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Dräger Savina Instructions For Use Manual

Intensive care ventilator.
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D
Dräger Medical
Savina
Intensive Care Ventilator
Instructions for Use
Software 2.n

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Table of Contents

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   Summary of Contents for Dräger Savina

  • Page 1 Dräger Medical Savina Intensive Care Ventilator Instructions for Use Software 2.n...
  • Page 2 — Taste »Insp. hold« für eine manuell ausgelöste Inspiration und eine Verlängerung der Inspiration. Information window on screen During setting of a ventilation parameter, the Savina calculates the derived parameters and displays them in the information The left-hand column... window on the main screen page.
  • Page 3: Table Of Contents

    Contents Contents For your safety and that of your patients Safety tips Intended Use Areas of use Operating Concept Controls, Parameter setting, Structure of the screen pages Operation Ventilation modes, Alarm limits and alarm priorities, Curves, Measured values, Special functions Configuration Contrast, Volume, Measured values line, Language, Apnoea ventilation ON/OFF...
  • Page 5: For Your Safety And That Of Your Patients

    For your safety and that of your patients For your safety and that of your patients Strictly follow the instructions for use Liability for proper function or damage Any use of the apparatus requires full understanding and strict The liability for the proper function of the apparatus is observation of these instructions.
  • Page 6 Do not use mobile phones within a distance of 10 metres manual ventilation device from the equipment. Mobile phones can cause interference with electrical If a fault is detected in the Savina so that its life-support and electronic medical apparatus, thereby putting patients functions are no longer assured: at risk!
  • Page 7: Intended Use

    Intended Use Intended Use ............8...
  • Page 8: Areas Of Use

    Pressure-controlled ventilation combined with free spontaneous breathing during the complete breathing cycle, and adjustable pressure assist on CPAP level. Savina® is a registered trade mark of Dräger AutoFlow® is a registered trade mark of Dräger Additional permits not covered by CE certification may be Licensed trade mark.
  • Page 9: Operating Concept

    Operating Concept Ventilation Controls ........... . 10 Setting ventilation parameters .
  • Page 10: Ventilation Controls

    Operating Concept Operating Concept Ventilation Controls 1 Keys for selecting the ventilation modes: – IPPV Savina – SIMV – CPAP/ASB – BIPAP (optional) 2 Keys for selecting/setting ventilation parameters: – Tidal volume V – Inspiration time Tinsp – Frequency f –...
  • Page 11: Screen Operating Controls

    Operating Concept Screen Operating Controls 1 Screen page selection keys: Savina — » « key for setting the screen and display brightness to bright or dark — »Curves « key for selecting the main page to display the pressure/flow curve ∆∆...
  • Page 12: Keys For Routine And Additional Functions

    — »Insp. hold« key for manually activated inspiration and for extending the inspiration time. Information window on screen During setting of a ventilation parameter, the Savina calculates the derived parameters and displays them in the information window on the main screen page.
  • Page 13: Screen Pages

    Operating Concept Screen Pages Structure of the screen pages 1 Ventilation mode display field 2 Alarm message display field 3 Curves and measured values display field 4 Measured values display field 5 Information bar Main page Displays a pressure curve and displays three measured values. To configure combination of measured values, see page 49.
  • Page 14: Settings" Screen Page

    Operating Concept "Settings" screen page — Analog bar display of the airway pressure Paw — Setting menu for setting the supplementary ventilation parameters »Trigger«, »FlowAcc«, »AutoFlow«, — Setting menu for setting apnoea ventilation, with the parameters »VT «, »f «, Apnoea Apnoea —...
  • Page 15: Configuration" Screen Page

    Detailed instructions for use, see "Configuration", pages 47 onwards. »Standby« 1 Positioned at bottom right of the front panel. — To keep the apparatus operational, Savina e.g. after pre-setting. — to switch on ventilation. To switch to standby: 1 Hold down »...
  • Page 17: Operation

    Operation Starting Up ............18 Setting Ventilation Modes .
  • Page 18: Starting Up

    2 Check the settings in the display fields next to the parameter keys and adjust as necessary. To adjust ventilation parameters: Savina Either 2 Change the ventilation parameters after the Savina has started ventilation 3 Press the » Standby« switch to set the Savina on standby, 4 Confirm = press »Alarm Reset«...
  • Page 19: Setting Ventilation Modes

