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Getinge Servo-air User Manual
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Getinge Servo-air User Manual

Getinge Servo-air User Manual

Ventilator system v4.6
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Servo-air Ventilator System v4.6

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Summary of Contents for Getinge Servo-air

  • Page 1 User's manual Servo-air Ventilator System v4.6...
  • Page 3 Operation overview Displaying and saving data Ventilation modes and therapies Ventilatory settings and functions Alarm handling | 129 Service & Settings | 148 Technical data | 156 Electromagnetic compatibility | 189 Index | 194 Servo-air Ventilator System v4.6 User's manual...
  • Page 4 | 1 | Introduction | Introduction Table of contents Device description Safety guidelines Version and configurations Servo-air Ventilator System v4.6 User's manual...

  • Page 5: Device Description

    Intended patients The Servo-air Ventilator System is intended for pediatric and adult patients. 1.1.4 Intended user The Servo-air ventilator system is intended to be used only by healthcare professionals. 1.1.5 Intended use environment The Servo-air Ventilator System is intended to be used only in professional healthcare facilities and for transport within these facilities.
  • Page 6 1.1.7 Clinical benefits The main intended clinical benefit of the Servo-air Ventilator System for the patient is to provide adequate oxygenation and ventilation. 1.1.8 Possible side-effects The following undesirable side-effects can appear during: •...

  • Page 7: Safety Guidelines

    Any changes to the patient’s state need to be monitored continuously. 1.1.11 Cleaning and maintenance Refer to the Servo-air cleaning and maintenance user's manual. 1.1.12 Servicing Guidelines Regular Service: The ventilator system must be serviced at regular intervals by personnel who have received authorization and specialized training by the manufacturer.
  • Page 8 • Make sure that a manual resuscitator is readily available. • The air inlet must not be occluded. • Ventilation must be started manually from standby. • Keep the ventilator system upright during use. Servo-air Ventilator System v4.6 User's manual...
  • Page 9 O cell, dismantling etc. • The system uses a Luer connector for other functions than intravascular or hypodermic access. An accidental connection can occur between the system and another medical device or Servo-air Ventilator System v4.6 User's manual...
  • Page 10 Do not use RFID equipment (including peripherals such as antenna cables and external antennas) closer than 30 cm (12 inches) to any part of the Servo-air Ventilator System including cables specified by the manufacturer. Not keeping the distance can result in degradation of the performance of the equipment.
  • Page 11 • Do not disconnect the expiratory cassette while the ventilator system is in operation; if necessary, disconnect the cassette while in STANDBY. • Do not use antistatic or electrically conductive tubing with this system. Servo-air Ventilator System v4.6 User's manual...
  • Page 12 Do not crush, disassemble, puncture or short circuit the connector terminals. • One battery can be added to an available slot during operation. • Hold onto the battery strap when inserting a battery in the ventilator system. Servo-air Ventilator System v4.6 User's manual...
  • Page 13 Refer to Ventilator system on page 159. The ventilator system can be used with nitric oxide. NOTE: Nitric oxide must only be added in the ventilator system inspiratory tube. Servo-air Ventilator System v4.6 User's manual...
  • Page 14 The ventilator system must be installed and put into service according to section Electromagnetic Compatibility. In order to ensure that the Servo-air Ventilator System, during electromagnetic disturbances, will deliver ventilation at the patient connection port within the alarm limits set by the user, or generate an alarm condition, the following...
  • Page 15 If this occurs, look for RF emitters in close proximity. Do not forget to check if there are any fixed installed sources which may be concealed. Relocate the electronic medical device or the RF emitter to make the strange behavior disappears. Servo-air Ventilator System v4.6 User's manual...
  • Page 16 | 1 | Introduction | Version and configurations This manual applies to version 4.6 of the Servo-air Ventilator System. Before use, make sure the system version displayed under SYSTEM STATUS/General corresponds to the system version described in the User's Manual.

  • Page 17: Table Of Contents

    | System overview | 2 | System overview Table of contents Ventilator Patient unit Batteries Patient circuit configurations User interface Symbols on accessories and packaging Transport Servo-air Ventilator System v4.6 User's manual...

  • Page 18: Ventilator

    Ensure that the patient unit is firmly fixed to the mobile cart via the clamps and locking clamp. • Lock the wheels whenever the ventilator system is standing still. Make sure that cables and patient circuit is not obstructed or squeezed due to improper mounting. Servo-air Ventilator System v4.6 User's manual...
  • Page 19 3. Expiratory inlet 9. AC mains power 4. Inspiratory outlet 10. O supply 5. Emergency air intake 11. Wheel lock 6. Air inlet WARNING! The emergency air intake must not be blocked or covered. Servo-air Ventilator System v4.6 User's manual...

  • Page 20: Patient Unit

    20. Cooling fan with filter (on both sides) 7. Alarm output connection 21. Expiratory inlet with moisture trap 8. External 12V battery inlet 22. Expiratory cassette 9. Fuse for external DC power 10. Ethernet connection Servo-air Ventilator System v4.6 User's manual...
  • Page 21 Do not push the ventilator system when the brakes are locked as it may tip over. Do not step on the mobile cart surface as the ventilator system may tip over. Potential equalization terminal Servo-air Ventilator System v4.6 User's manual...
  • Page 22 Expiratory gas flow from the patient Inspiratory gas flow to patient Mains power On/Off Mains connected, batteries charging Gas exhaust port—exhaust gas flow from ventilator system Network connection USB connection Alarm output connection Special waste Warning Caution Servo-air Ventilator System v4.6 User's manual...
  • Page 23 DIN 42 801 and IEC 60601-1. The function of the potential equalization terminal is to equalize potentials between the ventilator system and other medical devices that can be touched simultaneously. The potential equalization terminal must not be used for a protective earth connection. Servo-air Ventilator System v4.6 User's manual...
  • Page 24 8. The O cell measures the oxygen concentration. The O cell is protected by a bacterial/viral filter. 9. The inspiratory channel delivers the mixed gas to the patient circuit inspiratory tubing and contains a safety valve. Servo-air Ventilator System v4.6 User's manual...

  • Page 25: Batteries

    Refer to batteries in Power supply on page 12 Depending on the type used, the battery module may have either a battery strap or a battery loop. The battery module in slot 1 may be exchanged during ventilation. Servo-air Ventilator System v4.6 User's manual...
  • Page 26 1. • Ensure that the battery is fully inserted so that the release button returns to a completely closed position. Servo-air Ventilator System v4.6 User's manual...

