User`s Manual VENTILATION SERVO
Contents
1. Press the latches and insert the inspiratory _ Close the locking catch channel Insertion of O sensor IMPORTANT m There should always be clearance between the connector muffs and gas modules m Make sure the latches are locked in position 3 4 5 INSERT THE O CELL O SENSOR Insertion of O cell Put the Os sensor in position Connect the O cell connector and put the O cell in position 34 SERVO i s User s Manual English language 1 8 Connect the O sensor two clicks are heard Connect the O sensor connector 3 4 6 ASSEMBLING Re assemble according to instructions given on page 31 Note on a log sheet that an extended cleaning of the inspiratory channel has been performed Perform a Pre use check see SERVO i s User s Manuals IMPORTANT The accuracy of the measurement is dependent of the quality oxygen content of supplied gases during Pre Use Check SERVO i s User s Manual English language 1 8 Maintenance 3 3 5 ACCESSORIES Fischer amp Paykel Humidifier MR850 optional Refer to the operating manual for the Fisher amp Paykel Humidifier MR850 Aeroneb Professional Nebulizer System optional Refer to the operating manual for the Aeroneb Professional Nebulizer System Disposable parts Use disposable and spare parts from MAQUET only All disposable parts must be discarded according to hospital routine and in an env2. Wash the parts with water only in a washer disinfector at a temperature of 85 95 C 185 203 F Place the expiratory cassette on its side with the electrical connector 1 uppermost as shown in the picture above Notes m The water pressure in the washer disinfector should not exceed 1 5 bar m The maximum water flow should not exceed 10 l min The water must have free passage through the cassette SERVO i s User s Manual English language 1 8 2 4 2 DISINFECTANT D2 Let the parts soak in disinfectant such as Alcohol ethyl or isopropyl alcohol 70 Cidex OPA Hexanios G R Aniosyme DD1 Gigazyme Plus Anioxyde 1000 IMPORTANT Follow the disinfectant manufacturer s recommendations and instructions otherwise the cassette may be damaged SERVO i s User s Manual English language 1 8 Routine cleaning 2 2 4 3 RINSE AFTER DISINFECTION D2 Rinse the parts thoroughly in water to remove all traces of disinfectant Let the water flow through the parts Carefully shake and tilt the cassette turn upside down and repeat Repeat these steps at least 5 7 times IMPORTANT Mineral deposits from disinfectant on the expiratory cassette affect the function It is important to rinse the expiratory cassette thoroughly Residues from chemicals can affect the patient cause leakage and extra stress on the material 17 2 Routine cleaning 2 4 4 DRYING ALTERNAT
3. before replacement Turn the ventilator off using the switch on the rear of the user interface Disconnect the ventilator from the power and gas supply SERVO i Lift the handle and fold it over the Expiratory cassette Lift the locking handle and pull out the patient unit Turn the bayonet screw one quarter of a turn to release Lift off the cover SERVO i s User s Manual 29 English language 1 8 3 Maintenance SERVO s amp C 8 8 B B acon Loosen the screw Pull out the cover GSE O 3 3 2 REPLACEMENT OF O CELL AND OR BACTERIAL FILTER eS ur Disconnect the O cell connector Lift and discard the O cell with the rubber seal to special waste and or remove and discard the bacterial filter to hazardous waste Lower the locking catch PN ON Ensure that the new rubber seal is intact then firmly put in a new bacterial filter 30 SERVO i s User s Manual English language 1 8 Connect the O cell connector Put the Os cell in position Close the locking catch 3 3 3 ASSEMBLING SERVO i Put the cover in position mh MEME Tighten the bayonet screw SERVO i s User s Manual English language 1 8 Maintenance 3 lees e gt i Te od Angle up the
4. i e black If dusty remove snap off snap on and rinse in water Shake out ensuring that the filter is free from excess water D d This is all the cleaning that is required when a T Servo Duo Guard filter or equivalent is used 1 Wipe the ventilator and all removable parts with a soft lint free cloth moistened in soap amp water or detergent based disinfectant Note In case of more contaminated surfaces use ethyl alcohol 7096 or isopropyl alcohol 7096 Avoid contact with electrical contacts 14 SERVO i s User s Manual English language 1 8 2 3 1 RINSE BEFORE DISINFECTION If rinsing before disinfection is not included in the washer disinfector program Rinse the parts thoroughly in water lt 35 C 95 F Let the water flow through the parts SERVO i s User s Manual English language 1 8 Routine cleaning 2 IMPORTANT Rinsing the cassette in water lt 35 C 95 F immediately after use may be a useful alternative to disinfection Immediate rinsing can remove particles and reduces the risk of cross contamination between patients 15 2 Routine cleaning 2 4 DISINFECTION PROCEDURES IMPORTANT m The expiratory cassette is a precision instrument and must be handled carefully m After disinfection procedure all parts must be dried before use If the expiratory cassette is not dry it may not pass the Pre use check 2 4 1 WASHER DISINFECTOR D1
