is worn out Because different gas mixtures are required for this test it will not be performed if one gas is missing e Check that the connected gas supply pressure air and 02 is within the specified range e Replace the O cell e Replace gas modules air and or 02 Servo User s manual English edition Y Infant 4 Adult sh Universal X Options Order No 65 14 892 E313E Test Description Remedy if test fails Patient circuit leakage Checks the patient circuit leakage with patient tubing connected using the inspiratory and expiratory pressure transducers Allowed leakage 80 ml min at 50 cmH20 Will allow the system to calculate a compensation for circuit compliance if the leakage requirements are met If the internal leakage test has passed the leakage is located in the patient circuit Check for leakage or replace the patient circuit Y Sensor Checks the pressure and flow measurement of the Y Sensor Check Y module a
60. category setting Check Y Sensor Y Sensor Module disconnected Y Sensor module is not properly inserted Insert the Y Sensor module Remove one Y Sensor Module Y Sensor Module error Two Y Sensor modules are connected at the same time Hardware error in the Y Sensor measuring module Remove one of the Y Sensor modules Unplug and reinsert the module Change the module Contact a service technician Y Sensor Module temp high Possible hardware error The Y Sensor module temperature is higher than 60 C Make sure the Y Sensor module is not exposed to extreme heat Change the module Contact a service technician error Y Sensor disconnected Y Sensor measuring Derivation between Y Sensor measuring and internal measurements Y Sensor measuring has been disabled Y Sensor is not attached Check patient and patient circuit Change the Y Sensor Connect the sensor to the Y Sensor module 9 4 Low Priority Alarms Alarm message Possible causes Remedies Touch screen or knob press time exceeded Screen or knob has been pressed for more than one minute Screen or knob hardware time out Check screen and knobs Contact a service technician Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 81 9 5 Pre Use Check Messages General Message Cause Remedies Cancelled
61. cces code Servo User s manual English edition 4 105 Order No 65 14 892 E313E 2 lt Infant Adult Universal X Options A 8 Screen Touch Pads SVX 579_EN 106 e o When you press the soft key for a selected ventilation mode a window appears with the valid settings for this mode The window has an accept soft key and a cancel soft key When the accept soft key is pressed the ventilator starts to ventilate with your new settings If the cancel soft key is pressed this window will disappear and the ventilator will continue to ventilate with the original settings To support the clinician in adjusting settings some values derived from settings are shown in the upper right field of the set ventilation mode window e g inspiration time in seconds calculated inspiratory flow The soft key Automode selects the Automode function When the patient is breathing spontaneously Automode The green indicator is lit e The ventilation mode text goes from grey to black Additional values When the Admit patient function is activated the clinician can enter or amend patient details e patient name e date of admission identity number height e date of birth weight The Nebulizer function turns the nebulizer on or off It is possible to set the duration of nebulization to between 5 and 30
62. creen instructions Internal Tests O SVX 152_XX 4 Connect the blue test tube between the inspiratory outlet and the expiratory inlet Important Use only the MAQUET blue test tube Check Switch Between AC and Battery If a battery module is connected you should test the ventilator s ability to switch between AC and battery power when AC power is lost and restored 24 Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E SVX 5074_XX 5 When the on screen instruction appears disconnect the ventilator from AC power 6 When the on screen instruction appears reconnect the ventilator to AC power Check Patient Breathing System Y Sensor SVX 155 7 Connect a complete breathing system 10 Unblock the Y Sensor and follow the on including if available a humidifier and screen instructions The circuit a Servo Ultra Nebulizer compliance is automatically measured Important When blocking the Y piece or X Y Go step 11 Sensor make sure there is no leakage Leakage will affect the circuit compliance compensation calculation If no Y Sensor is c
63. ct a service technician Nebulizer inhibited due to overheating Temperature too high Turn off the nebulizer and restart when cool Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 79 Alarm message O supply pressure High Possible causes O supply pressure above 6 5 kPa x 100 O supply pressure at gas inlet is too high Remedies Check the gas supply lines Perform a Pre Use Check Contact a service technician O supply pressure Low O supply pressure below 2 0 kPa x 100 or above 6 5 kPa x 100 O supply pressure at gas inlet is too low Gas supply line disconnected Note This alarm can be permanently silenced Audio off when activated Check and connect gas supply lines Perform a Pre Use Check Panel disconnected No communication between user interface and patient unit Check control cable Contact a service technician PEEP High The measured end expiratory pressure Check patient breathing system is above the preset or default alarm Check patient connection cuff limit for three consecutive breaths pressure tracheal tube size Perform a Pre Use Check Check ventilator settings Check alarm settings PEEP Low The measured end expiratory pressure Check patient breathing system is below the preset or default alarm limit for three consecutive breaths Note Setting the alarm to zero
64. dapter must contain room air only Servo User s manual i a English edition 70 X Infant 4 Adult sh Universal X Options Order No 65 14 892 E313E 8 2 3 1 Cell Zero Calibration yt ft 04 REF SVX 5078 XX 1 Press the Cell zero touchpad wait for on screen instructions 2 Place the capnostat sensor on the zero cell 8 2 3 3 Verification Calibration 0 REF SVX 5079_EN Press the Verification touchpad wait for on screen instructions Place the capnostat sensor on the zero cell wait for on screen instructions Place the capnostat sensor on the reference cell wait for on screen instructions Place the capnostat sensor on an unconnected airway adapter containing room air KRWN Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 71 8 3 X Y Sensor The Y Sensor is a fixed orifice differential pressure sensor It allows the pressure and flow to be measured close to the patient s airway The Y Sensor can be used in all ventilation modes Important When using the Aeroneb Professional Nebulizer System the accuracy of the X Y Sensor measurement may be compromised Therefore you should remove the Y Sensor from the patient circuit when the Ae
65. ds Recorded waveform Event log View configuration Options Circuit compliance compensation Copy to Ventilation record card Biomed Submenus Service Edit configuration copy configuration Set date and clock Change access code 10 Panel lock 11 x Change patient category a So Servo User s manual English edition Order No 65 14 892 E313E 2 3 6 Status Touchpad E SVX 5008_XX The Status touchpad indicates the power supply currently being used by the ventilator AC power battery power or external 12V DC power If the ventilator is running on battery power the estimated remaining battery time in minutes is shown Caution When using an external 12 V DC supply there must be at least one installed battery module to ensure proper operation To access the status window 1 Press the Status touchpad Touchpads leading to status windows appear Press any of the following touchpads General system information Status of O cell O Sensor Status of expiratory cassette Status of batteries Status of X CO module if available E eS Status of X Y Sensor measuring if available Installed options 9 Status of Pre use Check 00 X Infant 4 Adult sh Universal X Options 13 2 4 Patient Unit The patient unit consists of the following components e gas supplies and their co
66. e PEEP Tpeep Time at PEEP level in Bi Vent s Pressure Support above Pressure high PS above Prigh Inspiratory pressure support level for breaths triggered during the Tyigh period in Bi Vent cmH 0 Pressure Support above PEEP PS above PEEP Inspiratory pressure support level for breaths triggered during the Tpggp period in Bi Vent cmH 0 Pressure high Py gp Positive End Expiratory Pressur at the upper level in Bi Vent cmH 0 Pressure low Pi ow Positive End Expiratory Pressure at the lower level in Bi Vent cmH 0 Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 59 60 Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E 7 Alarms 7 1 Introduction The Servo i Ventilator System is equipped with an alarm system to help ensure patient safety Visual and audible alarms warn about e patient breathing problems e g apnea e power problems e g loss of AC power e problems with gases e g low supply pressure e hardware problems e g overheating software problems e g memory failure This chapter describes general responses to alarms provides the procedure for setting alarm limits see also the Operation Overview chapter and lists breathing related alarm settings along with their allowed ranges The Power Supply chapter describes power supply related alarms
67. each operating temperature Change capnostat sensor and or module Contact a service technician CPAP High Low Preset or default alarm exceeded Check patient and breathing system Check mask prongs size and patient fit Check alarm settings etCO high Hypoventilation Leakage with high bias Check patient circuit flow CO sensor Y piece HME Check ventilator settings etCO low Hyperventilation Leakage with high Check patient circuit bias flow CO sensor Y piece HME Check ventilator settings Exp cassette exchanged Inspiratory flow overrange Internal temperature High Nebulizer disconnected Expiratory cassette has been exchanged during operation Pre Use Check not performed after exchange Combination of settings exceeds the allowable inspiration flow range Temperature inside the ventilator is too high The nebulizer is disconnected during nebulization Technical problem with connection cable Perform a Pre Use Check Change ventilator settings Increase the gas inlet pressure Check fan operation Check the operating temperature Connect the nebulizer Change the connection cable Nebulizer hardware error Technical problem with nebulizer hardware Temperature too high Not enough buffer liquid Technical problem with connection cable Restart the nebulizer Check buffer liquid level Change the nebulizer Change connection cable Conta