  • Page 27: Patient Circuit Configurations

    Extra care should be taken when handling tubes, connectors and other components of the patient circuit. The use of a support arm to relieve the patient from the weight of the tubing system is recommended. Servo-air Ventilator System v4.6 User's manual...
  • Page 28 6. Filter Servo Duo Guard WARNING! Do not use the nebulizer without a filter, e.g. Servo Duo Guard, connected to the expiratory inlet of the ventilator system. Refer to the Servo Duo Guard User's Manual. Servo-air Ventilator System v4.6 User's manual...
  • Page 29 Do not use the nebulizer without a filter, e.g. Servo Duo Guard, connected to the expiratory inlet of the ventilator system. Refer to the Servo Duo Guard User's Manual for use of the filter on the expiratory limb of the breathing circuit. Servo-air Ventilator System v4.6 User's manual...
  • Page 30 Do not use the nebulizer without a filter, e.g. Servo Duo Guard, connected to the expiratory inlet of the ventilator system. Refer to the Servo Duo Guard User's Manual for use of the filter on the expiratory limb of the breathing circuit. Servo-air Ventilator System v4.6 User's manual...
  • Page 31 To ensure that the inspiratory gas temperature is below 43°C the patient circuit inspiratory tube must be at least 1.2 m to let the gas cool down. 1. Inspiratory patient tube 4. Humidification chamber 2. Water autofill 5. Aerogen Solo 3. Active humidifier Servo-air Ventilator System v4.6 User's manual...

  • Page 32: User Interface

    No alarm is activated by the restart, but any alarms activated during the restart will be audible and after the restart, they will also be visual. 2.5.1 User interface adjustment The user interface can be adjusted into different positions. Servo-air Ventilator System v4.6 User's manual...
  • Page 33 Scroll vertically or horizontally • Drag and drop 2.5.4 User support The user is supported by the following: • Alarm management • Safety scales • Dynamic images • Information texts • Shortcuts • Prompts Servo-air Ventilator System v4.6 User's manual...
  • Page 34 2. Number of active alarms 4. Alarm history Refer to Alarm handling on page 129. Safety scales 1. Slide bar 4. Accept 2. Increase/decrease setting 5. Cancel 3. Access to full setting range Refer to Safety scales on page 49. Servo-air Ventilator System v4.6 User's manual...
  • Page 35 2. Indication that more information is available by scrolling vertically in the middle of the information window. Shortcuts Some frequently used functions can be accessed via a shortcut. Refer to Symbols on user interface on page 36. Prompts Servo-air Ventilator System v4.6 User's manual...
  • Page 36 Audio pause Audio paused Audio off Audio paused - all alarms, active and inactive are pre-silenced. Alarm on Alarm off Check alarms Alarm sound level Alarm history Message Number of messages Adult/patient data shortcut Servo-air Ventilator System v4.6 User's manual...
  • Page 37 Backup off Reference marking, CO calibration Zero marking, CO calibration Circuit compensation on Circuit compensation off/Circuit compensation deactivation shortcut Invasive ventilation adult Invasive ventilation pediatric Non-invasive ventilation adult Non-invasive ventilation pediatric High Flow therapy Servo-air Ventilator System v4.6 User's manual...
  • Page 38 Symbol Description Two overlay loops Reference loop Loop grid on Loop grid off Compensation Configuration Maneuvers Library Modes Patient data System status Trends & logs Views Screen layout Disconnect Service & Settings Biomed Service Servo-air Ventilator System v4.6 User's manual...
  • Page 39 100 % Pneumatic trigger, pressure/flow Organize Panel locked Panel unlocked Progress Full settings range Normal settings range Recorder Recorder Recording waveforms 30 seconds Recording waveforms in progress Camera for taking screenshots Servo-air Ventilator System v4.6 User's manual...

  • Page 40: Symbols On Accessories And Packaging

    Close (green) Switch between main/backup modes Additional values & settings hide/Additional values & settings show Additional information hide/Additional information show Symbols on accessories and packaging Symbol Explanation Order number Number to identify the production batch Servo-air Ventilator System v4.6 User's manual...
  • Page 41 Special waste to be disposed of in accordance with appropriate industrial and environmental standards Gas cylinder Type BF applied part — indicates classification according to IEC 60601-1 Type B—indicates classification according to IEC 60601-1 Servo-air Ventilator System v4.6 User's manual...
  • Page 42 The support arm must be folded during transport. Lock Unlock Consult instructions for use Toxic or hazardous substances will not leak or mutate under normal operating conditions for 50 years. Contains substances that can be Carcinogenic, Mutagenic or toxic for Reproduction Servo-air Ventilator System v4.6 User's manual...

  • Page 43: Transport

    • Be careful not to tip the mobile cart when crossing an obstacle like a threshold. • On arrival, connect the ventilator system to mains power and lock the brakes. Servo-air Ventilator System v4.6 User's manual...

  • Page 44: Operation Overview

    Workflow summary Pre-use check Patient circuit test Calibration & tests Select patient category Select ventilation type Set ventilation mode Set alarm limits Enter patient data 3.10 Start ventilation 3.11 Pause ventilation 3.12 Stop ventilation Servo-air Ventilator System v4.6 User's manual...

  • Page 45: Workflow Summary

    The patient circuit test can be left out when running the pre-use test and be performed later without affecting the pre-use test result. Each test starts automatically when the previous test is completed. The pre-use check will be passed if all individual tests are passed. Servo-air Ventilator System v4.6 User's manual...
  • Page 46 The status of the two latest pre-use checks and patient circuit tests is displayed under SYSTEM STATUS / General. The status of the latest pre-use check and patient circuit test is also displayed in STANDBY. Servo-air Ventilator System v4.6 User's manual...

  • Page 47: Patient Circuit Test

    Calibration & tests The following calibration and test procedures should be performed as appropriate: analyzer calibration. Refer to CO ₂ analyzer calibration on page 126. • • cell adjustment. Refer to Adjust the O ₂ cell on page 128. Servo-air Ventilator System v4.6 User's manual...

  • Page 48: Select Patient Category

    When a ventilation mode has been selected, all parameters can be set in the mode settings window. • Tap a parameter to adjust its value. • Tap Accept to confirm, or Cancel to cancel the settings. Servo-air Ventilator System v4.6 User's manual...
  • Page 49 3. Tap on full settings range to extend the safety scale setting range. 4. Confirm the setting by tapping Accept. 5. Exit settings without changing by tapping cancel. Servo-air Ventilator System v4.6 User's manual...

