1. Manuals
  2. Brands
  3. GETINGE GROUP Manuals
  4. Medical Equipment
  5. Maquet SERVO-s VENTILATOR SYSTEM V7.0
  6. User manual

GETINGE GROUP Maquet SERVO-s VENTILATOR SYSTEM V7.0 User Manual

Hide thumbs
Table of Contents

Advertisement

Quick Links

Download this manual
x
User's Manual
SERVO-s VENTILATOR SYSTEM V7.0

Advertisement

Table of Contents
loading
Need help?

Need help?

Do you have a question about the Maquet SERVO-s VENTILATOR SYSTEM V7.0 and is the answer not in the manual?

Questions and answers

Related Manuals for GETINGE GROUP Maquet SERVO-s VENTILATOR SYSTEM V7.0

Summary of Contents for GETINGE GROUP Maquet SERVO-s VENTILATOR SYSTEM V7.0

  • Page 1 User's Manual SERVO-s VENTILATOR SYSTEM V7.0...
  • Page 3 TABLE OF CONTENTS TABLE OF CONTENTS Introduction System Overview Power supply Operation overview Monitor and record Ventilation, modes and functions Alarms Optional Accessories System messages Start-up configuration Technical data Definitions Appendix • User interface Certificates Index SERVO-s VENTILATOR SYSTEM V7.0, User's Manual Infologic 1.64.2.1...
  • Page 4 TABLE OF CONTENTS SERVO-s VENTILATOR SYSTEM V7.0, User's Manual Infologic 1.64.2.1...
  • Page 5 Introduction | 1 | 1 INTRODUCTION TABLE OF CONTENTS Device description Warning, Caution, Important and Note Version and Configurations SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 6 | 1 | Introduction 1.1 DEVICE DESCRIPTION 1.1.3 INTENDED USE This section provides general information The SERVO-s Ventilator System is intended about the SERVO-s Ventilator System along for treating and monitoring patients ranging with guidelines for appropriate use. from pediatrics to adults with respiratory failure or respiratory insufficiency 1.1.1 DEVICE DIAGRAM 1.1.4 INTENDED USER...
  • Page 7 Introduction | 1 | 1.1.7 SERVICING GUIDELINES 1.1.8 DISCLAIMERS Improper Use Environment CAUTIONS: MAQUET has no responsibility for the safe Regular Service: The SERVO-s operation of SERVO-s Ventilator System if Ventilator System must be serviced at the Intended Use Environment requirements regular intervals by MAQUET authorized specified in this document are not followed.
  • Page 8 | 1 | Introduction 1.2 WARNING, CAUTION, 1.2.1 GENERAL IMPORTANT AND NOTE This manual summarizes the functions and Follow these safety guidelines. Additional safety features of the SERVO-s Ventilator warnings appear in context throughout this System. It is not all-inclusive and should not document.
  • Page 9 Introduction | 1 | Do not modify or remove any original outlets. If a multiple socket outlet is used parts. together with other products, total leakage current might be exceeded at Do not cover the ventilator in any way, earth fault. since the functioning of the equipment may be adversely affected.
  • Page 10 | 1 | Introduction CAUTIONS: Contact a MAQUET representative In USA, Federal law restricts this device regarding decommissioning of the to sale by or on the order of a physician. equipment. The expiratory channel and expired gas Disconnect the mains power cable from from the exhaust port may be the outlet to isolate the ventilator from contaminated.
  • Page 11 Introduction | 1 | 1.2.2 POWER SUPPLY 1.2.3 FIRE HAZARD WARNINGS! WARNINGS! The power cord must be connected only Keep the system and its gas hoses clear to a properly grounded AC electrical of all ignition sources. outlet to avoid the risk of electrical shock. Do not use the system with worn or If only built-in batteries are mounted frayed hoses or hoses that have been...
  • Page 12 | 1 | Introduction 1.2.4 GASES 1.2.5 AUXILIARY EQUIPMENT CAUTION: The system is not intended to CAUTIONS: be used with any anesthetic agent. Accessories, supplies, and auxiliary equipment used with the ventilator should: Important: - be recommended by MAQUET Supplied gases shall meet the - meet EN/IEC 60601-1standards requirements for medical grade gases - meet IEC standards as a whole system...
  • Page 13 Introduction | 1 | 1.3 VERSION AND CONFIGURATIONS This manual applies to version 7.0 of the SERVO-s Ventilator System. Bi-Vent 1.3.1 PATIENT RANGE (KG) Non Invasive Ventilation (NIV) Weight 10 – 250 kg. Lung Mechanics 1.3.2 CONFIGURATIONS PRVC (incl. SIMV (PRVC) + The SERVO-s Ventilator System can be used in both invasive and non invasive ventilation.
  • Page 14 | 1 | Introduction SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 15 System Overview | 2 | 2 SYSTEM OVERVIEW TABLE OF CONTENTS Ventilator User Interface - Connections, labels and symbols Navigating the User Interface Patient Unit - Connections, labels and symbols Transport and storage SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 16 | 2 | System Overview 2.1 VENTILATOR The User Interface is used to control ventilator settings. Settings may be adjusted using touchpads on the screen or a rotary dial. Breathing parameters are continuously measured and controlled. A difference between the actual measured value of a parameter and the preset or calculated value results in the adjustment of gas delivery to achieve the target value.
  • Page 17 System Overview | 2 | 2.1.1 SYSTEM OVERVIEW DIAGRAM 2.1.2 SYSTEM COMPONENTS 1. Air and O supply 2. Power cable 3. User Interface 4. Patient Unit 5. Expiratory inlet 6. Servo Duo Guard, viral/bacterial filter 7. Inspiratory outlet 8. Patient circuit 9.
  • Page 18 | 2 | System Overview 2.2 USER INTERFACE - CONNECTIONS, LABELS AND SYMBOLS The User Interface includes: a screen with active touchpads fixed keys a rotary dial 2.2.1 USER INTERFACE DIAGRAM SVS-0013_XX SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 19 System Overview | 2 | 2.2.2 USER INTERFACE COMPONENTS 19. Cable reel for the control cable 20. Slot for PC card with a cover Refer to the User Interface Diagram for the 21. Control cable location of the following numbered 22.
  • Page 20 | 2 | System Overview 2.2.3 USER INTERFACE SYMBOLS Symbol Description Audio Pause - silence or confirm an alarm. Note: This symbol may be different depending on User interface version. Audio off Audio Pause - all alarms, active and inactive, are pre-silenced. Attention—consult documentation Note: This symbol may be different depending on User Interface version...
  • Page 21 System Overview | 2 | 2.3 NAVIGATING THE USER To adjust ventilator settings: INTERFACE 1. Activate the desired menu by touching one of the pads at the top of the screen. The following subsections provide general 2. Activate the desired parameter by procedures for working with the user interface.
  • Page 22 | 2 | System Overview 2.3.2 MAIN ROTARY DIAL 4. Confirm the setting by pressing the Main Rotary Dial. The parameter touchpad turns grey again indicating that a new setting has been entered. 5. Touch Accept to activate your settings, or Cancel to start over.
  • Page 23 System Overview | 2 | 2.3.3 FIXED KEYS There are two groups of fixed keys on the user interface screen: 1. The keys in group 1 activate user interface functions such as Save and access various screens such as Menu. 2.
  • Page 24 | 2 | System Overview 2.3.4 DIRECT ACCESS KNOBS WARNING! When you adjust a breathing parameter using a Direct Access Knob, the The four dials along the bottom of the User parameter will change immediately starting Interface screen are the Direct Access Knobs. with the next breath;...
  • Page 25 System Overview | 2 | Direct Access Knobs - Safety 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 generally-recognized safety limits. SVS-5003_XX The figure above shows the following components.
  • Page 26 | 2 | System Overview 2.3.5 MENU KEY Press any of the following touchpads. 4. Alarm 5. Review 6. Compensate 7. Biomed 8. Panel lock For more information see Appendix • User interface on page 165. SVS-5019_XX To access the user interface windows: 1.
  • Page 27 System Overview | 2 | 2.3.6 STATUS TOUCHPAD Press any of the following touchpads. 2. General 3. O cell / O Sensor 4. Expiratory cassette 5. Batteries 6. Pre-use check 7. Patient Circuit SVS-5008_XX The Status touchpad indicates the power supply currently being used by the ventilator (AC power, battery power, or external 12V DC power).
  • Page 28 | 2 | System Overview 2.4 PATIENT UNIT - CONNECTIONS, LABELS AND SYMBOLS The patient unit consists of the following components: gas supplies and their connectors power supplies and their connectors connectors for accessories PATIENT UNIT DIAGRAM SVS-0048_XX SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 29 System Overview | 2 | 2.4.1 PATIENT UNIT COMPONENTS CONNECTIONS AND LABELS Refer to the Patient Unit Diagram for the location of the following numbered components: 1. Expiratory outlet 2. Gas inlet for air 3. Model number 4. Serial number 5.