    If you fail to confirm the new settings within 15 seconds, the previous settings will remain operative. Extreme settings Certain ventilation parameters are limited by Savina to a threshold value. Extreme values can only be set after confirmation by pressing the rotary knob.
  • Page 20 LED for that parameter key will go out. 3 To activate ventilation mode = press rotary knob. If parameter setting is interrupted, Savina does not reset the parameters set and confirms back to the old value. To protect the settings against modification Savina 4 Press »...
  • Page 21: Ippv, Ippv Assist , Cppv

    Set pressure limit value by means of »Pinsp« key. When setting the pressure limit, ensure that the tidal volume V is still being applied, as otherwise Savina will display a "!! Tidal volume low" message. Then: Set pressure limit higher, Increase inspiration time »Tinsp.«,...
  • Page 22 The actual frequency may be higher than the ventilation frequency f set. 1 The green LED lights up if the Savina detects attempted spontaneous breathing by the patient. The trigger can be switched off if spontaneous breathing by the patient is not expected or desired.
  • Page 23 The ventilation mode IPPV is displayed on the screen. Assist 3 The green LED lights up if the Savina detects attempted spontaneous breathing. When changing over from IPPV to SIMV, BIPAP or CPAP/ASB, the last active trigger value remains effective.
  • Page 24 , with the current compliance a minimum airway pressure is reached and pressure peaks are avoided. Savina supplies additional inspiration flow when the patient > breathes in – restricted by the alarm limit V The patient can also breathe out during the inspiratory plateau phase.
  • Page 25: Simv, Simv/asb

    Set pressure limit value by means of »Pinsp« key. When setting the pressure limit, ensure that the tidal volume V is still being applied, as otherwise Savina will display a "!! Tidal Volume low". Then: Set pressure limit higher by means of »Pinsp«, Increase inspiration time »Tinsp«,...
  • Page 26: Bipap, Bipap/asb (optional)

    Operation BIPAP, BIPAP/ASB (Optional) Biphasic Positive Airway Pressure Assisted Spontaneous Breathing Pressure-controlled ventilation combined with free without spontaneous breathing with spontaneous breathing spontaneous breathing during the complete breathing cycle, supported by adjustable additional pressure at CPAP level. FlowAcc FlowAcc pressure support high The mandatory proportion of the total minute volume MV is FlowAcc...
  • Page 27: Cpap, Cpap/asb

    Operation CPAP, CPAP/ASB Continuous Positive Airway Pressure Assisted Spontaneous Breathing For patients breathing spontaneously in an adequate manner. Spontaneous breathing at a raised pressure level, to increase the functional residual capacity FRC. Spontaneous breathing can be assisted with additional pressure by ASB. Set CPAP by means of the ventilation parameter keys: —...
  • Page 28: Apnoea Ventilation

    For automatic switchover to volume-controlled mandatory ventilation if the patient stops breathing. Apnoea ventilation can be provided for all ventilation modes with spontaneous FlowAcc breathing. If the patient stops breathing, Savina activates an alarm after the set apnoea alarm time T and starts Apnoea volume-controlled mandatory ventilation with: —...
  • Page 29 Set the desired value = turn rotary knob, confirm = press rotary knob. To end apnoea ventilation: Press the »Alarm Reset« key. Savina carries on ventilating in the original ventilation mode and Savina associated ventilation parameters. During Savina settings, the status of switched on apnoea ventilation is displayed for 6 seconds by a special information page where, in principle, apnoea ventilation is possible.
  • Page 30: Setting Alarm Limits

    Operation Setting Alarm Limits ∆∆ Press »Alarms « key. Example display: screen page »Alarms1/1« This page displays all the alarm limits that can be set. < = lower alarm limit > = upper alarm limit Alarm Setting Range > 10 to 100 mbar >...
  • Page 31: In The Event Of An Alarm

    2 the alarm message is displayed in the right-hand corner of the top line of the screen. Savina classifies the alarm in three priority classes, marks the text with exclamation marks according to the priority class and generates various alarm tone sequences.
  • Page 32: Advisory

    1 Yellow LED lights up and remains lit. Advisory messages are marked with one exclamation mark. Example: ! Flow monitoring off Savina generates a two-tone sequence that sounds only once. To remedy the faults, please refer to the "Troubleshooting" section starting on page 56.
  • Page 33: Displaying Curves And Measured Values

