Page 1 User's Manual SERVO-s VENTILATOR SYSTEM V8.0...
Page 3 TABLE OF CONTENTS TABLE OF CONTENTS 1 Introduction 2 System Overview 3 Power supply 4 Monitor and record 5 Ventilation, modes and functions 6 Operation overview 7 Alarms 8 Optional Accessories 9 System messages 10 Start-up configuration 11 Technical data 12 Definitions 13 Appendix •...
Page 4 TABLE OF CONTENTS SERVO-s VENTILATOR SYSTEM V8.0, User's Manual Infologic 1.91...
Page 5 Introduction | 1 | 1 Introduction Table of contents Device description Warning, Caution, Important and Note Version and Configurations SERVO-s VENTILATOR SYSTEM V8.0, 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: The manufacturer has no responsibility for • Regular Service: The SERVO-s the safe operation of SERVO-s Ventilator Ventilator System must be serviced at System if the Intended Use Environment regular intervals by personnel who have requirements specified in this document are received authorization and specialized...
Page 8 | 1 | Introduction 1.2 Warning, Caution, Important and 1.2.1 General 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.
Page 10 | 1 | Introduction CAUTIONS: • Contact a representative of the • In USA, Federal law restricts this device manufacturer regarding decommissioning to sale by or on the order of a physician. of the equipment. • Disconnect the mains power cable from •...
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. •...
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 the manufacturer •...
Page 13 Introduction | 1 | 1.2.6 Electromagnetic Compatibility Important: The ventilator system must be installed and put into service according to Electromagnetic Compatibility, SERVO-s Ventilator System. In order to ensure that the SERVO-s Ventilator System, during electromagnetic disturbances, will deliver ventilation at the connection port within the alarm limits set by the user, or generate an alarm condition, the following essential performance (IEC 60601-1) has been...
Page 14 | 1 | Introduction 1.3 Version and Configurations This manual applies to version 8.0 of the SERVO-s Ventilator System. Bi-Vent/APRV 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 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 V8.0, 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 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 V8.0, 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 Interface To adjust ventilator settings: 1. Activate the desired menu by touching The following subsections provide general one of the pads at the top of the screen. procedures for working with the user interface. 2.
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 Biomed 8. Panel lock For more information see Appendix • User interface on page 167. 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 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 V8.0, 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 10A Fuse for external DC power the requirements of the Medical supply. Device Directive 93/42/EEC External 12V DC input Note: This symbol may be different CSA label—Indicates compliance depending on Patient Unit version.
Page 31 System Overview | 2 | Symbol Explanation MR Unsafe - keep away from magnetic resonance imaging (MRI) equipment. SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 32 | 2 | System Overview Patient Unit gas flow diagram to Patient SVS-0099_EN from Patient SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 33 System Overview | 2 | 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 34 | 2 | System Overview 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 35 System Overview | 2 | 2.5 Transport and storage 2.5.2 During Intrahospital transport 2.5.1 Before Intrahospital transport While transporting the ventilator with or without a patient connected, follow facility Before transporting the ventilator with or guidelines and: without a patient connected, follow facility •...
Page 36 | 2 | System Overview SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 37 Power supply | 3 | 3 Power supply Table of contents Introduction Viewing battery status Alarms and safety SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 38 | 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 39 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: •...
Page 40 | 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, five types of battery has become unreliable, messages may be displayed at the top of the regardless of the operating time...
Page 41 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 (Low Priority Alarm) AC power is off line due to a power failure or disconnection.
Page 42 | 3 | Power supply SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 43 Monitor and record | 4 | 4 Monitor and record Table of contents Measured values display Waveform display Show event log Show loops Show trends SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 44 | 4 | Monitor and record 4.1 Measured values display 4.1.2 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 45 Monitor and record | 4 | 4.1.3 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 46 | 4 | Monitor and record 4.2 Waveform display 4.2.2 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: •...
Page 47 Monitor and record | 4 | 4.2.3 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 48 | 4 | Monitor and record 4.3 Show event log 4.4 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 49 Monitor and record | 4 | 4.5 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 50 | 4 | Monitor and record SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 51 Ventilation, modes and functions | 5 | 5 Ventilation, modes and functions Table of contents Introduction Important definitions Settings Volume Control Pressure Control Pressure Regulated Volume Control Pressure Support Spontaneous/CPAP SIMV 5.10 Bi-Vent/APRV 5.11 Non Invasive Ventilation 5.12 Backup ventilation 5.13 Ventilatory parameters - overview 5.14...
