Maquet SERVO-air User Manual
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Maquet SERVO-air User Manual

Ventilator system v2.2
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SERVO-air Ventilator System v2.2

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  • Page 1 User's Manual SERVO-air Ventilator System v2.2...
  • Page 3 TABLE OF CONTENTS TABLE OF CONTENTS Introduction System Overview Operation overview Displaying and saving data Ventilation modes Ventilatory settings and functions Alarm handling Service & Settings Technical data Index SERVO-air Ventilator System v2.2, User's Manual Infologic 1.48...
  • Page 4 TABLE OF CONTENTS SERVO-air Ventilator System v2.2, User's Manual Infologic 1.48...
  • Page 5 Introduction | 1 | 1 Introduction Table of contents Device description Safety guidelines Version and configurations SERVO-air Ventilator System v2.2, User's Manual...
  • Page 6 2. a patient unit for mixing gases and facilities and for transport within these controlling gas delivery facilities 3. a patient circuit for delivering and exchanging gases SERVO-air Ventilator System v2.2, User's Manual...
  • Page 7 1.1.4 Cleaning & Maintenance Please refer to the SERVO-air Cleaning and Maintenance User's Manual. 1.1.5 Servicing Guidelines CAUTIONS: • Regular Service:...
  • Page 8 • Ventilation must be started manually when a patient is connected to the ventilator system. • Keep the ventilator system upright during use. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 9 MCare Remote Services, use only used no closer than 30 cm (12 inches) to network equipment that is safe and any part of the SERVO-air Ventilator complies with the relevant electrical and System including cables specified by the EMC standards such as IEC 60950.
  • Page 10 STANDBY. minimize the risk of unintentional disconnection. • While the ventilator system is in use, the wheels of the mobile cart must be locked and the mobile cart must be in a horizontal position. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 11 • A water trap is recommended if a single heated patient circuit is used. • Thermoshell, expiratory cassette must be used when using heated expiratory tubing or Expiratory heater Servo Duo Guard. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 12 • When not in use, the ventilator system should always be connected to the mains power to ensure fully charged batteries. Refer to section Battery status on page 25. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 13 1.2.4 Gases WARNING! The ventilator system must not be used with helium or any gas mixture containing helium. Refer to section Ventilator system on page 136. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 14 Important: The ventilator system must be installed and put into service according to Electromagnetic Compatibility, SERVO-air Ventilator System. In order to ensure that the SERVO-air Ventilator System, during electromagnetic disturbances, will deliver ventilation at the connection port within the alarm limits set by...
  • Page 15 Introduction | 1 | 1.3 Version and configurations This manual applies to version 2.2 of the SERVO-air Ventilator System. 1.3.1 Configurations The ventilator system can be used in both invasive and non invasive ventilation. The configurations includes adult and pediatric.
  • Page 16 | 1 | Introduction SERVO-air Ventilator System v2.2, User's Manual...
  • Page 17 System Overview | 2 | 2 System Overview Table of contents Ventilator Patient unit Batteries Patient circuit User interface Transport SERVO-air Ventilator System v2.2, User's Manual...
  • Page 18 • Lock the ventilator system to the mobile cart with the locking clamp. • Ensure that the patient unit is firmly fixed to the mobile cart via the clamps and locking clamp. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 19 2. User interface ventilator system is standing still. 3. Expiratory inlet 4. Inspiratory outlet 5. Emergency air intake 6. Air inlet Battery compartment 8. Patient circuit 9. AC mains power 10. O2 supply 11. Wheel lock SERVO-air Ventilator System v2.2, User's Manual...
  • Page 20 19. Cooling fan with filter (on both sides) Alarm output connection 20. Expiratory cassette 8. External +12V DC inlet 21. Expiratory inlet with moisture trap 9. Fuse for external DC power 10. Ethernet connection SERVO-air Ventilator System v2.2, User's Manual...
  • Page 21 Nebulizer connector RS-232/Serial port - connector for data communication Ingress protection, IP21 Fuse (specification) External 12V DC input Battery Expiratory gas flow from the patient Inpiratory gas flow to patient SERVO-air Ventilator System v2.2, User's Manual...
  • Page 22 Use of ON/OFF switch The switch must be pulled downwards before it can be switched. Manufacturer The symbol is accompanied by manufacturer address and manufacturing date. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 23 Always perform a pre-use check 9. The inspiratory channel delivers gas to the after exchanging an expiratory cassette. patient circuit inspiratory tubing and contains a safety valve. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 24 The battery module in slot 1 may be exchanged during ventilation. To remove a battery module: • Press the release button to the left and pull the battery strap. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 25 • Remaining battery life of the power supply in use. The battery symbol also functions as a shortcut to the window otherwise accessed via SYSTEM STATUS/Batteries. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 26 43°C the patient circuit inspiratory tube must be at least 1.2 m to let the gas cool down. Refer to System Flow Chart, SERVO-air for information regarding patient circuit configurations to be used with the ventilator system.
  • Page 27 15 - 22 mm Ø patient circuit, reusable 1. Inspiratory patient tube 5. Aerogen Pro 2. Y piece 6. Expiratory patient tube 3. Heat and moisture exchanger (HME) Expiratory filter 4. Angled adapter for endotracheal tube SERVO-air Ventilator System v2.2, User's Manual...
  • Page 28 8. Aerogen Solo 3. Humidification chamber 9. Expiratory patient tube 4. Active humidifier 10. Expiratory filter 5. Cuff with temperature port 11. Expiratory heater Servo Duo Guard 6. Y piece 12. Thermoshell, expiratory cassette SERVO-air Ventilator System v2.2, User's Manual...
  • Page 29 2. Water autofill 8. Pressure line connection port 3. Humidification chamber 9. Aerogen Pro 4. Active humidifier 10. Expiratory patient tube 5. Cuff with temperature port 11. Water trap 6. Y piece 12. Expiratory filter SERVO-air Ventilator System v2.2, User's Manual...
  • Page 30 12. Expiratory patient tube 5. Cuff with temperature port 13. Expiratory filter 6. Extension tube for incubator use 14. Expiratory heater Servo Duo Guard Angled Y piece 15. Thermoshell, expiratory cassette 8. Pressure line connection port SERVO-air Ventilator System v2.2, User's Manual...
  • Page 31 The user interface can be adjusted into 1. Status bar different positions. 2. Quick menu/extended menu 3. Display area 4. Direct access bar/media bar 5. Numerical values SERVO-air Ventilator System v2.2, User's Manual...
  • Page 32 Yellow — use with caution • Drag and drop • Green — normal Alarm management 1. Alarm list 2. Number of active alarms 3. Alarm management checklist 4. Alarm history Refer to chapter Alarm handling on page 111. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 33 • Leakage compensation deactivation • Circuit compensation deactivation • Nebulization Refer to section Symbols on user interface on page 34. The dynamic image illustrates the effects of the changes made to selected ventilation settings. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 34 Check alarms Alarm sound level Alarm history Message Number of messages Adult/patient data shortcut Pediatric/patient data shortcut AC mains power Missing battery Unknown battery (not a battery from the manufacturer of the ventilator system) SERVO-air Ventilator System v2.2, User's Manual...
  • Page 35 Recording waveforms 30 seconds Maneuvers Media Recording waveforms in progress Modes Camera for taking screenshots Patient data Value not within range System status Uncertain value Trends & logs Test failed (red) Views Test not performed (yellow) SERVO-air Ventilator System v2.2, User's Manual...
  • Page 36 Special waste to be disposed of in accordance with appropriate industrial and environmental standards Gas cylinder Defibrillation proof Type CF applied part - indicates classification according to IEC 60601-1 SERVO-air Ventilator System v2.2, User's Manual...
  • Page 37 Do not expose to mechanical force. • Be sure that the support arm is folded before transport. Do not dismantle, open or shred. The support arm must be folded during transport. Locked Unlocked Consult instructions for use SERVO-air Ventilator System v2.2, User's Manual...
  • Page 38 • On arrival, connect the ventilator system to mains power and lock the brakes. CAUTION: Do not load the ventilator equipment asymmetrically on the ventilator system to avoid instability. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 39: Table Of Contents