    Operation Displaying Curves and Measured Values On the main page the airway pressure curve, or flow curve and three relevant measured values are displayed. To change the curve display Press »Curves « key. Example: flow curve The combination of measured values in the measured value line can be configured, see page 49.
  • Page 34: Niv - Non-invasive Ventilation Mask Ventilation (optional)

    Operation In »Mask/NIV« mode, another page can be displayed »Values 3/3«. NIV – Non-invasive ventilation Mask ventilation (optional) Installing the NIV option This should only be done by experts, following the corresponding installation instructions. Using NIV When masks are used, the dead space increases. Follow the mask manufacturer’s directions.
  • Page 35 Savina compensates for detection of trigger leakage caused by the patient up to 25 L/min. Automatic compensation of set tidal volume Savina compensates up to 100 % of the measured minute volume for leaks detected. Monitoring in the »Mask/NIV« mode Only switch off alarms if the safety of the patient will not be compromised by the absence of an alarm.
  • Page 36 Select »Tube« = turn rotary knob, Confirm = press rotary knob. The advisory message appears briefly. When switching over to »Tube« mode, Savina automatically selects the default alarm limits for the alarms previously switched off in »Mask/NIV« mode. Check alarm limits after changing from »Mask/NIV«...
  • Page 37: Special Functions

    PEEP« setting. 1 Press and hold down the »Insp. hold« key for as long as inspiration is required. Savina Either an automatic ventilation stroke that has just begun will be accordingly prolonged, or a new ventilation stroke can be...
  • Page 38: Medicament Nebulization

    Connect your O supply 2.7 to 6 bar – from the medical O pipeline system or from a cylinder, to the side of Savina. Prepare the medicament nebulizer in accordance with the accompanying instructions for use. 1 Connect the nebulizer to the inspiratory side of the Y-piece (temperature sensor side).
  • Page 39 If medicament nebulization needs to be stopped prematurely: 1 Press » Neb.« key again. The yellow lamp goes out, the nebulizer is switched off. The flow sensor will be automatically heat-cleaned and calibrated by Savina. On-screen information: Flow calibration Remove any left-over medicament from the medicament nebulizer.
  • Page 40: Oxygen Enrichment For Bronchial Suction

    Savina. After the program has started, during the oxygen enrichment phase Savina ventilates in the selected ventilation mode for up to 180 seconds with 100 Vol.% oxygen. When the ventilator is disconnected for suction, Savina automatically interrupts ventilation.
  • Page 41 1 Press the »O suction« key again Savina Automatic discontinuation of oxygen enrichment If after 120 seconds no reconnection follows, Savina stops the enrichment program. All alarms are immediately reactivated. Savina immediately continuous ventilating in the set ventilation mode.
  • Page 42: Calibrating

    — after medicament nebulisation — after bronchial suction — after changing the O concentration. Savina uses a full inspiration phase for calibration. Short inspiration times are extended to about one second. Message in the information line on the screen: Flow calibration in progress...
  • Page 43: Calibrating O Sensors

    (sensor 2). The O sensor for O control and display (sensor 1) is automatically calibrated by Savina: — when the apparatus is switched on — after 8 hours’ operation — when the O sensor is replaced — if sensor 1 and sensor 2 differ from each other by more than 2% by volume —...
  • Page 44: At High Ambient Temperature

    C Savina displays an advisory message: ! Temperature high To prevent the breathing gas becoming too hot, Savina reduces the maximum speed of the built-in blower as the ambient temperature rises. If high inspiratory pressures are set at the same time, e.g. over 80 mbar, the result may be that high flows, e.g.
  • Page 45 Operation If the patient needs an inspiratory O concentration higher than 21 Vol.%: reconnect the O supply without delay. In the event of blower failure Savina cannot carry on ventilating. Continue ventilating without delay, using an independent ventilator.
  • Page 47: Configuration

    Configuration Setting the screen contrast ..........48 Adjusting the volume of the audible alarm .
  • Page 48: Setting The Screen Contrast

    Configuration Configuration The following settings for use can be selected in »Configuration« mode: — Screen contrast — Alarm volume — Measured values line — Manual calibration for O sensor 2 — FiO and flow monitoring ON/OFF — Pmax ON/OFF — Plateau ON/OFF —...
  • Page 49: Configuring The Measured Values Line