Page 52 | 5 | Ventilation, modes and functions 5.1 Introduction 5.1.1 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 associated safety information. WARNINGS! •...
Page 53 Ventilation, modes and functions | 5 | 5.1.2 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 54 | 5 | Ventilation, modes and functions 5.2 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 55 Ventilation, modes and functions | 5 | 5.2.2 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 End expiratory flow Volume-time waveform X.
Page 56 | 5 | Ventilation, modes and functions Trigg. Pressure Trigg. Flow 5.3 Settings WHITE GREEN 5.3.1 Trigger functionality The trigger sensitivity bar has different colors Trigg. Flow Trigg. Pressure 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 57 Ventilation, modes and functions | 5 | During expiration, the ventilator continuously 5.3.2 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 151. At a trigger sensitivity level above zero (0), The ventilator senses deviations in the bias flow delivered during expiration.
Page 58 | 5 | Ventilation, modes and functions Inspiratory rise time (%) is applicable in 5.3.3 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 A Positive End Expiratory Pressure is...
Page 59 Ventilation, modes and functions | 5 | When the ventilator is configured for setting 5.3.5 End inspiration 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 60 | 5 | Ventilation, modes and functions 5.3.6 Breath cycle time PS (Pressure Support level) above PEEP is the set inspiratory pressure support level for triggered breaths in Pressure Support, SIMV modes and Bi-Vent/APRV. 5.3.9 O concentration The setting range for the oxygen concentration is 21% O to 100% O .
Page 61 Ventilation, modes and functions | 5 | 5.3.11 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 62 | 5 | Ventilation, modes and functions 5.4 Volume Control 5.4.1 Functional description Volume Control In the flow/volume oriented modes a controlled flow is used to maintain the set inspiratory Tidal Volume. SVS-5037_XX The airway pressure is dependent on the tidal volume, inspiration time and the resistance and compliance of the respiratory system.
Page 63 Ventilation, modes and functions | 5 | 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 64 | 5 | Ventilation, modes and functions 5.4.3 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 65 Ventilation, modes and functions | 5 | 5.4.4 Volume control with alternative flow To ventilate with Volume Control with 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 •...
Page 66 | 5 | 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: •...
Page 67 Ventilation, modes and functions | 5 | 5.5 Pressure Control 5.5.1 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 68 | 5 | Ventilation, modes and functions 5.5.2 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 •...
Page 69 Ventilation, modes and functions | 5 | 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 70 | 5 | Ventilation, modes and functions 5.6 Pressure Regulated Volume Control 5.6.1 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 71 Ventilation, modes and functions | 5 | 5.6.2 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 72 | 5 | 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 73 Ventilation, modes and functions | 5 | 5.7 Pressure Support 8. Resp.Rate (b/min) in backup ventilation. 5.7.1 Functional description Pressure 9. I:E / Ti (s) in backup ventilation (depending Support on configuration). Pressure Support is a patient initiated breathing mode in which the ventilator supports the patient with a set constant pressure.
Page 74 | 5 | 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 75 Ventilation, modes and functions | 5 | 5.7.2 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 (End inspiration) 2.
Page 76 | 5 | Ventilation, modes and functions 5.8 Spontaneous/CPAP 5.8.1 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 77 Ventilation, modes and functions | 5 | 5.8.2 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 (End inspiration) •...
Page 78 | 5 | Ventilation, modes and functions 5.9 SIMV During the SIMV period, the first triggered breath will be a mandatory breath. If the 5.9.1 Functional description SIMV patient has not triggered a breath within the first 90% of the Breath Cycle time a mandatory SIMV is a combination mode where the patient breath will be delivered.
Page 79 Ventilation, modes and functions | 5 | 5.9.2 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 80 | 5 | Ventilation, modes and functions 5.9.3 SIMV (Volume Control) + Pressure Support 11. PS (Pressure support) above PEEP (cmH SVS-5052_XX The following parameters are set: 1. Tidal Volume (ml)/Minute Volume (l/min) SVS-5059_XX 2. SIMV rate (b/min) 3. PEEP (cmH 4.
Page 81 Ventilation, modes and functions | 5 | 5.9.4 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 82 | 5 | 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 83 Ventilation, modes and functions | 5 | 5.9.5 SIMV (Pressure Control) + Pressure Support 10. PS (Pressure Support level) above PEEP (cmH SVS-5050_XX The following parameters are set: 1. PC (Pressure Control level) above PEEP SVS-5054_XX (cmH 2. SIMV rate (b/min) 3.