    | 3 | 3 Operation overview Table of contents Workflow summary Pre-use check Patient circuit test Select patient category Select ventilation type Set ventilation mode Set alarm limits Enter patient data Start ventilation 3.10 Stop ventilation SERVO-air Ventilator System v2.2, User's Manual...

  • Page 40: Workflow Summary

    The volume of the patient circuit used during pre-use check should be the same as during ventilation. If the patient circuit is changed after the pre-use check is completed, perform a new pre-use check or a patient circuit test. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 41: Patient Circuit Test

    STANDBY. Detailed result are displayed in the • The status of the latest pre-use check SYSTEM STATUS/General window. and patient circuit test is also displayed in STANDBY. Important: The patient circuit test does not replace the pre-use check. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 42: Select Patient Category

    - default values for ventilatory settings - allowed ranges for ventilatory settings - pressure and flow regulation - scaling • The default values may have been changed by a previous user. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 43: Set Ventilation Mode

    5. Exit settings without changing by tapping considered for adjustment, as the values cancel. entered there may have been carried over from the previous mode. Refer to section Ventilatory settings on page 144. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 44: Set Alarm Limits

    Tap Autoset all alarms, if desired, to get alarm limit proposals for the following modes: - VC - PC - PRVC Important: Before accepting Autoset all alarms values, make sure they are appropriate for the patient. If not, enter settings manually. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 45: Enter Patient Data