    Configuration Configuring the measured values line Select one of 6 possible combinations of measured values: ∆∆ Press »Config. « key repeatedly until »Configuration 1/4« appears. Select »Measured values« line = turn the rotary knob, activate = press the rotary knob. To set the measured values combination = turn the rotary knob, confirm = press the rotary knob.
  • Page 50: Fio 2 - Or Flow Monitoring On/off

    Disconnection and change of O concentration would activate the alarms. For this reason Savina turns the alarms off during calibration. If the patient is not reconnected within 30 seconds, Savina continues ventilating and all the alarms are reactivated.
  • Page 51: Pmax On/off

    Replace flow monitoring Replace O monitoring Replace flow monitoring and O monitoring Flow monitoring is automatically activated each time Savina is switched on. When flow monitoring is deactivated, Savina does not determine the following measured values: — MV — MVspont...
  • Page 52: Plateau On/off

    Configuration Plateau ON/OFF To switch on and off the inspiratory pause. When the plateau is deactivated, Savina switches to expiration after application of the tidal volume V . The inspiration time setting T does not apply. Savina establishes a minimum...
  • Page 53: Configuring The Medibus Protocol

    = press the rotary knob. Displaying the device values ∆∆ Press »Config. « key repeatedly until »Configuration 4/4« appears. Savina displays: — SW Software version of the device — Device-ID specific device identification number — Working hours the total number of hours the device has been operating, —...
  • Page 55: Fault - Cause - Remedy

    Fault – Cause – Remedy Fault – Cause – Remedy ..........56...
  • Page 56 Advisory Message with low priority Savina displays a message for your guidance in the information line when certain alarm messages occur. The messages are listed in the table in alphabetical order. In the event of an alarm, this table is designed to enable you to identify the cause and take rapid corrective action.
  • Page 57 Call DrägerService. !!! Breathing gas temp. high Breathing gas temperature is over 40 C. Switch off humidifier. Use longer inspiration hoses. !! Check settings Due to an internal data loss, Savina is Check settings and adjust. operating with factory settings.
  • Page 58 !!! Device failure XX.YYYY Device faulty. If the alarm message disappears on pressing the »Alarm Reset« key, ventilation with Savina can be continued. If the alarm message does not disappear on pressing the »Alarm Reset« key, disconnect the patient from Savina and continue ventilation without delay, using another independent ventilator.
  • Page 59 DC power supply on-board network. not connected. Int. batt. almost discharged Mains power connected; internal Do not switch over Savina to operation via battery almost discharged. internal battery. Int. battery activated Savina is being supplied via the internal...
  • Page 60 There are only a few minutes’ working time left. Int. battery low Mains power connected. The remaining Do not switch over Savina to operation via operating time is only a few minutes. internal battery. Key xx failed xx key (e.g. »...
  • Page 61 Standby« key to switch Savina off. Call DrägerService. !!! Malfunction fan Fan failure. Savina uses the fan to cool the interior of the device and to avoid increased fire risk in the event of an O leak. If the »!!! Malfunction fan« alarm message...
  • Page 62 Use external O monitoring and switch off the built-in O monitoring, page 50. Call DrägerService. monitoring off On switching on, Savina notifies that O Reactivate O monitoring, see monitoring is switched off. page 50 or immediately connect adequate external monitor function.
  • Page 63 PEEP and/or an increased O concentration if necessary. Call DrägerService. Rotary knob failed Rotary knob cannot be turned or pressed. Disconnect patient from Savina and continue ventilation without delay, using another independent ventilator. Use PEEP and/or an increased O concentration if necessary.
  • Page 64 Fault – Cause – Remedy Message Cause Remedy !!! Standby activated Savina has been switched to standby. Confirm standby by pressing »Alarm Reset«. !!! Temperature high Breathing gas temperature in Savina Reduce ambient temperature. Switch off higher than 40 humidifier to protect the patient and use longer inspiration hoses.
  • Page 65 Fault – Cause – Remedy Message Cause Remedy Tidal volume low After second breathing stroke: Extend inspiration time »Tinsp«, Because of pressure and time limitations raise »FlowAcc«, the set tidal volume V will not be raise pressure limitation using »Pinsp« applied.
  • Page 67: Care

