User’s manual (US Version)

VENTILATOR
OR SYSTEM
M
SERVO-i V3.0
3.0
Contents
ontents
ntents
tents
ents
nts
ts
s

1 Before
efore
fore
orere
e use see ...............................................................
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... 3
2 Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
onn ..............................................................
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... 15 5
3 Patient
atient
tient
ient
entntt safety
afety
fety
ety
tyy .........................................................
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... 71 1
4 Device
evice
vice
ice
cee description
escription
scription
cription
ription
iption
ption
tion
ion
onn .................................................
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... 81 1
5 Set-ups
et-ups
t-ups
-ups
ups
pss and ndd preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss ....................................
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... 11919 9
6 Pre-use
re-use
e-use
-use
use
see checkheck
eck
ck k .....................................................
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... 14545 5
7 Operating
perating
erating
rating
ating
ting
ing
ng g youroururr Servo
ervo
rvo
voo-ii ........................................
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... 15757 7
8 Routine
outine
utine
tine
ine
nee cleaning
leaning
eaning
aning
ning
ing
ng g ..................................................
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... 19191 1
9 Maintenance
aintenance
intenance
ntenance
tenance
enance
nance
ance
ncecee ........................................................
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... 21111 1
10
0 Troubleshooting
roubleshooting
oubleshooting
ubleshooting
bleshooting
leshooting
eshooting
shooting
hooting
ooting
oting
ting
ing
ngg.................................................
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... 22525 5
11
1 Technical
echnical
chnical
hnical
nical
ical
cal
all data
atata
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12
2 Abbreviations
bbreviations
breviations
reviations
eviations
viations
iations
ations
tions
ions
onsnss and ndd definitions
efinitions
finitions
initions
nitions
itions
tions
ions
ons
nss ............................
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13
3 Appendix:
ppendix:
pendix:
endix:
ndix:
dix:
ix:
x:: Usersererr Interface
nterface
terface
erface
rface
face
ace
cee ...................................
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14
4 Index
ndex
dex
exx ..................................................................
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... 27373 3

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 1
 Servo… User´s manual
US edition
2 Infant Adult Universal Options Order No: 66 00 261
 1.. Before
efore
fore
ore
re
e use
se
e

Contents
ontents
ntents
tents
ents
nts
ts
s

Brief
rief
ief
eff device
evice
vice
ice
cee description
escription
scription
cription
ription
iption
ption
tion
ion
onn..................... 4
Intended
ntended
tended
ended
nded
ded
ed d use see ............................. 4
Intended
ntended
tended
ended
nded
ded
ed d userser
err . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Warnings,
arnings,
rnings,
nings,
ings,
ngs,
gs, s,, Cautions
autions
utions
tions
ions
onsnss andnd
d Important
mportant
portant
ortant
rtant
tant
ant
ntt in
n this
his
is
s manual
anual
nual
ual
all . 4
Symbols
ymbols
mbols
bols
ols
lss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Support
upport
pport
port
ort
rtt material
aterial
terial
erial
rial
ial
all related
elated
lated
ated
ted
ed
d too the
hee Servo
ervo
rvo
vo
o-ii system
ystem
stem
tem
emm. . . 7
General
eneral
neral
eral
ral
all warnings
arnings
rnings
nings
ings
ngs
gss. . . . . . . . . . . . . . . . . . . . . . . . . . 9
General
eneral
neral
eral
ral
all cautions
autions
utions
tions
ions
ons
nss . . . . . . . . . . . . . . . . . . . . . . . . . 10 0
Context-related
ontext-related
ntext-related
text-related
ext-related
xt-related
t-related
-related
related
elated
lated
ated
ted
edd warnings
arnings
rnings
nings
ings
ngs
gss . . . . . . . . . . . . . . . . . . . 12 2

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 3
1 Before
efore
fore
ore
re
e use
se
e
Welcome as a user of the he Servo-i Ventilator Intended
ntended
tended
ended
nded
ded
ed
d user
ser
err
system! We hope that you will be very
satisfied
fied with your new system. For the latest Servo-i is a ventilator system with advanced
dvanced
information about
bout it, call your local MAQUET
ET functionality. It may be used only by
representative. Before use, please read thehe professional
rofessional health care providers who have
general information below. sufficient experience in ventilator treatment.
ment.

Brief
rief
ief
eff device
evice
vice
ice
ce
e description
escription
scription
cription
ription
iption
ption
tion
ion
on
n Intended
ntended
tended
ended
nded
ded
ed
d population
opulation
pulation
ulation
lation
ation
tion
ion
on
n
The Servo-i Ventilator System can be
delivered in three configurations:
User • Servo-i Infant range 0,5 - 30kg
Interface NIV (PC+PS)) Infant range 3 - 30kg
NIV Nasal CPAP range 0.5 - 10kg
• Servo-i Adult
lt range 10 - 250kg
• Servo-i Universal range 0.5 - 250kg
Patient NIV (PC+PS) Infant range
e 3 - 30kg
Patient Unit NIV Nasal CPAP range 0.5 - 10kg
breathing Note: Servo-i Universal covers both Basic
system and Extended edition.

Warnings,
arnings,
rnings,
nings,
ings,
ngs,
gs,
s,, Cautions
autions
utions
tions
ions
ons
ns
s and
nd
d
SVX-128_EN Important
mportant
portant
ortant
rtant
tant
ant
ntt in
n this
his
is
s manual
anual
nual
ual
all
The Servo-i
vo-i Ventilator System consists of a
Patient Unit where gases are mixed and WARNING!
ARNING! Indicates critical information
administered, and a User Interface where the about a potential serious outcome to the
settings are made and ventilation is patient or the user.
monitored.
The ventilator delivers controlled or Caution: Indicates instructions that must be
supported breaths to the patient, with either
constant flow or constant pressure, using a followed in order to ensure the proper
set oxygen
ygen concentration. The entire Servo-i operation of the equipment.
quipment.
system includes
ludes a wide range of optional
accessories, e.g. Mobile
bile Cart, breathing Important:
mportant: Indicates information intended to
systems, compressors,
pressors, Battery modules, help you operate the equipment or its
humidifiers and equipment
quipment for nebulization, connected devices easily and conveniently.
O2 measurement and Y-piece
CO
measurement.

Intended
ntended
tended
ended
nded
ded
ed
d use
se
e
The
he Servo-i Ventilator System is intended for
treatment and monitoring g of patients in the
range of neonates, infants and adults with
respiratory failure or respiratory insufficiency.
ciency.
Servo-i is a ventilator system to be used only
by health care providers in hospitals or health
care facilities and for in-hospital transport.
Note: The Servo-i Ventilator System is not
intended to be used with any anesthetic
agents.

Servo… User´s manual

US edition
4 Infant Adult Universal Options Order No: 66 00 261
 Before
efore
fore
ore
re
e use
se
e1
Symbols
ymbols
mbols
bols
ols
ls
s Patient Unit
CE label The
he device complies with
User Interface
ce the requirements off the Medical
Audio off Silence alarm or confirm Device Directive 93/42/EEC.
42/EEC.
alarm.
CSA label The device complies
plies
Audio pause Silence alarm or with the Canadian standards.
confirm alarm. C US

Reserved for future use. Class I equipment,

uipment, Type B The
device classification
on according to
according to IEC 60601-1/EN N 6060-1.
Save To save a recording or to copy
py
screen. Equipotentiality
ality terminal

Attention Consult accompanying

documents. Nebulizer
connector for nebulizer.

Standby/Start ventilation Set

standby mode or start ventilation. RS 232 / Serial port
Yellow lamp indicating
g Standby connector for data communication
mmunication
mode.
Note: The symbol has two different
labels depending on panel version.
Mains indicator
cator
Green lamp
p indicating mains
connected. User
ser Interface connector / Panel
Note: The symbol
ymbol has two different
Battery Symbol indicating battery
ry labels dependingg on panel version.
power supply.The estimated
remaining
ning time with current power
consumption is indicated in minutes. Optional
ptional connector / Expansion
connector for optional equipment.
ON/OFF switch Note: The symbol has two different
labels depending
pending on panel version.