  • Page 50: Set Alarm Limits

    To activate the new alarm limits tap Accept. Autoset all alarms is not available in supported or NIV modes or in STANDBY because the ventilator system requires patient values in order to propose alarm limits. Servo-air Ventilator System v4.6 User's manual...
  • Page 51 The ambient sound needs to be taken into consideration when setting the alarm sound level. • Tap ALARM LIMITS in the quick menu. • Tap alarm sound level. • Tap the sound level bar to set appropriate alarm sound level. • Tap Accept. Servo-air Ventilator System v4.6 User's manual...

  • Page 52: Enter Patient Data

    WARNING! Ventilation must be started manually from standby. If the ventilator remains in STANDBY due to dialogs that need confirmation, a beep will be heard repeatedly every 4 s until ventilation is started. Servo-air Ventilator System v4.6 User's manual...

  • Page 53: Pause Ventilation

    Refer to Disconnection on page 111. 3.12 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 v4.6 User's manual...
  • Page 54 | 4 | Displaying and saving data | Displaying and saving data Table of contents Views Displaying waveforms Displaying numerical values Displaying short trends Trends, Logs & Library Ventilator configuration System status Servo-air Ventilator System v4.6 User's manual...

  • Page 55: Views

    It is also possible to adjust the scaling, sweep speed and appearance of the waveforms in the LAYOUT window. User interface brightness can be adjusted in Menu / Views / Adjust brightness. The short trends area can be shown/hidden in both Basic and Advanced views. Servo-air Ventilator System v4.6 User's manual...
  • Page 56 It is possible to adjust the layout by tapping either SCREEN LAYOUT / Layout in the extended menu or VIEWS / Layout in the quick menu, or by tapping and holding a waveform. All three methods will open the LAYOUT window. Servo-air Ventilator System v4.6 User's manual...
  • Page 57 All three methods will open the LAYOUT window. Refer to section Adapting the waveform display. The loops may also be displayed with or without a loop grid by tapping Loop grid. Servo-air Ventilator System v4.6 User's manual...
  • Page 58 User interface brightness can be adjusted by tapping SCREEN LAYOUT in the extended menu and toggling the Brightness button to the desired level in the window that opens. This can also be done in STANDBY. Servo-air Ventilator System v4.6 User's manual...
  • Page 59 Displaying Servo Compass Servo Compass visualizes volume and pressure in relation to set targets in invasive modes. To set and monitor the volume target, PBW must first be calculated. Refer to section Predicted body weight (PBW). Servo-air Ventilator System v4.6 User's manual...
  • Page 60 If the actual driving or total pressure exceeds the target value, the pressure animation will change color to indicate that ventilation is suboptimal and adjustments should be considered. is displayed in the following ventilation modes: drive • • • PRVC Refer to Driving pressure. Servo-air Ventilator System v4.6 User's manual...
  • Page 61 CO waveform, if available. • three columns of numerical values When Servo Compass is activated in the ADVANCED view, the graphical representation is illustrated in the numerical values. Servo-air Ventilator System v4.6 User's manual...
  • Page 62 • two columns of numerical values Refer to Driving pressure. Servo Compass in Distance view There are six large tiles displaying: • five enlarged numerical values • Servo Compass Servo-air Ventilator System v4.6 User's manual...

  • Page 63: Displaying Waveforms

    It is also possible to show or hide non-mandatory waveforms in the LAYOUT window. The sweep speed can also be adjusted by tapping Sweep speed. Refer to Sweep speed on page 165. In addition, there is a choice under Appearance between filled and unfilled waveforms. Servo-air Ventilator System v4.6 User's manual...

  • Page 64: Displaying Numerical Values

    By default they show the last 15 minutes but can show a maximum of 72 hours. Trend values are stored every 60 seconds. Servo-air Ventilator System v4.6 User's manual...

  • Page 65: Trends, Logs & Library

    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 Trends. 4.5.2 Logs Servo-air Ventilator System v4.6 User's manual...
  • Page 66 The screenshot will be stamped with the date and time it was taken and saved under the Saved screens tab in the LIBRARY window. There is space for 40 screenshots under this tab. When the memory is full, it can be erased or oldest screenshot can be erased. Servo-air Ventilator System v4.6 User's manual...
  • Page 67 When viewing a recording, it is also possible to view the settings by tapping Settings at the bottom left of the window. This will open a list of the actual parameter settings in use at the time the recording was initiated. Servo-air Ventilator System v4.6 User's manual...
  • Page 68 Only one USB memory stick may be connected to the USB ports at the same time. 4.5.4 Export files To export all files to a USB memory stick, tap TRENDS & LOGS / EXPORT FILES, in the quick menu. Servo-air Ventilator System v4.6 User's manual...

  • Page 69: Ventilator Configuration

    Tap SYSTEM STATUS in the extended menu during ventilation. The SYSTEM STATUS window that opens contains: 1. General 2. Patient circuit 3. Pre-use check 4. Batteries 5. Expiratory cassette 6. Sensors 7. Turbine 8. O ₂ cell 9. Installed options Servo-air Ventilator System v4.6 User's manual...
  • Page 70 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) 5.13 High Flow therapy Servo-air Ventilator System v4.6 User's manual...

  • Page 71: Introduction

    • It is important to avoid leakage so as to ensure the proper functioning of invasive modes such as: – PRVC – VS – Automode PRVC ⇄VS – SIMV (PRVC) + PS Servo-air Ventilator System v4.6 User's manual...

  • Page 72: Pressure Control (Pc)

    4. PC above PEEP (cmH 5. I:E ratio or Inspiratory time (s) 6. Inspiratory rise time (% or s) 7. Trigger (l/min or cmH Ventilation can be started from the settings window in Standby. Refer to Settings on page 49. Servo-air Ventilator System v4.6 User's manual...
  • Page 73 Inspiration starts in accordance with the preset respiratory rate or when the patient triggers an assisted breath. • Inspiration is terminated after the preset inspiratory time, or if the upper pressure limit is exceeded. Servo-air Ventilator System v4.6 User's manual...

  • Page 74: Pressure Regulated Volume Control (Prvc)

    The ventilator system delivers a preset tidal volume. The pressure is automatically regulated to deliver this volume but limited to 5 cm H O below the set upper pressure limit. The flow during inspiration is decelerating. The patient can trigger extra assisted breaths. Servo-air Ventilator System v4.6 User's manual...
  • Page 75 • Inspiration starts in accordance with the preset respiratory rate or when the patient triggers. Servo-air Ventilator System v4.6 User's manual...