Page 84 | 5 | Ventilation, modes and functions 5.9.6 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 85 Ventilation, modes and functions | 5 | 5.9.7 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) 2. SIMV rate (b/min) SVS-5051_XX 3. PEEP (cmH 4.
Page 86 | 5 | Ventilation, modes and functions 5.9.8 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 87 Ventilation, modes and functions | 5 | 5.10 Bi-Vent/APRV Bi-Vent: • is a time-cycled, pressure-limited mode that allows spontaneous breathing throughout the entire ventilatory cycle; • has two time-cycled pressure levels and switches between these two levels. The patient can breathe spontaneously at both these levels and it is possible to give Pressure Support at both levels.
Page 88 | 5 | Ventilation, modes and functions Bi-Vent/APRV allows for spontaneous Each Bi-Vent/APRV cycle is regarded as breathing/PS ventilation at two different autonomous and therefore most of the pressure levels. These basic levels are measured values are updated every cycle, i.e. individually set, as well as the time in seconds minute volume, respiratory rate, mean at each level.
Page 89 Ventilation, modes and functions | 5 | 5.10.1 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 90 | 5 | Ventilation, modes and functions 5.11 Non Invasive Ventilation WARNINGS! 5.11.1 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 91 Ventilation, modes and functions | 5 | 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 92 | 5 | Ventilation, modes and functions 5.11.2 Functional description Pressure Differences from invasive Pressure control 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 93 Ventilation, modes and functions | 5 | 5.11.3 Functional description Pressure Differences from invasive Pressure support 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 94 | 5 | Ventilation, modes and functions 5.12 Backup ventilation 5.12.1 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 155.
Page 95 Ventilation, modes and functions | 5 | 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 96 | 5 | Ventilation, modes and functions 5.12.2 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 97 Ventilation, modes and functions | 5 | 5.13 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 Inspiration time (Ti) Time for active flow or mandatory breaths or used for calculation pressure delivery to the patient (s).
Page 98 | 5 | 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 99 Ventilation, modes and functions | 5 | SVS-204_XX 14. Time high (THigh) Time at PHigh level in Bi-Vent/APRV (s). 15. Time PEEP (TPEEP) Time at PEEP level in Bi-Vent/APRV (s). 16. Pressure Support above Pressure high (PS above PHigh) Inspiratory pressure support level for breaths triggered during the THigh period in Bi-Vent/APRV (cmH...
Page 100 | 5 | Ventilation, modes and functions 5.14 Special functions Start breath 5.14.1 Fixed keys SVS-5029_XX The ventilator will initiate a new breath cycle SVS-5021_XX according to the current ventilator settings. breaths 1. Start breath 2. O breaths 3. Expiratory hold 4.
Page 101 Ventilation, modes and functions | 5 | 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 102 | 5 | Ventilation, modes and functions SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 103 Operation overview | 6 | 6 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 6.10 Suctioning 6.11 Re-adjust the Oxygen cell...
Page 104 | 6 | Operation overview 6.1 Workflow summary 6.2 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 •...
Page 105 Operation overview | 6 | 6.2.1 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 •...
Page 106 | 6 | Operation overview 3. Start the Pre-use check by pressing Yes. 6.2.2 Internal leakage test SVS-0082_XX Connect the test tube between the inspiratory outlet and the expiratory inlet. Important: Use only a test tube from the SVS-5073_XX manufacturer of the ventilator system. 4.
Page 107 Operation overview | 6 | 6.2.4 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 108).
Page 108 | 6 | Operation overview 6.2.5 Compensate for Circuit Compliance 6.2.6 Test Alarm Output Connection (Option) If the Alarm Output Connection option is installed, a dialog for the external alarm system test appears on the screen. When the Compensate for circuit compliance? dialog appears on the screen, do one of the following: •...
Page 109 Operation overview | 6 | 6.2.7 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 110 | 6 | Operation overview 6.2.8 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 111 Operation overview | 6 | 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 112 | 6 | Operation overview 6.3 Patient circuit test 6.4 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 113 Operation overview | 6 | Procedure Diagram: Enter Patient Data Important: • 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 114 | 6 | Operation overview 6.6 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 115 Operation overview | 6 | 6.7 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 116 | 6 | Operation overview 6.8 Start ventilation 6.8.2 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 117 Operation overview | 6 | 6.9 Additional settings window 5. A red (warning) bar indicates that the selected setting is significantly beyond To adjust breathing parameters during generally recognized safety limits (this ventilation, press the Additional settings warning is accompanied by an audio touchpad to open the Additional Settings signal and text message).