Trigger
gger indication The indication
10A
0A
appears in the message/alarm field
when the patient triggers a breath. fuse for external DC
C power supply.

NIV symbol
mbol
The NIV symbol appears in the Mode
pad
d field during Non Invasive
Ventilation.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 5
1 Before
efore
fore
ore
re
e use
se
e
12V DC / Ext. bat
at 12V Single use
external +12V
12V DC inlet.
Note: The symbol
bol has two different
labels depending on panel version.
Caution: When external +12 V DC C Special waste
This product contains electronic
is used, at least one installed and electrical components.
Battery module is required to ensure Discard disposable, replaced and
proper operation. left-over
ver parts in accordance with
appropriate industrial and
Expiratory
piratory label environmental standards.
Gas flow from patient. Recycling
Worn-out batteries must be
recycled or disposed
posed of properly
in accordance with appropriate
Inspiratory label industrial and environmental
mental
Gas flow to patient. standards.
Hazardous s waste (infectious) The
device
vice contains parts which must
not be disposed of with ordinary
Gas exhaust
ust port label waste.
Exhaust
haust gas flow from ventilator.
Note: Shouldd not be connected to a
spirometer, as the volume throughgh
the exhaust port is not equal to the
expired volume
me from the patient.

Alarm output connection

nnection
option
External alarm output
communication.

In this manual
Adult Information valid
d for the Adult
configuration

Infant Information valid for the Infant

configuration

Universal
rsal (Basic and Extended
editions) Information valid for the
Universal configuration.

Options

Servo… User´s manual

US edition
6 Infant Adult Universal Options Order No: 66 00 261
 Warnings,
arnings,
rnings,
nings,
ings,
ngs,
gs,
s,, cautions
autions
utions
tions
ions
ons
nss and
nd
d important
mportant
portant
ortant
rtant
tant
ant
ntt 1
Support
upport
pport
port
ort
rtt material
aterial
terial
erial
rial
ial
all related
elated
lated
ated
ted
ed
d to
o This concept comprises components
intended to cover the needs of a clinical user.
the
he
e Servo
ervo
rvo
voo-i system
ystem
stem
tem
emm It is divided into different components
according g to use to facilitate accessibility of
information. If you have ve any comments or
suggestions regarding this information
material, please let us know.
This User´s manual covers functionality and
use but should not be regardedgarded as all
inclusive within the very complex
mplex field of
Wall cleaning diagram ventilatory treatment. Clinical judgements or
settings are therefore not described in this
manual. Authorized, medically competent
health care providers
viders with good knowledge
of Servo-i Ventilator System have the
Configuration Card responsibility
bility to determine the clinical
judgement and settings based on the needs
of the patient.
Read the User´s ´s manual carefully before use
and follow the he instructions.

User‘s manual

SVX-129_EN

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 7
1 Warnings,
arnings,
rnings,
nings,
ings,
ngs,
gs,
s,, cautions
autions
utions
tions
ions
ons
ns
s and
nd
d important
mportant
portant
ortant
rtant
tant
ant
ntt
This User´s
er´s manual
The information in this User´s manual is valid
for Servo-i Ventilator System 3.0 unless
stated otherwise.
Here you will find the information needed to
use the Servo-i system safely.
It is divided into five main sections:
ctions:
• Before use (mandatory information)
• Description
• Operation
• Maintenance
• Miscellaneous
Recommended use
The main document, for every-day use.

Text
xt shown on the User Interface is presented
in these instructions
uctions in a speciall typeface.
typeface
Brief instructions
ctions
Overviews and step-by-step
y-step instructions for
the set-ups. These instructions you will find
in the drawer
awer above the ventilator, when
positioned on the Mobile Cart.
Recommended use se
These documents are intended to be used as
a guide for the experienced user.
Wall diagram
gram
Overviews
verviews and step-by-step instructions for
cleaning,
leaning, to be posted on a wall.
Recommended use
Checklist
klist for the experienced user.

Ventilator
entilator
ntilator
tilator
ilator
lator
ator
tor
orr - Information
nformation
formation
ormation
rmation
mation
ation
tion
ion
on
n
material
aterial
terial
erial
rial
ial
all
Caution: The Servo-i Ventilator System may
have different software
ware versions. Before use,
make sure the software version shown on the
screen under
der the Status / General menu
corresponds to the version number on the
User´s manual.
anual. Refer to page 259.

Trademark
rademark
ademark
demark
emark
mark
ark
rk
k
Trademark
demark ™ is written only when a product/
method name appears for the first time in this
manual.

Servo… User´s manual

US edition
8 Infant Adult Universal Options Order No: 66 00 261
 Warnings,
arnings,
rnings,
nings,
ings,
ngs,
gs,
s,, cautions
autions
utions
tions
ions
ons
nss and
nd
d important
mportant
portant
ortant
rtant
tant
ant
ntt 1
General
eneral
neral
eral
ral
all warnings
arnings
rnings
nings
ings
ngs
gs
s • The Servo-i Ventilator System is verified
against
gainst and complies with IEC C 60601-1-2
• The Servo-i Ventilator System must ust be
operated only by authorized personnel regarding electromagnetic
magnetic compatibility. It
who are well trained in its use. It must be is the responsibility of the user to take
necessary measures to ensure that the
operated according to the instructions in
this User´s manual. clinical environment is compatible
ble with the
limits specified in IEC
C 60601-1-2.
• After unpacking,
g, perform a Routine Exceeding of these limits may impair the
cleaning and a Pre-use
se check. performance and safety of the system.
• To provide adequate patient nt safety, set the Such
uch measures should include, but are not
alarm limits to relevant values. limited to:
• To avoid electrical
ctrical shock hazard, connect – Normal precautions with regard to
the power cord to a mains outlet
utlet equipped relative humidity
midity and conductive
with a protective ground. characteristics of clothing in order to
• Should any unfamiliar events occur,
ccur, such minimizeze the build-up of electrostatic
as irrelevant pop-up windows on the charges.
screen, unfamiliar
miliar sounds, alarms from the – Avoiding the use of radio-emitting
Patient Unit or technical high
gh priority devices,
ces, such as cellular phones and
alarms, the ventilator should immediately high-frequency apparatus
tus in close
be checked and, if applicable, replaced. proximity to the system.
• Only accessories
ories and auxiliary equipment • The Servo-i Ventilator System is not
that meet current IEC standards (e.g. IEC intended to be used in MR environment
60601-1-1)
1-1-1) may be connected to the during MR examinations. This may cause
Servo-i
vo-i Ventilator System. If external deactivation of the system functions and
equipment
quipment such as computers, monitors, may result in permanent damage to the
humidifiers or printers are connected, the Servo-i Ventilator System.
ystem.
total system
ystem must comply with IEC 60601- • The Servo-i Ventilator System is not
1-1. intended
ded to be used with any anesthetic
• The ventilator must only
y be used in an agent. To avoid risk of fire, flammable
upright position. agents such
uch as ether and cyclopropane
• When a Servo Ultra Nebulizer
ulizer is used, must not under any circumstances be
always consult the drug manufacturer used with this device.
regarding the appropriateness of
ultrasonic nebulization
bulization for certain
medication.
• All personnel
sonnel should be aware of the risk
of parts being
g infected when
disassembling and cleaning the ventilator.r.
• Service mode may only be used when no
patient is connected to the ventilator.
• Positive pressure ventilation can be
associated with the following adverse
events: barotrauma,
ma, hypoventilation,
hyperventilation or circulatory impairment.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 9
1 Warnings,
arnings,
rnings,
nings,
ings,
ngs,
gs,
s,, cautions
autions
utions
tions
ions
ons
ns
s and
nd
d important
mportant
portant
ortant
rtant
tant
ant
ntt
• To avoid fire hazard,
zard, keep all sources of • When
hen connected to a patient, the system
ignition awayy from the Servo-i Ventilator must never be left unattended.
System and oxygen
xygen hoses. Do not use • The nebulizer module is inoperative
perative when
oxygen hoses that are worn, frayed, d, or the ventilator is running on batteries, to
contaminated by combustible materials reduce
ce the power consumption.
such as grease or oils. Textiles, oils, and
• The Expiratory
atory cassette must not be lifted
other combustibles are easilyy ignited and
up when the ventilator is in operation. This
burn with great intensity in air enriched
may, however, be done when in Standby
with oxygen.
xygen. Immediately disconnect the
mode.
ventilator from the oxygen supply, facility
power,
wer, and backup sources if there is a • Always
lways use heat and moisture exchanger
ger
smell
mell of burning. (HME) or equipmentt to prevent
dehydration of lung tissue.
General
eneral
neral
eral
ral
all cautions
autions
utions
tions
ions
ons
ns
s • Refer to the Installation instructions to
• As a general rule always avoid
void contact assemble the system or options
ptions to obtain
with external electrical connector pins. It is a proper mechanical assembly.
recommended to have the module ule • When lifting or moving the ventilator
compartment filled up with empty modules s system or parts of the system, follow
to protect from spillage and dust. established ergonomic
gonomic guidelines, ask for
• Federal law
w in the USA restricts this device assistance, and take appropriate safetyy
to sale
ale by or on the order of a physician (or precautions.
a properly licensed practitioner). • Antistatic or electrically conductive
• The Servo-i Ventilator System mustust be breathing tubing should not be used with
serviced at regular intervals by specially this lung ventilator system.
m.
trained personnel. The intervals are stated • Any scavenging system (Gas evac)
in the chapter Regular maintenance. Any connected
onnected must comply to ISO8835-3
8835-3
maintenance must be noted in a log book k with regard to subatmospheric
mospheric pressure
for that purpose in accordance with and induced flow. Otherwise ventilator
national regulations.
gulations. functions and patient safety may be
• MAQUET T has no responsibility for the safe degraded.
operation of the equipment
ment if service or • It is not recommended
commended to use the Servo
repair is done by a non-professional or by Evac 18080 in the Nasal CPAP mode.
ode.
persons who are not employed by or
• Values measured at the signal outputs off
authorized by MAQUET. We recommend mmend
the Servo-i Ventilator System and which
that service is done as part of a service
have been processed in auxiliary y
contract with MAQUET.
equipment must not be used as a
• MAQUET has no responsibility
esponsibility for the safe substitute for therapeutic
herapeutic or diagnostic
operation of the equipment if the decisions. Such decisions can be made
equipment is used d for anything other than only by staff with medical expertise,
pertise,
its intended use, as specified in this User´s according to established and accepted
manual. practice. If auxiliary
xiliary equipment that has
• A resuscitator should always
ways be readily not been delivered by MAQUET T with the
accessible for extra safety. system is used, MAQUET QUET denies all
responsibility
ty for the accuracy of signal
processing.