    Refer to section Predicted body weight (PBW) on page 93. • Tap Done when entry is complete. • Tap the sound level bar to set appropriate alarm sound level. • Tap Accept. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 46: Start Ventilation

    3.10 Stop ventilation To disconnect and stop ventilation: • Physically disconnect the patient from the ventilator system. • Tap STANDBY in the quick menu. • Tap and hold STOP VENTILATION to stop ventilation. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 47 Displaying and saving data | 4 | 4 Displaying and saving data Table of contents Views Displaying waveforms Displaying numerical values Trends and logs Saving and exporting data Ventilator configuration System status SERVO-air Ventilator System v2.2, User's Manual...
  • Page 48 4.1.1 Basic view The view consists of: • two or three waveforms – pressure and flow waveforms are always present, together with the volume waveform, if desired • a single column of numerical values SERVO-air Ventilator System v2.2, User's Manual...
  • Page 49 VIEWS/Screen layout in the quick menu. It is also possible to adjust the scaling, sweep speed, appearance of the waveforms and user interface brightness in the SCREEN LAYOUT window. Refer to section Adapting the waveform display on page 51. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 50 • a dynamic representation (moving bubbles) showing that ventilation is in progress. The screen layout cannot be adjusted. Tap anywhere on the screen for rapid access to the most recently used view. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 51: Displaying Waveforms

    Auto to scale speeds. automatically. • To close the window, tap anywhere on the In addition, there is a choice under screen other than the opened window. Appearance between filled and unfilled waveforms. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 52: Displaying Numerical Values

    To view the recording, tap this recorder. • Tap Organize trends to place the trends in the desired order by dragging and dropping the different trended values presented. Refer to section Trends on page 150. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 53: Saving And Exporting Data

    Saved screens tab in the MEDIA window. There is space for 40 screenshots under this tab. When the space is full, the next screenshot taken will erase the oldest one. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 54 All settings applying at the time the recording is initiated will also be saved. There is space for 40 recordings under this tab. When the space is full, the next recording made will erase the oldest one. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 55: Ventilator Configuration

    The following data will be exported to a USB memory stick: • Event log • Trends • Saved screens & recordings Important: Only one USB memory stick may be connected to the USB ports at the same time. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 56: System Status

    Tap SYSTEM STATUS in the extended menu during ventilation. The SYSTEM STATUS window that opens contains: 1. Installed options 2. General 3. Batteries 4. Expiratory cassette 5. Pre-use check 6. O cell Patient circuit 8. Turbine SERVO-air Ventilator System v2.2, User's Manual...
  • Page 57 Pressure Regulated Volume Control (PRVC) Volume Control (VC) Bi-Vent/APRV Pressure Support (PS)/CPAP Volume Support (VS) Automode SIMV 5.10 Non Invasive Ventilation (NIV) 5.11 NIV Pressure Control (NIV PC) 5.12 NIV Pressure Support (NIV PS) SERVO-air Ventilator System v2.2, User's Manual...
  • Page 58 The ventilator system is delivered preset with the following configuration options: • Ventilatory settings are based on either minute volume or tidal volume. • Ventilatory settings are based on either I:E ratio or inspiration time. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 59: Pressure Control (Pc)

    3. Respiratory rate (b/min) expiration. 4. PC above PEEP (cmH 5. I:E ratio or Inspiration time (s) 6. Inspiratory rise time (% or s) Trigger Refer to section Settings on page 43. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 60 • Inspiration starts in accordance with the preset respiratory rate or when the patient triggers. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 61: Pressure Regulated Volume Control (Prvc)

    Refer to section Settings on page 43. The ventilator system delivers a preset tidal volume. The pressure is automatically regulated to deliver this volume but limited to 5 cmH O below the set upper pressure limit. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 62 • Inspiration starts in accordance with the preset respiratory rate or when the patient triggers. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 63: Volume Control (Vc)

    4. Tidal volume (ml) or minute volume (l/min) 5. I:E ratio or Inspiration time (s) 6. Pause time (% or s) Inspiratory rise time (% or s) 8. Trigger Refer to section Settings on page 43. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 64 100%, the ventilator system will switch to PS to satisfy the patient´s flow demand, as shown in the second breath in the figure. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 65: Bi-Vent/Aprv

    • differs from Bi-Vent in that it uses an inverse PS above PEEP (cmH I:E ratio 8. End inspiration (%) 9. Inspiratory rise time (s) 10. Trigger Refer to section Settings on page 43. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 66 Since Bi-Vent/APRV is basically a controlled mode of ventilation, apnea alarm and backup ventilation are not available. It is also very important to set the lower and upper alarm limit for expired minute volume. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 67: Pressure Support (Ps)/Cpap