  • Page 76: Volume Control (Vc)

    Ventilation can be started from the settings window in Standby. Refer to Settings on page 49. The flow adaptation setting and flow pattern setting may be enabled or disabled in SERVICE & SETTINGS / BIOMED / CONFIGURATION / STARTUP CONFIGURATION. Refer to section Configuration. Servo-air Ventilator System v4.6 User's manual...
  • Page 77 The flow pattern can be set between 0-100%. • A flow pattern setting of 100% equals constant flow. • A flow pattern setting below 100% delivers a decelerating flow with greater deceleration the lower the setting. Servo-air Ventilator System v4.6 User's manual...
  • Page 78 If the patient makes an inspiratory effort during the inspiratory period, when flow adaption is enabled and flow pattern is 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 v4.6 User's manual...

  • Page 79: Bi-Vent/Aprv

    Bi-Vent and APRV functionality is differentiated by the I:E ratio, where APRV applies at I:E > 2:1. The active mode is highlighted; Bi-Vent or APRV depending on the mode settings. Servo-air Ventilator System v4.6 User's manual...
  • Page 80 Refer to Settings on page 49. 5.5.1 Bi-Vent/APRV in detail The circles in the figure indicate patient triggering. 1. Bi-Vent/APRV cycle = Thigh + TPEEP 2. PEEP 3. P high 4. PS above PEEP 5. PS above P high Servo-air Ventilator System v4.6 User's manual...

  • Page 81: Pressure Support (Ps)/Cpap

    Duration of inspiration can be adjusted with the help of the End inspiration setting. CPAP may be seen as a special case of PS in which the inspiratory pressure level is set to zero. Servo-air Ventilator System v4.6 User's manual...
  • Page 82 The End inspiration setting is important to patient comfort and ventilator synchronization with the patient. If the patient's expiratory resistance is high, the End inspiration setting should be raised to guarantee enough time for expiration. Servo-air Ventilator System v4.6 User's manual...

  • Page 83: Volume Support (Vs)

    The resulting volume is continuously monitored and the constant inspiratory pressure automatically adjusts to the required level. The patient determines the frequency and duration of the breaths which have a decelerating flow pattern. Servo-air Ventilator System v4.6 User's manual...
  • Page 84 In this mode it is also important to set the apnea time that is appropriate to the individual patient's situation. If this time is reached, the ventilator system will automatically switch to backup ventilation. Servo-air Ventilator System v4.6 User's manual...

  • Page 85: Automode

    • serves as an aid to starting the weaning period • adapts to the patient’s breathing capacity Servo-air Ventilator System v4.6 User's manual...
  • Page 86 - In VS, a PRVC or VC breath will be delivered according to the selected Automode functionality. - In PS, a PC breath will be delivered. 5. The rings in the figures indicate patient triggering. Servo-air Ventilator System v4.6 User's manual...

  • Page 87: Simv

    SIMV rate. The patient can breathe spontaneously with PS between the mandatory breaths. The parameters for each SIMV combination nare adjusted in the settings window and are basically the same as those for the relevant controlled or supported mode. Refer to Settings on page 49. Servo-air Ventilator System v4.6 User's manual...
  • Page 88 The breath cycle time is the length of the mandatory breath in seconds and is the same as the duration of an SIMV period. In SIMV, the very first breath is always a mandatory one. Only when the ventilator system is configured for setting the I:E ratio. Servo-air Ventilator System v4.6 User's manual...
  • Page 89 Refer to sections Volume Control (VC) and Decelerating flow on page 77. 5.9.2 SIMV (PC) + PS The circles in the figure indicate patient triggering. 5.9.3 SIMV (PRVC) + PS The circles in the figure indicate patient triggering. Servo-air Ventilator System v4.6 User's manual...

  • Page 90: Non-Invasive Ventilation (Niv)

    NIV to avoid the nebulized drug coming into contact with the eyes. • Mask/prongs leakage might affect nebulizer efficiency. • The user shall follow the NIV interface manufacturer's instruction for use. Servo-air Ventilator System v4.6 User's manual...
  • Page 91 The NIV disconnection functionality can be set to Low flow, Disabled or High flow. Refer to Service & Settings on page 148 Servo-air Ventilator System v4.6 User's manual...
  • Page 92 Guard filter used on the inspiratory side will reduce the noise level. The noise level may vary between different helmets. – Do not use humidified ventilation gas as this will cause condensation on the helmet walls. – Do not use nebulizers. Servo-air Ventilator System v4.6 User's manual...

  • Page 93: Niv Pressure Control (Niv Pc)

    • The trigger cannot be manually set in NIV. • Detection of pressure below PEEP or expiratory volume decrease will start a new breath. Servo-air Ventilator System v4.6 User's manual...

  • Page 94: Niv Pressure Support (Niv Ps)

    The following parameters are set: 1. Oxygen concentration (%) 2. PEEP (cmH 3. PS above PEEP (cmH O) (PS level) 4. End inspiration (%) 5. Inspiratory rise time (% or s) 6. Apnea time (s) Servo-air Ventilator System v4.6 User's manual...
  • Page 95 The ventilator system will not lock in backup ventilation. There is no limit on the number of times the ventilator system can switch between supported mode and backup. • The trigger cannot be manually set in NIV. Servo-air Ventilator System v4.6 User's manual...

  • Page 96: High Flow Therapy

    High Flow therapy delivers a set flow of heated and humidified gas with a set concentration of oxygen to the patient. It can be selected in both non-invasive and invasive ventilation as well as in Standby. Servo-air Ventilator System v4.6 User's manual...
  • Page 97 When the pressure is lower, gas delivery starts again. For information on the Airway obstructed alarm function, refer to section Functions in ventilation modes and therapies on page 176. Servo-air Ventilator System v4.6 User's manual...
  • Page 98 Ventilation is stopped and alarms are silenced for 2 minutes. The remaining time is shown on screen. • High Flow therapy can be started manually when the preparation is complete and the interface is connected to the patient. Servo-air Ventilator System v4.6 User's manual...
  • Page 99 6.14 Disconnection | 111 6.15 Suction | 113 6.16 Previous mode | 113 6.17 Apnea management | 114 6.18 Nebulization | 117 6.19 CO₂ monitoring | 125 6.20 Adjust the O₂ cell | 128 Servo-air Ventilator System v4.6 User's manual...

  • Page 100: Simv Breath Cycle Time

    Pressure level PC above PEEP is the set inspiratory pressure level for each mandatory breath • • SIMV (PC) + PS • Automode PC ⇄ PS • backup ventilation in PS Servo-air Ventilator System v4.6 User's manual...

  • Page 101: I:e Ratio/Inspiratory Time

    1. Inspiration 2. Expiration An inverse I:E ratio is also used in Bi-Vent/APRV mode. Refer to Bi-Vent/APRV on page 79. Servo-air Ventilator System v4.6 User's manual...

  • Page 102: End Inspiration

    When the inspiratory 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. End inspiration End inspiration: • is the point at which inspiration changes to expiration in supported ventilation 100% Servo-air Ventilator System v4.6 User's manual...