68. ed battery module connected the ventilator will activate the following high priority alarm e No battery capacity Complete loss of power is imminent or has already occurred If this happens the inspiratory and expiratory valves will open to allow for breathing through the Servo User s manual English edition Order No 65 14 892 E313E ventilator All settings will saved until the ventilator is powered again 3 3 2 Warnings e To guarantee reliable battery backup two fully charged battery modules should be installed at all times Always replace batteries when the ventilator software notifies you of imminent expiration or of diminished operating capacity Do not disconnect and store battery modules over long periods of time because this will degrade their capacity If battery modules need to be stored for short periods of time up to one week then store them fully charged in a cool 15 20 C dry environment Batteries that have been stored or disconnected should be recharged before use Dispose of batteries according to local regulations and not with ordinary waste After a new battery module is installed display the Battery Status Window to ensure safe battery operation When delivered the battery modules may not be fully charged Check the status of the batteries via the user interface and if necessary charge the battery before use by connecting the ventilator to the power supply Always recharge
69. ence loop can be saved by e volume pressure the user e flow volume Waveform scaling e Pressure scale e Flow scale Scales e Volume scale e CO scale SVX 581_EN These three scales are by default set to automatic scaling The sweep speed mm s can be set to 6 10 or 20 mm s default Waveform Possibility to increase the space viewing the waveform curves configuration This in turns means that more detailed information can be gained Open Lung Tool The Open Lung Tool assists in alveolar recruitment procedures The screen gives information about End inspiratory pressure EIP and PEEP inspiratory and expiratory Tidal Volume as well as Dynamic Open Lung Compliance Cdyn i Tool scales Note Open Lung Tool is not available in NIV Servo User s manual i a English edition lt A Universal X Options Order No 65 14 892 E313E 102 e o a A 4 Main Screen Key Main The Main screen fixed key will return you to the Main screen gt screen cancelling current work from wherever you are in the Menu dialog windows SVX 582_EN A 5 Menu Key in Standby Mode Aam Alarm profile setup Possible selections By pressing the autoset in controlled Profil Pressure upper modes of venti
70. enu 2 Press the Start up configuration touchpad 3 Press the touchpad for desired start up setting 4 Press Next to continue to ventilation mode settings 5 Press the appropriate touchpad to change the settings Note Press Restore mode settings to restore factory default settings 6 Press Next to view a summary of the start up configuration 7 Press Accept to save the start up settings Note The ventilator must be restarted to activate the new settings X Infant 4 Adult sh Universal X Options 31 Procedure Diagram Editing the Start Up Configuration 2 HH SVX 9045 SVX 9047 32 Infant Adult sh Universal X Options s 4 4 2 1 Changing the Patient Category If you have the Servo i Universal model you can select the patient category Adult or Infant while editing the Start Up Configuration You can also change the patient category when the ventilator is in Running mode To change patient category while editing the Start up Configuration After pressing Menu gt Biomed gt Edit configuration gt Start up configuration press the Patient category touchpad and follow the on screen instructions To change the patient category in Running mode du
71. fail O cell sensor test Calibrates and checks the O cell sensor at 21 O and 100 Op Checks if the O cell is worn out Note As different gas mixtures are used during this test calibration and check of O cell sensor will not be performed if one gas is missing Check that the connected gas supply pressure air and O3 is within the specified range Replace the O cell Replace gas modules air and or 0 Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 83 Message Description Remedies if test fails Patient circuit leakage test Checks the patient circuit leakage with patient tubing connected using the inspiratory and expiratory pressure transducers Allowed leakage 80 ml min at 50 cmH 20 Allows the system to calculate a compensation for circuit compliance if the leakage requirements are met If the internal leakage test has passed the leakage is located in the patient circuit Check for leakage or replace the patient circuit Y Sensor test Checks the pressure and flow measurement of the Y Sensor 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 see above Check replace inspiratory or expiratory pressure transducer Check that there
72. fant patient tubing nipple connectors 22 10 mm outside diameter 15 10 mm outside diameter 92 Y Infant 4 Adult Internal Volume ml 60 Ultrasonic Generator Frequency MHz 2 4 Particle Size approximate water m 4 0 mass median diameter MMD measured distally in endotracheal tube 8 mm inside diameter Output from nebulizer water Minimum water flux 0 1 ml min at gas flow 0 1l s 0 3 ml min at gas flow 0 5l s 0 5 ml min at gas flow 1 0l s Buffer Liquid Sterile water Maximum Medication Temperature 55 C 131 F Volume medication cup Maximum ml 10 Noise level Maximum dBA 50 measured at 0 3 m distance Connection Cable Length m 2 0 Note For information about the stand alone Aeroneb Professional Nebulizer System refer to accompanying documentation Servo User s manual English edition sh Universal X Options Order No 65 14 892 E313E 10 15 XCO Analyzer General Standard compliance EN864 1509918 Classification Class equipment According to IEC 60 601 1 EN 60 601 1 Type BF Size mm CO Analyzer module 154 x 90 x 43 Sensor 32 0 x 42 4 x 21 6 Weight g CO Analyzer module 450 Sensor 18 Airway adapter 10 Connectors and Cables CO Analyzer module 15 pole D sub female connector Sensor 20 pole 2 4 m cable Power source CO Analyzer module supply voltage powered from the Servo i Power consumption lt 8 W at 12V during warm up lt 6 5 W at 12V
73. g the start up configuration press the Standby key when ready to start ventilation Note Changing the ventilation type affects the following settings SVX 6026_XX e default values for alarm limits e allowed ranges for alarm limits e default values for breathing parameters e allowed ranges for breathing parameters e pressure and flow regulation e scaling Note The factory default values may have been changed by a previous user Servo User s manual English edition Order No 65 14 892 E313E Y Infant 4 Adult s Universal X Options 33 4 5 Entering Patient Data Procedure Diagram Entering Patient Data To enter data for a new patient press Menu gt Biomed gt Edit configuration gt Start up 9 configuration and follow these steps 1 Press the Admit patient touchpad 2 Activate touchpads by turning and pressing the Main Rotary Dial or by pressing the appropriate touchpads Note The Main Rotary Dial may also be used to adjust values Enter edit the following characteristics Patient name Identity number Date of birth SVX 6036_XX Date of admission 2 Body height Body weight 40 10 AD ee Press for example Name to enter the patient s name 5 10 Press Close keyboard when entry is complete 11 When the D
74. gg Flow or Trigg Pressure PT Pause Time PC Pressure Control Level Above PEEP PS Pressure Support Level Above PEEP ICO Inspiratory Cycle Off SIMVR SIMV Rate BCT Breath Cycle Time P_HIGH Maximum Pressure for Higher Pressure Level PEEP_LOW PEEP for the Lower Pressure Level T_ HIGH Time at the Higher Pressure Level T_PEEP Time at the Lower Pressure Level P_ HIGH Pressure Support Level Above Maximum Pressure 54 Servo User s manual English edition Y Infant 4 Adult sh Universal X Options Order No 65 14 892 E313E 6 1 3 Summary Ventilation Mode Abbreviation Notes Airway Pressure Synchronized Intermittent Mandatory Ventilation PRVC PS SIMV PRVC PS Pressure Regulated PRVC ALARM if target volume cannot be delivered due to Volume Control setting of UPL cm eb df Volume Control VC IMPORTANT to set UPL cm eb cf Pressure Control PC IMPORTANT to set alarm limits for MVol cm eb df Volume Support VS ALARM if target volume cannot be delivered due to setting of UPL IMPORTANT to set alarm limits for MVol Apnea pib Pressure Support PS IMPORTANT to increase inspiratory rise time for patient comfort set alarm limits for MVol monitor TVol pib Continuous Positive CPAP IMPORTANT to set alarm limits for MVol Apnea sb comb control and pressure support spontaneous function SIMV VC PS SIMV VC PS comb control and pressure support spont
75. gs such as inspiration time in seconds and calculated inspiratory flow are displayed 3 A white bar indicates that the selected setting is within generally recognized safety limits 4 A yellow advisory bar indicates that SVX 9001 the selected setting is beyond generally recognized safety limits 5 A red warning 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 Main Rotary Dial allows you to select settings and adjust values Note New settings are effective from the first breath after adjustment when the touch pad is deactivated 7 The waveforms and measured values are displayed Thus the effects of the adjustments made can be checked immediately 8 The Close touchpad closes the Additional Settings Window Note The trigger sensitivity bar has different colors based on the setting A green bar indicates a normal setting for flow triggering The risk of self triggering increases when the bar is red A white bar indicates that pressure triggering is required Servo User s manual e N sis 7 English edition 38 Y Infant 4 Adult R Universal X Options Order No 65 14 892 E313E 4 10 Using Suction Support The Suction Support function makes it possible to automatica
76. heck default alarm limits Problems in internal memory for default alarm limits Check default alarm limits Contact a service technician Check Y Sensor Y Sensor is not connected to the patient breathing system or Y Sensor is not working properly Check sensor connection to patient breathing system Change the Y Sensor CO module error Hardware error in the CO Analyzer module Unplug and reinsert the module Change the module Contact a service technician Order No 65 14 892 E313E CO module CO Analyzer module is not properly Insert the CO Analyzer module unplugged inserted CO sensor CO capnostat sensor is not attached Connect the sensor to the CO disconnected Analyzer module Servo User s manual 78 Y Infant 4 Adult sh Universal X Options nen eet Alarm message CO sensor error Possible causes Hardware error in CO capnostat sensor The values in the capnostat memory failed the internal test Remedies Unplug and reinsert the capnostat sensor Calibrate the capnostat sensor Change the capnostat sensor Contact a service technician CO sensor temperature too high Possible hardware error The capnostat sensor temperature is higher than 50 C Make sure the capnostat sensor is not exposed to extreme heat heat lamp incubator etc Replace the capnostat sensor CO sensor temperature too low The capnostat sensor does not r