    Important when storing Savina ........
  • Page 68: Dismantling

    Care Care Observe the hospital hygiene regulations. Clean and prepare the machine after each patient. Recommendation: Change the hose system and expiration valve every week. Keep the replacement systems ready. Dismantling Removing parts Switch off the ventilator and breathing gas humidifier, and remove their power plugs.
  • Page 69 Care When removing the ventilation hoses, always grasp them by the sleeve, never by the hose itself, to avoid possibly tearing the hose at the sleeve or ripping it out of the sleeve. Medicament nebulizer (optional) 1 Remove nebulizer hose from the medicament nebulizer and from the spigot on the device.
  • Page 70 Care Flow sensor 1 Push the flow sensor to the left as far as it will go and 2 pull out. Savina The flow sensor cannot be autoclaved or steam-sterilised. It is not temperature-stable and would be destroyed. Disinfect flow sensor for about 1 hour in 70 % ethanol solution.
  • Page 71: Disinfecting/cleaning/sterilising

    If in doubt, ask the supplier/manufacturer of the disinfectant/cleaning agent. Do not sterilise parts in ethylene oxide! Ethylene oxide can diffuse into the parts. Danger to health! — Savina basic device with trolley — Hinged arm — Medical gas hose Wipe disinfect. — Ventilation hoses —...
  • Page 72 Care — Ventilation hoses — Y-piece — Water traps and collecting jars — Expiration valve casing — Expiration valve diaphragm — Containers for water traps — Temperature sensor are thermo-stable and can be steam-sterilised at 134 — Prepare medicament nebulizer in accordance with the accompanying instructions for use.
  • Page 73: Disinfecting/cleaning/sterilising Schedule For Savina Intensive Care Ventilator

    Care Disinfecting/cleaning/sterilising schedule for Savina Intensive Care Ventilator Applicable for use with non-infectious patients. For infectious patients, all parts that conduct breathing gas must be additionally sterilised after disinfecting and cleaning. The parts that conduct breathing gas listed here can be steam-sterilised at 134 C.
  • Page 74: Maintenance Intervals

    Care Maintenance Intervals Clean and disinfect equipment and/or components before any maintenance procedures – and before returning for repair! sensors replace when the following message is displayed: !!! O measurement inop. in case of calibration is no longer possible. Used O sensors can be returned to Dräger Medical AG &...
  • Page 75: Replacing The Microfilter

    Slide new microfilter into housing as far as it will go. Dispose of used microfilter with domestic waste. Do not operate Savina without a microfilter, as the inspiration side will get dirty. 4 Insert filter cover with two lugs into rear panel.
  • Page 76: Replacing The Dust Filter Set

    Care Replacing the dust filter set — Inspect after 4 weeks for soiling, clean or replace as necessary. 1 Hold down both latches, 2 lift filter cover and remove. 3 Remove used dust filter from filter cover. Fit new dust filter. Dispose of used dust filter with domestic waste.
  • Page 77: Replacing The O

    Savina is switched off. This enables Savina to supply valid O measured values as soon as it is switched on. If the internal battery is discharged, Savina does not supply any measured values for the first 20 minutes after switching on. The O dosage operates at reduced accuracy during this time.
  • Page 78: Correct Disposal Of Batteries And O Sensors

    Savina contains permanent batteries that contain harmful substances. The permanent batteries containing harmful substances that are fitted in Savina should be removed and disposed of by Dräger Service. Important when storing Savina If Savina is stored for longer than 1 month without power: Remove fuse for internal battery.
  • Page 79: Preparation

    Preparation Assembling ............80 Mounting the expiration valve .
  • Page 80: Assembling

    Preparation Preparation Assembling Only use the duly prepared components! Mounting the expiration valve 1 Attach diaphragm to expiration valve. 2 Attach rubber bushing to port. Inserting the expiration valve 3 Turn knurled sleeve to left as far as it will go. 4 Insert expiration valve.
  • Page 81: Fitting The Flow Sensor

    Preparation Fitting the flow sensor 1 Push the socket to the left as far as it will go. 2 Insert the flow sensor, with the probe facing towards the ventilator, into the mounting and push it into the socket as far as it will go. Then: 3 Push flow sensor to the right as far as it will go into the rubber lip of the expiration valve.
  • Page 82: Note On The Use Of Expiratory Bacterial Filters

    Preparation Note on the use of expiratory bacterial filters The use of expiratory bacterial filters on the ventilator is not recommended. However, if a bacterial filter is used on the expiration side, an undesirable increase in breathing resistance may occur. Especially during medicament nebulisation and humidifying, the resistance of the bacterial filter may increase gradually.
  • Page 83: Positioning The Humidifier