  • Page 103: Inspiratory Rise Time

    The inspiratory rise time should be adjusted from default setting to enhance patient comfort. Inspiratory rise time set as a percentage is applicable in: • • • PRVC • all SIMV modes • all Automode modes • NIV PC Servo-air Ventilator System v4.6 User's manual...

  • Page 104: Trigger

    During expiration, the ventilator system continuously delivers a gas flow (bias flow), which is measured in the expiratory channel. Refer to Ventilatory settings on page 168. Servo-air Ventilator System v4.6 User's manual...
  • Page 105 Patient triggering (flow or pressure) is indicated by a symbol in the status bar. The pressure or flow curve will also be highlighted in white depending on which type of trigger is used. Servo-air Ventilator System v4.6 User's manual...

  • Page 106: Apnea Time

    Definition of PBW/BW: • For adult patients outside the height range 130-200 cm, PBW is the same as the patient weight (BW). • For pediatric patients, PBW is the same as the patient weight (BW). Servo-air Ventilator System v4.6 User's manual...

  • Page 107: Maneuvers

    : static compliance, a measure of the elastic properties of the static respiratory system. A decrease in compliance implies stiffer lungs. • E: elastance, is the inverse of compliance (1/C). An increase in elastance implies stiffer lungs. • : inspiratory resistance Servo-air Ventilator System v4.6 User's manual...
  • Page 108 (C static 6.12.2 Manual breath When MANUAL BREATH is tapped, the ventilator system will initiate a new breath cycle according to the current ventilator settings. 6.12.3 Nebulization Refer to Nebulization on page 108. Servo-air Ventilator System v4.6 User's manual...
  • Page 109 All clinical alarms are silenced during the time O boost is active. The O boost function can be interrupted by tapping the cancel symbol in the O boost timer window anytime during the 1 minute interval. Servo-air Ventilator System v4.6 User's manual...

  • Page 110: Compensation Functions

    The patient circuit test must be passed in order to activate circuit compensation. To deactivate or reactivate, tap COMPENSATION in the extended menu/ CIRCUIT COMPENSATION. Follow on-screen instructions. NOTE: When monitoring VT/PBW, circuit compensation must be activated. Servo-air Ventilator System v4.6 User's manual...

  • Page 111: Disconnection

    Tap DISCONNECTION in the quick menu during ventilation to open the DISCONNECTION window. The window always opens in Preparation. Adjust the O concentration, if desired, then tap Accept. Tapping Cancel will close the DISCONNECTION window. Servo-air Ventilator System v4.6 User's manual...
  • Page 112 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 v4.6 User's manual...

  • Page 113: Suction

    When the previous mode function is activated during backup ventilation, the ventilator system returns to the mode that was active before the supported mode was initiated. A recall of previous settings is only possible after a change of ventilation mode. Servo-air Ventilator System v4.6 User's manual...

  • Page 114: Apnea Management

    Refer to Alarm handling on page 129 and to Alarm limits on page 171. 6.17.2 Backup ventilation For invasive modes, backup ventilation entails a switch in case of apnea: • from VS to PRVC • from PS/CPAP to PC • from VC to VS Servo-air Ventilator System v4.6 User's manual...
  • Page 115 Alternatively, tap Continue in supported mode in the dialog window to return to the supported mode. The apnea time will be reset. Refer to Alarm handling on page 129 and to Alarm limits on page 171. Servo-air Ventilator System v4.6 User's manual...
  • Page 116 • the ventilator system is switched to Standby • the system is turned off. Backup ventilation remains inactive if a change of mode is made between PS/ CPAP and VS. Servo-air Ventilator System v4.6 User's manual...

  • Page 117: Nebulization

    • To avoid mechanical or electrical damage, do not drop the nebulizer unit. Servo-air Ventilator System v4.6 User's manual...
  • Page 118 Perform a function test prior to use to verify proper operation. Refer to section Nebulizer function test below. • Connect the nebulizer unit to the T piece by pushing the nebulizer unit firmly onto the T piece. Servo-air Ventilator System v4.6 User's manual...
  • Page 119 Connect the nebulizer between the inspiratory tube and the Y piece or between the inspiratory tube and the dry side of the humidifier. Connect the control cable to the ventilator system. Connecting to 15 mm patient circuits Servo-air Ventilator System v4.6 User's manual...
  • Page 120 | 6 | Ventilatory settings and functions | Connecting to 10/12 mm patient circuits Connecting to the dry side of the humidifier This configuration can be used with a nasal interface (Aerogen Solo only). S25347 Servo-air Ventilator System v4.6 User's manual...
  • Page 121 Medication can also be added in this manner during nebulization. This does not interrupt nebulization or ventilation. Nebulization Nebulization can be either: • switched on/off for a certain period of time • continuous, only Aerogen Solo Servo-air Ventilator System v4.6 User's manual...
  • Page 122 Check that nebulization is in progress and how much time remains by looking at the progress symbol. • To stop nebulization tap MANEUVERS/NEBULIZATION or the nebulization shortcut in the status bar. • Tap STOP NEBULIZATION PERIOD. Servo-air Ventilator System v4.6 User's manual...
  • Page 123 The input rate of medication into the nebulizer unit during continuous nebulization must not exceed 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: Servo-air Ventilator System v4.6 User's manual...
  • Page 124 3. Check that nebulization is in progress by looking at the progress symbol. 4. To stop nebulization tap MANEUVERS / NEBULIZATION or the nebulization shortcut in the status bar. 5. Tap STOP CONTINUOUS NEBULIZATION. Servo-air Ventilator System v4.6 User's manual...

  • Page 125: Co₂ Monitoring

    If the message Check CO airway adapter appears, then make sure that the adapter is completely inserted. Wipe the airway adapter if necessary. Refer to the Cleaning and maintenance user's manual. Servo-air Ventilator System v4.6 User's manual...
  • Page 126 The CO waveform is shown. If calibration is needed, a message will appear. During the calibration, the waveform has reduced accuracy and no CO values are shown. To calibrate the CO analyzer: Servo-air Ventilator System v4.6 User's manual...
  • Page 127 Place the sensor on an unconnected airway adapter, containing room air. Tap monitoring and alarms can be enabled and disabled by tapping CO . The sensor keeps the calibration while deactivated. If the CO sensor is disconnected, the calibration must be performed again. Servo-air Ventilator System v4.6 User's manual...

  • Page 128: Adjust The O₂ Cell

    To adjust the O cell: • Tap CALIBRATION & TESTS in the extended menu. Tap O ₂ CELL ADJUSTMENT once, then again. • • Tap Yes to perform the O cell adjustment. • Tap OK. Servo-air Ventilator System v4.6 User's manual...