77. high limit cmH 20 End expiratory pressure 10 10 10 10 0 47 0 47 0 47 0 47 lower limit cmH20 Note Setting the alarm to zero turns off the alarm etCO lower limit 4 0 4 0 4 0 4 0 0 5 20 0 5 20 0 5 20 0 5 20 mmHg 30 30 30 30 4 100 4 100 4 100 4 100 kPa 4 0 4 0 4 0 4 0 0 5 14 0 5 14 0 5 14 0 5 14 etCO lower limit in NIV Note In NIV low limit can be set to 0 zero 4 0 4 0 4 0 4 0 0 20 0 20 0 20 0 20 mmHg 30 30 30 30 0 100 0 100 0 100 0 100 kPa 4 0 4 0 4 0 4 0 0 14 0 14 0 14 0 14 etCO upper limit Note In NIV low limit can be set to zero 6 5 6 5 6 5 6 5 0 5 20 0 5 20 0 5 20 0 5 20 mmHg 49 49 49 49 4 100 4 100 4 100 4 100 kPa 6 5 6 5 6 5 6 5 0 5 14 0 5 14 0 5 14 0 5 14 Expired minute volume 2 0 5 0 2 0 5 0 0 01 0 5 0 01 0 5 40 0 lower limit l min 20 0 40 0 20 0 Expired minute volume 5 0 40 0 5 0 40 0 0 01 0 5 0 01 0 5 60 0 upper limit l min 30 0 60 0 30 0 Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 97 upper limit b min Alarm limits Factory set default Setting range Infant Adult Universal Infant Adult Universal Infant Adult Infant Adult Respiratory frequency 20 5 20 5 1 160 1 160 1 160 1 160 lower limit b min Respiratory frequency 50 30 50 30 1 160 1 160 1 160 1 160 Default values are set e during power up e when admitting a new patient
78. ient effort detected The time between two consecutive inspiratory efforts has exceeded 45 seconds for adults or 15 seconds for infants Check patient and breathing system Check ventilator settings O cell sensor failure O concentration High Servo User s manual English edition Order No 65 14 892 E313E O cell sensor missing or disconnected Measured O concentration exceeds the set value by more than 6 Vol Gas supply or air line disconnected No supply from wall outlet The air gas module is disconnected If no gas is available then both expiratory and safety valves will open Check O cell sensor and connection Note If O sensor is being used make sure O sensor software is installed Check air supply Perform a Pre Use Check Perform O cell adaptation X Infant 4 Adult sh Universal X Options 75 Alarm Message O concentration Low Possible causes Measured O concentration is below the set value by more than 6 Vol or concentration is below 18 Vol which is independent of operator settings Gas delivered in O supply line is not 02 O sensor faulty or exhausted O cell uncalibrated O oxygen gas module faulty Remedies Check O supply line Perform a Pre Use Check Perform O cell adaptation Paw high Caution If airway pressure rises 6 cmH 20 above set upper pressure limit the safety valve opens The safety valve also
79. ing the new setting has been entered 5 Touch Accept to activate your settings 6 Press Cancel to start over Servo User s manual English edition Order No 65 14 892 E313E 2 3 2 Main Rotary Dial 0000 SVX 6021_XX To use an alternative method for adjusting ventilator settings once you ve activated the desired menu 1 Turn the Main Rotary Dial until the desired menu touch pad is marked with a blue frame 2 Press the Main Rotary Dial to confirm The menu touch pad is highlighted in white with a blue frame indicating you can enter a new value 3 Turn the Main Rotary Dial to the desired value or line 4 Confirm the setting by pressing the Main Rotary Dial The parameter touch pad turns blue again indicating a new setting has been entered 5 Touch Accept 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 has been reached This feature is implemented only in the Universal and Infant versions of the Servo i Servo User s manual English edition Order No 65 14 892 E313E 2 3 3 Fixed Keys SVX 5004_XX There are two groups of fixed keys on the user interface screen e The keys in
80. ing ventilation When you activate the O cell adaptation function the oxygen cell is recalibrated so that the current measured O concentration is equal to the O concentration set by the user This temporary adjustment will be valid until the ventilator is switched off Important Before using the Servo i always perform a Pre Use Check to make sure the O cell is properly calibrated i SVX 6089_XX To recalibrate the O cell 1 Press the fixed key Menu 2 Press the Biomed touchpad 3 Press the O cell adaptation touchpad 4 Press the Yes touchpad to perform the O cell adaptation Servo User s manual English edition Order No 65 14 892 E313E 4 12 Disconnecting the Patient SVX 9058 To disconnect and stop ventilation 1 Physically disconnect the patient from the ventilator 2 Press the fixed key Standby 3 Press Yes to stop ventilation Turn the ventilator off using the On Off switch behind the user interface Note The battery modules will recharge as long as the ventilator is connected to AC power It is not necessary to leave the ventilator turned on Servo User s manual English edition Order No 65 14 892 E313
81. iority AlarMS ooooooo ooo o ooo 81 9 5 Pre Use Check Messages General 82 9 6 Pre Use Check Messages Specific oo o o 83 9 7 CO Analyzer Calibration Error MessageS 85 9 8 Technical Error Messages ooooooooo ooo 86 10 e Specifications 87 10 1 System ii A a Gre 87 102131 Gen rale a RS 87 10 1 2 Operating Conditi0NS ooo oooooocooo noo 87 10 1 3 Nonoperating conditions oo 87 10 1 4 Power supply 2 ee eee eee ee oo 87 10 2 Ventilator nin ca te Pats SEs SS eee eS ee eee ARA 88 10 21 Generals rererere eee eee ae 88 10 22 GAS Supply oa bn tae eh th ee Ae a A 88 10 2 3 Patient System Connectors ooo ooo ooo 88 10 2 4 User Interface o oooooooo eee ene 88 10 3 Standard Condition Specification 88 10 4 Inspiratory Chamel o o ooooooooo ooo 88 10 5 Expiratory channel 2 ice cee eee oe Pe ee ee a we 89 10 6 MONTLONING 6a io hawa Seas eee a ease a a ie ae es 89 TO ASMA Bae in 89 10 7 1 Allowed Alarm Settings 0 2 20 eee wees 89 10 7 2 Autoset Alarm Limits 0 0 0 0 2c ccc ee eee ees 90 10 7 3 Alarms Miscellaneous 0 eee eee ee ee eens 90 10 8 Ventilation modes ccc ee eee eee ee es 90 10 8 1 Controlled Ventilation 90 10 8 2 Supported ventilation o oooooooo ooo 90
82. ivity WARNING The trigger sensitivity bar has different colors based on the setting A green bar indicates a normal setting for flow triggering The risk of self triggering increases when the bar is red A white bar indicates that pressure triggering is required PEEP The Positive End Expiratory Pressure PEEP maintained in the alveoli The allowed range is e Standard Modes 0 50 cmH20 e NIV Modes 2 20 cmH 0 Inspiratory cycle off Fraction of maximum flow at which inspiration should switch to expiration Breath cycle time Breath cycle T The breath cycle time is the total cycle time of the mandatory breath in SIMV modes The allowed range is e Infants 0 5 15 seconds in half second steps e Adults 1 15 seconds in one second steps Note The breath cycle time is set only if the ventilator is configured to use the I E ratio to set breathing parameters SIMV rate Rate of controlled mandatory breaths b min Trigger timeout The maximum allowed apnea time in Automode before controlled ventilation is activated The allowed range is e Infant 3 7 seconds e Adult 7 12 seconds Initially the ventilator uses a dynamic trigger timeout limit This means that for the spontaneously triggering patient the Servo User s manual English edition Order No 65 14 892 E313E timeout increases successively during the first ten breaths Time high Tyign Time at Pyigh level in Bi Vent s Tim
83. lation the alarm limits are rome Minute Volume lower and upper automatically set for Respiratory Rate lower and upper Pressure End Expiratory Pressure lower Volume Alarm sound level 20 100 Resp Rate End Tidal CO2 lower and upper PEEP In spontaneous modes an alarm setting for apnea time is available Note In NIV the alarm sound can be permanently silenced Audio off Note Autoset is not possible in NIV This shows alarms that have been activated History The alarms are listed in chronological order Audio off Audio pause Silence or pre silence alarms Review trends recorded waveforms event log or configuration SVX 577_EN CO Calibration The calculation of the circuit Compliance value is performed Compliance during Pre use check comp The calculated value is displayed in the window To activate or to deactivate select the appropriate soft key Copy data Simp contain epoca n Ts Copy screen to PC Card Panel lock Locks all user input functions on the User Interface Press Main screen fixed key to unlock For more information refer to heading Biomed in standby mode in this chapter Servo User s manual English edition Order No 65 14 892 E313E Universal X Options 103 A 6 Menu Key During Ventilation
84. latory functions 1 Start breath The ventilator will initiate a new breath cycle according to the current settings 2 0 breaths Provides 100 oxygen for 1 minute The O concentration then returns to the preset value Cancel by pressing the key again 3 Expiratory hold Expiratory and inspiratory valves close after expiration while key is depressed up to 30 seconds Provides an exact measurement of the end expiratory Servo User s manual English edition Order No 65 14 892 E313E pause pressure Use for static compliance measuring and to determine the total PEEP The dynamic pressure is shown on the PEEP numerical value 4 Inspiratory hold Expiratory and inspiratory valves close after inspiration while key is depressed up to 30 seconds Provides an exact measurement of the end inspiratory lung pressure Use for static compliance measuring or during x ray to determine plateau pressure Important Special ventilatory functions require continuous patient supervision 6 2 4 Backup Ventilation Spontaneous Controlled Pressure support CPAP By Volume support Pressure control Volume control SVX 647_EN Backup ventilation is available in all support modes except Automode and NIV Pressure Support mode The Backup function switches Volume Support to Volume Control Pressure Support and CPAP to Pressure Control During Backup ventilation default settings are used for I E ratio Re
85. le 20002 Backlight broken Contact a service technician 20003 Button stuck Check user interface buttons Contact a service technician 40001 Exp flow meter failure Contact a service technician 22 24 40 42 44 45 50 10002 10003 20001 Other failure Contact a service technician 86 Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E 10 Specifications 10 1 System 10 1 1 General This device complies with requirements of Medical Device Directive 93 42 EEC Standards EN IEC 60 601 1 Class 1 Type B IEC 60601 2 12 EN 794 1 Electromagnetic compatibility EMC According IEC 60601 1 2 2nd edition 2001 Immunity Extended test to 30V m The EMC declaration Information to the Responsible Organization is available from MAQUET Patient Range kg Adult weight 10 250 Infant weight 0 5 30 NIV PC PS Infant weight 3 30 NIV Nasal CPAP Infant weight 0 5 10 10 1 2 Operating Conditions Operating Temperature range 10 to 40 C Relative humidity 15 to 95 noncondensing Atmospheric pressure 60 to 1060hPa Low est pressure in patient circuit 400 cmH20 Impact Peak acceleration 15 g Pulse duration 6 ms Number of impacts 1000 Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal 10 1 3 Nonoperating conditions Storage temperature 25 to 60 C 13 to 140