    Order List on page 126. If using heated paediatric hoses with internal hot wires, please note: In the event of Savina failure, high breathing resistance is to be expected in spontaneous breathing. Fitting the Aquapor humidifier...
  • Page 84: Fitting The Fisher & Paykel Humidifier

    Preparation Connecting the ventilating hoses Do not use anti-static or conductive hoses 1 Hang the hinged arm from the rail on the left-hand side and tighten screws. Connect ventilation hoses, and note length of hoses (in metres). The total length of the inspiratory hoses between Aquapor and the Y-piece must be not less than 1.1 m, to avoid the risk of overheating the breathing gas.
  • Page 85: Electrical Power Supply

    1,2m Electrical power supply The ventilator is designed for a mains voltage of: 100 V to 240 V, 50/60 Hz The built-in power adapter of the Savina automatically adapts to the mains supply. Insert the plug into the mains socket.
  • Page 86 (84 14 092) or connect DC on-board network to device via DC on-board network cable S (84 14 048). The plug on the connecting cable that plugs into the Savina is coded. This enables Savina to detect whether an external battery or a DC on-board network is connected.
  • Page 87 Savina automatically prioritises the use of the power sources. Mains supply: If a mains supply is available, Savina automatically switches to mains voltage and charges the internal and external batteries. The device should only be left connected to the power supply in well-ventilated rooms.
  • Page 88 Savina charges the battery to counteract running-down. Operation with an external battery or DC on-board network In the event of a mains power failure, Savina seamlessly switches over to the external DC power supply connected. This may take either of two forms: —...
  • Page 89 With a fully charged 24 V battery with 17 Ah, the operating time is about 7 hours. Savina detects when the external battery is discharged and switches over to the internal battery. When a mains voltage becomes available again, Savina automatically switches over to mains power supply, charging the internal battery first and then the external battery.
  • Page 90 DC on-board network to prevent any interruption to ventilation. After operating the Savina with an internal battery: Reconnect Savina to the mains voltage in order to charge the internal battery and, if applicable, the external battery again immediately.
  • Page 91: O 2 Supply

    Expected operating time when using an O cylinder supply When using an increased O concentration (greater than 21 % by vol.) Savina ventilates with a mixture of air (delivered by a blower) and O When using an O cylinder supply, the maximum possible...
  • Page 92: Nurse Call System

    Nurse call system Optional Connection for redirecting alarm signals to a clinic-internal central alarm system can be found on the rear side of Savina. Installation of the supplementary equipment should be carried out by experts. The 6-pin round plug (female) should be connected to the clinic-internal central alarm by experts.
  • Page 93: Checking Readiness For Operation

    Test the connected nurse call system for proper functioning. The installation of the nurse call system does not replace the regular Savina screen surveillance. Regularly check on-screen messages. Technical data Potential-free DC contact Input voltage max.
  • Page 94 Savina runs through its self-test procedure. Wait until the 12-second test phase has been completed. Savina automatically matches the speed of its blower to the patient’s gas requirement. A slight whine may be heard temporarily at the start of ventilation or when setting the ventilation parameters.
  • Page 95 Reconnect O compressed gas hose connector. A warning !!! FiO low may appear briefly. Press »Alarm Reset«. After successful testing of readiness for operation, Savina is ready to use. Do not use device unless all the test steps have been completed.
  • Page 96: Checklist

    Plateau pressure remains constant. system hold down the »Insp. hold« key and observe pressure curve: When the check has been completed successfully, Savina is ready for use. Do not use device unless all the test steps have been completed. Adapt all settings and alarm limits to current patient...
  • Page 97: Description

    Description Ventilation modes ............98 Volume-controlled ventilation .
  • Page 98: Ventilation Modes

    Paw (t). The values for plateau pressure Pplat and insp insp plateau time Tplat are shown on Values screens 1/2 and 2/2. When the plateau is turned off Savina immediately changes to expiration as soon as the set tidal volume V is applied. In this Flow case the inspiration time is not adjustable, but it is the result of the compliance and resistance of the patient’s lungs together...
  • Page 99: Ippvassist

    filling of the "slow" alveoli. In Savina, the sigh operates during expiration with an intermittent PEEP. It is set relative to PEEP (∆ sigh). The average airway pressure is higher, and a longer filling time is normally available.
  • Page 100: Autoflow® (optional)