5. affects cleaning disinfection MAQUET recommends drinking quality water as the minimum quality level m MAQUET recommends the use of Servo Duo Guard bacterial filter or equivalent to reduce the transmission of bacteria from the patient via the expiratory channel to the expiratory cassette This reduces the risk of infection spread and prolongs the life of the expiratory cassette due to reduced cleaning requirements m The use of a washer disinfector for cleaning disinfection is recommended if bacterial filters are not used m Sterilization is normally not necessary for the expiratory cassette as it is not an invasive instrument but when applied use validated processes only SERVO i s User s Manual 7 English language 1 8 1 Introduction 8 SERVO i s User s Manual English language 1 8 Routine cleaning 2 2 ROUTINE CLEANING TABLE OF CONTENTS 2 1 Cleaning disinfection procedures a 10 summary 2 2 Preparations and dismantling 12 2 3 Wiping and discarding 14 2 4 Disinfection procedures 16 2 5 Sterilization procedures not 19 recommended 2 6 Assembling 20 2 7 SERVO Ultra Nebulizer cleaning 21 2 8 SERVO i NAVA system cleaning 23 2 9 SERVO CO analyzer cleaning 24 2 10 Accessories 26 SERVO i s User s Manual 9 English language 1 8 2 Routine cleaning 2 1 CLEANING DISINFECTION Disinfection when no bacterial filter is used PROCEDURES A SUMMARY Dismantle A summary of the
6. handle and push it down in position Perform a Pre use check see SERVO i User s Manual SERVO s l m LAXE Push the cover in position Tighten the screw Perform a Pre use check see SERVO s User s Manual 31 3 Maintenance 3 4 EXTENDED CLEANING OF O sensor is installed INSPIRATORY CHANNEL 3 4 1 PREPARATIONS AND DISMANTLING Follow the instructions for preparation and dismantling as given on page 29 O cell is installed Disconnect the O sensor and carefully unlock the latches Lift the O sensor out of position Disconnect the O cell connector and lift out the O cell 32 SERVO i s User s Manual English language 1 8 Maintenance 3 3 4 2 REMOVE THE INSPIRATORY 3 4 4 INSERT THE INSPIRATORY CHANNEL CHANNEL AND TUBE AND TUBE Puta new bacterial filter in position and connect the filter to the tube Press the latches and lift the inspiratory channel upwards Disconnect the connector muffs Disconnect the tube and remove the bacterial filter Discard the filter to hazardous waste 3 4 3 DISINFECTION STERILIZATION PROCEDURES Put the connector muffs in position Clean the inspiratory channel and tube the same way as the expiratory cassette See page 9 SERVO i s User s Manual 33 English language 1 8 3 Maintenance
7. used more than normal Normal operation during one year is estimated to correspond to approximately 5000 hours of operation The current operating time and time to next preventive maintenance is presented under the Status menu on the User Interface IMPORTANT It is recommended that a regular cleaning and an extended cleaning of the inspiratory channel should be performed before carrying out preventive maintenance The extended cleaning must be done by trained personnel only 3 2 O SENSOR No regular maintenance required 28 3 3 Op CELL Regularly check the cell status in the Status menu The O cell should be exchanged if 1096 estimated remaining capacity is indicated in the Status menu Refer to SERVO i s User s manuals for O cell adjustment WARNING The sealed unit of the Os cell contains a caustic liquid which may cause severe burns to the skin and eyes In case of contact immediately wash the affected area continuously with water for at least 15 minutes and seek medical attention especially if the eyes are affected IMPORTANT Make sure the O cell is for the SERVO i s models The O cell package must have a blue label Replacement of the Os cell and filter and extended cleaning may only be performed by trained personnel SERVO i s User s Manual English language 1 8 Maintenance 3 3 3 1 PREPARATIONS AND DISMANTLING c 5 Unpack the Os cell at least 15 minutes