  • Page 30 | 2 | System Overview 2.4.2 PATIENT UNIT SYMBOLS Symbol Explanation Symbol Explanation CE label—indicates compliance with Inspiratory label—gas flow to patient. the requirements of the Medical Device Directive 93/42/EEC Gas exhaust port label—exhaust gas CSA label—Indicates compliance flow from ventilator with Canadian and US standards Note: This port should not be connected to a spirometer because...
  • Page 31 System Overview | 2 | PATIENT UNIT GAS FLOW DIAGRAM to Patient SVS-0099_EN from Patient SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 32 | 2 | System Overview GAS FLOW THROUGH THE PATIENT UNIT 9. The gas flow through the expiratory channel is measured by ultrasonic Refer to the Patient Unit gas flow diagram for transducers. the location of the following numbered 10. The expiratory pressure is measured by components: the expiratory pressure transducer 1.
  • Page 33 System Overview | 2 | 2.4.3 SYMBOLS ON ACCESSORIES AND PACKAGING Symbol Explanation Symbol Explanation Do not re-use. Single use only. Keep away from water Recycling. Worn-out batteries must This way up - indicates correct be recycled or disposed of properly upright position of the transport in accordance with appropriate package...
  • Page 34 | 2 | System Overview 2.5 TRANSPORT AND STORAGE 2.5.2 DURING INTRAHOSPITAL TRANSPORT 2.5.1 BEFORE INTRAHOSPITAL While transporting the ventilator with or TRANSPORT without a patient connected, follow facility Before transporting the ventilator with or guidelines and: without a patient connected, follow facility Use the handles on the Mobile Cart.
  • Page 35 Power supply | 3 | 3 POWER SUPPLY TABLE OF CONTENTS Introduction Viewing battery status Alarms and safety SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 36 | 3 | Power supply 3.1 INTRODUCTION 3.2 VIEWING BATTERY STATUS The SERVO-s Ventilator System is equipped When operating from batteries, the estimated with an AC power supply with automatic range remaining battery time in minutes is displayed selection. The ventilator will automatically in the upper right corner of the screen on the operate correctly using 100-120V AC or Status touchpad.
  • Page 37 Power supply | 3 | 2. Press the Batteries touchpad to display Activity Instruction Response the Battery Status Window. Expires soon Order a new battery module. Replace battery The battery is no longer reliable; replace it immediately. SVS-9032 The following information is displayed for each mounted battery module: Slot number Serial number...
  • Page 38 | 3 | Power supply 3.3 ALARMS AND SAFETY 3.3.1 WARNINGS The status of the battery modules is WARNINGS! continuously monitored by the ventilator. If the If the Replace battery is displayed, the status is unsatisfactory, four types of battery has become unreliable, messages may be displayed at the top of the regardless of the operating time user interface:...
  • Page 39 Power supply | 3 | 3.3.2 STATUS MESSAGES Message (message type) Explanation Technical error no. 1 - 6, 29, 10001 (technical error) Power failure. Check battery status (Text Message) There is a problem with the battery modules. One or more battery modules must be replaced. Battery operation (Medium Priority Alarm) AC power is off line due to a power failure or disconnection.
  • Page 40 | 3 | Power supply SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 41 Operation overview | 4 | 4 OPERATION OVERVIEW TABLE OF CONTENTS Workflow summary Pre-use check Patient circuit test Enter the patient data Select the Type of Ventilation (Options) Set ventilation mode Set alarm limits Start ventilation Additional settings window 4.10 Suctioning 4.11 Re-adjust the Oxygen cell...
  • Page 42 | 4 | Operation overview 4.1 WORKFLOW SUMMARY 4.2 PRE-USE CHECK The following summary procedure provides The Pre-use check includes tests and an overview of the operation of the SERVO-s measurements of: Ventilator System. internal technical functionality 1. Turn on the ventilator and perform a gas supply Pre-use check.
  • Page 43 Operation overview | 4 | 4.2.1 START-UP Important: If you change the breathing circuit after 1. Connect power and gas supplies: completion of the Pre-use check, perform Power: AC outlet a new Pre-use check or a patient circuit Gas: Air and O test.
  • Page 44 | 4 | Operation overview 3. Start the Pre-use check by pressing Yes. 4.2.2 INTERNAL LEAKAGE TEST SVS-0082_XX Connect the test tube between the inspiratory outlet and the expiratory inlet. SVS-5073_XX Important: Use only the MAQUET test tube. 4. Follow the on-screen instructions. 4.2.3 BATTERY SWITCH TEST 5.
  • Page 45 Operation overview | 4 | 4.2.4 PATIENT CIRCUIT TEST 2. Block the end of the complete breathing system and follow the on-screen The test measures the compliance and instructions. The circuit compliance and resistance of the patient breathing system. resistance are automatically measured. Go to Compensate for Circuit compliance The patient circuit resistance is automatically (see page 46).
  • Page 46 | 4 | Operation overview 4.2.5 COMPENSATE FOR CIRCUIT 4.2.6 TEST ALARM OUTPUT CONNECTION COMPLIANCE (OPTION) If the Alarm Output Connection option is installed, a dialog for the external alarm system test appears on the screen. When the Compensate for circuit compliance? dialog appears on the screen, do one of the following: To add the compensation, press Yes...
  • Page 47 Operation overview | 4 | 4.2.7 COMPLETE THE PRE-USE CHECK A message appears on screen for each Pre-use check test, as appropriate: Cancelled, Failed, Not Completed, Passed or Running. Press OK to confirm and to have the Pre-use check tests logged. The ventilator now switches to Standby.
  • Page 48 | 4 | Operation overview 4.2.8 PRE-USE CHECK TESTS Test Description Remedy if test fails Internal test Audio test and other internal tests Make sure the patient unit front cover (memory and safety-related hardware). and the user interface rear cover are correctly mounted.
  • Page 49 Operation overview | 4 | Test Description Remedy if test fails cell / sensor test Calibrates and checks the O cell / Check that the connected gas supply pressure (air and O ) is within the sensor at 21% O and 100% O specified range.
  • Page 50 | 4 | Operation overview 4.3 PATIENT CIRCUIT TEST 4.4 ENTER THE PATIENT DATA In Standby, the Patient circuit test may be 1. Press the Admit patient touchpad. performed separately from the Pre-use check. 2. Activate touchpads by turning and This is useful, for example, when changes are pressing the Main Rotary Dial or by made to the circuit or additional accessories...
  • Page 51 Operation overview | 4 | PROCEDURE DIAGRAM: ENTER PATIENT Important: DATA Weights are in kilograms. Copy patient data before you enter a new name or ID, otherwise all data corresponding to the previous patient will be lost. The calculation of tidal and minute volume is based on entered body weight.
  • Page 52 | 4 | Operation overview 4.6 SET VENTILATION MODE PROCEDURE DIAGRAM: SET VENTILATION MODE To set ventilation mode and parameters: 1. Press the Mode touchpad. 2. Press the arrow at the active Mode touchpad. Available ventilation modes appear. 3. Press the touchpad for desired mode of ventilation.
  • Page 53 Operation overview | 4 | 4.7 SET ALARM LIMITS 5. Press Autoset, if desired, to get a 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.
  • Page 54 | 4 | Operation overview 4.8 START VENTILATION 4.8.2 START NON INVASIVE VENTILATION (NIV) (OPTION) The Start/Standby key is used to start and stop both invasive and non invasive ventilation. It is also possible in Standby to start ventilation by pressing the Start ventilation touchpad on the screen.
  • Page 55 Operation overview | 4 | 4.9 ADDITIONAL SETTINGS 5. A red (warning) bar indicates that the WINDOW selected setting is significantly beyond generally recognized safety limits (this To adjust breathing parameters during warning is accompanied by an audio ventilation, press the Additional settings signal and text message).
  • Page 56 | 4 | Operation overview 4.10 SUCTIONING Notes: Suction Support is not available in NIV 4.10.1 SUCTION SUPPORT mode or when the O Breaths function is The Suction Support function makes it activated. possible to automatically inhibit the ventilator During the disconnect phase in Suction from cycling during a tracheal suction Support, the nebulizer is temporarily procedure without activating alarms.
  • Page 57 Operation overview | 4 | The Check tubing alarm is turned off: the 4.10.5 CLOSED-SUCTION SYSTEMS maximum duration of the preparation phase If a closed-suction system is used, the Suction is 120 seconds. After 120 seconds, the system Support, Insp. hold and Exp. hold functions automatically returns to ventilation using the should be used.
  • Page 58 | 4 | Operation overview 4.11 RE-ADJUST THE OXYGEN CELL Note: This does not apply if the SERVO-s Ventilator System has an O sensor fitted. 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.