    (PC). The alarm should alert staff to take action by either returning to a supported mode or changing to a controlled mode of ventilation. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 68 If the patient's expiratory resistance is high, the End inspiration setting should be raised to guarantee enough time for expiration. It is important to monitor how this affects the tidal volume. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 69 End inspiration is reached. for a period longer than 50% of the time • For CPAP , inspiration starts upon patient elapsing between inspiration start and the effort. point when the range was entered. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 70: Volume Support (Vs)

    Apnea time (s) decelerating flow pattern. 8. Backup respiratory rate (b/min) 9. Backup tidal volume (ml) 10. Backup I:E or T Refer to section Settings on page 43. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 71 Refer to section Leakage compensation on page 96. The initial breath provides support with 5 cmH Following this breath, the ventilator system calculates and continuously regulates the pressure needed to deliver the preset tidal volume. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 72 End inspiration, and remains within the range for a period longer than 50% of the time elapsing between inspiration start and the point when the range was entered. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 73 In this combination, the ventilator system uses • adapts to the patient’s breathing capacity the plateau pressure in the VC breath as a reference pressure for the first VS breath. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 74 In VS, a PRVC or VC breath will be delivered according to the selected Automode functionality. b. In PS, a PC breath will be delivered. 5. The rings in the figures indicate patient triggering. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 75 PRVC breath. VC ⇄ VS In the Automode VC ⇄ VS combination, the ventilator system uses the plateau pressure in the VC breath as a reference pressure for the first VS breath. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 76 In SIMV modes, the mandatory breath is a preset respiratory rate and a preset defined by the basic settings. pressure • delivers inspiratory support (PS) during spontaneous breaths taken between the mandatory breaths SERVO-air Ventilator System v2.2, User's Manual...
  • Page 77 Tidal volume /Minute — volume SIMV rate Breath cycle time I:E ratio / Inspiration time Insp. rise time Pause time — — Only when the ventilator system is configured for setting the I:E ratio. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 78 I:E ratio of 1:2 will be used to estimate the breath cycle time. The spontaneous/Pressure Support breaths are defined by setting the level for Pressure Support above PEEP (PS above PEEP). SERVO-air Ventilator System v2.2, User's Manual...
  • Page 79 The circles in the figure indicate patient triggering. 5.9.3 SIMV (PRVC) + PS The circles in the figure indicate patient triggering. 5.9.4 SIMV (VC) + PS The circles in the figure indicate patient triggering. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 80: Non Invasive Ventilation (Niv)

    Refer to chapter Alarm handling on page 111. • When selecting the mask/prongs, it is essential to consider such things as proper size and accurate adaptation to the patient. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 81 To secure a proper patient triggering function, the PEEP level should never be set below 3 cmH O. When helmets with a safety valve are used, it is recommended to set a PEEP level of at least 5 cmH SERVO-air Ventilator System v2.2, User's Manual...

  • Page 82: Niv Pressure Control (Niv Pc)

    1. Oxygen concentration (%) 2. PEEP (cmH 3. Respiratory rate (b/min) 4. PC above PEEP (cmH 5. I:E ratio or Inspiration time (s) 6. Inspiratory rise time (% or s) Refer to section Settings on page 43. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 83: Niv Pressure Support (Niv Ps)

    4. End inspiration (%) 5. Inspiratory rise time (% or s) 6. Apnea time (s) Backup respiratory rate (b/min) 8. Backup PC above PEEP (cmH 9. Backup I:E or T Refer to section Settings on page 43. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 84 | 5 | Ventilation modes SERVO-air Ventilator System v2.2, User's Manual...
  • Page 85 Inspiratory rise time Trigger Apnea time SIMV breath cycle time 6.10 Predicted body weight (PBW) 6.11 Maneuvers 6.12 Compensation functions 6.13 Disconnection/Suction 6.14 Previous mode 6.15 Apnea management 6.16 Nebulization 6.17 Adjust the O cell SERVO-air Ventilator System v2.2, User's Manual...

  • Page 86: Tidal Volume/Minute Volume

    Automode PC ⇄ PS • • backup ventilation in PS PS above PEEP is the set inspiratory pressure support level for triggered breaths in: • • all SIMV modes Automode PC ⇄ PS • • Bi-Vent SERVO-air Ventilator System v2.2, User's Manual...