8. IVES Dismantle thin Wipe off discard Rinse D1 l D2 v w Washer vus w w w The expiratory cassette must be dried before use if not dry the expiratory cassette may not pass the Pre use check There are several drying alternatives for the expiratory cassette Carefully shake tilt the cassette 5 7 times or Drying cabinet 1 hour in maximum 70 C 158 F if available connect a 22 mm air hose to the expiratory cassette for extra drying effect Recommended position in a drying cabinet Recommended position in room air ge Fy J Oa j Jj fy E If the Pre use check is not passed after drying then Runthe cassette in a SERVO i s ventilator with a test lung for 10 minutes or Dry the cassette in room air if no drying cabinet is available 12 24 hours depending on surrounding conditions Caution Never dry the cassette by applying high pressure air as the internal tubing may be damaged SERVO i s User s Manual English language 1 8 Note Drying may not be necessary if the washer disinfector has a drying phase 2 5 STERILIZATION PROCEDURES NOT RECOMMENDED An autoclave may be used to sterilize the expiratory cassette but it is normally not necessary as the expiratory cassette is not an invasive instrument 2 5 1 NUMBER OF CYCLES IN THE AUTOCLAVE The expiratory cassette will last at least 100 autoclavi
9. User s Manual VENTILATION SERVO i s CLEANING AND MAINTENANCE TABLE OF CONTENTS TABLE OF CONTENTS 1 Introduction 5 2 Routine cleaning 9 3 Maintenance 27 SERVO i s User s Manual 3 English language 1 8 TABLE OF CONTENTS 4 SERVO i s User s Manual English language 1 8 Introduction 1 1 INTRODUCTION TABLE OF CONTENTS 1 1 Introduction 6 1 2 Warnings Cautions and Important 6 1 3 Symbols 6 1 4 General information 6 1 5 Wall diagrams 7 SERVO i s User s Manual 5 English language 1 8 1 Introduction 1 1 INTRODUCTION Unless otherwise stated the information in this User s Manual is valid for all SERVO i s Ventilator Systems Here you will find the information needed to clean and maintain the SERVO i s systems safely The manual is divided into three sections m Introduction mandatory information Routine cleaning a Maintenance Instructions relevant only for either SERVO i or SERVO s are marked Parts included in SERVO i only m Battery module Y sensor a CO sensor Edi module 1 2 WARNINGS CAUTIONS AND IMPORTANT WARNING Indicates critical information about a potential serious outcome to the patient or the user Caution Indicates instructions that must be followed in order to ensure the proper operation of the equipment IMPORTANT Indicates information intended to help you operate the equipment or its connected devices easily and co
10. ater or detergent based disinfectant IMPORTANT Do not immerse the Edi module or the cable in fluid Note In case of more contaminated surfaces use ethyl alcohol 70 or isopropyl alcohol 70 Avoid contact with electrical contacts Discard the Edi catheter The Edi catheter is for single patient use only o2 4 lt Ti 23 2 Routine cleaning 2 9 1 PREPARATION Note The Edi catheter must not be disposed of with ordinary waste 2 9 SERVO CO ANALYZER CLEANING Cleaning should be done after each patient or according to hospital routine Disconnect the Capnostat sensor and airway adapter from the ventilator Y 2 9 2 CAPNOSTAT SENSOR F Disinfection procedure 4 Wipe the Capnostat sensor with a soft cloth moistened in disinfectant Cidex OPA or isopropyl alcohol 70 w Dry After cleaning wipe the Capnostat sensor with a water dampened clean cloth The Capnostat sensor windows must be dried after cleaning 24 SERVO i s User s Manual English language 1 8 2 9 3 AIRWAY ADAPTER The airway adapter can be disinfected or sterilized Rinse the adapter thoroughly in water lt 35 C 95 F IMPORTANT Do not immerse the CO analyzer module or the Capnostat sensor in fluid Disinfection procedure Let the adapter soak in Cidex OPA solution Rinse the adapter thoroughly in distilled water Before reusing the adapter the windows must be dry and
11. ironmentally safe way 35 3 Maintenance 36 SERVO i s User s Manual English language 1 8 MAQUET Maquet Critical Care AB SE 171 95 Solna Sweden Phone 46 0 8 730 73 00 www maquet com For local contact Please visit our website CE www maquet com 0413 Maquet Critical Care AB 2006 All rights reserved MAQUET reserves the right to modify the design and specifications contained herein without prior notice Order No 66 73 215 User s Manual Printed in Sweden 071015 Rev 00 English GETINGE GETINGE Group is a leading global provider of equipment and Systems that contributes to quality enhancement and cost efficiency within healthcare and life sciences Equipment services and technologies are supplied under the brands ARJO for patient hygiene patient handling and wound care GETINGE for infection control and prevention within healthcare and life science and MAQUET for surgical workplaces cardiopulmonary and critical care