  • Page 59: Table Of Contents

    Monitor and record | 5 | 5 MONITOR AND RECORD TABLE OF CONTENTS Measured values display Waveform display Show event log Show loops Show trends SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...

  • Page 60: Measured Values Display

    | 5 | Monitor and record 5.1 MEASURED VALUES DISPLAY 5.1.2 DISPLAY ADDITIONAL PAGES During ventilation, measured or calculated values of breathing parameters are displayed. This section describes the display, gives the procedure for displaying additional pages of measured and calculated values, and lists all viewable values.
  • Page 61 Monitor and record | 5 | 5.1.3 VALUES LIST Values in boldface are shown on the first page by default. Ppeak Maximum inspiratory pressure Pplat Pressure during end-inspiratory pause Pmean Mean airway pressure PEEP Positive end expiratory pressure PEEP Set PEEP + Intrinsic PEEP Respiratory Rate Measured oxygen concentration in vol.% Inspiration time...

  • Page 62: Waveform Display

    | 5 | Monitor and record 5.2 WAVEFORM DISPLAY 5.2.2 SHOW AND HIDE This section describes the waveform display and provides procedures for hiding and displaying the volume and for adjusting the sweep speed and scale of the waveforms. The following color-coded waveforms are shown on the user interface screen by default: pressure time flow time...
  • Page 63 Monitor and record | 5 | 5.2.3 ADJUST SCALE/SWEEP SPEED To set the sweep speed and amplitude for displayed waveforms: 1. Press the Quick access fixed key. 2. Press the Waveform Scales touchpad. 3. Press the touchpad corresponding to the waveform whose scale you wish to change or select a sweep speed (5, 10 or 20 mm/s).

  • Page 64: Show Event Log

    | 5 | Monitor and record 5.3 SHOW EVENT LOG 5.4 SHOW LOOPS The Loops function provides a graphical representation of the relationship between flow-volume and pressure-volume. SVS-6004_XX SVS-6079_XX To view the Event Log: 1. Press the Menu fixed key. 2.