86. lly inhibit the ventilator from cycling during a tracheal suction procedure without activating alarms Suction Support includes preparation phase e disconnect phase e post oxygen phase WARNING Suction Support is not intended to be used together with closed suction systems WARNING The minimum PEEP level during suction support is 3 cmH 0 The ventilator will adjust to minimum level if the PEEP level is below 3 cmH 0 in order to detect disconnection of the patient Important Alarms are turned off during the disconnect phase for a maximum of 60 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 O Breaths function is activated Note During the disconnect phase in Suction Support the nebulizer is temporarily paused Note When only one gas is connected an elevated oxygen level cannot be set during the preparation phase In this case the post oxygen phase will be skipped Servo User s manual English edition Order No 65 14 892 E313E 4 10 1 Preparation Phase i SVX 9000 XX To enter the preparation phase 1 Press the fixed key Quick access 2 Press the Suction Support touchpad 3 Set the desired pre oxygen value by turning and pressing the Main Rotary Dial The fol
87. lowed range is e 0 20 of the respiratory cycle time Inspiratory rise time is set in seconds for Pressure Support Volume Support CPAP and Bi Vent modes The allowed range is e Adults 0 0 4 seconds e Infants 0 0 2 seconds Note When the ventilator is configured for setting Inspiration time the units for Inspiratory rise time automatically switches to seconds for all ventilation modes Note Normally in supported modes the Inspiratory rise time should be increased from the default setting for patient comfort I E ratio E Ratio of Inspiration time Pause time to Expiration time See Note for Inspiration Time below Infant 4 Adult sh Universal X Options 57 Inspiration time T Time for active flow or pressure delivery to the patient s Note Breathing parameter settings can be configured in two different ways based on E ratio independent of changes in e g the breathing frequency or e Inspiration time in seconds independent of changes in e g the breathing frequency to better meet the requirements for infant care The configuration is done by a service technician with a service card Note When the ventilator is configured to use Inspiration time the Pause time and Inspiratory rise time are shown in seconds The resulting I E ratio for each setting is shown in the upper right information area of the Ventilation Mode Window Because the inspiration time is explicitly set a cha
88. lowing alarms are turned off e Check tubing The maximum duration of the preparation phase is 120 seconds After 120 seconds the system automatically returns to ventilation using the previous oxygen setting Note The Cancel pad will close the Suction Support program X Infant 4 Adult sh Universal X Options 39 4 10 2 Disconnect Phase The system automatically enters the disconnect phase when the patient is disconnected during the preparation phase During the disconnect phase the following alarms are turned off for up to 60 seconds e Apnea e Minute volume e Frequency alarm e EtCO e PEEP When the patient is reconnected the system automatically enters the post oxygen phase and restarts ventilation It is also possible to restart the ventilation manually 1 Press the Start ventilation touchpad to restart ventilation manually 4 10 3 Post Oxygen Phase After reconnection the ventilator will deliver the same oxygen concentration as in the preparation phase for 60 seconds After 60 seconds the system automatically returns to ventilation using the previous oxygen setting 40 Y Infant 4 Adult sh Universal X Options 4 11 Recalibrating the Oxygen Cell If the ventilator has been in continuous use for an extended period the measured O concentration may drop due to normal degradation of the oxygen cell In order to avoid nuisance alarms in this situation it is possible to temporarily adjust the O cell dur
89. ltage High Priority Alarm Battery voltage too low Cannot guarantee continued ventilator operation Insert new battery modules or connect to AC power This alarm may indicate worn out or damaged batteries requiring replacement with new ones if it appears in isolation if this alarm appears after a Limited battery capacity or No battery capacity alarm then the batteries only need to be recharged 22 Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E 4 Operation Overview 4 1 Work Flow Summary The following summary procedure provides an overview of the operation of the Servo i Ventilator System 1 Turn on the ventilator and perform a Pre Use Check 2 If necessary perform a Patient Circuit Test 3 Access the Start Up Configuration and edit it as needed 4 s In the Start Up Configuration select the patient category Adult or Infant 5 X In the Start Up Configuration select the type of ventilation Invasive or NIV Non Invasive Ventilation 6 Enter data for the new patient including height and weight Set the ventilation mode 8 Check and if necessary adjust the alarm profile 9 Start ventilation 10 During ventilation use the Additional Settings touchpad to review and if necessary adjust settings 11 During ventilation if necessary use Suction Support 12 During ventilation if necessary adjust
90. modes of ventilation the alarm limits are automatically set for Possible selections e Pressure upper e Minute Volume Lower and upper Pressure Respiratory Rate Lower and Upper e Volume SVX 580_EN e End Expiratory Pressure Lower e Resp Rate e Alarm sound level 20 100 e PEEP End Tidal CO Lower and Upper Note Autoset is not possible in NIV Note In NIV the alarm sound can be In spontaneous modes an alarm permanently silenced Audio off setting for apnea time is available The Save key can be used either to copy screen or save one recording 10 s before and 10 s after pressing the key The trend graph appears when the Trend fixed key is pressed Data can be recorded over a period of time up to 24 hours the time resolution is displayed in the trend graph Function is not implemented A 2 Special function keys The ventilator will initiate a new breath cycle according to the current ventilator settings This function allows 100 oxygen to be given for 1 minute After this time the oxygen concentration will return to the pre set value The oxygen breaths can be interrupted by repressing the O2 breaths fixed key during m the 1 minute interval Note If O2 Breaths is activated during the pre or post oxygenation phase in Suction Support the procedure will be discontinued
91. n Order No 65 14 892 E313E 7 3 4 Conditions Leading to Default Alarm Settings Alarm limits become set to their default values when e restarting the ventilator e admitting a new patient e changing X type of ventilation e changing X patient category Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 65 7 3 5 Alarm Ranges and Defaults Alarm priority Allowed Range Factory Default Value Audio Off O concentration high HP NA Set Value 6vol No O concentration low HP NA Set Value 6vol or lt 18vol No High continuous pressure HP NA Set PEEP level 15 cmH 0 for gt 15 sec No Paw high HP Adult 16 120 cmH 20 40 20 in NIV No Infant 16 90 cmH 0 40 20 in NIV Apnea HP Adult 15 45 sec 20 No Infant 5 45 sec 10 Expired minute volume high Adult 0 5 60 l min 40 Yes HP Infant 0 01 30 l min 5 Expired minute volume low Adult 0 5 40 l min 5 Yes HP Infant 0 01 20 l min 2 Respiratory rate high MP Adult 1 160 b min 30 Yes Infant 1 160 b min 50 Respiratory rate low MP Adult 1 160 b min 5 Yes Infant 1 160 b min 20 PEEP high MP 0 55 cmH20 10 Yes PEEP low MP 0 47 cmH20 10 Yes etCO high MP 4 0 5 20 6 5 Yes 4 100 mmHg 49 0 5 14kPa 6 5 etCO low MP 0 5 20 4 Yes 4 100 mmHg 30 0 5
92. n instructions WARNINGS e A Pre Use Check must always be done before connecting the ventilator to a patient e The Patient Circuit Test does not replace the Pre Use Check Note Considerable leakage may occur around the endotracheal tube if it is uncuffed The combination of small tidal volumes leakage around the tube 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 difference between the Vti and Vte values presented on the user interface a leakage can be detected and its extent easily controlled The first time an unacceptably large leakage occurs around the tube e 30 Y Infant Adult R Universal X Options correct this problem to avoid triggering the Low Expiratory Minute Volume alarm If the leakage persists adjust the alarm limit down to its lowest level 10 ml if this step is clinically appropriate Finally if the leakage still has not been remedied deactivate the compliance compensation to avoid triggering the alarm If the compliance compensation is deactivated while in Pressure Control Pressure Support or SIMV Pressure Control ventilation modes then no further settings need to be adjusted However in volume related modes the set volumes must be adjusted Servo User s manual English edition Order No 65 14 892 E313E 4 4 Start up Configuration
93. nal even if the alarm condition is not resolved However the system will eventually reactivate the alarm Using the Audio Pause Key lt 2 sec 0000 SVX 5098_EN Pressing the Audio Pause fixed key for less than two seconds has the following results e Active alarms are silenced for two minutes e A crossed bell symbol along with the time remaining in the silent period are displayed in the message area e Each press of the Audio Pause key adds two minutes to the silent period e Latched alarms are reset if the alarm condition has ceased Note The No battery capacity alarm and technical alarms cannot be silenced 7 2 4 Presilencing Alarms To silence most alarms active and inactive for two minutes press and hold the Audio 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 e A double crossed bell symbol along with the time remaining in the silent period are displayed in the message area Servo User s manual English edition Order No 65 14 892 E313E e Pressing the Audio Pause key again for less than two seconds will now prolong the silent period for two additional minutes e Latched alarms are reset if the alarm condition has ceased
94. nd 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 test passed see above e check replace inspiratory or expiratory pressure transducer e check that there is no excess water in the expiratory cassette Safety valve Checks and if necessary adjusts the opening pressure for the safety valve to 117 3 cm H20 Check the inspiratory section e check that the safety valve membrane is correctly seated in the inspiratory pipe e check that the inspiratory pipe is correctly mounted in inspiratory section e check that the safety valve closes properly when the Pre Use Check is started distinct clicking sound from the valve Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 29 4 3 Patient Circuit Test In Standby mode the Patient Circuit Test may be performed separately from the Pre Use Check This is useful for example when changes are made to the circuit or additional accessories are connected The test evaluates circuit leakage and measures the circuit compliance 2 SVX 9042 1 Press the Patient circuit test touch pad and follow the on scree