  • Page 87: I:e Ratio/Inspiration Time

    The corresponding inspiration time for each I:E is displayed in the lower right information area of the mode settings window. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 88: End Inspiration

    I:E ratio passes 1:1 in either direction. Note: When the inspiration time is directly set, the breath cycle time parameter is not displayed when an SIMV mode is selected, since there is no need to set it. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 89: Inspiratory Rise Time

    Inspiratory rise time set as a percentage is applicable in: • • • PRVC • all SIMV modes • all Automode modes SERVO-air Ventilator System v2.2, User's Manual...
  • Page 90 During expiration, the ventilator system continuously delivers a gas flow (bias flow), which is measured in the expiratory channel. Refer to section Ventilatory settings on page 144. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 91 Green indicates a normal setting for pneumatic triggering. Red indicates that the setting is not recommended, e.g. when the risk of autotriggering may increase. Yellow is used as a warning color. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 92: Apnea Time

    In Automode, the apnea time becomes longer as spontaneous breathing becomes more regular. It is therefore set, in Automode only, as Max. apnea time. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 93: Predicted Body Weight (Pbw)

    When MANUAL BREATH is tapped, the under PATIENT DATA. The value will also be ventilator system will initiate a new breath presented in the numerical values and trended cycle according to the current ventilator under TRENDS & LOGS/TRENDS settings. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 94 PEEP . static compliance (C ). The dynamic static • : pressure during end inspiratory pause plat pressure is displayed on the PEEP numerical value. 6.11.3 Nebulization Refer to section Nebulization on page 103. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 95 21 %, the O boost (%) level scale goes from 0 to 79 %. Refer to section Ventilatory settings on page 144 and to to section Edit Temporary O increase (%) on page 129. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 96: Compensation Functions

    Leakage is measured and presented in percent. To deactivate or reactivate, tap COMPENSATION in the extended menu/CIRCUIT COMPENSATION. Follow on-screen instructions. Important: When monitoring VT/PBW, circuit compensation must be activated. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 97: Disconnection/Suction

    When only one gas is connected, an increase (%) on page 129. elevated oxygen level cannot be set during the preparation phase. In this case, the post-oxygenation phase will be skipped. Adjust the O concentration, if desired, then tap Accept. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 98 After reconnection, the ventilator system will deliver the same oxygen concentration as in the pre-oxygenation phase for 60 seconds. After 60 seconds the system automatically returns to ventilation using the previous oxygen concentration setting. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 99: Previous Mode

    - If No is tapped, the mode settings window will open with default settings, which may then be adjusted. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 100: Apnea Management

    No patient effort alarm. The apnea time is therefore set in the ALARM LIMITS window. Refer to chapter Alarm handling on page 111 and to section Alarm limits on page 147. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 101 Alternatively, tap Continue in supported mode in the dialog window to return to the supported mode. The apnea time will be reset. Refer to chapter Alarm handling on page 111 and to section Alarm limits on page 147. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 102 • the ventilator system is switched to Standby • the system is turned off. Note: Backup ventilation remains inactive if a change of mode is made between PS/CPAP and VS. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 103 Replace the filter if the expiratory resistance increases. • The ventilator system accuracy can be affected by the gas added by use of other nebulizers than Aerogen nebulizer. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 104 Insert the nebulizer and the T piece into the Refer to section Nebulizer function test on inspiratory tube of patient circuit close to page 105. the Y piece. • Connect the control cable to the ventilator system. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 105 Pour 1-6 ml of sterile water or normal saline (0.9 %) into the nebulizer unit. • Connect the control cable to the ventilator system. • Start nebulization. • Check that the aerosol is visible. • Discard any remaining liquid before patient use. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 106 Tap OK to accept. 3. Tap START NEBULIZATION PERIOD. The default is 10 minutes. 4. Check that nebulization is in progress and how much time remains by looking at the progress symbol. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 107 Solo nebulizer or T piece plastics. Important: This is a single patient use device not to be used on more than one patient to prevent cross-infection. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 108 0.2 ml per minute or 12 ml per hour. Dose volumes and concentrations must be determined accordingly. To operate the nebulizer in continuous mode: 1. Tap MANEUVERS/NEBULIZATION. 2. Tap START CONTINUOUS NEBULIZATION. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 109: Adjust The O

    To adjust the O cell: • Tap CALIBRATION & TESTS in the extended menu. • Tap O CELL ADJUSTMENT once, then again. • Tap Yes to perform the O cell adjustment. • Tap OK. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 110 | 6 | Ventilatory settings and functions SERVO-air Ventilator System v2.2, User's Manual...
  • Page 111 Alarm handling | 7 | 7 Alarm handling Table of contents Introduction Handling alarms Permanently silencing alarms Alarms Alarm output connection (option) SERVO-air Ventilator System v2.2, User's Manual...