Page 118 | 6 | Operation overview 6.10 Suctioning Notes: • Suction Support is not available in NIV 6.10.1 Suction support mode or when the O Breaths function is The Suction Support function makes it activated. possible to automatically inhibit the ventilator •...
Page 119 Operation overview | 6 | The Check tubing alarm is turned off: the 6.10.5 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 120 | 6 | Operation overview 6.11 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 121 Alarms | 7 | 7 Alarms Table of contents Introduction Handling Alarms Alarm Settings for Breathing Parameters SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 122 | 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 123 Alarms | 7 | 7.1.1 Alarm Output Connection Option 7.1.2 Visual Alarm Display 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 124 | 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 125 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 126 | 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 127 Alarms | 7 | 7.2.4 Responding to Technical Alarms 7.2.6 Permanently Silencing Alarms In some cases, restarting the system may To permanently silence certain alarms in NIV resolve a technical alarm. However, technical mode: alarms often necessitate taking the ventilator 1.
Page 128 | 7 | Alarms 7.3 Alarm Settings for Breathing 7.3.4 List of Alarm Settings 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 •...
Page 129 Optional Accessories | 8 | 8 Optional Accessories Table of contents General Active humidifiers Nebulizers Compressor Mini SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 130 | 8 | Optional Accessories 8.1 General Important: • Use only tubes recommended by the Applied parts, i.e. equipment making physical manufacturer. Soft tubing may negatively contact with the patient, comprise nebulizer affect the performance of the ventilator. patient unit and cable and the Ventilator •...
Page 131 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 •...
Page 132 | 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 133 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 V8.0, User's Manual...
Page 134 | 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 135 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 136 | 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 137 System messages | 9 | Alarm Message Possible causes Remedies Settings lost; Software error, memory corrupt. Restart the ventilator and perform a Restart ventilator Pre-use check. Check ventilator settings. Technical error in Technical problem with the expiratory Perform a Pre-use check. Expiratory cassette cassette.
Page 138 | 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 139 System messages | 9 | Alarm Message Possible causes Remedies supply pressure: supply pressure above 6.0 kPa x 100. Check the gas supply lines. High Perform a Pre-use check. supply pressure at gas inlet is too high. Contact a service technician. supply pressure: supply pressure below 2.0 kPa x 100.
Page 140 | 9 | System messages 9.4 Low priority alarms Alarm message Possible causes Remedies Battery operation AC power interrupted. Check the connection to AC power. Touch screen or Screen or knob has been pressed for Check screen and knobs. knob press time more than one minute.
Page 141 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 V8.0, User's Manual...
Page 142 | 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 143 Start-up configuration | 10 | 10.3 Edit the Start-up Configuration 10.3.1 Procedure Diagram: Edit the 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 144 | 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 representative of the manufacturer. CAUTION: When using the MCare Remote Service function, install the network cable so that there is no risk of anyone tripping over it.
Page 145 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 146 | 11 | Technical data 11.1 System 11.1.2 Operating Conditions • Operating Temperature range: +10 to +40°C 11.1.1 General • Relative humidity: 15 to 95% Standards non-condensing • EN/IEC 60601-1: 2005, continuous • Atmospheric pressure: 660 to 1060 hPa operation •...
Page 147 Technical data | 11 | 11.1.4 Power supply Max power consumption • At 110-120V: 2A, 190VA, 140W. Power supply, automatic range selection • At 220- 240V: 1A, 190VA, 140W. • 100-120V, 220-240V, AC 50-60Hz Allowed fluctuations ± 10% from nominal On/Off switch (Set to On;...
Page 148 | 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) •...
Page 149 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. •...
Page 150 | 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 •...
Page 151 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...
Page 152 | 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...
Page 153 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 1 - 10...
Page 154 | 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 155 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 - 70 Apnea time to alarm (s) 15 - 45 End expiratory pressure, high limit 0 - 47...
Page 156 | 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. 11.9.3 Alarms Miscellaneous 11.9.2 Autoset Alarm Limits - controlled modes only...
Page 157 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 158 | 11 | Technical data 11.12 Log function Communication Interface Emulator (CIE) A protocol for data communication with Event Log external devices. The SERVO-s Ventilator • Alarms System software v8.0 uses CIE Protocol • Ventilator settings version 004. This protocol is compatible with previous versions although all data may not •...