    «. If the set alarm limit is Paw > exceeded one time, Savina sets of an advisory message (!); if the alarm limit is exceeded three times, Savina sets of a PLAT warning message (!!!). The volume is actively limited to the alarm limit value »VTi...
  • Page 101 A stenosis can also cause the filling time of the lungs to become longer than the set inspiration time T insp Starting behavior of AutoFlow Upon switching on the function AutoFlow Savina applies the set tidal volume V using a volume-controlled breathing stroke.
  • Page 102: Simv

    SIMV time and therefore would normally result in an undesirable increase in the effective IMV frequency, Savina adds in the reduced SIMV time by prolonging the subsequent spontaneous breathing phase by the SIMV time difference ∆ T – thus preventing an increase in SIMV frequency.
  • Page 103: Asb

    "! ASB > 4 s" is displayed. If this time criterion occurs three times in succession, Savina displays a warning message "!!! ASB > 4 s" and warns of a possible leak in the ventilation system. In »Mask/NIV« mode the »Tinsp« key is used to set the...
  • Page 104: Bipap (optional)

    Description BIPAP (optional) Biphasic Positive Airway Pressure The BIPAP ventilation mode is a pressure-controlled/time- cycled ventilation mode in which the patient can always breathe spontaneously. BIPAP is therefore often described as a timed alternation between two CPAP levels. The time-cycled change of pressure produces controlled ventilation corresponding to the pressure-controlled ventilation PCV.
  • Page 105: Automatic Leakage Compensation

    flow, up to a maximum of 10 L/min. Monitoring leakage In »Tube« mode if Savina detects a major leak in the system, the message »! Leakage« appears. In this case the tube and patient hose system connections should be checked for...
  • Page 106: Niv - Non-invasive Ventilation (optional)

    Description NIV – Non-invasive ventilation (optional) With the NIV option, Savina offers an application mode optimized for non-invasive ventilation using a nose or face mask. Greater leakage generally occurs with non-invasive ventilation than with ventilation via a tube. In »Mask/NIV«...
  • Page 107 If a tidal volume V of 500 mL has been set and 50 mL are lost during inspiration, Savina will automatically deliver 550 mL. Because unlimited leakage compensation is not advisable, Savina compensates for leakage up to 100 % of the set tidal volume.
  • Page 108: Bibliography

    Description Bibliography (1) Baum, M., Benzer, H., Putensen, Ch., Koller, W., Putz,G.: Biphasic Positive Airway Pressure (BIPAP) – eine neue Form der augmentierenden Beatmung Anaesthesist 38 (1989), 452-458 (2) Vincent, J.-L.: Yearbook of Intensive Care and Emergency Medicine Springer-Verlag 1993 (3) Sydow, M.: Biphasic Positive Airway Pressure (BIPAP) und Airway Pressure Release Ventilation (APRV)
  • Page 109: What's What

    What‘s what Control unit ............110 Front connection block .
  • Page 110: Control Unit

    What's what What's what Control unit Savina Savina Trigger Trigger Verneb. Neb. insp insp mL L mL L mbar mbar 2 min ∆P ∆P insp. insp. Alarm Alarm Absaug. Suction über PEEP above PEEP Reset Reset Insp. Insp. PEEP PEEP...
  • Page 111: Front Connection Block

    What's what Front connection block 1 Flow sensor 2 Expiration valve with expiration port 3 Socket for breathing gas temperature sensor plug 4 Inspiration port 5 Gas supply port for the medicament nebuliser 6 Protective cover for O sensors...
  • Page 112: Back Panel

    What's what Back panel 1 RS 232 serial interface 2 Nurse call socket (optional) 3 Power switch 4 Fuse for internal battery 5 Power unit socket 6 DC inlet (external battery or DC on-board network) 7 Potential equilisation connector 8 Filter cover 9 Low pressure O inlet 10 In side panel: connection for O...
  • Page 113: Abbreviations