Servo… User´s manual

US edition
10 Infant Adult Universal Options Order No: 66 00 261
 Warnings,
arnings,
rnings,
nings,
ings,
ngs,
gs,
s,, cautions
autions
utions
tions
ions
ons
nss and
nd
d important
mportant
portant
ortant
rtant
tant
ant
ntt 1
• If there should d be any deviation between Important:
information shown on the User Interface of
• This symbol onn the unit means
the ventilator and that shown by y the
Attention, consult accompanying
auxiliary equipment, the ventilator
documents.
parameters shown wn on the User Interface
shall be considered the primary
mary source for Note: The are two versions of this symbol
ymbol
information. When combining g the Servo-i depending on System version.
Ventilator System with accessories and • The gases supplied must be free from
auxiliary equipment
pment other than those water, oil and particles:
recommended by MAQUET, AQUET, it is the Air ................... H2O < 7 g/m3
responsibility
bility of the user to ensure the ........................ Oil < 0.5 mg/m3
integrity of system performance ce and Oxygen ........... H2O < 20 mg/m3
safety. In order to maintain electrical
• The environmental declaration is part of
system safety, i.e. such that compliance
the service manual.
with IEC 60601-1-1 is fulfilled, only
nly
accessories and auxiliary equipment that hat • The Servo-i Ventilator system does not
meet current IEC standards (e.g. IEC contain any latex.
60601-1, IEC 950) may be connected to • Data on pressures can be given in cmH2O,
signal inputs and outputs of the Servo-i -i where:
Ventilator System. Pa ~ 10 cmH2O
1 kPa
• Only original parts from MAQUET
T must be /cm2 (kp/cm2)
100 kPa = 1bar ~1atm ~1kgf/cm
used in the system. 100 kPa ~15 psi.
• Only accessories,
ccessories, supplies or auxiliary • All disposable parts must be discarded
equipment recommended by MAQUET according to hospital routine and in an
should
ld be used with the ventilator system environmentally safe way.
(“Products and accessories” catalog and • Do not expose the Expiratory cassette
“Spare parts list”).
). Use of any other compartment to excessive amounts of
accessories, spare parts or auxiliary fluid, e.g. during cleaning and disinfection,
equipment
quipment may cause degraded system as this
his may influence ventilator
performance
ormance and safety. functionality.
• The displayed
layed information about set and • Do not use sharp
p tools on the screen.
correspondingg measured parameters, • It is recommended that at least two
shall continously be compared by the batteries always
ys is used in the ventilator for
operator. backup. p.
• It is recommended that at least two
batteries are used for ventilation during
transport.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 11
1 Warnings,
arnings,
rnings,
nings,
ings,
ngs,
gs,
s,, cautions
autions
utions
tions
ions
ons
ns
s and
nd
d important
mportant
portant
ortant
rtant
tant
ant
ntt
• Documentation for Servo-i Ventilator • If any malfunctions are detected during the
System
stem consists of: start-up procedure, please refer to
– User´s manual Chapter, Troubleshooting (page 225).5).
– Brief instructions • If a malfunction persists, the ventilator
– Wall diagram may not be connected to the patient.
– Installation instructions • A Pre-use check must always be done
before connecting the ventilator to a
– Service manual
patient (page 145).
45).
– Products and accessories,, catalog
• To protect the patient against high airway
way
– Spare parts list
pressures, the upper pressure limit must
Context-related
ontext-related
ntext-related
text-related
ext-related
xt-related
t-related
-related
related
elated
lated
ated
ted
ed
d warnings
arnings
rnings
nings
ings
ngs
gs
s always be set to the relevant value so as to
provide
de adequate patient safety (page
Note: General warnings are not listed here
165).
5).
even though they are repeated inside the
manual. H2O
Caution: If airway pressure rises 6 cmH
above the set upper pressure limit the
Note: Context-related Cautions and safety
fety valve opens. The safety valve also
"Important" are not listed here, but are xceeds 117 ± 7
opens if system pressure exceeds
written in the relevant context inside the cmH2O.
manual.
• To provide
rovide adequate patient safety, always
Operation
peration
eration
ration
ation
tion
ion
on
n set the
he alarm limits at relevant values
• Always disconnect the ventilator if any (page 165).).
operation which may involve risk k for the
patient will be done, e.g. replacement
ment of
O2 cell, dismantling etc. (page 211,
page 225).
• If the trigger sensitivityy is set too high, a
self-triggering (auto-triggering) condition
may be reached. This condition can also
be reached if there is leakagekage in the
breathing system, e.g. if an uncuffed d
endotracheal tube is used. Triggering will
then be initiated byy the system and not by
the patient.This should always ways be avoided
by decreasing the trigger sensitivity
(page
page 23). This is also important during
transport as the movement of the body y
and the breathing system may lead to
false triggering.
• When you turn a Direct Access Knob,
ventilation will change accordingly
y from
the next breath without additional
confirmation (For further information see
page 166).