  • Page 129: Alarm Handling

    | Alarm handling | 7 | Alarm handling Table of contents Introduction | 130 Handling alarms | 131 Permanently silencing alarms | 135 Turning off alarms | 136 Alarms | 138 Alarm output connection (option) | 147 Servo-air Ventilator System v4.6 User's manual...

  • Page 130: Introduction

    Refer to Set alarm limits on page 50. 7.1.3 Conditions leading to default alarm settings Alarm limits are set to their default values when: • powering on the ventilator system • changing ventilation type (non-invasive/invasive) • changing patient category in STANDBY Servo-air Ventilator System v4.6 User's manual...

  • Page 131: Handling Alarms

    The numerical value for the parameter causing the alarm highlighted with the color of the alarm priority and its exceeded alarm limit is marked. A flashing numerical value is also a shortcut to an alarm limit window for adjusting the alarm limits for that parameter. Servo-air Ventilator System v4.6 User's manual...
  • Page 132 Tap Alarm history in the alarm list to open the ALARM HISTORY window. 7.2.3 Responding to alarms Active alarms can be silenced for two minutes by tapping Audio pause in the status bar. Audio pause along with the time remaining in the silent period are displayed. Servo-air Ventilator System v4.6 User's manual...
  • Page 133 A crossed double bell, Audio paused – all alarms, along with the time remaining in the silent period are displayed. Tap and hold to pre-mute incoming alarms and prolong the pause time when an alarm already is active. Servo-air Ventilator System v4.6 User's manual...
  • Page 134 Check alarms Check alarms is an indication of high priority alarms that have ceased. The alarm indication remains visible in the status bar and in the alarm list until the Check alarms window is opened. Servo-air Ventilator System v4.6 User's manual...

  • Page 135: Permanently Silencing Alarms

    The default alarm settings are 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. Servo-air Ventilator System v4.6 User's manual...

  • Page 136: Turning Off Alarms

    Tap ALARM LIMITS to open the ALARM LIMITS window. • Tap Alarm on. Alarm off is shown as selected setting. Tap Accept. When the Leakage alarms is set to off, all alarms listed above will be turned off. Servo-air Ventilator System v4.6 User's manual...
  • Page 137 Tap Alarm on. Alarm off is shown as selected setting. Tap Accept. Alarm off is displayed in the corresponding parameter in the numerical values area and a message is displayed in the status bar. Servo-air Ventilator System v4.6 User's manual...

  • Page 138: Alarms

    NOTE: This alarm does not detect decannulation or extubating. Time in waiting Time in waiting position is Connect patient. position > 2 min exceeded. Check patient circuit. Patient is not connected to the ventilator or leakage is excessive. Servo-air Ventilator System v4.6 User's manual...
  • Page 139 Contact service not O technician. cell uncalibrated. Gas module for O faulty. Patient Patient circuit disconnected. Reconnect patient. disconnected > 1 Check patient circuit. Alarm limits Alarm limits lost. Replace the ventilator invalid immediately. Servo-air Ventilator System v4.6 User's manual...
  • Page 140 2.0 Check O supply. pressure low kPa x 100 (29 psi). supply pressure at gas inlet is too low. Gas supply line disconnected. NOTE: This alarm can be permanently silenced (Audio off) when activated. Servo-air Ventilator System v4.6 User's manual...
  • Page 141 Check P alarm limit. peak limited to 3 cmH O below the alarm limit. etCO Hyperventilation. Check patient. Leakage with high bias flow. Check ventilator settings. Check patient circuit. Check CO sensor. Servo-air Ventilator System v4.6 User's manual...
  • Page 142 Technical problem with the Replace the expiratory cassette error expiratory cassette. cassette. Perform a pre-use check. Contact service technician. Nebulizer Technical problem with nebulizer Contact service hardware error hardware. technician. Technical problem with connection cable. Servo-air Ventilator System v4.6 User's manual...
  • Page 143 Serial port connection lost Check connection at communication RS-232 Port (x). failure Internal Temperature inside the ventilator Check the room temperature too is too high. temperature. high Clean the fan filters. Replace the ventilator. Servo-air Ventilator System v4.6 User's manual...
  • Page 144 Check air inlet filter and temperature high patient circuit. Ambient temperature is too high. Check ambient Ventilator settings are outside temperature close to air normal ranges. inlet. Technical failure in turbine. Check ventilator settings. Servo-air Ventilator System v4.6 User's manual...
  • Page 145 Inspiratory valve error Replace the ventilator immediately. Inspiratory flow meter Replace the ventilator immediately. error 63, 83 Turbine communication Replace the ventilator immediately. error 64 - 69 Turbine failure Replace the ventilator immediately. Servo-air Ventilator System v4.6 User's manual...
  • Page 146 Internal memory error. Replace the ventilator when convenient. 61, 94, Internal error. Replace the ventilator when 10005 convenient. 10004, Internal communication Replace the ventilator when 20006 error. convenient. Remote alarm internal Remote alarm inactive. error Servo-air Ventilator System v4.6 User's manual...

  • Page 147: 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 v4.6 User's manual...

  • Page 148: Service & Settings

    | 8 | Service & Settings | Service & Settings Table of contents Introduction | 149 Biomed | 149 Service | 155 License | 155 Servo-air Ventilator System v4.6 User's manual...
  • Page 149 STATUS is used for viewing system information and installed software options. To access System Info and Options: • Tap BIOMED / STATUS The following information is available for System Info: O ₂ CELL • • EXPIRATORY CASSETTE • BATTERY STATUS Servo-air Ventilator System v4.6 User's manual...
  • Page 150 The time of power down is not captured; however, it is estimated and stored at the next power up of the ventilator system. To access LOGS: • Tap BIOMED/LOGS and select appropriate filter. 8.2.3 Service report SERVICE REPORT is used for reporting service tasks. Servo-air Ventilator System v4.6 User's manual...
  • Page 151 3. ALARMS 4. SET DATE & TIME 5. BIOMED CODE Settings To access SETTINGS: • Tap BIOMED / CONFIGURATION / SETTINGS. The following items can be viewed and edited: UNITS 1. Height 2. Weight Servo-air Ventilator System v4.6 User's manual...
  • Page 152 10. Use 0 (s) as default pause time (Off, On) 11. VC flow adaptation setting available (On, Off) 12. Deactivation of backup function (Not allowed, Allowed) 13. Type of measured pressure 14. Default VC flow adaptation (with or without flow adaptation ) Servo-air Ventilator System v4.6 User's manual...
  • Page 153 It does not affect the O ₂ BOOST LEVEL function in the adult patient category where the default is 100%. NOTE: The ventilator system must be restarted to activate the new settings. Alarms The appearance of the window may vary depending on configuration. Servo-air Ventilator System v4.6 User's manual...
  • Page 154 The following can be adjusted: 7. Default alarm sound level at start-up 8. Set minimum alarm sound level 9. Restore default audio level Options to restore defaults, cancel or save changes are available for all alarms. Servo-air Ventilator System v4.6 User's manual...
  • Page 155 The Service menu should only be accessed by a trained service technician that has been certified by the manufacturer. License LICENSE is used for viewing the list of software components, versions and licensing conditions. Servo-air Ventilator System v4.6 User's manual...