  • Page 65: Show Trends

    Monitor and record | 5 | 5.5 SHOW TRENDS Trend values are stored every 60 seconds and retained as far back as 24 hours. Stored events and system changes are shown as event stamps. SVS-5016_XX To show trends: 1. Press the Trends fixed key. 2.
  • Page 66 | 5 | Monitor and record SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 67 Ventilation, modes and functions | 6 | 6 VENTILATION, MODES AND FUNCTIONS TABLE OF CONTENTS Introduction Important definitions Settings Volume Control Pressure Control Pressure Regulated Volume Control Pressure Support Spontaneous/CPAP SIMV 6.10 Bi-Vent 6.11 Non Invasive Ventilation 6.12 Backup ventilation 6.13 Ventilatory parameters - overview 6.14...
  • Page 68 | 6 | Ventilation, modes and functions 6.1 INTRODUCTION 6.1.1 WARNINGS The SERVO-s Ventilator System can operate Note: Not all warnings apply to all modes. in several different modes. This chapter describes the modes, their settings, and WARNINGS! associated safety information. Be sure to set alarm limits as appropriate It also summarizes special ventilatory for each mode.
  • Page 69 Ventilation, modes and functions | 6 | 6.1.2 APPLICATION It also allows for combined ventilatory control or support. Spontaneous breathing efforts are The SERVO-s Ventilator System also contains sensed during controlled ventilation, e.g. tools to assist the user in application of lung Volume Control.
  • Page 70 | 6 | Ventilation, modes and functions 6.2 IMPORTANT DEFINITIONS PRESSURE-TIME WAVEFORM The graphic display of pressure, flow and 1. Start of Inspiration volume is visualized in waveforms. Modes of 2. Peak inspiratory pressure ventilation directly affect flow, pressure and 3.
  • Page 71 Ventilation, modes and functions | 6 | 6.2.2 PRESSURE CONTROL PRESSURE-TIME WAVEFORM 1. Start of Inspiration 2. Peak inspiratory pressure 3. End expiratory pressure FLOW-TIME WAVEFORM 4. Peak inspiratory flow 5. End inspiratory flow 6. Peak expiratory flow 7. End expiratory flow VOLUME-TIME WAVEFORM X.
  • Page 72 | 6 | Ventilation, modes and functions 6.3 SETTINGS Trigg. Pressure Trigg. Flow 6.3.1 TRIGGER FUNCTIONALITY WHITE GREEN Trigg. Flow Trigg. Pressure 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.
  • Page 73 Ventilation, modes and functions | 6 | During expiration, the ventilator continuously 6.3.2 INSPIRATORY RISE TIME delivers a gas flow (bias flow), which is measured in the expiratory channel. For details of the bias flow, see Technical data on page 149. At a trigger sensitivity level above zero (0), The ventilator senses deviations in the bias flow delivered during expiration.
  • Page 74 | 6 | Ventilation, modes and functions Inspiratory rise time (%) is applicable in 6.3.3 PEEP Pressure Control, Volume Control, PRVC, SIMV-Volume Control, SIMV-Pressure Control, SIMV-PRVC. Setting can be in the range 0-20% of the respiratory cycle time. PEEP Inspiratory rise time set in seconds is SVX-646_EN applicable in Pressure Support and Bi-Vent.
  • Page 75 Ventilation, modes and functions | 6 | When the ventilator is configured for setting 6.3.5 INSPIRATORY CYCLE-OFF of Inspiration time, the unit for Pause time and Insp. rise time then automatically switches to seconds. The resulting I:E ratio for each setting is shown in the upper right information area of the ventilation mode window.
  • Page 76 | 6 | Ventilation, modes and functions 6.3.6 BREATH CYCLE TIME 6.3.8 CONTROLLED / SUPPORTED PRESSURE LEVEL PC (Pressure Control level) above PEEP is the set inspiratory pressure level for each mandatory breath in Pressure Control and SIMV (PC) + PS, and also for backup ventilation in Pressure Support.
  • Page 77 Ventilation, modes and functions | 6 | 6.3.11 PREVIOUS MODE Notes: The previous mode function is not available after a Pre-use check, changing of patient category, admitting a new patient, use of the same ventilation mode for more than 24 hours or after start-up (cold start) of the system.
  • Page 78 | 6 | Ventilation, modes and functions 6.4 VOLUME CONTROL 6.4.1 FUNCTIONAL DESCRIPTION VOLUME SVS-5037_XX CONTROL The airway pressure is dependent on the tidal In the flow/volume oriented modes a controlled volume, inspiration time and the resistance flow is used to maintain the set inspiratory and compliance of the respiratory system.
  • Page 79 Ventilation, modes and functions | 6 | Volume Controlled ventilation has, by tradition, The illustrated waveform show some practical delivered each breath with a constant flow and consequences of this enhanced functionality. constant inspiratory and expiratory times, the top waveform shows the trace for a according to the settings.
  • Page 80 | 6 | Ventilation, modes and functions 6.4.3 VOLUME CONTROL IN DETAIL SVS-9002_XX 1. Volume Control assures a preset tidal Expiration starts: volume with constant flow during a preset When the preset tidal volume is delivered inspiratory time at a preset frequency. and after the preset pause time.
  • Page 81 Ventilation, modes and functions | 6 | 6.4.4 VOLUME CONTROL WITH To ventilate with Volume Control with flow ALTERNATIVE FLOW PATTERNS adaptation: Press the Volume Control with flow When the Volume Control with alternative flow adaptation touchpad. patterns is enabled in the start-up Press Accept.
  • Page 82 | 6 | Ventilation, modes and functions FLOW-TIME WAVEFORM X. Inspiration time Y. Pause time Z. Expiration time 1. Peak inspiratory flow 2. End inspiratory flow 3. Zero flow phase 4. Peak expiratory flow 5. Slope decelerating expiratory limb 6. End expiratory flow Notes: Flow adaptation is not enabled in Volume Control with decelerating flow.
  • Page 83 Ventilation, modes and functions | 6 | 6.5 PRESSURE CONTROL 6.5.1 FUNCTIONAL DESCRIPTION PRESSURE CONTROL The Pressure Controlled mode is a controlled breathing mode. Breaths are delivered mandatorily at a preset pressure level, causing a decelerating flow pattern. SVS-5039_XX The delivered volume is dependent upon the pressure above PEEP, lung compliance and resistance in the patient tube system and airways.
  • Page 84 | 6 | Ventilation, modes and functions 6.5.2 PRESSURE CONTROL IN DETAIL SVS-9003_XX 1. Pressure Control assures that the preset Expiration starts: inspiratory pressure level is kept constant After the termination of preset inspiration during the entire inspiration. Breaths are time delivered according to the preset If the upper pressure limit is exceeded.
  • Page 85 Ventilation, modes and functions | 6 | ACTIVE EXPIRATORY VALVE SVX-9008_XX If a patient tries to exhale during the inspiration, pressure increases. When it increases 3 cmH O above the set inspiratory pressure level, the expiratory valve opens and regulates the pressure down to the set inspiratory pressure level.
  • Page 86 | 6 | Ventilation, modes and functions 6.6 PRESSURE REGULATED VOLUME CONTROL 6.6.1 FUNCTIONAL DESCRIPTION PRVC The Pressure Regulated Volume Control (PRVC) mode is a controlled breathing mode. Breaths are delivered mandatorily to assure preset volumes, with a constant inspiratory pressure continuously adapting to the patient´s condition.
  • Page 87 Ventilation, modes and functions | 6 | 6.6.2 PRVC IN DETAIL SVS-9006_XX 1. PRVC assures a set target minute Expiration starts: ventilation to the patient. The target After the termination of preset inspiration volume is based upon settings for Tidal time Volume, frequency and inspiration time.
  • Page 88 | 6 | Ventilation, modes and functions The first breath of a start sequence is a volume-controlled test breath with Pause time set to 10%. The measured pause pressure of this breath is then used as the pressure level for the following breath. An alarm is activated if the pressure level required to achieve the set target volume cannot be delivered due to a lower setting of the upper pressure limit (-...
  • Page 89 Ventilation, modes and functions | 6 | 6.7 PRESSURE SUPPORT 7. PC above PEEP (cmH O) in backup ventilation 6.7.1 FUNCTIONAL DESCRIPTION PRESSURE SUPPORT 8. Resp.Rate (b/min) in backup ventilation. 9. I:E / Ti (s) in backup ventilation (depending Pressure Support is a patient initiated on configuration).
  • Page 90 | 6 | Ventilation, modes and functions Always set the Apnea time appropriate to the Note: It is important to monitor the individual patient situation. If the apnea alarm corresponding Tidal Volume levels. limit is reached the ventilator will automatically switch to backup ventilation.
  • Page 91 Ventilation, modes and functions | 6 | 6.7.2 PRESSURE SUPPORT IN DETAIL SVS-9004_XX 1. Pressure Support assures that a preset Expiration starts: inspiratory pressure level is constantly a. When the inspiratory flow decreases below maintained upon patient effort. a preset fraction of the inspiratory peak flow (Inspiratory cycle-off) 2.
  • Page 92 | 6 | Ventilation, modes and functions 6.8 SPONTANEOUS/CPAP 6.8.1 FUNCTIONAL DESCRIPTION SPONTANEOUS BREATHING/CPAP True spontaneous breathing (CPAP) occurs when the inspiratory pressure level is set to zero in Pressure Support. The mode Continuous Positive Airway Pressure is used when the patient is breathing spontaneously.
  • Page 93 Ventilation, modes and functions | 6 | 6.8.2 SPONTANEOUS BREATHING/CPAP IN DETAIL True spontaneous breathing will occur: - In Pressure Support when the inspiratory pressure level is set to zero Inspiration starts upon patient effort. Expiration starts: When the inspiratory flow decreases below a preset fraction of the inspiratory peak flow (Inspiratory cycle-off) If the upper pressure limit is exceeded.
  • Page 94 | 6 | Ventilation, modes and functions 6.9 SIMV SIMV Cycle 10 sec 6.9.1 FUNCTIONAL DESCRIPTION SIMV SIMV is a combination mode where the patient SIMV Period Spon. Period SIMV Period receives mandatory breaths synchronized with SVX-9010_EN his breathing efforts and according to the selected SIMV mode.