  • Page 112: Introduction

    Note: The alarm log is not affected by system shutdown or a temporary loss of power (supply mains and/or battery power). Refer to section Set alarm limits on page 44. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 113: Handling Alarms

    The numerical value for the parameter causing Refer to section Alarms on page 129. the alarm flashes with the color of the alarm priority and the exceeded alarm limit is circled in the same color. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 114 Low and medium priority alarms are automatically reset once the alarm condition ceases. High priority alarms are reset automatically or by confirmation of the alarm. Refer to section Resetting Check alarms on page 115. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 115 The ALARM HISTORY window opens and the Refer to section Technical error alarms on Check alarms is reset. The indication is cleared page 122. from the screen. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 116: Permanently Silencing Alarms

    Tap Accept. automatically set when switching between invasive and non invasive modes. The alarms can be set to permanently silenced as default in SERVICE & SETTINGS/BIOMED/ CONFIGURATION/ALARMS window. Refer to section Alarms on page 129. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 117: Alarms

    Leakage in the patient circuit. Improper alarm setting. Note: This alarm also works as a patient disconnect alarm. Low battery voltage Battery voltage too low. Cannot Connect to mains power. guarantee continued ventilator system Replace all batteries. operation. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 118 Replace the battery in slot 1. No battery capacity Less than 3 minutes left of battery Connect to mains power to charge (with one battery) operation. battery. Insert an additional battery in the empty slot. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 119 Check for leakage. Check ventilator settings. Respiratory rate high Respiratory rate too high. Check patient. Autotriggering. Check ventilator settings. Check patient circuit. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 120 No battery backup No battery is installed. No battery is installed. At least one battery in slot 2 is required. Nebulizer hardware error Technical problem with nebulizer Contact service technician. hardware. Technical problem with connection cable. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 121 Technical failure in turbine. No slot 2 battery Less than 3 minutes left of battery Connect to mains power to charge capacity operation in battery in slot 2 battery. Replace the battery in slot 2. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 122 Replace the ventilator immediately. Inspiratory valve error Replace the ventilator immediately. Inspiratory flow meter error Replace the ventilator immediately. 63, 83 Turbine communication error Replace the ventilator immediately. 64 - 69 Turbine failure Replace the ventilator immediately. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 123 Replace the ventilator when convenient. 10004, 20006 Internal communication error. Replace the ventilator when convenient. Remote alarm internal error Remote alarm inactive. Replace the ventilator when convenient. After replacing the ventilator system, contact a service technician SERVO-air Ventilator System v2.2, User's Manual...

  • Page 124: Alarm Output Connection (Option)

    CAUTION: The manufacturer cannot guarantee a distributed alarm system, according to IEC 60601-1-8, where the alarm output is a component. It is recommended that users establish a procedure to check this application before use. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 125 Service & Settings | 8 | 8 Service & Settings Table of contents Introduction Biomed Service Remote Services License SERVO-air Ventilator System v2.2, User's Manual...

  • Page 126: Service & Settings

    Tap BIOMED. • Enter the access code (the factory setting is 1973) and tap Accept. The following choices are available: - STATUS - LOGS - SERVICE REPORT - CONFIGURATION - COPY CONFIGURATION - EXIT SERVO-air Ventilator System v2.2, User's Manual...
  • Page 127 2. STARTUP CONFIGURATION 3. ALARMS 4. NETWORK 5. SET DATE & TIME 6. BIOMED CODE Settings SETTINGS is used for configuring the settings for exporting information via Remote Services. To access SETTINGS: • Tap BIOMED/CONFIGURATION/SETTINGS. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 128 5. Breath cycle setting (I:E, T 6. Extended leakage test (Off, On) Temporary O increase (%) 8. Use 0 (s) as default pause time (Off, On) 9. Deactivation of backup function (Not allowed, Allowed) SERVO-air Ventilator System v2.2, User's Manual...
  • Page 129 The following can be adjusted: Default audio level 8. Restore default audio level 9. Restore default alarm limits Options to restore defaults, cancel or save changes are available for all alarms. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 130: Service

    • Tap BIOMED/CONFIGURATION/DATE & TIME. Biomed Code The current access code is displayed with an option to enter and save a new access code. To access BIOMED CODE: • Tap BIOMED/CONFIGURATION/BIOMED CODE. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 131: Remote Services

    Please contact the sales and service representative for more details. 8.5 License LICENSE is used for viewing the list of software components, versions and licensing conditions. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 132 | 8 | Service & Settings SERVO-air Ventilator System v2.2, User's Manual...
  • Page 133 Expiratory channel Monitoring Ventilatory settings 9.10 Alarms 9.11 Functions in ventilation modes 9.12 Trends 9.13 Logs 9.14 Service 9.15 Aerogen nebulizer 9.16 Communication/interface 9.17 Accessories 9.18 Health and Environment 9.19 UDI label 9.20 Technical description SERVO-air Ventilator System v2.2, User's Manual...
  • Page 134 - Equipment making physical contact with the patient and the gas path ways. Type B - Nebulizer patient unit and cable. Type BF Applied parts, i.e. equipment making physical contact with the patient, are described in System Flow Chart, SERVO-air. • ISO 80601-2-12:2011 •...
  • Page 135 Information regarding connector wiring is available from the manufacturer. Battery disposal Do not dispose of battery modules and O cells with ordinary waste. Battery lifetime 4 years from manufacturing date or 300 charge cycles which ever comes first. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 136: Ventilator System

    Nominal 22 mm and 15 mm, in accordance with ISO 5356-1 Pressure line connector Gable mounted bulk head connector to fit tubings with an inner diameter of 3-4 mm Gas exhaust port Male 30 mm cone SERVO-air Ventilator System v2.2, User's Manual...