  • Page 156: Technical Data

    9.17 Aerogen nebulizer | 179 9.18 CO₂ analyzer | 181 9.19 Communication/interface | 182 9.20 Accessories | 183 9.21 Health and Environment | 186 9.22 UDI label | 186 9.23 Technical description | 187 Servo-air Ventilator System v4.6 User's manual...

  • Page 157: System

    ▪ A-weighted sound power level (LWA): <61 dB Information signal Single beep Safe working load 70 kg When using humidifiers Fisher & Paykel Healthcare, MR810 or Fisher & Paykel Healthcare, MR850, the ventilator system is in compliance with ISO 80601-2-12:2011. Servo-air Ventilator System v4.6 User's manual...
  • Page 158 At least 4 years from manufacturing date or 300 lifetime charge cycles, whichever comes first. Battery operating time 90 min for aged batteries Battery module Do not dispose of battery modules with ordinary waste. disposal Servo-air Ventilator System v4.6 User's manual...

  • Page 159: Ventilator System

    : 99 - 100% Connection standards AGA, DISS, NIST, or French available Patient system connectors Conical fittings Nominal 22 mm and 15 mm, in accordance with ISO 5356-1 Gas exhaust port Male 30 mm cone Servo-air Ventilator System v4.6 User's manual...

  • Page 160: Standard Condition Specification

    The essential performance for the ventilator system and its options are the delivery of ventilation at the patient connection port within the alarm limits set by the user or generation of an alarm condition. Servo-air Ventilator System v4.6 User's manual...

  • Page 161: Patient Circuit

    ▪ Pediatric: 15 mm tubing, tidal volumes 20 - 400 ml volumes ▪ Adult: 22 mm tubing, tidal volumes 100 - 2000 ml Refer to System Flowchart, Servo-air and to System Flowchart, Servo-air Lite. 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 162: Inspiratory Channel

    Inaccuracy: ±(5% + 5% of set value) Characteristics valid at conditions specified in ISO 80601-2-12, table 201.104. Characteristics valid at conditions specified in ISO 80601-2-12, table 201.103. ±( 5% + 10 % of set value) during transport Servo-air Ventilator System v4.6 User's manual...

  • Page 163: Expiratory Channel

    O + 5 % of set value) At high altitudes, when using VC with low volumes, tidal volumes may be lower than the set value. Characteristics valid at conditions specified in ISO 80601-2-12, table 201.105. Servo-air Ventilator System v4.6 User's manual...

  • Page 164: Monitoring

    System response time The total system response time of the O monitor when exposed first to air and then to a gas mix with 60% O is <30 s. Barometric pressure Automatic compensation Servo-air Ventilator System v4.6 User's manual...

  • Page 165: Pre-Use Check Tests

    Checks the barometric Check the barometric pressure measured by the pressure value in the internal barometer. extended menu Status/ System Info window. PEEP accuracy may decrease for RR≥60 b/min together with VT ≤20 ml. Servo-air Ventilator System v4.6 User's manual...
  • Page 166 Checks if the O cell is worn specified range. out. ▪ Replace the O cell. Because different gas mixtures are required for this test, it will not be performed if one gas is missing. Servo-air Ventilator System v4.6 User's manual...
  • Page 167 Alarm state Checks that no Technical Check that the cable is error alarms are active during connected to the external the pre-use check. system. Checks that the alarm Contact a service technician. activation functions correctly. Servo-air Ventilator System v4.6 User's manual...

  • Page 168: Ventilatory Settings

    10 - 70 10 - 70 inspiration (% of peak flow) in NIV Inspiratory 0 - 20 0 - 20 rise time (%) Inspiratory 0.15 0.15 0 - 0.5 0 - 0.5 rise time (s) Servo-air Ventilator System v4.6 User's manual...
  • Page 169 (cmH (cmH O) 15 2 - 50 2 - 50 high Pressure — — -1 - -20 -1 - -20 trigger level (cmH Pressure level 0 - 80 0 - 100 above PEEP (cmH Servo-air Ventilator System v4.6 User's manual...
  • Page 170 100 - 2000 (ml) Tidal volume 2 - 400 100 - 2000 in backup (ml) 0 – 30 0 – 30 pause 0 - 1.5 0 - 1.5 pause 0.1 - 10 0.1 - 10 PEEP Servo-air Ventilator System v4.6 User's manual...

  • Page 171: Alarms

    If Paw rises 6 cm H2O above the set limit or if system pressure exceeds 117 ± 5 cm H2O, the safety valves opens. Only applicable in High Flow therapy. Refer to section Functions in ventilation modes and therapies on page 176 for details. Not applicable in Bi-Vent/APRV. Servo-air Ventilator System v4.6 User's manual...
  • Page 172 0 - 149 kPa* 0 - 19.9 0 - 19.9 Setting the alarm limit to 0 (zero) is equivalent to turning off the alarm. In NIV, low limit can be set to 0 (zero). Servo-air Ventilator System v4.6 User's manual...
  • Page 173 When the set O2 concentration is higher than 90 %, the O2 concentration low alarm is set to 85 %. When the set O2 concentration is higher than 90 %, the O2 concentration high alarm is deactivated. Servo-air Ventilator System v4.6 User's manual...
  • Page 174 A sequence of 2 beeps, long pause Alarm delay after changing the O ▪ 60 s for RR ≤ 4 ▪ 40 s for RR > 4 concentration Maximum alarm condition delay of the 10 s disconnection alarms Servo-air Ventilator System v4.6 User's manual...

  • Page 175: Ventilation Modes

    ▪ CPAP when ΔPs or VT is set to zero. SIMV (VC) + PS SIMV-VC ▪ Selectable decreasing flow pattern ▪ CPAP when ΔPs or VT is set to zero. (NIV) PC A/C-PC (NIV) PS CSV-PS HIGH FLOW HIFLOW Servo-air Ventilator System v4.6 User's manual...