Servo… User´s manual

US edition
12 Infant Adult Universal Options Order No: 66 00 261
 Warnings,
arnings,
rnings,
nings,
ings,
ngs,
gs,
s,, cautions
autions
utions
tions
ions
ons
nss and
nd
d important
mportant
portant
ortant
rtant
tant
ant
ntt 1
Nebulization
ebulization
bulization
ulization
lization
ization
zation
ation
tion
ion
on
n • The nebulizer must not be left unattended
when connected to a patient.
• Servo Humidifier/HME
ME must be
disconnected during nebulization
ation • Continuously check that the buffer liquid
quid
otherwise the humidifier may be blocked
cked level is between MIN. and MAX.
AX. during
(page 128). nebulization (page
page 187).
• The heated
ted humidifier must be switched • During nebulization:
on: Continuously check
off during nebulization.
zation. Otherwise the that moisture is generated
d in the
particle size mayy be affected (page 128). medication cup (page 187).
7).
• During nebulization a filter must be • When the ventilator is running on batteries
connected d to the expiratory inlet of the the nebulizer module is inoperative, to
ventilator. Alwayss carefully monitor the reduce
ce the power consumption
airway pressure during nebulization. (page 187).
87).
Increased airway pressure could be • For information about the stand alone
caused by a clogged filter. The
he filter should Aeroneb Professional Nebulizer System,
be replaced if the expiratory resistance refer to separate manual.
increases or every
very 24 hours when the
nebulizer is being
g used. Cleaning
leaning
eaning
aning
ning
ing
ng
g
• When a Servo Ultra Nebulizer is used, • All personnel should
hould be aware of the risk
always consult
onsult the drug manufacturer of parts being
g infected when
regarding the appropriateness of disassembling and cleaning the ventilatorr
ultrasonic nebulization
bulization for certain (page 191).
medications (pagege 128, 187). • After removing
ng the Expiratory cassette, do
• The nebulizer must not be used without not pour
ur any fluid into the Expiratory
buffer liquid (sterile water).
ater). Otherwise the cassette compartment
mpartment (page 196).
ultrasonic generator crystal may break
(page 129, 187).7). Replacement
eplacement
placement
lacement
acement
cement
ement
ment
ent
ntt off O2 cell
ell
lll
• To avoid explosion hazards, flammable The sealed
led unit of the O2 cell, contains a
agents such as ether and cyclopropane
propane caustic liquid which may cause severe burns
must not be used with this device. ce. Only to the skin
kin and eyes. In case of contact,
immediately flush continuously with water for
agents which comply ply with the at least 15 minutes and seek medical cal
requirements on non-flammable ble agents in attention especially if the eyes are affected
the IEC standard “Particular
ular requirements (page 214)
14)
for electrical safety of anaesthetic
machines” are suitable.
• For adult/pediatric patients, never fill the
medication cup with more than 10 ml
(page 129).
• For neonatal patients, never
ver fill the
medication cup with more than 4 ml
(page 129).
• If the patient
nt unit of the nebulizer is tilted,
the drug can flow into the patient´s lungs
or the ventilator.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 13
1 Notes
otes
tes
ess

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Servo… User´s manual

US edition
14 Infant Adult Universal Options Order No: 66 00 261
 2.. Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n

Contents
ontents
ntents
tents
ents
nts
ts
s

Modes
odes
des
ess off ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n. . . . . . . . . . . . . . . . . . . . . . . 16
6
Important
mportant
portant
ortant
rtant
tant
antntt definitions
efinitions
finitions
initions
nitions
itions
tions
ions
ons
ns
s ...................... 21
1
Trigger
rigger
igger
gger
ger
err sensitivity
ensitivity
nsitivity
sitivity
itivity
tivity
ivity
vity
ity
tyy......................... 23
3
Settings
ettings
ttings
tings
ings
ngs
gss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
5
Special
pecial
ecial
cial
ial
all functions
unctions
nctions
ctions
tions
ions
onsnss......................... 29
9

Controlled
ontrolled
ntrolled
trolled
rolled
olled
lled
led
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - PRVC
RVC
VC
C . . . . . . . . . . . . . . . 322
Controlled
ontrolled
ntrolled
trolled
rolled
olled
lled
led
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Volume
olume
lume
ume
mee Control
ontrol
ntrol
trol
rol
oll . . . . . . . . 355
Controlled
ontrolled
ntrolled
trolled
rolled
olled
lled
led
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Pressure
ressure
essure
ssure
sure
ure
re
e Control
ontrol
ntrol
trol
rol
oll . . . . . . . 38
8

Supported
upported
pported
ported
orted
rted
ted
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Volume
olume
lume
ume
me
e Support
upport
pport
port
ort
rtt . . . . . . . 400
Supported
upported
pported
ported
orted
rted
ted
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ortrtt . . . . . . 43
3

Spontaneous/CPAP
pontaneous/CPAP
ontaneous/CPAP
ntaneous/CPAP
taneous/CPAP
aneous/CPAP
neous/CPAP
eous/CPAP
ous/CPAP
us/CPAP
s/CPAP
/CPAP
CPAP
PAP
AP P....................... 46
6
Automode
utomode
tomode
omode
mode
odedee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
8
SIMV
IMV
MVV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
2
Bi-Vent
i-Vent
-Vent
Vent
ent
ntt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
9

Non
onn Invasive
nvasive
vasive
asive
sive
ive
ve
e Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
onn (NIV)
NIV)
IV)
V)) . . . . . . . . . . . . . . 61
1
NIV
IV
V - Pressure
ressure
essure
ssure
sure
ure
re
e Control
ontrol
ntrol
trol
rol
oll . . . . . . . . . . . . . . . . . . . . . 62
2
NIV
IV
V - Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt . . . . . . . . . . . . . . . . . . . . 63
3
NIV
IV
V - Nasal
asal
sal
all CPAP
PAP
AP
P. . . . . . . . . . . . . . . . . . . . . . . . . 64
4

Open
pen
enn Lung
ung
ngg Tool
ool
oll . . . . . . . . . . . . . . . . . . . . . . . . . . 65
5
Ventilatory
entilatory
ntilatory
tilatory
ilatory
latory
atory
tory
ory
ryy parameters,
arameters,
rameters,
ameters,
meters,
eters,
ters,
ers,
rs,
s,, overview
verview
erview
rview
view
iew
eww . . . . . . . . . . . . . 666

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
15
2 Modes
odes
des
es
s off ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n
Ventilatory
entilatory
ntilatory
tilatory
ilatory
latory
atory
tory
ory
ry
y management
anagement
nagement
agement
gement
ement
ment
ent
ntt Scope
cope
ope
pe
e - ventilatory
entilatory
ntilatory
tilatory
ilatory
latory
atory
tory
ory
ry
y needs
eeds
eds
ds
s
The Servo-i Ventilator
lator System is designed for
safe and effective treatment. It can be set for
continuous adaptation to the patient´s
prevailing condition or for manually
controlled operations. The servo
vo systems for
pressure, flow and timing g operate in all
modes of ventilation (set time in control
modes and patient-related timing in support
modes). ).
Important:
• To show all available installed ventilation
modes, please refer to "Setting ventilation
mode" on page 164 64 in this manual.
• In all pressure controlled
d modes, it is
important to set alarm limits to adequate
levels.
• For information about
bout default values and
parameter settings refer to page 249.
The ventilator can be used for true::
Application
on 1. controlled ventilation
The Servo-i ventilator system
ystem also contains
tools to assist the user in application of lung 2. supported ventilation, or
recruitment methodologies.
dologies. 3. spontaneous breathing/CPAP
4-7. It also allows for combined ventilatory
control or support.
upport. Spontaneous breathing
efforts are sensed during controlled
ventilation, e.g. Volume Control. Mandatory
ventilation can be used during supported/
pported/
spontaneous breathing, e.g. the enhanced
SIMV functionality.
8. The
he Automode functionality continuously
adapts
pts to the patient´s breathing capability.
When required,
quired, all ventilation is provided for
mandatorily. When the patient is able to
initiate a breath, the ventilator supports and
monitors the patient´s breathing capability
andd controls ventilation only if required.