95. nge of the Respiratory Rate for example will affect the I E ratio As a safety precaution it will therefore be indicated when the resulting E ratio passes 1 1 in either direction Pause time Tpause Time for no flow or pressure delivery or s Trigger sensitivity Determines the level of patient effort required to trigger inspiration The sensitivity is set as high as possible without self triggering This ensures that triggering is patient initiated and avoids autocycling by the ventilator There are two types of triggering 1 Pressure triggering This is the pressure below PEEP which the patient must create to initiate an inspiration The allowed range is e 20 to 0 cmH 0 2 Flow triggering As the dial is advanced to the right step wise from the green into 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 e 100 to 0 of the bias flow Note You can t set trigger sensitivity in NIV mode 58 Y Infant 4 Adult sh Universal X Options WARNING If the trigger sensitivity is set too high a self triggering autotriggering condition may be reached This condition can also be reached if there is leakage in the breathing system e g if an uncuffed endotracheal tube is used Triggering will then be initiated by the system and not by the patient This should always be avoided by decreasing the trigger sensit
96. nnectors e power supplies and their connectors e connectors for accessories 2 4 1 Patient Unit Components Refer to the Patient Unit Diagram for locations of the following numbered components 1 Handle Gas inlet for air Gas inlet for O Air Luft O Model number Serial number Manufacturing information 9 Equipotentiality terminal label 10 Fuse label T 2 5AL 11 AC power supply voltage 12 AC power supply connector with fuse 13 Cooling fan with filter 14 Alarm output connection option 15 External 12V DC inlet 16 Fuse for external DC power supply 17 Optional connector 18 User interface connector 19 RS232 connector 20 Expiratory outlet 21 Cover inspiratory channel 22 Expiratory inlet 23 Battery lock 24 Module compartment 25 Nebulizer connector only for Servo Ultra Nebulizer 26 Inspiratory outlet Oe to aes ge eS 14 Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E 2 4 2 Patient Unit Diagram OTO AIR LUFT O Servo User s manual English edition Order No 65 14 892 E313E 2 0 6 5kpa x 100 X Infant 4 Adult sh Universal X Options 2 4 3 Patient Unit Symbols OS Inspltatory label gas flow to atient C CE label indicates compliance with Siap
97. ns Servo User s manual English edition Order No 65 14 892 E313E 3 3 Alarms and Safety The status of the battery modules is continuously monitored by the ventilator If the status is unsatisfactory four types of messages may be displayed at the top of the user interface e Technical Error Message e High Priority Alarm Message e Medium Priority Alarm Message e Informative Text Message This section describes the sequence of alarms that are triggered in the event of an AC power failure or disconnection from AC power warnings that should be heeded to ensure a reliable back up power supply and status messages relevant to battery operation WARNING If a battery status message is displayed on the user interface check the battery status as soon as possible If no action is taken the ventilator may eventually shut down 3 3 1 AC Power Failure In the event of an AC power failure or disconnection the ventilator switches to battery operation and activates the following medium priority alarm e Battery operation The remaining battery capacity is displayed in the status menu on top of the screen When less than 10 minutes of battery power remain the ventilator will activate the following high priority alarm e Limited battery capacity Insert a fresh battery module or connect to AC power as soon as possible If less than three minutes of battery power remain or if there is an AC power failure with no charg
98. nufacturer regarding the appropriateness of ultrasonic nebulization for that medication Important If a nebulizer and the CO Analyzer are in use simultaneously the CO reading may be affected Note The Servo Ultra Nebulizer may be interrupted briefly due to overheating It will 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 the ventilator is running on battery power Servo User s manual English edition Order No 65 14 892 E313E 8 1 1 Nebulizer Use Guidelines These guidelines are reminders for health care professionals who have already been trained to use the Servo Ultra Nebulizer e Disconnect the Servo Humidifier HME during nebulization otherwise the humidifier may become blocked e Turn off the heated humidifier during nebulization otherwise the particle size may be affected Do not use the nebulizer without buffer liquid sterile water otherwise the ultrasonic generator crystal may break Do not use the nebulizer without a filter connected to the expiratory inlet of the ventilator Before starting the nebulizer check that the medication cup is undamaged and firmly in place During nebulization frequently check the buffer liquid level Keep the level between MIN and MAX when the nebulizer is operating During nebulization carefully monitor the
99. on modes using special ventilatory functions and back up ventilation functionality 6 2 1 Setting Ventilation Mode To set the ventilation mode press the Mode touchpad in the upper left corner of the screen See the Operation Overview chapter for details 6 2 2 Recalling a Previous Ventilation Mode SVX 6072_XX C HA SVX 6071_XX To recall a previous ventilation mode 1 View the time when the previous mode was inactivated 2 Press the Show previous mode touchpad to recall the previous accepted ventilation mode 3 Activate the previous ventilation mode settings by pressing the Accept touchpad 56 Y Infant 4 Adult sh Universal X Options Notes e The previous ventilation mode function is not available after a Pre Use Check changing of patient category admitting a new patient using the same ventilation mode for more than 24 hours or start up cold start of the system In backup ventilation the ventilator shows the settings for the supported mode when previous mode is activated A recall of previous settings is only possible after a change of ventilation mode 6 2 3 Special Functions SVX 5021_XX Four fixed keys start special venti
100. onfigurations e The Main Rotary Dial and Direct Access Knobs become inoperative for 2 seconds configuration when the user reaches a defined safety limit for the parameter being adjusted Table 1 1 shows the patient weight ranges served by each configuration Table 1 2 lists the available functions and accessories and indicates whether they are included or optional with each configuration Table 1 1 Weight Ranges Weight Range Weight Range Weight Range Configuration normal modes NIV PC PS Infant NIV Nasal CPAP Servo i Infant 0 5 kg 30 kg 3 kg 30 kg 0 5 kg 10 kg Servo i Adult 10 kg 250 kg Not Applicable Not Applicable Servo i Universal 0 5 kg 250 kg 3 kg 30 kg 0 5 kg 10 kg NIV Non Invasive Ventilation Servo User s manual English edition Order No 65 14 892 E313E Y Infant 4 Adult sh Universal X Options Table 1 2 Servo i Ventilator Configurations Function or Accessory 2 4 s Basic Extended Alarm output connection option t t t t Automode pressure t t t Automode PRVC t t t Automode volume t t t Bi Vent t t t t CO 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 Support t SIMV PRVC Pressure Support t t SIMV
101. onnected then 8 Block the Y piece and follow the online instructions The circuit compliance is automatically measured Go to step 11 If a Y Sensor is connected then 9 Block the Y Sensor and follow the on screen instructions Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 25 Compensate for Circuit Compliance Complete the Pre Use Check SVX 5075_XX 11 When the Compensate for circuit compliance dialog appears on the 13 Press OK to confirm and to have the Pre Use Check tests logged The ventilator now switches to Standby mode screen do one of the following Note After the Pre Use Check is completed To add the compensation press Yes e To refuse the compensation press No Important If you replace the patient tubing a new circuit compliance compensation must be performed Note Circuit compliance compensation is not available in X NIV modes Test Alarm Output Connection Option If the Alarm Output Connection option is installed a dialog for the external alarm system test appears on the screen 12 SVX 6091_XX 12 Do one of the following e To perform the test press Ye
102. ost and regained Check that the total remaining time for the connected battery modules are gt 10 min If not replace the discharged battery with a charged battery and repeat the test Flow transducer test Checks the inspiratory flow transducers Calibrates and checks the expiratory flow transducer Check that the connected gas supply pressure Air and O3 is within the specified range Check that the cassette is correctly seated in the cassette compartment Gas supply pressure test Checks that the gas supply pressures air and 02 measured by the internal gas supply pressure transducers are within the specified range Check that the connected gas supply pressure air and O is within the specified range Internal leakage test Checks for internal leakage with test tube connected using the inspiratory and expiratory pressure transducers Allowed leakage 10ml min at 80 cmH 0 Message Leakage or Excessive leakage may appear Check that the test tube is correctly connected Check all connections for the expiratory cassette and inspiratory section Make sure the expiratory cassette and the inspiratory channel are clean and dry Contact a service technician Internal test Audio test and other internal tests memories safety related hardware etc Make sure the patient unit front cover and the user interface rear cover are correctly mounted otherwise the audio test may
103. ow at the active Mode pad Available ventilation modes appear 3 Press the touch pad for desired mode of ventilation Note If the type of ventilation is set to NIV the only available modes are NIV Pressure Support NIV Pressure Control and Nasal CPAP 4 If Automode is selected a green indicator mark will appear Jo Note Automode is not available in NIV SVX 6035_XX 5 When a ventilation mode has been selected all related parameters can be al set in the same window Calculations are also displayed in this window 6 Values are adjusted by turning the Main Rotary Dial 3 7 Confirm each setting by pressing the parameter touch pad or pressing the Main Rotary Dial 8 To activate all settings in the window press Accept 9 To cancel the settings press Cancel SVX 6010_XX SVX 6032_XX Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 35 4 7 Setting Alarm Limits