  • Page 176: Functions In Ventilation Modes And Therapies

    Mean airway pressure mean Driving pressure drive Positive end expiratory pressure PEEP Spontaneous breaths per minute Respiratory rate Spontaneous expiratory minute e sp volume Inspired minute volume Expired minute volume Leakage (%) Leakage Inspired tidal volume Servo-air Ventilator System v4.6 User's manual...
  • Page 177 Switch to backup (/minute) Backup Σ Backup (%/min) Backup % Ratio of tidal volume to predicted body VT/PBW weight Based on VTe Switch to backup (/minute) Backup Σ Backup (%/min) Backup % Stress Index Servo-air Ventilator System v4.6 User's manual...

  • Page 178: Logs

    Disconnection and reconnecting of patient • Activation/deactivation of nebulization • Deactivation of backup ventilation 9.15.2 Diagnostic log The following items are logged: • Technical information • Test results • Service records • Software installation • Configuration information Servo-air Ventilator System v4.6 User's manual...

  • Page 179: Service

    9.17 Aerogen nebulizer 9.17.1 Aerogen Solo nebulizer Aerogen Solo nebulizer Weight Approximate 13.5 g Dimensions W 48 x L 25 x H 67 mm Operating temperature 10°C to 38°C Servo-air Ventilator System v4.6 User's manual...
  • Page 180 ▪ 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 v4.6 User's manual...

  • Page 181: Co₂ Analyzer

    2.8 m ▪ 0 to 100 mmHg CO partial pressure Measuring range ▪ 0 to 13.3 kPa CO partial pressure ▪ 0 to 13.2 % CO volume (at a barometric pressure of 1013 hPa) Servo-air Ventilator System v4.6 User's manual...

  • Page 182: Communication/Interface

    4-pin modular connector for communication of all active alarms Switching capability: Max 40 V DC, Max 500 mA, Max 20 W Information regarding connector wiring is available from the manufacturer. accuracy may decrease for RR >40 b/min. Servo-air Ventilator System v4.6 User's manual...

  • Page 183: Accessories

    0.2 ohm measured to the earth pin in the mains plug of the multiple socket outlet. 9.20 Accessories To avoid instability, load the ventilator equipment symmetrically on the ventilator system. Mobile cart (option) Weight 15.0 kg Dimensions W 647 x L 547 x H 860 mm Servo-air Ventilator System v4.6 User's manual...
  • Page 184 Make sure that the gas cylinder restrainer straps are placed on the middle of the gas cylinders. Weight 1.0 kg Dimensions Upper: W 104 x L 65 x H 48 Lower: W 106 x L 162 x H 76 Maximum load Two 8 kg bottles Servo-air Ventilator System v4.6 User's manual...
  • Page 185 Fisher & Paykel Healthcare, F&P 950 Refer to the Fisher & Paykel Respiratory humidifier Healthcare, F&P 950 Respiratory humidifier, User instructions. Refer to Servo-air system flowchart for information regarding use of accessories to be used with the ventilator system. Servo-air Ventilator System v4.6 User's manual...

  • Page 186: Health And Environment

    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 v4.6 User's manual...

  • Page 187: Technical Description

    Symbols on accessories and ▪ Mechanical stability packaging on page 40. ▪ Protective packaging Identification of the ventilator system Refer to the title page of Servo-air and software version Ventilator System v4.6 and section Version and configurations. Power sources Refer to section System.
  • Page 188 Isolate the ventilator system from mains power by disconnecting the mains power cable from the outlet. Alarms preset Refer to section Configuration. Technical data Refer to chapter Technical data. System overview Refer to chapter System Overview. Servo-air Ventilator System v4.6 User's manual...

  • Page 189: Electromagnetic Compatibility

    | Electromagnetic compatibility | 10 | Electromagnetic compatibility Table of contents 10.1 Information to the responsible organization | 190 10.2 Electromagnetic environment | 190 10.3 Electromagnetic compliance | 191 Servo-air Ventilator System v4.6 User's manual...

  • Page 190: Electromagnetic Environment

    Do not use RFID equipment (including peripherals such as antenna cables and external antennas) closer than 30 cm (12 inches) to any part of the Servo-air ventilator system including cables specified by the manufacturer. Not keeping the distance can result in degradation of the performance of the equipment.

  • Page 191: Electromagnetic Compliance

    | Electromagnetic compatibility | 10 | • Alarm output: Unshielded - not supplied by Getinge. • 12V battery supply (unshielded, length 1.5 m) - not supplied by Getinge. Generic cables WARNING! Use of accessories, transducers, and cables other than those...
  • Page 192 * Higher immunity levels than IEC 60601-1-2:2014 + A1:2020. The following frequency bands have been tested in accordance with table 9 in IEC 60601-1-2:2014 + A1:2020 to ensure that a distance of 0.3 m to radio communication equipment is safe. Servo-air Ventilator System v4.6 User's manual...
  • Page 193 Electromagnetic immunity to low frequency RFID equipment Frequency Immunity level Pulse modulation frequency 134.2 kHz 65 A/m 2.1 kHz 13.56 MHz 7.5 A/m 50 kHz 10.3.3 Maintenance No special maintenance regarding electromagnetic immunity is necessary for the Servo-air ventilator system. Servo-air Ventilator System v4.6 User's manual...
  • Page 194 PEEP setting range  163 CO2 analyzer  47 pressure drop  163 Cautions respiratory rate  164 general  10 supply pressure  165 power supply  12 system response time O2  164 CO2 analyzer Export & delete  68 calibration  47 Communication/Interface Servo-air Ventilator System v4.6 User's manual...
  • Page 195 Inspiratory channel  163 gas delivery device  162 gas delivery system  162 concentration  162 inspiratory minute volume  163 O2 concentration  162, 164 inspiratory tidal volume  163 Operating conditions max. airway pressure  162 atmospheric pressure  158 Servo-air Ventilator System v4.6 User's manual...
  • Page 196  42 Relative humidity  158 patient unit  23 Respiratory humidifier  185 System Respiratory rate  164 ingress protection  157 Room temperature  160 noise  157 System response time O2  164 Safety scales  49 Select Technical alarms Servo-air Ventilator System v4.6 User's manual...
  • Page 197  171 Ventilation Select  48 Start  52 stop  53 Ventilator  18 dimensions  159 weight  159 Ventilatory frequency  160 Warnings fire hazard  13 general  8 power supply  12 Waveforms displaying  63 Weight units  151 ventilator  159 Servo-air Ventilator System v4.6 User's manual...
  • Page 200 Manufacturer: Maquet Critical Care AB · Röntgenvägen 2 · 171 54 Solna · Sweden   www.getinge.com...

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Servo-air niv