    What's what Abbreviations Abbreviation Definition Assisted Spontaneous Breathing Pressure-supported spontaneous breathing BIPAP Biphasic Positive Airway Pressure Ventilation mode for spontaneous breathing at continuous positive airway pressure with two different pressure levels breaths per minute BTPS Body Temperature, Pressure, Saturated Measured values based on the conditions of the patient’s lungs, with body temperature 37 C, atmospheric pressure, steam- saturated gas...
  • Page 114 What's what Abbreviation Definition SIMV Synchronized Intermittent Mandatory Ventilation Delay time for "Airway pressure lower alarm limit" alarm Disconnect (only in »Mask/NIV« mode) Temp Inspiratory breathing gas temperature Expiration time Setting for the inspiratory time insp Plateau time plat Setting for tidal volume Setting for tidal volume of apnoea ventilation TApnoea Expiratory tidal volume...
  • Page 115: Symbols

    What's what Symbols Symbol Explanation Switch medicament nebuliser on / off Neb. Activate/deactivate oxygen enrichment for bronchial suction Suction Insp. Start manual inspiration and hold hold Settings Select settings page ∆∆ Config. Configure system settings ∆∆ Alarms Display alarm limits ∆∆...
  • Page 117: Technical Data

    Technical data Technical data ............118...
  • Page 118 Accuracy 21 to 100 vol.% ±3 vol.% The accuracy of the inspiratory O concentration is appreciably reduced when operating Savina without O sensors. Positive end-expiratory pressure PEEP or interm. PEEP 0 to 35 mbar Trigger sensitivity 1 to 15 L/min Can be switched off in IPPV ventilation mode.
  • Page 119 For a maximum of 30 minutes, in the inspiratory flow phase, (with O supply only) 2 bar, max. 10 L/min., Savina takes the nebulizer flow into account and keeps the minute-volume constant Oxygen enrichment for bronchial suction (with O supply only)
  • Page 120 Technical data Flow measurement (hot-wire sensor) Inspiratory peak flow FlowPeak Range 0 to 196 L/min Resolution 1 L/min Accuracy ±8 % of measured value Minute volume MV Spontaneous breathed minute volume MV spon Range 0 to 99 L/min, BTPS* Resolution 0.1 L/min Accuracy ±8 % of measured value...
  • Page 121 Technical data Plateau time Tplat Range 0 to 10 s Resolution 0.1 s Accuracy 0.1 s Resistance R Range 3 to 100 mbar/L/s Resolution 1mbar/L/s Accuracy ±2.5 mbar/L/s or 20 %, whichever is greater Compliance C Range 3 to 200 mL/mbar Resolution 1 mL/mbar Accuracy...
  • Page 122: Operating Data

    Technical data Tachypnoea monitoring Alarm if the total frequency is exceeded during spontaneous breathing. Adjustment range 10 to 120/min Apnoea alarm time Alarm if no breathing activity is detected. Adjustment range 15 to 60 s, adjustable in 1 second steps. Insp.
  • Page 123 Technical data Battery charging Savina automatically detects the voltage of the external battery connected. Charge current: 12 V battery approx. 4 A 24 V battery approx. 2 A When the battery is fully charged, the charging system switches to trickle charging.
  • Page 124 Technical data Weight Basic machine approx. 22 kg Machine outputs Digital output Output and reception via an RS 232 C interface for MEDIBUS protocol Classification Class IIb as per EC Directive 93/42/EEC Annex IX UMDNS-Code 17 – 429 Universal Medical Device Nomenclature System –...
  • Page 125: Order List

    Order List Order List ............126...
  • Page 126 Hose set paediatric (Fisher & Paykel) 84 12 081 comprising: Hose heater 23 47 020, Replacement parts patient hoses, water traps, Y-piece, For Savina: catheter connector sensor (Oxytrace VE) MX 01 049 Bacterial filter (disposable) 84 09 716 Expiration valve...
  • Page 127 Order List Designation/Description Part No. Designation/Description Part No. For adult ventilation: Consumables Aquapor E-set cover 84 06 135 Spirolog flow sensor (set of 5) 84 03 735 Aquapor tank 84 04 739 Microfilter 67 37 545 Aquapor float 84 04 738 Set of dust filters S 84 14 057 Adult spiral hose,...
  • Page 128: Index

    Index Index Abbreviations ........113 Electrical power supply .
  • Page 129 Index Nebulization ........38 TDisconnect .
  • Page 132 These Instructions for Use apply only to Savina with Serial No.: If no Serial No. has been filled in by Dräger, these Instructions for Use are provided for general information only and are not intended for use with any specific machine or device.

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