12. k For more information please refer to the SERVO i s User s Manual If the Pre use check fails Carefully shake tilt the cassette 5 7 times Run the cassette in a SERVO i s ventilator with a test lung for 10 minutes Re do the Pre use check 20 SERVO i s User s Manual English language 1 8 Routine cleaning 2 2 7 SERVO ULTRA NEBULIZER 2 7 1 PREPARATION CLEANING m Cleaning should be done after each patient TS or according to hospital routine m Perform a function test of the SERVO Ultra lt a Nebulizer after the cleaning Refer to the Ele SERVO i s User s Manual w C58 Wipe off discard Disconnect the Servo Ultra Nebulizer from the ventilator Rinse 2 7 2 WIPING AND DISCARDING w w Washer Del Only the T piece and nipples can be 5 autoclaved Unscrew the T piece and discard the The medication cup must not be disposed of ea i medication cup with ordinary waste Empty the buffer water from the nebulizing chamber IMPORTANT A Do not autoclave or use a washer disinfector when cleaning the nebulizing chamber SERVO i s User s Manual 21 English language 1 8 2 Routine cleaning Wipe the nebulizing chamber and connection cable with a soft cloth moistened in soap amp water or detergent based disinfectant Note In case of more contaminated surfaces use ethyl alcohol 7096 or isopropyl alcohol 7096 22 2 7 3 RINSE Rinse the par
13. nd gas supply Disconnect any optional equipment from the power supply and from the ventilator 2 2 2 REMOVE THE EXPIRATORY CASSETTE SERVO i Lift the locking handle and pull out the patient unit Pressthe button on the expiratory cassette tilt it upwards and remove SERVO i s User s Manual English language 1 8 SERVO s Press the locking arm on the rear to tilt the User Interface Press the button on the expiratory cassette tilt it upwards and remove WARNING After removing the expiratory cassette do not pour any fluid into the expiratory cassette compartment Avoid contact with electrical connectors IMPORTANT The expiratory cassette can be exchanged between different SERVO i s ventilator systems The ventilator may be used immediately by connecting a clean expiratory cassette After replacing the expiratory cassette a Pre use check must be performed except in emergencies when it should be performed as soon as possible SERVO i s User s Manual English language 1 8 Routine cleaning 2 13 2 Routine cleaning 2 3 WIPING AND DISCARDING Caution Do not immerse battery CO analyzer or Y sensor module SERVO i only Dismantle in any fluid 2 Discard disposable items Servo Duo Guard viral bacterial filter INR Servo Humidifier HME Y Y sensors SERVO i only D1 i D2 v i disposable patient tubing Regularly check that the fan filter looks clean
14. ng cycles with 4 7 minutes sterilization time at 134 C 273 F 50 autoclaving cycles with 18 minutes sterilization time at 134 C 273 F 2 5 2 RINSE Rinse the parts thoroughly in water lt 35 C 95 F Let the water flow through the parts to remove organic matter e g blood and other residues 2 5 3 DRYING BEFORE AUTOCLAVING Before placing the expiratory cassette in an autoclave make sure that no water remains inside the cassette For drying instructions see page 18 2 5 4 AUTOCLAVE Instrument parts should be autoclaved ina validated process typically at a temperature of 134 C 273 F for 4 7 minutes SERVO i s User s Manual English language 1 8 Routine cleaning 2 m Rubber parts should be autoclaved in a validated process typically at a temperature of 121 C 250 F 2 5 5 DRYING AFTER AUTOCLAVING For drying alternatives see page 18 19 2 Routine cleaning 2 6 ASSEMBLING SERVO s Washer igi Disinfectant Hinge the expiratory cassette and press it Y Y firmly down into lock position WARNING Make sure that the cassette clicks into position Check that it cannot be moved upwards and that the button on top of the cassette is completely Y 2 6 1 RE INSERTING THE EXPIRATORY Note on a log sheet that a routine cleaning CASSETTE has been performed Refer to hospital guidelines SERVO i 2 6 2 PRE USE CHECK After cleaning always perform a Pre use chec
15. nveniently 1 3 SYMBOLS 1 4 GENERAL INFORMATION Hazardous waste The device contains parts which must not be disposed of with ordinary waste As cleaning practices vary widely among health care institutions it is not possible for MAQUET to specify particular practices that will meet all needs or to be responsible for the effectiveness of cleaning procedures carried out in the patient care setting MAQUET recommends methods that have been validated using the specified equipment and procedures outlined in this manual Other methods may work but are not covered by the warranty unless MAQUET has given written permission SERVO i s User s Manual English language 1 8 Introduction 1 CauBons 1 5 WALL DIAGRAMS autions m All personnel should be aware of the risk of parts being infected when The wall diagrams are provided as checklists disassembling and cleaning the and contain overviews and step by step ventilator instructions for cleaning to be posted on a m All disposable parts must be discarded wall according to hospital routines and in an environmentally safe way IMPORTANT m Follow your hospital s guidelines for handling infectious material when handling any part of the SERVO i s ventilator system m If possible cleaning should be performed immediately after use and always before disinfection sterilization Blood or other residues should not be allowed to dry onto the devices m Water quality