Servo… User´s manual

16 US edition
Infant Adult Universal Options Order No: 66 00 261
 Modes
odes
des
es
s off ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n2
Implementation
mplementation
plementation
lementation
ementation
mentation
entation
ntation
tation
ation
tion
ion
on
n Extrara flow and extra breaths
In flow/volume- oriented d modes of
ventilation, additional on-demand flow can
be triggered during
uring inspiration. Additional
breaths can always
ways be triggered between the
ordinary breaths if the set trigger criteria are
met.
Timing
ming
In controlled ventilation modes, timing is
related to preset values. In supported
ventilation modes, timing is related to patient
triggering and Inspiratory cycle-off
ff setting.

Ventilation can be managed and

administered withh a focus on:
A. pressure and volume
B. pressure
C. flow/volume.
Pressure and d volume in focus
In the
he pressure- and flow- oriented modes, a
constant inspiratory
y Tidal Volume is
maintained. The inspiratory
ratory pressure level is
constant during each breath. (PRVC, Volume
Support.)
Pressure in focus
In the pressure-oriented modes, a constant
preset pressure level
vel is maintained during
inspiration. (Pressure Control, Pressure
Support)
Flow/volume
w/volume in focus
In the flow/volume
w/volume oriented modes a
constant inspiratory
y volume is maintained.
The inspiratory flow is constant during each
breath (Volume
Volume Control).

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
17
2 Modes
odes
des
es
s off ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n
Basic
asic
sic
ic
c functionality
unctionality
nctionality
ctionality
tionality
ionality
onality
nality
ality
lity
ity
ty
y - An
n overview
verview
erview
rview
view
iew
ew
w

Servo… User´s manual

18 US edition
Infant Adult Universal Options Order No: 66 00 261
 Modes
odes
des
es
s off ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n2
1.(PRVC) Pressure
ressure Regulated
Volume Control
Breaths are delivered mandatorily to assure
preset volumes, with a constant inspiratory
pressure continuously adapting to the
patient´s condition. The flow pattern is
decelerating.
2. Volume Control
trol
Breaths are delivered
vered mandatorily with a
constant flow to assure preset volumes.
3. Volume Support
pport
A patient-adapted constant inspiratory
support is supplied when activated by
patient effort. The resulting volume is
continuously monitored and the constant
inspiratory pressure automatically adjusts to
the required
quired level. The patient determines
frequency
cy and duration of the breaths which
show a decelerating g flow pattern.
4. Spontaneous
s breathing (CPAP)
CPAP)
When sufficient inspiratoryy volumes are
achieved, spontaneous breathing without
ventilator support is allowed for in Volume
Support.
5. Pressure Control
ontrol
Breathss are delivered mandatorily at a preset
pressure level, causing a decelerating flow
pattern.
6. Pressure Support
Inspiration is supported by a constant preset
pressure when
hen activated by patient effort.
The patient determines
mines frequency and
duration of the breaths,, which show a
decelerating flow pattern. Inspiratory breath
duration can be influenced by adjusting the
Inspiratory
piratory cycle-off criteria.
7. Spontaneous
s breathing/CPAP
CPAP
True spontaneous breathingg (CPAP) occurs
when the inspiratory pressure level is set to
zero in Pressure Support.
8. Nasal CPAP
Spontaneous breathing on a set pressure
level.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
19
2 Modes
odes
des
es
s off ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n
Combined
ombined
mbined
bined
ined
ned
edd modes
odes
des
es
s - An
n
overview
verview
erview
rview
view
iew
eww
Automode
utomode
The ventilator continuously adapts to the
patient's breathing capability and allows the
patient to better interact with the ventilator.
The ventilator automatically shifts between
controlled ventilation, supported ventilation
and spontaneous ventilation. Each h
controlled ventilation mode has a
corresponding support mode.

Volume Control <----> Volume Support

PRVC
RVC <----> Volume Support
Pressure Control <----> Pressure Support

When the patient is making a breathing

effort,
ort, the ventilator immediately switches to
a support
pport mode of ventilation. If the patient is
not making anyy breathing effort, the
ventilator will return to the controlled
d mode
and deliver controlled breaths.
Synchronized
chronized intermittent
Mandatory ventilation
ilation (SIMV))
The ventilator provides mandatory y breaths
which are synchronized with the patient´s
spontaneousus efforts at a preset rate. The
mandatory breaths can be Volume Control,
Pressure Control or PRVC breaths.
Bi-Vent
Bi-Vent is pressure controlled breathing,g,
giving the patient the opportunity of
unrestricted spontaneous breathing. Two
pressure levels are set together with the
individually
dividually set duration of each level.
Spontaneous
pontaneous efforts can be assisted by
pressure support.

Servo… User´s manual

20 US edition
Infant Adult Universal Options Order No: 66 00 261
 Important
mportant
portant
ortant
rtant
tant
ant
ntt definitions
efinitions
finitions
initions
nitions
itions
tions
ions
ons
nss 2

x z
y
2

3 4
1 5 6
t

V 7

8 11
t
10

V 14

13
15
12 16
I:E t
ServoS-0046_XX

The graphic display of flow, pressureure and Flow-Time

w-Time waveform. Points and
volume is visualized in wave forms. Modes of regions off interest
ventilation directly
ctly affect flow, pressure and
volume patterns. X. Inspiration time
Y. Pause time
Volume
olume
lume
ume
me
e Control
ontrol
ntrol
trol
rol
oll Z: Expiration time
Pressure-Time
ure-Time waveform.
orm. Points 7. Peak inspiratory flow
and regions
egions of interest 8. Zero flow phase
X. Inspiration time 9. Peak expiratory
xpiratory flow
Y. Pause time 10. Slope decelerating
ng expiratory limb
Z. Expiration time
11. End expiratory flow
1. Start of Inspiration
2. Peak inspiratory pressure Volume-Time
me-Time waveform. Points
and regions off interest
3. Early inspiratory pause pressure
X. Inspiration time
4. End
d inspiratory pause pressure Y. Pause
use time
5. Early expiratory pressure Z. Expiration time
6. End expiratory pressure 12. Start of inspiration
13. The slope represents current
urrent delivery of
inspiratory tidal volume
14. End inspiration
15. The slope represents current
urrent patient
delivery of expiratory tidal volume
16. End expiration

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
21
2 Important
mportant
portant
ortant
rtant
tant
ant
ntt definitions
efinitions
finitions
initions
nitions
itions
tions
ions
ons
nss

P X Z
2

1 3
t
4

5 7
t

6
V 9

10
I:E 8 t
ServoS-0047_XX

Pressure
ressure
essure
ssure
sure
ure
re
e Control
ontrol
ntrol
trol
rol
oll Volume-Time
me-Time waveform. Points
and regions off interest
Pressure-Time waveform. Points
nts X. Inspiration time
me
and regions of interest
Z.: Expiration time
X. Inspiration time
8. Start of inspiration
Z. Expiration time
1. Start of Inspiration 9. End inspiration
2. Peak inspiratory pressure 10. End expiration
3. End
d expiratory pressure
Flow-Time waveform.
form. Points and
regions
egions of interest
X. Inspiration time
Z. Expiration time
4. Peak inspiratory y flow
5. End inspiratory flow
6. Peak expiratory flow
7. End
d expiratory flow

Servo… User´s manual

22 US edition
Infant Adult Universal Options Order No: 66 00 261
 Trigger
rigger
igger
gger
ger
err sensitivity
ensitivity
nsitivity
sitivity
itivity
tivity
ivity
vity
ity
tyy 2
Trigger
igger
gger
ger
err functionality
unctionality
nctionality
ctionality
tionality
ionality
onality
nality
ality
lity
ity
ty
y
Trigg. Flow Trigg. Pressure
5 -2