Page 159 Technical data | 11 | 11.15 Service 11.16 Accessories 11.16.1 Mobile Cart (Option) WARNINGS! • Preventive maintenance must be Weight (kg) performed by authorized personnel at least once a year or after every 5000 hours of operation. The Status menu on Dimensions (mm) the user interface shows the current W 500 x L 650 x H 830...
Page 160 | 11 | Technical data 11.16.5 Expiratory Heater, Servo Duo Guard For further information, see the Expiratory heater Servo Duo Guard User's Manual 11.16.6 Servo Guard For further information, see the Servo Guard User's Manual. SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 161 Technical data | 11 | 11.17 Pollution control This product complies with environmental protection use period as defined in People's Republic of China Electronic Industry Standard SJ/T 11364-2014. Toxic or hazardous substances will not leak or mutate under normal operating conditions for 50 years.
Page 162 | 11 | Technical data 11.18 Information required by ISO 11.18.2 Pressure-controlled breath type 80601-2-12 Characteristics valid for patient categories and 11.18.1 Volume-controlled breath 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 163 Technical data | 11 | 11.18.3 O 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 164 | 11 | Technical data SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 165 Definitions | 12 | 12 Definitions b/min—Breaths per minute Inspiratory cycle-off—Fraction of maximum flow at which inspiration should switch to Bias flow—The continuous flow during the expiration (%) expiratory phase Inspiratory rise time—Time to full inspiratory Breath cycle time—Total cycle time per flow or pressure at the start of each breath, mandatory breath in SIMV (inspiratory + pause as a percentage or in seconds of the breath...
Page 166 | 12 | Definitions Pplat—Pressure during end-inspiratory pause Tidal Volume—Volume per breath or target volume (ml) Pressure trigger level — The negative pressure that the patient has to create to Thigh—Time at Phigh level in Bi-Vent/APRV trigger the ventilator to deliver a breath. TPEEP—Time at PEEP level in Bi-Vent/APRV PRVC—Pressure-regulated volume control PS—Pressure support...
Page 167 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 V8.0, User's Manual...
Page 168 | 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) •...
Page 169 Appendix • User interface | 13 | 13.2 Special function keys Start breaths The ventilator will initiate a new breath cycle according to the current ventilator 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 170 | 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 171 Appendix • User interface | 13 | 13.4 Main screen key Main screen The Main screen fixed key will return you to the Main screen, cancelling current Main screen work, from wherever you are in the Menu/dialog windows. SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 172 | 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) •...
Page 173 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 174 | 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 •...
Page 175 Appendix • User interface | 13 | Edit configuration User default configuration setup. 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 to Biomed menu. Change access code Start MCare Remote Service Starts MCare Remote Service function...
Page 176 | 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 177 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 178 | 13 | Appendix • User interface SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 179 Index | 14 | 14 Index Activity instruction 39 Definitions 165 Device description 6 Additional values 44 Aerogen Professional Nebulizer System 131 Device description Alarm output connection 123, 158 Compressor Mini 159 Alarm profile 128 Mobile cart 159 see Set alarm limits Dimensions 148 Alarm settings 155 Direct access knob 24...
Page 180 | 14 | Index Inspiratory channel 33, 150 Connections and labels 28, 29 Inspiratory hold 100, 101 Gas flow 33 Inspiratory rise time 57, 97 Pause time (T pause) 97 Intended use 6 PEEP 58, 97 Intended user 6 Power supply 37, 159 Internal tests 106 Pressure Control 55, 67, 67 Invasive ventilation 116...
Page 181 Index | 14 | Symbols Supported ventilation 73 Patient unit 30 Type of ventilation 113 User interface 18, 20 Volume Control 54, 62 Ventilator 16, 148 Ventilatory 53, 97 Technical error messages 140 Volume Control 54, 62 The system Volume Control with alternative flow patterns Technical data 145 Tidal volume 97 Touch screen 21...
Page 182 | 14 | Index SERVO-s VENTILATOR SYSTEM V8.0, User's Manual...
Page 184 Getinge is a global provider of innovative solutions for operating rooms, intensive care units, sterilization departments and for life science companies and institutions. Based on our firsthand experience and close partnerships with clinical experts, healthcare professionals and medtech specialists, we are improving the everyday life for people - today and tomorrow.

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