  • Page 95 Ventilation, modes and functions | 6 | 6.9.2 THE MANDATORY BREATH SIMV (VC)+ PS SIMV (PC) + PS SIMV (PRVC)+PS PC above PEEP Tidal volume /Minute volume SIMV rate Breath cycle time I:E ratio / Inspiration time Insp. rise time Pause time Only when the ventilator is configured for I:E ratio setting.
  • Page 96 | 6 | Ventilation, modes and functions 6.9.3 SIMV (VOLUME CONTROL) + PRESSURE SUPPORT 11. PS (Pressure support) above PEEP (cmH SVS-5052_XX The following parameters are set: SVS-5059_XX 1. Tidal Volume (ml)/Minute Volume (l/min) 2. SIMV rate (b/min) 3. PEEP (cmH 4.
  • Page 97 Ventilation, modes and functions | 6 | 6.9.4 SIMV - IN DETAIL SIMV SIMV Breath cycle time Spont. period Breath cycle time time time SVX-9011_EN 1. This combined control and pressure support/spontaneous function allows for preset mandatory breaths synchronized with the patient's breathing. 2.
  • Page 98 | 6 | Ventilation, modes and functions SIMV (VC) + PS WITH ALTERNATIVE FLOW PATTERNS When the Volume Control with alternative flow patterns is enabled in the start-up configuration, new touchpads for setting of alternative flow patterns are available in Volume Control, Automode VC <-->...
  • Page 99 Ventilation, modes and functions | 6 | 6.9.5 SIMV (PRESSURE CONTROL) + PRESSURE SUPPORT 10. PS (Pressure Support level) above PEEP (cmH SVS-5050_XX The following parameters are set: SVS-5054_XX 1. PC (Pressure Control level) above PEEP (cmH 2. SIMV rate (b/min) 3.
  • Page 100 | 6 | Ventilation, modes and functions 6.9.6 SIMV - IN DETAIL SIMV SIMV Breath cycle Spont. period Breath cycle time time time time SVX-9027_EN 1. This combined control and pressure support/spontaneous function allows for preset mandatory breaths synchronized with the patient's breathing. 2.
  • Page 101 Ventilation, modes and functions | 6 | 6.9.7 SIMV (PRVC) + PRESSURE SUPPORT 10. PS (Pressure Support level) above PEEP (cmH SVS-5053_XX The following parameters are set: 1. Tidal Volume (ml)/Minute Volume (l/min) SVS-5051_XX 2. SIMV rate (b/min) 3. PEEP (cmH 4.
  • Page 102 | 6 | Ventilation, modes and functions 6.9.8 SIMV - IN DETAIL SIMV SIMV Breath cycle Spont. period Breath cycle time time time time SVX-9027_EN 1. This combined control and pressure support/spontaneous function allows for preset mandatory breaths synchronized with the patient's breathing. 2.
  • Page 103 Ventilation, modes and functions | 6 | 6.10 BI-VENT The following parameters are set: 1. Pressure high (PHigh) for the higher 6.10.1 FUNCTIONAL DESCRIPTION pressure level (cmH 2. PEEP for the lower pressure level (cmH 3. Oxygen concentration (%) 4. Time at the higher pressure (THigh) level 5.
  • Page 104 | 6 | Ventilation, modes and functions In the Bi-Vent mode the ventilator uses two At extreme settings the update of measured shifting pressure levels, with the patient being values and alarms will show a mandatory able to breathe spontaneously on both these frequency dependence even in the face of levels.
  • Page 105 Ventilation, modes and functions | 6 | 6.10.2 BI-VENT IN DETAIL This function allows for spontaneous breathing / pressure supported ventilation at two different pressure levels. These basic levels are individually set, as well as the time in seconds at each level.The ventilator always tries to synchronize with the patient´s breathing.
  • Page 106 | 6 | Ventilation, modes and functions 6.11 NON INVASIVE VENTILATION WARNINGS! 6.11.1 NON INVASIVE VENTILATION Avoid high inspiratory pressure as it may lead to gastric overdistension and risk of This chapter refers to when the SERVO-s aspiration. It may also cause excessive Ventilator System is used during Non Invasive leakage.
  • Page 107 Ventilation, modes and functions | 6 | CAUTIONS: It is not recommended to use a nebulizer during NIV as the nebulized drug might come in contact with the patient eyes in case of leakage. Mask leakage might affect the efficiency of a nebulizer.
  • Page 108 | 6 | Ventilation, modes and functions 6.11.2 FUNCTIONAL DESCRIPTION Differences from invasive Pressure control PRESSURE CONTROL mode: When the Standby key is pressed a waiting The NIV Pressure Controlled mode is a position dialog is shown. All patient related controlled breathing mode.
  • Page 109 Ventilation, modes and functions | 6 | 6.11.3 FUNCTIONAL DESCRIPTION Differences from invasive Pressure support PRESSURE SUPPORT mode: When the Standby key is pressed a waiting NIV PS is a patient initiated breathing mode position dialog is shown. All patient related in which the ventilator supports the patient alarms are turned off during 120 seconds.
  • Page 110 | 6 | Ventilation, modes and functions 6.12 BACKUP VENTILATION 6.12.1 FUNCTIONAL DESCRIPTION Backup ventilation switches Pressure Support and CPAP to Pressure Control. Pressure support/ Apnea Pressure control CPAP , NIV PS Backup ventilation is available in all support modes. For apnea alarm setting range, see section Alarm limits on page 153.
  • Page 111 Ventilation, modes and functions | 6 | NO CONSISTENT PATIENT EFFORT REVIEW VENTILATION SETTINGS No consistent patient effort is an alarm in Press Review vent. settings in the Backup invasive ventilation. ventilation window to return to the Set Ventilation Mode window. If the patient fulfils the criteria for the No consistent patient effort alarm, the ventilator will lock in backup ventilation.
  • Page 112 | 6 | Ventilation, modes and functions 6.12.2 DISABLING BACKUP VENTILATION To disable backup ventilation: 1. Press the Backup ventilation touchpad. The backup ventilation can only be disabled 2. A confirmation dialog Do you really want in invasive ventilation. to deactivate backup ventilation? is displayed.
  • Page 113 Ventilation, modes and functions | 6 | 6.13 VENTILATORY PARAMETERS - OVERVIEW When a ventilation mode is selected, the only parameters shown are those affecting the actual mode. Below are all the mode-related parameters presented. SVX-202_EN 1. Respiratory rate (RR) Rate of controlled 7.
  • Page 114 | 6 | Ventilation, modes and functions SVX-218_EN 12. Breath cycle time (Breath cycle T) Total cycle time per mandatory breath in SIMV (inspiratory + pause + expiratory). Set in seconds. 13. SIMV rate Rate of controlled mandatory breaths (b/min). concentration (O Conc.) O concentration...
  • Page 115 Ventilation, modes and functions | 6 | SVS-204_XX 14. Time high (THigh) Time at PHigh level in Bi-Vent (s). 15. Time PEEP (TPEEP) Time at PEEP level in Bi-Vent (s). 16. Pressure Support above Pressure high (PS above PHigh) Inspiratory pressure support level for breaths triggered during the THigh period in Bi-Vent (cmH 17.
  • Page 116 | 6 | Ventilation, modes and functions 6.14 SPECIAL FUNCTIONS START BREATH 6.14.1 FIXED KEYS SVS-5029_XX SVS-5021_XX The ventilator will initiate a new breath cycle according to the current ventilator settings. BREATHS 1. Start breath 2. O breaths 3. Expiratory hold 4.
  • Page 117 Ventilation, modes and functions | 6 | EXPIRATORY HOLD INSPIRATORY HOLD SVS-5032_XX SVS-5031_XX Inspiratory hold is activated by manually Expiratory and inspiratory valves are closed pressing the fixed key. The maximum time is after the expiration phase is completed, for as 30 seconds.
  • Page 118 | 6 | Ventilation, modes and functions SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 119 Alarms | 7 | 7 ALARMS TABLE OF CONTENTS Introduction Handling Alarms Alarm Settings for Breathing Parameters SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 120 | 7 | Alarms 7.1 INTRODUCTION WARNINGS! The default setting of the high airway The SERVO-s Ventilator System is equipped pressure alarm is 40 cmH O. It is with an alarm system to help ensure patient important to adjust this setting as safety.
  • Page 121 Alarms | 7 | 7.1.1 ALARM OUTPUT CONNECTION 7.1.2 VISUAL ALARM DISPLAY 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.
  • Page 122 | 7 | Alarms 7.2 HANDLING ALARMS 7.2.1 VIEWING THE CURRENT ALARMS WINDOW The system can signal four types of alarm: High Priority—red background Medium Priority—yellow background Low Priority—yellow background Technical—a numeric code The following sections provide general information about viewing, responding to, silencing, and turning off alarms.
  • Page 123 Alarms | 7 | 7.2.2 RESPONDING TO ALARMS Using the Audio Pause Key To respond to a High or Medium priority alarm: 1. If desired, press the Audio Pause fixed key for less than two seconds to silence the alarm for two minutes. 2.
  • Page 124 | 7 | Alarms 7.2.3 PRE-SILENCING 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: 1. All alarms, active and inactive, are silenced for two minutes from the time the key was pressed.
  • Page 125 Alarms | 7 | 7.2.4 RESPONDING TO TECHNICAL 7.2.6 PERMANENTLY SILENCING ALARMS ALARMS To permanently silence certain alarms in NIV In some cases, restarting the system may mode: resolve a technical alarm. However, technical 1. Press the Alarm Profile fixed key. alarms often necessitate taking the ventilator 2.
  • Page 126 | 7 | Alarms 7.3 ALARM SETTINGS FOR 7.3.4 LIST OF ALARM SETTINGS BREATHING PARAMETERS Automatically Set—These settings are This section discusses viewing and setting determined automatically by the ventilator alarm limits, lists alarm settings, explains the based on the related parameter settings: conditions under which alarm limits are set to concentration high (based on O their default values.
  • Page 127 Optional Accessories | 8 | 8 OPTIONAL ACCESSORIES TABLE OF CONTENTS General Active humidifiers Nebulizers Compressor Mini SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...