The
he ventilator continuously delivers a gas
SVX-638_EN
flow during expiration,
xpiration, which is measured in
This determines the level of patient effort to the expiratoryy channel.
trigger
gger the ventilator to inspiration. 1. Inspiration.
Trigger sensitivity can be set in flow Bias flow during expiration.
triggering (Trigg. Flow) or pressure triggering
(Trigg. Pressure).
Pressure Normallyy flow triggering is 2. Bias floww Infant 0.5 l/min.
preferable as this enables the patient to Bias flow: Adult
dult 2 l/min.
breath with less effort.
The sensitivity
vity is set as high as possible
without self-triggering.
ng. This ensures that
triggering is patient initiated and avoids auto-
cycling
ycling by the ventilator.
Pressure triggering can be set in the range
20 to 0 cmH2O (in reference to set PEEP
-20 EEP
level, white area on the bar).
When the trigger
gger sensitivity is set above 0
(green and red area on the bar), flow
triggering is set, i.e. the amount of the bias
flow that the patient has to inhale to trigg a
new breath. The sensitivity can be set from
100%
00% of the bias flow (left), to 0% of the bias
flow (right).
ght). For information about the
different colors
lors of the bar refer to page 167.
Important: In NIV it is not possible to set
trigger sensitivity.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
23
3
2 Trigger
rigger
igger
gger
ger
err sensitivity
ensitivity
nsitivity
sitivity
itivity
tivity
ivity
vity
ity
tyy
Weak
k patient effort Stronger
ger patient effort

Trigg. Pressure
Trigg. Flow
5 -2

SVX-142_EN
SVX-141_EN

1. At a Trigger
er sensitivity level above zero 1. At a Trigger sensitivity level below zero
(0), the ventilator senses deviations in (0), the ventilator senses negative
the bias flow caused by inspiratory pressures created by the patient.
efforts of the
he patient. The more to the Required preset negative
gative pressure to
right on the scale, the more sensitive is initiate a breath is shown numerically.
cally.
the trigger function.
unction. The more to the left on the scale, the
2. Weak inspiratory effort. more effort is requiredd to trigger.
3. Very weak inspiratory effort. 2. Stronger patient effort.
For further
urther information see page 167. For further information
mation see page 167.

WARNING!
NING! If the trigger sensitivity
vity is set too WARNING! The trigger sensitivity vity bar has
high, a self triggering (auto-triggering) different colors based on the setting. A green
condition
dition may be reached. This condition bar indicates a normal setting for the flow w
can also be reached if there is leakage
kage in the triggering. The risk of self-triggering
breathing system, e.g. if an uncuffed d increases when the bar is red. d. A white bar
endotracheal tube is used. Triggering will indicates that pressure triggering is required.
quired.
then be initiated by
y the system and not by the
patient.This should always
ways be avoided by
decreasing the trigger sensitivity.

Servo… User´s manual

24 US edition
Infant Adult Universal Options Order No: 66 00 261
 Settings
ettings
ttings
tings
ings
ngs
gss 2
Inspiratory
nspiratory
spiratory
piratory
iratory
ratory
atory
tory
ory
ry
y rise
ise
se
e time
ime
me
e Inspiratory
nspiratory
spiratory
piratory
iratory
ratory
atory
tory
ory
ry
y cycle-off
ycle-off
cle-off
le-off
e-off
-off
off
fff
Insp rise time
P

0
t
SVX-205_XX

100 % Inspiratory Cycle-off is the point at which

inspiration changes
ges to expiration in
spontaneous and supported modes of
ventilation. A decrease of the inspiratory flow
to a preset level
vel causes the ventilator to
switch to expiration. This preset level is
0 measured as a percentage of the maximum
t flow
w during inspiration. The range of
SVX-644_EN Inspiratory cycle-off is 1 - 70%.
Note: In NIV the range is 10-70%.
Time to peak inspiratory
nspiratory flow or pressure at
the start of each breath as a percentage ge of
the respiratory cycle time or in seconds.
Increased rise time will affect the rate of flow/
pressure increase and can be evaluated
valuated by
the shape of the flow and pressure
waveforms.
ms.
Inspiratory rise time (%) is applicable
ble in
Pressure Control, Volume Control, PRVC,
SIMV-Volume Control, SIMV-Pressure
Control, SIMV-PRVC.
RVC. Setting can be in the
range 0-20% of the respiratory cycle time. me.
Inspiratory rise time set in seconds is
applicable in Pressure
ure Support, Volume
Support and Bi-Vent. For adults the range is
0-0.4 seconds and for infants the range is 0-
0.2 seconds.
Note: When the ventilator is configured for
setting of Inspiration
piration time, the unit for
Inspiratory rise time then automatically
switches to seconds ds for all ventilation
modes.
Normally in supported modes thehe Inspiratory
rise time should be increased from the
default setting and so give more comfort to
the patient.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
25
2 Settings
ettings
ttings
tings
ings
ngs
gss
Breath
reath
eath
ath
th
h cycle
ycle
cle
le
e time
ime
me
e Trigger
rigger
igger
gger
ger
err timeout
imeout
meout
eout
out
utt
Trigger Timeout is the maximum allowed
apnea
pnea time in Automode before controlled
ventilation is
s activated. It is applicable in:
Automode:
Volume Control <--->Volume Support
PRVC <--->Volume Support
ssure Control <--->Pressure Support
Pressure
The settings are within the ranges:
• Infant: 3-7 seconds
• Adult: 7-12 seconds
Initially the
he ventilator adapts with a dynamic
Trigger Timeout limit. This means that for the
spontaneously triggering patient the timeout
increases
creases successively during the first ten
breaths.
This is the length of the breath i.e. the total
cycle
ycle time of the mandatory breath in SIMV MV PEEP
EEP
EP
P
(inspiration, pause plus expiration). This
his is
set in seconds within the range:
Infants: 0,5 -15
15 seconds in half second steps.
Adults: 1-15 seconds in one second steps.
PEEP
Note: The soft key Breath cycle time is not
SVX-646_EN
shown
wn when an SIMV mode is selected cted and
inspiration time is configured. Refer to Positive End Expiratory Pressure (PEEP)) can
heading I:E ratio / Inspiration times. be set in the range of 0 - 50 cmHH2O. A
Positive End Expiratory
piratory Pressure is
maintained in the alveoli and may prevent the
collapse of the airways.
Note: In NIVV the range is 2-20 cmH2O.

Servo… User´s manual

26 US edition
Infant Adult Universal Options Order No: 66 00 261
 Settings
ettings
ttings
tings
ings
ngs
gss 2
I:E
:E
E ratio
atio
tio
io
o / Inspiration
nspiration
spiration
piration
iration
ration
ation
tion
ion
on
n time
ime
me
e Volume
olume
lume
ume
me
e setting
etting
tting
ting
ing
ng
g
The setting of breathing parameters in Depending on the ventilator configuration the
Servo-i can be configured
ured in two different inspiratory volume can be set as:
ways, based on: – Minute Volume or,
• I:E ratio (independent
pendent of changes of e.g.
– Tidal
dal Volume
the breathing frequency)
y) or,
Note: The configuration iss done by a service
• Inspiration time in seconds (independent technician with a service card.
of changes
hanges of e.g. the breathing
frequency), to better meet the Controlled
ontrolled
ntrolled
trolled
rolled
olled
lled
led
ed
d / supported
upported
pported
ported
orted
rted
ted
ed
d
requirements for infant care.
pressure
ressure
essure
ssure
sure
ure
re
e level
evel
vel
ell
When the ventilator is configuredgured for setting PCC (Pressure Control level) above PEEP is
of Inspiration time, the unit for Pause time the
he set inspiratory pressure level for each
and Insp. rise time then automatically cally
mandatory breath in Pressure Control and
switches to seconds. The resulting I:E :E ratio SIMV
MV (PC) + PS, and also for Apnea back-up
for each setting is shown in the upper right in Pressure Support.
information
mation area of the ventilation mode
window. PS (Pressure Support level) above PEEP is
the
he set inspiratory pressure support level for
As the inspiration time is explicitly
xplicitly set, a
triggered breaths in Pressure Support, SIMV V
change of for example the Respiratory Rate modes and Bi-Vent.
will affect the I:E ratio. As a safety precaution,
it will therefore be indicated when the
resulting I:E ratio passes 1:1 in either O2 concentration
oncentration
ncentration
centration
entration
ntration
tration
ration
ation
tion
ion
on
n
direction. The setting range for the gas mixer is 21% O2
Note: The soft key y Breath cycle time is not to 100% O2. The alarm limits are
shown when an SIMV MV mode is selected, automatically
utomatically set at approximately 6% O2
since there is no need to set Breath cycle ycle above or below the set concentration value.
There is also an absolute minimum alarm
time when Inspiration time is directly set. limit of 18% O2 whichch is independent of
Note: The configuration is done by
y a service operating settings.
technician with a service card. Respiratory
espiratory
spiratory
piratory
iratory
ratory
atory
tory
ory
ry
y rate
ate
te
e / SIMV
IMV
MV
V
frequency
requency
equency
quency
uency
ency
ncy
cy
y
Respiratory rate is the number
umber of controlled
mandatory breaths per minuteinute in controlled
modes excluding SIMV. V. The respiratory rate
is also used for calculationn of tidal volume if
the ventilator is configured for Minute volume
setting. SIMV rate is the
he number of controlled
mandatory breaths in SIMV modes.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
27
2 Settings
ettings
ttings
tings
ings
ngs
gss
Previous
revious
evious
vious
ious
ous
us
s ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n mode
ode
de
e