104. ransporting the ventilator with or without a patient connected follow facility guidelines and e Be sure the patient unit and the user interface panel are securely attached and locked e Be sure all accessories such as modules gas cylinders and humidifier are securely attached and locked Be sure the gas cylinders are connected and have sufficient gas Be sure the batteries are fully charged Important At least two batteries should be connected during transport e Inspect the resuscitator e Inspect the Mobile Cart for damage e Be sure the straps are firmly wrapped across the center of the gas cylinders so that the cylinders do not move during transport Servo User s manual English edition Order No 65 14 892 E313E 2 5 2 During Transport While transporting the ventilator with or without a patient connected follow facility guidelines and e Use the handles on the Mobile Cart e Transport the bed and the ventilator slowly and watch the patient connection carefully to see that no pulling or other movement occurs e When moving the Support Arm or changing position watch the patient connection carefully to see that no pulling or other movement occurs e Be careful not to tip the Mobile Cart when crossing an obstacle like a doorstep 2 5 3 Storage e If battery modules are in place during storage keep the ventilator plugged in so that the batteries maintain a full charge e Do not dispose of
105. rease or oil e Oxygen enriched gas is extremely flammable if you detect a burning odor disconnect the oxygen supply to the ventilator and turn off the system 1 2 4 Gases The gases used in the system must be free from particles e The gases used in the system must conform to the following standards for concentrations of water vapor and oil e Air H20 lt 7 g m Oil lt 0 5 mg m e Oxygen H20 lt 20 mg m e The system is not intended to be used with any anesthetic agent 1 2 5 Auxiliary Equipment e Accessories supplies and auxiliary equipment used with the ventilator should e be recommended by MAQUET e meet IEC 60601 1 1 standards e meet IEC standards as a whole system e If a scavenging system i e gas evacuation is connected to the ventilator it must conform to 1508835 3 guidelines for subatmospheric pressure and induced flow e Measurements of parameter values that have been processed by auxiliary equipment Servo User s manual English edition 3 Y Infant 4 Adult sh Universal X Options Order No 65 14892 E313E 1 3 Version amp Configurations This manual applies to version 3 0 of the Servo i Ventilator System which can be delivered in three configurations Servo i Infant Servo i Adult and Servo i Universal Basic or Extended edition Tables 1 1 and 1 2 provide details about each 1 3 1 Configurations The following safety feature is implemented ONLY in the Universal and Infant c
106. revious recording X Infant 4 Adult sh Universal X Options 49 5 7 2 Using Recorded Waveforms SVX 5093_XX SVX 6027_XX Or d ON To view the data in a recorded waveform 1 Press the fixed key Menu 2 Press the Review touchpad 3 Press the Recorded waveform touchpad Vertical gray lines indicate the time when the Save key was pressed 4 View measured calculated values next to the vertical gray lines 5 Press the Settings touchpad to open the list of parameter settings in use at the time the Save key was activated 6 Press the Cursor touchpad to activate the cursor Move the cursor using the Main Rotary Dial 7 Press Close to quit the Recorded Waveform Window e 50 Infant Adult R Universal X Options 5 7 3 X Ventilation Record Card The Ventilation Record Card VRC can be used in Standby mode or during ventilation The following data can be saved for analysis e screen data e patient data Important Always handle the VRC and its contents in accordance with regulations and hospital routines 5 7 3 1 Copying Screen Data toa Ventilation Record Card To make a copy of the screen a VRC must be inserted and the Save key must be configured It is possible to copy multiple data sets to the same Ventilation Record
107. ring ventilation 1 Press the fixed key menu 2 Press the Change patient category touchpad 3 Press Yes to confirm OR 4 Press No to cancel Note Changing the patient category affects the following settings e default values for alarm limits e allowed ranges for alarm limits e default values for breathing parameters e allowed ranges for breathing parameters e pressure and flow regulation e scaling Note The factory default values for the Adult and Infant patient categories may have been changed by a previous user Important Always check the alarm settings after changing the patient category Servo User s manual English edition Order No 65 14 892 E313E Procedure Diagram Changing the Patient Category in Running Mode X 4 4 2 2 Selecting the Type of Ventilation i i O O SVX 6107_XX SVX 5083_XX To change the type of ventilation press Menu gt Biomed gt Edit configuration gt Start up configuration and follow these steps 1 Press Invasive ventilation OR 2 Press NIV Non Invasive Ventilation Note The background color on the touch pads changes when NIV is activated ooo 3 After confirmin
108. roneb Professional Nebulizer System is in use Note To guarantee that waveforms and metrics are always displayed on the screen the internal pressure and flow sensors are at all times active as backup Their readings are compared with the Y Sensor measurement The Y Sensor is disabled if there is a significant deviation or malfunction Note A Pre Use Check or a Patient Circuit Test is required 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 e The Y Sensor is intended for single patient use only e Do not insert two Y Sensor modules at the same time The Servo i Ventilator System can handle only one Y Sensor module at a time e Do not apply tension to the Y Sensor tubing e Make sure there are no kinks in the Y Sensor tubing e If the Y Sensor is not connected to the module do not connect to the patient circuit as this may cause leakage e Frequently check for condensed water or other fluids in the Y Sensor Fluids in the Y Sensor can cause immediate loss of accuracy or long term drift e Place an HME or tube between the Y Sensor adult version and the test lung to avoid inaccurate measurements caused by high resistance in the test lung 8 3 2 Y Sensor Components SVX 9049 The two versions of the disposable single use Y Sensor Adult 1 and Infant 2 are shown in the fig
109. s and follow the on screen instructions To cancel the test press No e 26 Infant Adult R Universal X Options or skipped you ll be prompted to keep or discard old patient related data Servo User s manual English edition Order No 65 14 892 E313E 4 2 2 Pre Use Check Messages Message Meaning Remedy Cancelled The test was cancelled by the MAQUET recommends performing a Pre Use Check user before connecting the ventilator to a patient Failed The test did not pass Check all connections and the expiratory cassette Repeat the Pre Use Check If the problem 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 capacity is less than 10 minutes OR The test could not be completed due to missing gas Note The ventilator may still be used if the message Not completed is shown If the missing gas is supplied a Pre use Check must be performed from the beginning flashing Servo User s manual English edition Order No 65 14 892 E313E Passed The test case has passed The function is working according to the test specification Running A test is in process message None required Infant 4 Adult sh Universal X Options 27 4 2 3 Pre Use Check Tests Test Description Remedy if test fails Alarm state
110. ses viewing and setting alarm limits lists alarm settings explains the conditions under which alarm limits are set to their default values and provides a table of allowed values of alarm 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 Value Display 7 3 2 Setting Alarm Limits To set alarm limits touch the fixed key Alarm Profile in the upper right corner of the screen see the Operation Overview chapter for details about setting limits 7 3 3 List of Alarm Settings There are 15 alarm settings related to breathing parameters Automatically Set These settings are determined automatically by the ventilator based on the related parameter settings e 02 concentration high based on O concentration setting e O concentration low based on O concentration setting e High continuous pressure based on PEEP setting Upper Limit These settings define an upper bound on a condition that is monitored by the ventilator e Paw high airway pressure too high e Apnea maximum time exceeded Breathing Parameter Alarms These settings define an allowed range for a breathing parameter e Expired minute volume high and low e Respiratory rate high and low PEEP high and low e etCO high and low CPAP high and low Servo User s manual English editio
111. spiratory Rate and Inspiratory Rise Time The Apnea alarm can be set in infant mode 5 45 seconds and in adult mode 15 45 seconds The Backup pressure level is adjustable the minimum allowed value is 5 cmH 0 Note Backup ventilation is not applicable in NIV Nasal CPAP Servo User s manual English edition Order No 65 14 892 E313E 6 3 Breathing Parameters O concentration O Conc The gas mixture can be set from 21 O to 100 0 There is an absolute minimum alarm limit of 18 O 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 Minute volume Vmin Volume per minute or target Minute volume ml min or l min Note Presentation can be configured to either tidal or minute volume PC above PEEP Inspiratory pressure level for each breath cmH 0 in Pressure Control Important In all pressure controlled modes it is important to set alarm limits to adequate levels PS above PEEP Inspiratory pressure support level for triggered breaths cmH 0 in Pressure Support Inspiratory rise time T inspiratory rise Time to full inspiratory flow or pressure at the start of each breath as a percentage of the breath cycle time or in seconds s Inspiratory rise time is set as a percent in PC VC PRVC SIMV VC SIMV PC and SIMV PRVC modes The al
112. ssure controlled and pressure supported modes A high priority alarm will be triggered e We recommend ventilator independent monitoring for Nasal CPAP Infant 4 Adult sh Universal X Options 53 6 1 2 Settings Ventilation Mode Abbreviation Settings Pressure Regulated Volume PRVC TV MV RR PEEP 02 IE IT IRT TF TP Control Volume Control vc TV MV RR PEEP 02 IE IT PT IRT TF TP Pressure Control PC PC RR PEEP 02 IE IT IRT TF TP Volume Support vs TV PEEP 02 IRT TF TP ICO Pressure Support PS PS PEEP 02 IRT TF TP ICO PC Continuous Positive Airway CPAP PS PEEP 02 IRT TF TP ICO PC Pressure Synchronized Intermittent Mandatory Ventilation PRVC PS SIMV PRVC PS TV MV SIMVR 02 IE IT IRT BCT TF TP ICO PS SIMV VC PS SIMV VC PS TV MV SIMVR 02 IE IT IRT BCT TF TP ICO PS SIMV PC PS SIMV PC PS TV MV SIMVR 02 IE IT IRT BCT TF TP ICO PS Bi Vent BV P_HIGH PEEP_LOW 02 T_HIGH T_PEEP IRT TF TP ICO P_HIGH PS Non Invasive Ventilation PC NIV PC PC RR PEEP 02 IE IT IRT NIV PS NIV PS PS PEEP 02 IRT ICO NIVR BT NIV nasal CPAP Nasal CPAP CPAP 02 Automode Automode a TV MV Tidal Volume or Minute Volume RR Respiratory Rate PEEP Positive End Expiratory Pressure IE IT I E Ratio or Inspiration Time IRT Inspiratory Rise Time TF TP Tri