  • Page 137: Standard Condition Specification

    All measured inlet gas pressures and flows are referenced to STPD. Standard Temperature and Pressure Dry. All measured, inlet gas pressures and flows at +20 °C (standard temperature), standard pressure 101.3 kPa and relative humidity 0 % (dry). SERVO-air Ventilator System v2.2, User's Manual...

  • Page 138: Essential Performance

    Pediatric: 15 mm tubing, tidal volumes 20 - 350 ml • Adult: 22 mm tubing, tidal volumes 100 - 2000 ml Refer to System Flow Chart, SERVO-air for information regarding patient circuit configurations to be used with the ventilator system. 9.5.1 Patient circuit test In the pre-use check, the patient circuit is tested to determine if it is within these recommended ranges.

  • Page 139: Inspiratory Channel

    3. Characteristics valid at conditions specified in ISO 80601-2-12, table 201.103. 4. At high altitudes, when using VC with low volumes, tidal volumes may be lower than the set value. 5. Characteristics valid at conditions specified in ISO 80601-2-12, table 201.105. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 140: Expiratory Channel

    Rise time (flow of 3 - 192 l/min): <12 ms for 10 - 90 % response Bias flow during expiration 2 l/min 6. PEEP accuracy may decrease for RR≥60 b/min together with VT ≤20 ml. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 141 O and R <100 cmH O/l/s and no static leakage. 9. at RR < 75 b/min 10. at RR < 45 b/min 11. at RR < 75 b/min 12. at RR < 45 b/min SERVO-air Ventilator System v2.2, User's Manual...
  • Page 142 Refer to section Gas supply on page 136. Checks the turbine performance and time of operation. 13. PEEP accuracy may decrease for RR≥60 b/min together with VT ≤20 ml. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 143 Alarm state Checks that no Technical error alarms Check that the cable is connected to the are active during the pre-use check. external system. Checks that the alarm activation Contact a service technician. functions correctly. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 144: Ventilatory Settings

    Inspiratory rise time (s) in 0 - 0.2 0 - 0.4 Maximum permitted — — absolute pressure (cmH Maximum permitted — — absolute pressure in NIV (cmH Minute volume (l/min) 0.3 - 20 0.5-60 Nebulizer ON/OFF ON/OFF SERVO-air Ventilator System v2.2, User's Manual...
  • Page 145 0.1 - 5 0.1 - 5 in backup (s) 0.1 - 5 0.1 - 5 Tidal volume (ml) 20 - 350 100 - 2000 Tidal volume in backup (ml) 20 - 350 100 - 2000 SERVO-air Ventilator System v2.2, User's Manual...
  • Page 146 Adult Pediatric Adult 0 – 30 0 – 30 pause 0 - 1.5 0 - 1.5 pause 0.1 - 10 0.1 - 10 PEEP Weight (kg) — — 2 - 100 10 - 250 SERVO-air Ventilator System v2.2, User's Manual...
  • Page 147 90 %, the O concentration low alarm is set to 85%. 18. When the set O concentration is higher than 90 %, the O concentration high high alarm is deactivated. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 148 A sequence of 3 + 2 beeps, short pause, 3 + 2 beeps, long pause • Medium priority A sequence of 3 beeps, long pause alarm: • Low priority alarm: A sequence of 2 beeps, long pause SERVO-air Ventilator System v2.2, User's Manual...

  • Page 149: Functions In Ventilation Modes

    Disabled: the ventilator system will continue to deliver assist even when leakage is excessive. Adult • Low flow: 7.5 l/min • High flow: 40 l/min • Disabled: the ventilator system will continue to deliver assist even when leakage is excessive. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 150 Work of breathing, ventilator vent Work of breathing, patient Elastance P 0.1 P 0.1 Shallow Breathing Index Ratio of expired tidal volume to predicted body weight VT/PBW Switch to backup (/minute) Backup Σ Backup (%/min) Backup % SERVO-air Ventilator System v2.2, User's Manual...
  • Page 151 Turning backup on/off • Operator initiated return from backup to supported ventilation • Automatic return from backup to supported ventilation • Disconnection and reconnection of patient • Activation/deactivation of nebulization • Deactivation of backup ventilation SERVO-air Ventilator System v2.2, User's Manual...
  • Page 152 • Disconnect the mains power cable from • Service and settings should only be used the outlet to isolate the ventilator system without a patient connected to the from mains power. ventilator system. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 153: Aerogen Nebulizer