1. Time when previous mode was

inactivated.
2. Press the pad Show previous mode to
recall the previous accepted ventilation
mode.

3. Activate the previous used ventilation

ntilation
mode settings by pressing the Accept
pad.
Note:
• The previous ventilation mode function is
not available
ble after a Pre-use check,
changing of patient category, admitting a
new patient, use off the same ventilation
mode for more than 24 hours or after start-
up
p (cold start) of the system.
• In
n backup ventilation, the ventilator shows
the settings
gs for the supported mode when
previous mode is activated.
ctivated.
• A recall of previous settings is onlyy
possible after a change of ventilation
mode.

Servo… User´s manual

28 US edition
Infant Adult Universal Options Order No: 66 00 261
 Special
pecial
ecial
cial
ial
all functions
unctions
nctions
ctions
tions
ions
ons
ns
s2
Fixed
ixed
xed
ed
d keys
eys
ys
s Start breath

The ventilator will initiate a new breath cycle

according to the current ventilator settings.

1. Start breath
2. O2 breaths
s
3. Expiratory hold
4. Inspiratory hold
can all be chosen by manually pressing the
respective
ve fixed key.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
29
2 Special
pecial
ecial
cial
ial
all functions
unctions
nctions
ctions
tions
ions
ons
nss
O2 breaths Expiratory
xpiratory hold

This function allows 100% % oxygen to be Expiratory

xpiratory and inspiratory valves are closed
given for 1 minute. After this time the oxygen after the expiration phase is completed,, for
concentration will return to the pre-set value. as long as the fixed key is depressed, up to a
The oxygen
gen breaths can be interrupted by maximum of 30 seconds. Expiratory hold
repressing the O2 breaths fixed key during provides an exact measurement of the end
the 1 minute interval. expiratory pause pressure. It can be used for
static compliance measuring and to
determine the
he total PEEP. The dynamic
pressure is shown on the PEEP numerical
value.

Servo… User´s manual

30 US edition
Infant Adult Universal Options Order No: 66 00 261
 Special
pecial
ecial
cial
ial
all functions
unctions
nctions
ctions
tions
ions
ons
ns
s2
Inspiratory
nspiratory hold
d Back-up
ack-up
ck-up
k-up
-up
up
p ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n

Pressure support/
CPAP Pressure control

Apnea

Volume support Volume control

SVX-647_EN

Back-up ventilation is available

ble in all support
modes (not applicable in Automode and NIV
Pressure Support mode).
The Back-up function switches Volume
Support to Volume Control, Pressure
Support and d CPAP to Pressure Control.
During Back-up ventilation default settings
Inspiratory hold is activated by manually are used for I:E ratio, Respiratory Rate, and
pressing the fixedd key. The maximum time is Inspiratory rise time. Apnea alarm can be set
30 seconds.
conds. The inspiratory and expiratory in infant mode (5-45
5-45 seconds) and in adult
valves close after
fter inspiration. This function mode (15-45 seconds). The Back-up
can provide an exact measurement of the pressure level is adjustable,
ble, minimum
end inspiratory lung pressure. It can be used settable value is 5 cmH2O.
during x-ray or to determine Plateau Note: Back-up
k-up not applicable in NIV Nasal
pressure, or static compliance calculation.
CPAP.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
31
2 Controlled
ontrolled
ntrolled
trolled
rolled
olled
lled
led
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - PRVC
RVC
VC
C
Functional
unctional
nctional
ctional
tional
ional
onal
nal
all description
escription
scription
cription
ription
iption
ption
tion
ion
on
n PRVC
RVC
VC
C
The Pressure Regulated
ated Volume Control
(PRVC)) mode is a controlled breathing mode.

Servo-i
vo-i Ventilator can be configured to set The ventilator delivers a pre-set Tidal
Tidal Volume or Minute Volume. The Volume. Thehe pressure is automatically
following
wing parameters are set: regulated to deliver the pre-set volume but
1. Tidal Volume
olume (ml) or Minute Volume (l/ limited to 5 cmH2O below the set upper
pressure limit.
min)
The flow during inspiration
ation is decelerating.
2. Respiratory
spiratory Rate (b/min) The patient can trigger extra breaths.
3. PEEP (cmH2O)
4. Oxygen
en concentration (%)
5. I:E ratio / Insp. time
me
6. Inspiratory rise time (%/s))
7. Trigg. Flow / Trigg. Pressure

Servo… User´s manual

32 US edition
Infant Adult Universal Options Order No: 66 00 261
 Controlled
ontrolled
ntrolled
trolled
rolled
olled
lled
led
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - PRVC
RVC
VC
C2
PRVC
RVC
VC
C in
n detail
etail
tail
ail
ill

1 2 3

SVX-9006_XX

1. PRVC assures a set target minute

nute
ventilation to the patient. The target
volume is based d upon settings for Tidal
Volume, frequency
quency and inspiration time.
2. The inspiratory pressure level is constant
during
g each breath, but automatically
adaptss in small increments breath-by-
breath to match the patient´s lung
mechanical properties for target volume
delivery.
3. Inspiration
piration starts according to a preset
frequency or when the patient triggers.
Expiration starts::
a. After the termination of preset
inspiration time
b. If the upper pressure limit is
exceeded.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
33
2 Controlled
ontrolled
ntrolled
trolled
rolled
olled
lled
led
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - PRVC
RVC
VC
C

SVX-697_EN

The first breath of a start sequence is a

volume-controlled
-controlled test breath with Pause
time set to 10%. The measured pause
pressure off this breath is then used as the
pressure level for the followingg breath. An
alarm is activated if the pressure level
required to achieve the set target volume
cannot
nnot be delivered due to a lower setting of
pper pressure limit (- 5 cmH2O).
the upper

Servo… User´s manual

34 US edition
Infant Adult Universal Options Order No: 66 00 261
 Controlled
ontrolled
ntrolled
trolled
rolled
olled
lled
led
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Volume
olume
lume
ume
me
e Control
ontrol
ntrol
trol
rol
oll 2
Functional
unctional
nctional
ctional
tional
ional
onal
nal
all description
escription
scription
cription
ription
iption
ption
tion
ion
on
n
Volume
olume
lume
ume
me e Control
ontrol
ntrol
trol
rol
oll