113. t Stop Standby ventilation key 14 On Off switch rear side 15 Slot for Ventilation Record Card 16 Luminescence detector for automatically adjusting screen brightness 17 Informative text messages which include a purple symbol when triggered by the patient 18 Alarm messages 19 Waveform area for monitoring two to four individually scaled parameters including a pressure flow loop CON Os yu 20 21 22 23 24 25 26 27 28 29 30 31 32 Measured values and alarm limits display customizable Additional settings Additional measured values Loudspeaker Cable reel for the control cable Slot for Ventilation Record Card Screen rotation locking lever Locking screw for alternative cart mounting Panel holder for positioning on the Mobile Cart Control cable 2 9 meters long Service connector On Off switch Set to On when off battery continues to charge Locking arm for tilting the screen Servo User s manual English edition 8 Y Infant 4 Adult sh Universal X Options Order No 65 14892 E313E 2 2 2 User Interface Diagram ervo User s English edition Order No 65 1 2 2 3 User Interface Symbols vat X Alarm off ase Audio pause silence or confirm an alarm Audio off silence or confirm an alarm Fixed key reserved for future use Save Save save a recording or copy screen Attention consult documentation No
114. t sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E 6 Ventilation Modes 6 1 Introduction The Servo i Ventilator System can operate in 14 different modes This chapter describes the modes their settings and associated safety information It also summarizes special ventilatory functions back up ventilation and breathing parameters See the Specifications chapter for default values and allowed ranges for the breathing parameters Note The Servo i is delivered preset with the following configuration options e Breathing parameters are determined using either I E Ratio or Inspiration Time e Breathing parameters are determined using either Minute Volume or Tidal Volume Servo User s manual English edition Order No 65 14 892 E313E 6 1 1 Warnings Note Not all warnings apply to all modes Be sure to set alarm limits as appropriate for each mode It is especially important to check the limits on the following alarms e Minute Volume Alarm e Apnea Alarm e Self triggering should be avoided Do not set the trigger sensitivity too high e To protect the patient s lungs from excessive pressure it is important to set the upper pressure limit to a suitable value e The following warnings apply to Non Invasive Ventilation NIV only e Avoid high inspiratory pressure e Use of the Nebulizer is not recommended e Excessive leakage is possible in pre
115. tant reminders applicable to each mode Lists settings required for each mode and defines the breathing parameters Chapter 7 Alarms Provides general procedures for responding to alarms and for viewing and setting alarm limits Lists and categorizes the alarms related to breathing parameters and provides a table with the allowed range and default setting for each alarm limit Chapter 8 Accessories Provides procedures for using the following optional accessories Servo Ultra Nebulizer CO Analyzer and Y Sensor Chapter 9 System Messages Contains tables listing all alarms Pre use Check messages CO Analyzer calibration error messages and technical error messages Describes possible causes and remedies for error messages 6 Y Infant 4 Adult sh Universal X Options Chapter 10 Specifications Contains system specifications including default settings for breathing parameters and alarm limits Chapter 11 Definitions Contains definitions of terms used in the manual Appendix Contains diagrams providing an operational overview of the entire system Servo User s manual English edition Order No 65 14 892 E313E 2 e System Overview 2 1 Ventilator The User Interface controls ventilator settings Settings may be adjusted using touchpads on the screen or a rotary dial Breathing parameters are continuously measured by transducers and controlled by a feedback system in the Patient Unit The ventil
116. tat sensor windows Replace the capnostat sensor Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 85 9 8 Technical Error Messages Error code number xxxx General Causes Technical problem identified by the error code xxxx Remedies Restart the ventilator and perform a Pre Use Check Shut down ventilator and contact a service technician 1 6 29 10001 Power failure Contact a service technician 7 10 11 Expiratory inspiratory Contact a service technician channel failures 12 16 Connection failures Contact a service technician 25 43 Communication failure Contact a service technician 27 Test of backup sound device Restart the ventilator and perform failed a Pre Use Check Shut 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 ventilator and contact a service technician 38 39 Barometer failures Contact a service technician 8 9 33 35 41 Timeout failures Contact a service technician 46 Internal failure alarm output Contact a service technician circuitry 48 Timeout failures Contact a service technician 49 Timeout failures Contact a service technician 51 Technical problem with Y Contact a service technician Sensor modu
117. te This symbol may be different depending on panel version dy Standby Start ventilation yellow indicates Standby Power indicator green indicates AC power connected Battery indicates ventilator is using battery power with estimated minutes remaining O ON OFF switch Trigger indication appears in the message alarm field when the patient triggers a breath X NIV symbol appears in the Mode pad field during Non Invasive Ventilation Ch e 10 Infant Adult R Universal X Options 2 3 Navigating the User Interface The following subsections provide general procedures for working with the user interface More detailed procedures for specific tasks are found in later chapters and in the Appendix 2 3 1 Touch Screen i 65 SVX 5026_XX To adjust ventilator settings 1 Activate the desired menu by touching one of the pads at the top of the screen 2 Activate the desired parameter by pressing its touch pad The pad is now highlighted in white with a blue frame and it is possible to enter a new value 3 Turn the Main Rotary Dial to the desired value or line 4 Confirm your setting by pressing the parameter touch pad or by pressing the Main Rotary dial The parameter touch pad turns blue again indicat
118. terface Press Main screen fixed key to unlock Available only in Servo i Universal Switches between Adult and Infant patient category Servo User s manual English edition X Infant 4 Adult sh Universal X Options Order No 65 14 892 E313E A 7 Biomed Menu Standby Mode Enter code 1973 to access the Biomed menues Note The access code can be change by the user Service HC Alarms gt H Ventilator settings gt SVX 632_EN Display Event logs E Apnea periods gt Possible selections latest logs E Latest gt e selected time interval H_ Time selection gt gt T Functions E Technical alarms E Test results Preventive Display service logs maintenance Possible selections 21 latest logs HE Latest Selected time interval Time selection E Service report history E Configuration history Enters date for a performed Preventive Maintenance into the Report PM Service Log Replaced i R Exp membrane Reset of breath counter in expiratory cassette dit configuration User default configuration setup Displayed values NIV adult alarm NI fant Start up configuration Copy ne configuration Copy configuration to from PC Card Set date and clock Date and time setup Change access code to Biomed menu a
119. the fixed key Quick access forth on the time axis using the Main 2 Press the Loops touchpad Rotary Dial or touch screen 8 Move the cursor to display the time 3 Press IC reference loop to store a event type and ventilation mode For reference loop event stamps an explanation appears 4 Press 1 overlay loops to see the two 9 View logged event stamps previous loops simultaneously 10 If a recording is saved at a time 5 To close the window press Close corresponding to the cursor position a recording button is shown To view the recording press the button Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 47 5 6 The Open Lung Tool The Open Lung Tool provides breath by breath graphical presentation of the following parameters e End inspiratory pressure e PEEP e Vi e Dynamic compliance e Tidal CO elimination with CO Analyzer Note The Open Lung Tool is not available in Bi Vent and NIV modes Note When the X Y Sensor Measuring function is active the values recorded in the Open Lung Tool are based on values measured at the Y Piece When this function is disabled or enabled the compliance in the patient circuit may cause the values in the Open Lung Tool to change 5 6 1 Using the Open Lung Tool
120. the time or cancel nebulization Servo User s manual English edition Order No 65 14 892 E313E 8 2 XCO Analyzer When the CO Analyzer is in use the following data is displayed on the screen e CO concentration vs time waveform e End Tidal CO concentration etCO e CO minute elimination e CO tidal elimination Note Alarm limits for high and low etCO can be individually set Important If the upper alarm limit is set above the maximum measuring range no alarm will be activated even if the upper limit is exceeded Important If a nebulizer and CO Analyzer are in use simultaneously the CO reading may be affected 8 2 1 CO Analyzer Use Guidelines These guidelines are reminders for health care professionals who have already been trained to use the CO Analyzer e The capnostat sensor and airway adapter windows should be placed vertically to reduce the possibility of optical interference due to window contamination Do not insert two CO modules at the same time The Servo i Ventilator System can only handle one CO module at a time e Use only a MAQUET airway adapter with the capnostat sensor 8 2 2 CO Analyzer Components a Es SVX 138_XX 1 Gas flow through the airway adapter in the capnostat sensor 2 The sensor uses a solid state and IR based optical system with no moveable parts It measures the difference between a reference light beam and one filtered for CO wave lengths
121. there is a risk of self triggering the bar is white when the pressure triggering is selected Pressure support Depending on set ventilation mode this pad will be visible Backup ventilation NIV Backup This pad is only visible during NIV Pressure Support mode A This is an area of the screen which shows measured calculated values in numerics Three pages with values are available By pressing Additional values it is possible to scroll between pages Note In NIV only one page is available Servo User s manual English edition lt Infant 4 Adult sh Universal X Options Order No 65 14 892 E313E