16. procedures for cleaning disinfection and sterilization is given here Wipe off discard Details for each step are given in the following sections Rinse Cleaning when bacterial filter is used D1 D2 Eat w ww Dismantle Washer E Disinfectant w T T ww Wipe off discard Assemble Dii w seme D Wipe off and discard filter see page 14 Assemble There are two disinfection procedures for the expiratory cassette and associated parts D1 and D2 In D1 recommended a Washer Disinfector EN ISO 15883 1 is used and in D2 a disinfectant is used 10 SERVO i s User s Manual English language 1 8 Sterilization with autoclave NOT recommended Dismantle Wipe off discard Rinse Dry Autoclave Dry Assemble D fi giu Autoclaving will reduce the lifetime of the expiratory cassette and is not recommend as a cleaning method Sterilization is normally not necessary for the expiratory cassette as it is not an invasive instrument but when applied use validated processes only See further instructions about autoclaving on page 19 SERVO i s User s Manual English language 1 8 Routine cleaning 2 11 2 Routine cleaning 2 2 PREPARATIONS AND DISMANTLING Rinse D1 l D2 hd w Washer Del Disinfectant w w Assemble 2 2 1 PREPARATIONS Switch off the ventilator using the switch on the rear of the User Interface Disconnect the ventilator from the power a
17. ts thoroughly in water lt 35 C 95 F 2 7 4 DISINFECTION PROCEDURE Washer Disinfector Wash the T piece and nipples in a washer disinfector at a temperature of 85 95 C 185 203 F IMPORTANT Do not put the nebulizing chamber in a washer disinfector Disinfectant 1 Let the T piece and nipples soak ina disinfectant such as Cidex OPA Hexanios G R Aniosyme DD1 Gigazyme Plus IMPORTANT Follow the disinfectant manufacturer s recommendations and instructions 2 Rinse the T piece and nipples thoroughly in water lt 35 C 95 F SERVO i s User s Manual English language 1 8 2 7 5 STERILIZATION PROCEDURE Autoclave The T piece and nipples can be autoclaved in a validated process typically at a temperature of 134 C 273 F for 4 7 minutes IMPORTANT Do not autoclave the nebulizing chamber 2 7 6 NEBULIZER MEMBRANE e Replacement of membrane if needed used Peel off the old membrane Puta new membrane in place Make sure the new membrane is properly attached This is easiest to see from the inside Check the SERVO Ultra Nebulizer for leakage Pre use check SERVO i s User s Manual SERVO i s User s Manual English language 1 8 Routine cleaning 2 2 8 SERVO i NAVA SYSTEM CLEANING 2 8 1 WIPING AND DISCARDING Cleaning should be done after each patient or according to hospital routine Wipe all parts with a soft lint free cloth moistened in soap and w
18. wiped off IMPORTANT Follow the disinfectant manufacturer s recommendations and instructions SERVO i s User s Manual English language 1 8 Routine cleaning 2 Sterilization procedure The adult adapter can be autoclaved in a validated process typically at a temperature of 134 C 273 F for 4 7 minutes The neonate and adult adapters can be sterilized using EtO ethylene oxide gas method After sterilization procedure the adapters must be dried before use 25 2 Routine cleaning 2 10 ACCESSORIES Fischer amp Paykel Humidifier MR850 Refer to the cleaning routines in the operating manual for the Fischer amp Paykel Humidifier Aeroneb Pro Aeroneb Professional Nebulizer system Refer to the cleaning routines in the operating manual for the Aeroneb Pro Aeroneb Professional Nebulizer system 26 SERVO i s User s Manual English language 1 8 3 MAINTENANCE TABLE OF CONTENTS SERVO i s User s Manual English language 1 8 3 1 3 2 3 3 3 4 3 5 Maintenance 3 Preventive maintenance 28 O sensor 28 O cell 28 Extended cleaning of inspiratory channel 32 Accessories 35 27 3 Maintenance 3 1 PREVENTIVE MAINTENANCE MAQUET recommends that the equipment is inspected regularly A preventive maintenance according to corresponding chapter in the Service manual must be performed by authorized personnel at least once every year as long as the unit is not
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