  • Page 128: General

    | 8 | Optional Accessories 8.1 GENERAL Important: Use only tubes recommended by Applied parts, i.e. equipment making physical MAQUET. Soft tubing may negatively contact with the patient, comprise nebulizer affect the performance of the ventilator. patient unit and cable and the Ventilator If a single heated breathing circuit is used Breathing System described in System Flow in the system a water trap must be used...

  • Page 129: Nebulizers

    Optional Accessories | 8 | 8.3 NEBULIZERS WARNINGS! Disconnect the Servo Humidifier/HME 8.3.1 GENERAL during nebulization; otherwise the humidifier may become blocked or the The nebulizer is intended for administering drug may be trapped in the humidifier drugs to patients requiring mechanical ventilation or positive pressure breathing Do not use the nebulizer without a filter assistance via an endotracheal tube or face...

  • Page 130: Compressor Mini

    | 8 | Optional Accessories 8.4 COMPRESSOR MINI The Compressor Mini provides a continuous flow of pressurized air in the absence of a central gas supply or gas cylinders. Using surrounding air, the compressor collects and stores gas for direct use with the SERVO-s Ventilator system as long as the ventilator is active.
  • Page 131 System messages | 9 | 9 SYSTEM MESSAGES TABLE OF CONTENTS Introduction High priority alarms Medium priority alarms Low priority alarms Technical error messages SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...

  • Page 132: Introduction

    | 9 | System messages 9.1 INTRODUCTION This chapter lists and describes alarms and error messages for technical problems. The lists also suggest actions in response to the messages. WARNING! Always disconnect the patient from the ventilator when performing operations that increase risk to the patient, such as replacing the O cell.

  • Page 133: High Priority Alarms

    System messages | 9 | 9.2 HIGH PRIORITY ALARMS Alarm Message Possible causes Remedies Apnea Preset or default alarm limit exceeded. Check patient and breathing system. Time between two consecutive Check ventilator settings. inspiratory efforts exceeds the set alarm limit. Check tubing Problems with patient tubing or Refer to service.
  • Page 134 | 9 | System messages Alarm Message Possible causes Remedies Leakage out of Leakage too high. The mask / prongs Check patient and breathing system. range (A high may not be adjusted properly for the Check mask/ prongs size and patient fit. priority alarm when patient or may be the wrong size.
  • Page 135 System messages | 9 | Alarm Message Possible causes Remedies Paw high Airway pressure exceeds preset Upper Check patient and breathing system. Pressure Limit. Check ventilator settings and alarm Kinked or blocked tubing. limits. Mucus or secretion plug in endotracheal tube or in airways.

  • Page 136: Medium Priority Alarms

    | 9 | System messages 9.3 MEDIUM PRIORITY ALARMS Alarm Message Possible causes Remedies Air supply pressure: Air supply pressure above 6.0 kPa x Check the gas supply lines. Perform a High 100 (87 psi) Pre-use check. Air supply pressure at gas inlet is too Contact a service technician.
  • Page 137 System messages | 9 | Alarm Message Possible causes Remedies PEEP High The measured end expiratory pressure Check patient breathing system. is above the preset or default alarm limit Check patient connection (cuff for three consecutive breaths. pressure/tracheal tube size). Perform a Pre-use check.

  • Page 138: Low Priority Alarms

    | 9 | System messages 9.4 LOW PRIORITY ALARMS Alarm message Possible causes Remedies Touch screen or Screen or knob has been pressed for Check screen and knobs. knob press time more than one minute. Screen or knob Contact a service technician. exceeded hardware time out.
  • Page 139 Start-up configuration | 10 | 10 START-UP CONFIGURATION TABLE OF CONTENTS 10.1 Introduction 10.2 Access the Start-Up Configuration 10.3 Edit the Start-up Configuration 10.4 Start MCare Remote Service SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...