122. tient Unit breathing system SVX 128_EN 1 1 2 Device Components The Servo i Ventilator System consists of the following components e User Interface for setting ventilation modes displaying patient data and indicating alarms e Patient Unit for mixing gases e Patient Breathing System for delivering and exchanging gases 1 1 3 Intended Use The Servo i Ventilator System is intended for treating and monitoring patients with respiratory failure or respiratory insufficiency 1 1 4 Intended User The Servo i Ventilator System should be used only by those who e 1 Y Infant 4 Adult R Universal X Options e are a professional health care provider and e have received training in the use of this system and e have experience with ventilation treatment 1 1 5 Intended Use Environment The Servo i Ventilator System should be used only e in hospitals e in facilities whose primary purpose is to provide health care e during transport of a patient within or between hospitals or health care facilities 1 1 6 Servicing Guidelines e Regular Service The Servo i Ventilator System must be serviced at regular intervals by professionals who have received specialized training e Complete Service Records All service performed on the Servo i Ventilator System must be recorded in a service log in accordance with hospital procedures and local and national regulations e Service Contract Strongly Recommended
123. ure above The Infant sensor includes an adaptor for use with the neonate CO adapter Servo User s manual English edition e 72 Y Infant 4 Adult R Universal X Options Order No 65 14 892 E313E 9 e System Messages 9 1 Introduction This chapter lists and describes alarm pre use check CO Analyzer calibration and 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 ventilator when performing operations that increase risk to the patient such as replacing the O cell Caution Do not lift the expiratory cassette when the ventilator is operating instead you may do this in Standby mode Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 73 9 2 High Priority Alarms Alarm Message Apnea Possible causes Preset or default alarm limit exceeded Time between two consecutive inspiratory efforts exceeds the set alarm limit Remedies Check patient and breathing system Check ventilator settings Backup ventilation An apnea has caused the ventilator to switch from support mode to backup ventilation mode Check patient Select ventilator mode Check ventilator settings Contact a service technician Check tubing Problems with patient tubing or expiratory pressure transducer
124. used to start and Ventilation NIV stop both invasive and noninvasive ventilation 4 8 1 Starting Invasive Ventilation Co O SVX 9028_EN 1 When the Standby key is pressed and the Servo i is configured for NIV a waiting position dialog is shown When the system is configured for invasive Note All patient related alarms are turned ventilation press the fixed key Standby to off for 120 seconds start ventilation 1 Ventilator is in Standby mode 2 Press the Start ventilation touchpad 2 Ventilator is warming up Note Ventilation starts automatically upon 3 Pre Use Check completed ventilator is Patient effort ready to operate Push the fixed key Standby to start ventilation 4 Press Yes to confirm and start ventilation Note The Standby key is a start stop toggle switch Servo User s manual English edition Order No 65 14 892 E313E Infant 4 Adult sh Universal X Options 37 4 9 Additional Settings Components Diagram The Additional Window Settings Window To adjust breathing parameters during ventilation press the Additional settings touchpad to open the Additional Settings Window 1 The Additional settings touchpad is in the lower left corner of the screen 2 Values derived from settin
125. volume waveform or the CO waveform display 1 Press the fixed key Quick access 2 Press the Waveform configuration touchpad 3 Press the touchpad corresponding to the waveform you wish to show or hide Note The pressure waveform and the flow waveform are always displayed The volume and x CO waveforms may be hidden Thus 2 3 or 4 waveforms may be displayed Note When you hide a waveform the remaining waveforms are expanded to use all available screen space X Infant 4 Adult sh Universal X Options 45 lee Adjusting Scale Sweep 5 3 Showing the Event Log pee 0000 SVX 6008_XX SVX 6079_XX G SVX 6084_XX SVX 6028_XX To set the sweep speed and amplitude for displayed waveforms 1 Press the fixed key Quick access 2 Press the Scales touchpad 3 Press the touchpad corresponding to the waveform whose scale you wish to change or select a sweep speed 6 10 or 4 Use the arrows to scroll 20 mm s 4 To adjust the scale of a waveform turn the Main Rotary Dial to the desired value or use auto sc
126. w or pressure at the start of each breath as a percentage or in seconds of the breath cycle time or s Leakage Leakage during inspiration Servo User s manual English edition Order No 65 14 892 E313E Minute Volume Volume per minute or target volume l MVe expiratory Minute Volume MVe sp Spontaneous expiratory minute volume MVe sp MVe The ratio of spontaneous expired minute volume to total expired minute volume only applicable in Bi Vent MVi inspiratory Minute Volume O Oxygen concentration in vol O breaths 100 oxygen for one minute Option Optional add on functionality or accessory NIV Noninvasive Ventilation NIV Rate Rate of controlled mandatory breaths in NIV in absence of spontaneous breathing b min P Pressure PO 1 Indicator for respiratory drive Pause time Time for no flow or pressure delivery PC Pressure Control PEEP Positive end expiratory pressure cmH 0 Paw Airway pressure Ppeak Maximum inspiratory pressure Phish High pressure level Pmean Mean airway pressure Polar Pressure during end inspiratory pause PRVC Pressure regulated volume control PS Pressure support PS above Phigh Inspiratory pressure support level for breaths triggered during the Thigh Period in Bi Vent cmH20 PS above PEEP Inspiratory pressure support level for breaths triggered during the Tpggp period in Bi Vent cmH 70 Re expiratory resistance
127. wer right corner of the screen View desired values 3 Press the Additional values touchpad again to view the next page of values Notes e In NIV mode there is only one page of parameter values e In Nasal CPAP mode no parameter values are displayed X Infant 4 Adult sh Universal X Options 43 5 1 3 Parameter List Cdyn Dynamic characteristics Parameters in boldface are shown on the Cstatic Static compliance respiratory first page by default system Ppeak Maximum inspiratory pressure E Elastance Pplat Pressure during end inspiratory R Inspiratory resistance pause Re Expiratory resistance Pmean Mean airway pressure WOB v Work of breathing ventilator PEEP Total positive end expiratory WOB p Work of breathing patient pressure PO 1 Indicator for respiratory drive CPAP Continuous Positive Airway SBI Shallow Breathing Index Pressure NIV Nasal CPAP only RR Respiratory Rate 02 Oxygen concentration in vol Ti Inspiration time Tc Time constant I E Inspiration to expiration ratio during controlled ventilation Ti Ttot Duty cycle or ratio of inspiration time to total breathing cycle time during spontaneous breathing and Bi Vent MVe sp Spontaneous expiratory minute volume Bi Vent MVe sp The relation between spontaneous MVe expired minute volume and total expired minute volume Bi Vent MVi Inspiratory Minute Volume MVe Expiratory Minute Volume Leakage Leakage NIV VTi Inspiratory Tidal Volume VTe Expiratory Tidal Volume
128. y 115 V AC 60 Hz 220 240 V AC 50 Hz Compressor capacity Continuous flow at normal atmospheric pressure approximately 1013 hPa 30 l min expanded to ambient air pressure at 3 5 kPa x 100 bar 50 psi Servo User s manual English edition Order No 65 14 892 E313E 10 18 Breathing Parameters Default Values amp Allowed Settings Standard Configuration Parameter Factory set default Setting range Infant Adult Universal Infant Adult Universal Infant Adult Infant Adult Automode ON OFF OFF OFF OFF OFF ON OFF ON OFF ON OFF ON OFF Automode trigger 3 7 3 7 3 7 7 12 3 7 7 12 timeout s Backup pressure above 10 20 10 20 5 80 5 120 5 80 5 120 PEEP PEEP PEEP PEEP PEEP Backup Ti s 0 5 1 0 0 5 1 0 0 3 1 0 5 2 0 3 1 0 5 2 Bias flow l min 0 5 2 0 5 2 Breath cycle time SIMV 1 4 1 4 0 5 15 1 15 0 5 15 1 15 s CMV frequency b min 30 15 30 15 4 150 4 100 4 150 4 150 Compensate for OFF OFF OFF OFF ON OFF ON OFF ON OFF ON OFF compliance CPAP cmH20 in NIV 5 5 2 20 2 20 Nasal CPAP Flow trig sensitivity level 50 50 50 50 0 100 0 100 0 100 0 100 fraction of bias flow I E ratio 1 2 1 2 1 2 1 2 1 10 4 1 1 10 4 1 1 10 4 1 1 10 4 1 Inspiratory cycle off 30 30 30 30 1 70 1 70 1 70 1 70 of peak flow Inspiratory cycle off 30 50 30 50 10 70 10 70 10 70 10 70 of peak flow in NIV Inspiratory rise time 5 5 5 5 0 20 0 20 0 20
129. y support for the patient Gas supply pressures Low Air and O supply is below 2 0 kPa x 100 Both air and O gas supply disconnected Check the gas connections 74 Y Infant 4 Adult sh Universal X Options Servo User s manual English edition Order No 65 14 892 E313E Alarm Message High continuous pressure Possible causes Constant high airway pressure for more than 15 seconds PEEP 15 cmH 0 Remedies Check patient and breathing system Check ventilator settings Contact a service technician Leakage out of range Leakage too high The mask prongs may not be adjusted properly for the patient or may be the wrong size Check patient and breathing system Check mask prongs size and patient fit Limited battery capacity Less than 10 minutes left of battery operating time Insert a new battery module or connect to AC power Low battery voltage Nebulizer hardware error Battery voltage too low Cannot guarantee continued ventilator operation Technical problem with nebulizer hardware Temperature too high If possible connect to AC power supply Replace and discard all batteries if this message appears even when batteries are fully charged Change the nebulizer Contact a service technician No battery capacity Less than 3 minutes left of battery operation Connect to AC power Insert charged battery modules No pat
130. yed first 2 The corresponding measured value or set value box flashes and an arrow points at the exceeded limit Note Two bells in the alarm message area indicate that more than one alarm is activated X Infant 4 Adult sh Universal X Options 61 7 2 Handling Alarms The system can signal four types of alarm e High Priority red background e Medium Priority yellow background e Low Priority yellow background e Technical a numeric code The following sections provide general information about viewing responding to silencing and turning off alarms 7 2 1 Viewing the Current Alarms Window 2 E SVX 6000_XX If more than one alarm is active view the Current Alarms Window by 1 Press the bell s in the alarm message touchpad All alarms up to 10 listed by priority are shown in a dynamic window that will be updated if more alarms occur while the window is open 2 View the current alarms 3 Press the History touchpad The previous 16 alarm dependent events are listed chronologically with the most recent event at the bottom Note For viewing more than the latest 10 alarms use the Event log to view all logged alarms e 62 Infant Adult R Universal X Options 7 2 2 Resetting Latched Alarms High Priority alarms are latched

Maquet-Servo-i-Operator`s-Manual

Contents

Download Pdf Manuals

Related Search

Related Contents