    50 % of the time. If this service pattern is exceeded, it may reduce the life of the product. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 154 • Intermittent use a maximum of 28 days based on a typical usage profile of four treatments per day. • Continuous use a maximum of 7 days. Do not exceed the recommended usage time. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 155: Communication/Interface

    Changes to the medical electrical system patient, users or third parties. include configuration changes, connection of The responsible organization should identify, additional items, disconnection of items, analyze, evaluate and control these risks. update or upgrade of connected equipment. SERVO-air Ventilator System v2.2, User's Manual...
  • Page 156 Make sure that the shelf base is securely fixed on the table or shelf. Weight 3.0 kg Dimensions W 340 x L 270 x H 43 Y piece holder (option) Dimensions W 26 x L 52 x H 46 SERVO-air Ventilator System v2.2, User's Manual...
  • Page 157 Refer to the Servo Duo Guard User's Manual. Servo Guard Refer to the Servo Guard User's Manual. Refer to System Flow Chart, SERVO-air for information regarding use of accessories to be used with the ventilator system. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 158: Health And Environment

    GB/T 26572-2011. X: Indicates that this toxic or hazardous substance contained in at least one of the homogeneous materials used for this part is above the limit requirement in GB/T 26572-2011. SERVO-air Ventilator System v2.2, User's Manual...

  • Page 159: Udi Label

    Exp. date (YYMMDD) (20) Revision (21) Serial number (30) Count of items 0 732571 000021 2 The GTIN consists of four parts: a. Package level b. GS-1 company prefix c. Item reference d. Check digit SERVO-air Ventilator System v2.2, User's Manual...

  • Page 160: Technical Description

    • Mechanical stability • Protective packaging Identification of the ventilator system and Refer to sections SERVO-air Ventilator System v2.2 on software version page 1 and Version and configurations on page 15. Power sources Refer to section System on page 134.
  • Page 161 153, 153, 154, 154 continuous nebulization 108 control cable 154 Backup ventilation dimensions 154 deactivating 102 flow rate 154 trends 101 lifetime 154 Barometric pressure compensation medication cup 154 monitoring 141 medication temperature 154 Battery SERVO-air Ventilator System v2.2, User's Manual...
  • Page 162 140 view 55 respiratory rate 141 Conical fittings 136 supply pressure 142 Connection standards 136 system response time O2 141 Continuous nebulization 108 Export & delete 55 Control cable Aerogen Pro nebulizer 153 SERVO-air Ventilator System v2.2, User's Manual...
  • Page 163 156 shelf base 156 Media water bag/IV pole 156 recording waveforms 54 Y piece 156 saving screenshots 53 Medication cup Aerogen Pro nebulizer 153 I:E ratio 87, 137 Aerogen Solo nebulizer 154 SERVO-air Ventilator System v2.2, User's Manual...
  • Page 164 Pressure Support 83 22 mm dual heat 28 NIV disconnection flow 149 Patient circuit test 41 NIV disconnection function Patient circuit test edit 128 compliance 138 Noise 134 expiratory resistance 138 Non invasive ventilation 80 SERVO-air Ventilator System v2.2, User's Manual...
  • Page 165 Preventive maintenance interval Standard conditions mobile cart 156 ambient pressure 137 Previous mode 99 BTPS 137 circuit compensation 137 Relative humidity 135, 135 I:E 137 Remote Services 131 inlet pressure 137 Residual volume pre-use check 137 SERVO-air Ventilator System v2.2, User's Manual...
  • Page 166 117 low priority alarms 121, 123 Warnings medium priority alarms 119, 123 battery 12 Technical error alarms 122 fire hazard 13 Temperature range 135 general 8 Temporary O2 increase power supply 11 edit 129 SERVO-air Ventilator System v2.2, User's Manual...
  • Page 167 Aerogen Solo nebulizer 154, 154 cable holder for handle 157 gas cylinder restrainer kit 156 humidifier holder 156 mobile cart 156 shelf base 156 support arm 156 ventilator 136 water bag/IV pole 156 Y piece holder dimensions 156 SERVO-air Ventilator System v2.2, User's Manual...
  • Page 168 | 10 | Index SERVO-air Ventilator System v2.2, User's Manual...
  • Page 170 Manufacturer: Maquet Critical Care AB Röntgenvägen 2 171 54 Solna, Sweden Phone: +46 (0) 10 335 73 00 www.maquet.com For local contact: Please visit our website www.maquet.com Getinge Group is a leading global provider of innovative solutions for operating rooms, intensive-care units, hospital wards, sterilization departments, elderly care and for life science companies and institutions.

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