  • Page 140: Introduction

    | 10 | Start-up configuration 10.1 INTRODUCTION 10.2 ACCESS THE START-UP CONFIGURATION This section provides instructions for accessing and editing the start-up configuration and changing the type of ventilation. The ventilator will always start up with the stored Start-Up Configuration. The Start-Up Configuration can be edited, copied, and saved.

  • Page 141: Edit The Start-Up Configuration

    Start-up configuration | 10 | 10.3 EDIT THE START-UP 10.3.1 PROCEDURE DIAGRAM: EDIT THE CONFIGURATION START-UP CONFIGURATION To edit the Start-up Configuration. 1. Press the Edit configuration touchpad in the Biomed submenu. 2. Press the Start-up configuration touchpad. 3. Press the touchpad for desired start-up setting.

  • Page 142: Start Mcare Remote Service

    | 10 | Start-up configuration 10.4 START MCARE REMOTE SERVICE Connect the network cable between the SERVO-s Ventilator System (1) and the docking station. WARNING! Only use network equipment that has been installed by a MAQUET representative. CAUTION: When using the MCare Remote Service function, install the network cable so that there is no risk of anyone tripping over it.
  • Page 143 Technical data | 11 | 11 TECHNICAL DATA TABLE OF CONTENTS 11.1 System 11.2 Ventilator 11.3 Standard condition specification 11.4 Patient circuit 11.5 Inspiratory channel 11.6 Expiratory channel 11.7 Monitoring 11.8 Breathing parameters: default values & allowed settings (standard configuration) 11.9 Alarms 11.10...
  • Page 144 | 11 | Technical data 11.1 SYSTEM 11.1.2 OPERATING CONDITIONS 11.1.1 GENERAL Operating Temperature range: +10 to +40°C Relative humidity: 15 to 95% Standards non-condensing EN/IEC 60601-1: 2005, continuous Atmospheric pressure: 660 to 1060 hPa operation Lowest pressure in patient circuit: ISO 80601-2-12:2011 -400 cmH ISO 80601-2-55:2011...
  • Page 145 Technical data | 11 | 11.1.4 POWER SUPPLY Storage temperature 15 - 20°C (59 - 68°F) Power supply, automatic range selection 100-120V, 220-240V, AC 50-60Hz Allowed fluctuations ± 10% from nominal voltage. Battery backup 2 rechargeable battery modules 12 V, 5 A, 3.5 Ah each.
  • Page 146 | 11 | Technical data 11.2 VENTILATOR Unavailable gas/loss of gas pressure The flow from an unavailable gas (air or O ) is 11.2.1 GENERAL automatically compensated for so that the patient gets the preset volume and pressure. Dimensions (mm) Patient Unit: W 380 x D 300 x H 210 11.2.3 PATIENT SYSTEM CONNECTORS User Interface: W 355 x D 53 x H 295...
  • Page 147 Technical data | 11 | 11.3 STANDARD CONDITION SPECIFICATION Inaccuracy 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 Room temperature: 20 ºC Inlet pressure: 4.3 kPa x 100...
  • Page 148 | 11 | Technical data 11.4 PATIENT CIRCUIT 11.5 INSPIRATORY CHANNEL The patient circuit configuration are intended Pressure drop to provide the following range of inspired tidal Maximum: 6 cmH O at a flow of 60 l/min volume: Internal compressible factor 22 mm tubing, Tidal Volumes 100 - 2000 ml.
  • Page 149 Technical data | 11 | 11.6 EXPIRATORY CHANNEL 11.7 MONITORING Pressure Drop Inspiratory Tidal Volume Maximum: 3 cmH O at a flow of 60 l/min Range: 0 - 2000 ml Inaccuracy: ±(4 ml + 7 % of actual volume) Internal Compressible Factor for V 100 ml - 2000 ml Maximum: 0.1 ml/cmH...
  • Page 150 | 11 | Technical data Airway Pressure Range: -40 - 160 cmH Inaccuracy: ±(1 cmH O + 5 % of actual value) Supply Pressure Range: 0 - 7 bar Inaccuracy: ± 5% of read value Filtering Pressure waveform: Low pass filtered (time constant 15 ms) The measured and calculated values displayed or used for control have in some cases been...
  • Page 151 Technical data | 11 | 11.8 BREATHING PARAMETERS: DEFAULT VALUES & ALLOWED SETTINGS (STANDARD CONFIGURATION) Parameter Factory set default Setting range Bias flow (l/min) Breath cycle time, SIMV (s) 1 - 15 CMV frequency (b/min) 4 - 100 Compensate for compliance ON/ OFF Flow trig sensitivity level (fraction of bias flow) 0 - 100%...
  • Page 152 | 11 | Technical data Parameter Factory set default Setting range concentration (%) 21 - 100 PEEP (cmH 0 - 50 PEEP in NIV (cmH 2 - 20 Phigh (cmH (PEEP+1) - 50 Press trig sensitivity level (cmH -20 - 0 Pressure level above PEEP (cmH 0 - (120 - PEEP) Pressure level above PEEP in NIV (cmH...
  • Page 153 Technical data | 11 | 11.9 ALARMS 11.9.1 ALARM LIMITS Factory set Audio Off (only Parameter Setting range default for NIV) Airway pressure, upper limit (cmH 16 - 120 Airway pressure, upper limit (cmH O) in 16 - 40 Apnea time to alarm (s) 15 - 45 End expiratory pressure, high limit 0 - 47...
  • Page 154 | 11 | Technical data Default values are set when: restarting the ventilator admitting a new patient changing type of ventilation (option) the ventilator has been totally without power for more than 2 minutes. Always make sure relevant values are set. 11.10 FUNCTIONS IN VENTILATION 11.9.2 AUTOSET ALARM LIMITS - MODES...
  • Page 155 Technical data | 11 | 11.11 TREND FUNCTION Peak Airway Pressure Ppeak Pause Airway Pressure Pplat Mean Airway Pressure Pmean Positive End Expiratory Pressure PEEP Spontaneous breaths per minute RRspont Breathing frequency Spontaneous Exp. Minute Volume MVe sp Inspired Minute Volume Expired Minute Volume Leakage fraction (%) Leakage...
  • Page 156 | 11 | Technical data 11.12 LOG FUNCTION 11.13 IMMEDIATE FUNCTIONS Event Log Oxygen Breaths Alarms 100% for 1 minute. Ventilator settings Start Breath Apnea periods Initiation of 1 breath in all modes. Immediate functions (In SIMV mode initiation of one mandatory It is possible to display up to 1000 recorded breath).
  • Page 157 Technical data | 11 | 11.15 SERVICE Dimensions (mm) W 80 X L 160 X H 8 WARNINGS! Preventive maintenance must be 11.16.3 COMPRESSOR MINI (OPTION) performed by authorized personnel at Dimensions (mm) least once a year or after every 5000 W 430 x D 330 x H 250 hours of operation.
  • Page 158 | 11 | Technical data 11.17 POLLUTION CONTROL This product complies with environmental protection use period as defined in People`s Republic of China Electronic Industry Standard SJ/T11364-2006. Toxic or hazardous substances will not leak or mutate under normal operating conditions for 50 years.
  • Page 159 Technical data | 11 | 11.18 INFORMATION REQUIRED BY 11.18.2 PRESSURE-CONTROLLED BREATH ISO 80601-2-12 TYPE 11.18.1 VOLUME-CONTROLLED BREATH Characteristics valid for patient categories and TYPE circuit configurations intended to provide the indicated tidal volume, at conditions specified Characteristics valid for patient categories and in ISO 80601-2-12, table 201.104.
  • Page 160 | 11 | Technical data 11.18.3 O2 CONCENTRATION RESPONSE TIME Characteristics valid at conditions specified in ISO 80601-2-12, table 201.105. Response time for oxygen concentration to change from 21 % to 90 % Maximum 25 s at V = 500 ml, for patient categories and circuit configurations ≥300 ml intended to provide V...
  • Page 161 Technical data | 11 | 11.19 UDI LABEL UDI Label Unique Device Identification number Global standard for identifying Medical Equipment, example: (01)07325710000007(11)140625(21)01311141 Application Identifier (AI) Each UDI number can be divided into several parts, each referred to by their AI number '(#)'. (01) GTIN - Global Trade Item Number (241)
  • Page 162 | 11 | Technical data SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 163 Definitions | 12 | 12 DEFINITIONS b/min—Breaths per minute Inspiratory rise time—Time to full inspiratory flow or pressure at the start of each breath, Bias flow—The continuous flow during the as a percentage or in seconds of the breath expiratory phase cycle time (% or s) Breath cycle time—Total cycle time per...
  • Page 164 | 12 | Definitions Pressure trigger level — The negative Thigh—Time at Phigh level in Bi-Vent (s) pressure that the patient has to create to TPEEP—Time at PEEP level in Bi-Vent (s) trigger the ventilator to deliver a breath. —Flow PRVC—Pressure-regulated volume control ee—End expiratory flow PS—Pressure support...
  • Page 165 Appendix • User interface | 13 | 13 APPENDIX • USER INTERFACE TABLE OF CONTENTS 13.1 Fixed keys 13.2 Special function keys 13.3 Quick access key 13.4 Main screen key 13.5 Menu Key 13.6 Biomed menu (standby mode) 13.7 Screen touchpads SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 166 | 13 | Appendix • User interface 13.1 FIXED KEYS Audio pause (Silence or pre-silence alarms) Alarm profile setup. Possible By pressing Autoset in controlled modes of Alarm profile selections: ventilation the alarm limits are automatically set for: Pressure (upper) Minute volume (lower and Pressure upper)
  • Page 167 Appendix • User interface | 13 | 13.2 SPECIAL FUNCTION KEYS The ventilator will initiate a new breath cycle according to the current ventilator Start breaths settings. breaths This function allows 100% oxygen to be given for 1 minute. After this time the oxygen concentration will return to the pre-set value.
  • Page 168 | 13 | Appendix • User interface 13.3 QUICK ACCESS KEY Suction Support This function allows the user to disconnect the patient from the ventilator and turns off the alarms (for apnea, minute volume, frequency alarm, check tubing, low PEEP) during suction support.
  • Page 169 Appendix • User interface | 13 | 13.4 MAIN SCREEN KEY Main screen Main screen The Main screen fixed key will return you to the Main screen, cancelling current work, from wherever you are in the Menu/dialog windows. SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 170 | 13 | Appendix • User interface 13.5 MENU KEY Alarm Alarm profile setup Alarm:Profile Alarm profile setup. Possible By pressing Autoset in controlled selections: modes of ventilation the alarm limits Pressure (upper) are automatically set for: Minute volume (lower and upper) Pressure Respiratory rate (lower and upper) Volume...
  • Page 171 Appendix • User interface | 13 | Compensate Compensate:Compliance Under "Compliance" it is possible to activate or deactivate circuit compliance compensation. Biomed Biomed:O cell Measured O concentration will be adapted in relation to set value. adaptation (only during ventilation) Panel lock Locks all user input functions on the User Interface.
  • Page 172 | 13 | Appendix • User interface 13.6 BIOMED MENU (STANDBY MODE) Biomed Enter code 1973 to access Biomed menus. The access code can be changed by the user. Display Event logs. Possible selections: Service:Event log latest logs Alarms selected time interval Ventilator settings Functions Service:Service log...
  • Page 173 Appendix • User interface | 13 | User default configuration setup. Edit configuration Alarm sound level Alarm limits Displayed values NIV alarms Startup configuration Copy configuration Copy configuration to/from PC card. Set date and clock Date and time setup. Change access code Change access code to Biomed menu.
  • Page 174 | 13 | Appendix • User interface 13.7 SCREEN TOUCHPADS Mode Xxxxx When the touchpad for a selected ventilation mode is pressed, a window appears with the valid settings for this mode. The window has an Accept touchpad and a Cancel touchpad. When the Accept touchpad is pressed the ventilator starts to ventilate with the new settings.
  • Page 175 Appendix • User interface | 13 | Additional settings I:E/Insp. times Press the Additional settings touchpad 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.
  • Page 176 | 13 | Appendix • User interface SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 177 Certificates | 14 | 14 CERTIFICATES TABLE OF CONTENTS 14.1 China SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 178 | 14 | Certificates 14.1 CHINA CFDA registration no CFDA(I)20133544789 Product standard no YZB/SWE 6113-2013 Manufacturing date For manufacturing date, see label on the device Manufacturer Maquet Critical Care AB Manufacturer/Manufacturer site address Rontgenvagen 2, SE-17154 Solna, Sweden Agent for registration and after sales Maquet (Shanghai) Medical Equipment Co., Ltd.
  • Page 179 Index | 15 | 15 INDEX Activity instruction 37 Definitions 163 Additional values 60 Device description 6 Aeroneb Professional Nebulizer System 129 Device description Alarm output connection 121, 156 Compressor Mini 157 Alarm profile 126 Mobile cart 157 see Set alarm limits Dimensions 146 Alarms Direct access knob 24...
  • Page 180 | 15 | Index Inspiratory hold 116, 117 Gas flow 32 Inspiratory rise time 73, 113 Pause time (T pause) 113 Intended use 6 PEEP 74, 113 Intended user 6 Power supply 35, 157 Internal tests 44 Pressure Control 71, 83, 83 Invasive ventilation 54 Pressure Regulated Volume Control (PRVC) 86, 87...
  • Page 181 Index | 15 | Patient unit 30 Type of ventilation 51 User interface 18, 20 Volume Control 70, 78 Ventilator 16, 146 Ventilatory 69, 113 Technical error messages 138 Volume Control 70, 78 The system Volume Control with alternative flow patterns Technical data 143 Tidal volume 113 Touch screen 21...
  • Page 182 | 15 | Index SERVO-s VENTILATOR SYSTEM V7.0, User's Manual...
  • Page 184 SE-171 54 Solna, Sweden Phone: +46 (0) 8 730 73 00 www.maquet.com GETINGE GROUP is a leading global provider of products and systems that contribute to quality enhancement and cost efficiency within healthcare and life sciences. We operate under the three brands of ArjoHuntleigh, GETINGE and MAQUET.

Table of Contents