Volume Controlled ventilation ensures that The airway pressure is dependent on the
the patient receives a certain pre-set Minute/ tidal volume, inspiration time and the
Tidal Volume. resistance and compliance of the respiratory
Servo-i Ventilator can be configuredd to set system. The set tidal volume will always be
Tidal Volume or Minute Volume. The delivered.
red. An increase in the resistance and
following parameters are set: decrease in compliance will lead to an
increased airwayy pressure. To protect the
1. Tidal Volume (ml) or the Minute Volume patient's lungs from m excessive pressure, it is
(l/min) very important to set the upper pressure limit
2. Respiratory Rate (b/min) to a suitable
ble value.
It is possible for the patient to trigger extra
3. PEEP (cmH2O) breaths if theyy can overcome the pre-set
trigger sensitivity. It is also possible for the
4. Oxygen
en concentration (%) patient, by their own inspiratory efforts, to
receive a higher
gher inspiratory flow and Tidal
5. I:E ratio / Insp. time
me Volume during an inspiration than pre-set.
The flow during inspiration is constant. The
6. Pause time (%/s) patient can trigger extra breaths.
7. Inspiratory
piratory rise time (%/s)
8. Trigg. Flow / Trigg. Pressure

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
35
2 Controlled
ontrolled
ntrolled
trolled
rolled
olled
lled
led
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Volume
olume
lume
ume
me
e Control
ontrol
ntrol
trol
rol
oll
Volume Controlled ventilation has, s, by
tradition, delivered each breath with a
constant flow and constant inspiratory
piratory and
expiratory times, according to the settings.
The Servo-i gives the possibility to the
patient
nt to modify both flow rate and timing.
So, if a pressure drop of 3 cmH2O is detected
during inspiration, the ventilator cycles
ycles to
Pressure Support with a resulting g increase in
inspiratory flow. When
hen the flow decreases to
the calculated target level this flow will be
maintained until the set Tidal Volume is
delivered.

SVX-652_EN

The waveform illustrations above show some

practical consequences
quences of this enhanced
functionality.
• the top waveform shows the trace for a
normal Volume Controlled breath
• the second waveform m shows a situation
when inspiration is prematurely interrupted
as the set tidal volume has been delivered
• the third waveform shows a situation
where the patient maintains a flow rate
higher than the calculatedd target value.
The set Tidal Volume has been delivered
when calculated target flow is reached and
the inspiration
piration is prematurely interrupted
• the bottom waveform, shows a situation
where the increased flow rate is
maintained into the expiratory
piratory period. The
patient will receive a higher
gher tidal volume
than set due to a higher flow/volume
demand than calculated.

Servo… User´s manual

36
6 US edition
Infant Adult Universal Options Order No: 66 00 261
 Controlled
ontrolled
ntrolled
trolled
rolled
olled
lled
led
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Volume
olume
lume
ume
me
e Control
ontrol
ntrol
trol
rol
oll 2
Volume
olume
lume
ume
me
e Control
ontrol
ntrol
trol
rol
oll in
n detail
etail
tail
ail
ill

1 2 3 4

SVX-9002_XX

1. Volume Control assures

ssures a preset tidal
volume with constant flow during ga
preset inspiratory time at a preset
frequency.
2. The inspiratory flow is constant and
d
depends on User Interface setting.
3. Inspiration starts according to the preset
frequency
quency or when the patient triggers.
4. If the patient makes an inspiratory effort
during
uring the inspiratory period, the
ventilator will switch
ch to Pressure Support
to satisfy the patient´s flow
w demand.
Expiration starts:
a. When the preset tidal volume
ume is
delivered and after the preset pause
time.
b. When the flow returns to the set value
after the preset tidal volume
me is
delivered and after the preset pause
time (on-demand support). The
patient is however always guaranteed d
an expiration time corresponding to at
least 20%% of the total breath.
c. If the upper pressure limit is
exceeded.
xceeded.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
37
2 Controlled
ontrolled
ntrolled
trolled
rolled
olled
lled
led
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Pressure
ressure
essure
ssure
sure
ure
re
e Control
ontrol
ntrol
trol
rol
oll
Functional
unctional
nctional
ctional
tional
ional
onal
nal
all description
escription
scription
cription
ription
iption
ption
tion
ion
on
n
Pressure
ressure
essure
ssure
sure
ure
re
e Control
ontrol
ntrol
trol
rol
oll
The Pressure Controlled
ntrolled mode is a controlled
breathing mode.

The following
wing parameters are set: The delivered volume is dependent upon the
1. PC (Pressure Control
ontrol level) above PEEP pressure above PEEP,EEP, lung compliance and
resistance in the
he patient tube system and
(cmH2O) airways. This means that the Tidal Volume
2. Respiratory Rate (b/min)
min) can vary.
y. Pressure Controlled mode is
preferred when there is leakage in the
3. PEEP (cmH2O) breathing system e.g. due ue to uncuffed
endotracheal tube or in situations when the
4. Oxygen
gen concentration (%) maximum airway y pressure must be
controlled. The flow during inspiration is
5. I:E ratio / Insp.
p. time decelerating. The
he patient can trigger extra
breaths. If the patient tries to exhale during
uring
6. Inspiratory rise time (%/s)) the inspiration, the expiratory valve will allow
7. Trigg. Flow / Trigg. Pressure exhalation as long as the pressure is more
than 3 cmH2O above the set pressure level.
As the delivered tidal volume can varyy it is
very important to set alarm limits for Minute
Volume to adequate
dequate levels.

Servo… User´s manual

38 US edition
Infant Adult Universal Options Order No: 66 00 261
 Controlled
ontrolled
ntrolled
trolled
rolled
olled
lled
led
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Pressure
ressure
essure
ssure
sure
ure
re
e Control
ontrol
ntrol
trol
rol
oll 2
Pressure
ressure
essure
ssure
sure
ure
re
e Control
ontrol
ntrol
trol
rol
oll in
n detail
etail
tail
ail
ill

1 2 3

SVX-9003_XX

1. Pressure Control
ntrol assures that the preset Active expiratory
y valve
inspiratory pressure level is maintained
constantly duringg the entire inspiration.
Breaths are delivered according to the
preset frequency,
quency, inspiration time and
inspiratory pressure level resulting
g in a
decelerating flow. t
SVX-9008_XX
2. The preset
set pressure level is controlled by
the ventilator. The resulting volume If a patient tries to exhale during the
depends on the set pressure level, inspiration, pressure increases. When it
inspiration time and the patient´s lung increases 3 cmH2O above bove the set inspiratory
pressure level, the expiratory valve opens
mechanical
chanical properties during each and regulates
gulates the pressure down to the set
breath with a decelerating flow. inspiratory pressure level.
3. Inspiration starts according to the preset
Upper pressure
frequency
quency or when the patient triggers. Limit

Expiration starts:
a. After the termination of preset
inspiration time. t
SVX-9009_EN
b. If the upper pressure limit is
exceeded.
ceeded. Iff the pressure increases to the set upper
pressure limit e.g. the patient is coughing,
the expiratoryy valve opens and the ventilator
switches to expiration.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
39
2 Supported
upported
pported
ported
orted
rted
ted
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Volume
olume
lume
ume
me
e Support
upport
pport
port
ort
rtt
Functional
unctional
nctional
ctional
tional
ional
onal
nal
all description
escription
scription
cription
ription
iption
ption
tion
ion
on
n
Volume
olume
lume
ume
me e Support
upport
pport
port
ort
rtt
The Volume Support mode de is a patient
initiated breathing mode, where the patient
will be given
ven support in proportion to their
inspiratory effort and the target Tidall Volume.

The following parameters

ters are set: If the patient’s activity increases the
1. Tidal Volume (ml) inspiratory pressure
ure support will decrease
provided the set Tidal Volume me is maintained.
2. PEEP (cmH2O) If the patient breathes below the set Tidal
Volume the inspiratory y pressure support will
3. Oxygen
n concentration (%) increase.
4. Inspiratory rise time
me (s)
5. Trigg. Flow / Trigg. Pressure
ure
6. Inspiratory Cycle-off (%)
%)

Servo… User´s manual

40 US edition
Infant Adult Universal Options Order No: 66 00 261
 Supported
upported
pported
ported
orted
rted
ted
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Volume
olume
lume
ume
me
e Support
upport
pport
port
ort
rtt 2

SVX-657_EN

The
he start breath is given with 10 cmH H2O In this
his mode it is also important to set the
support. From that breath the ventilator apnea time appropriate to the individual
calculates and continuously regulates the patient situation. If this time is reached then
pressure needed to deliver the pre-set Tidal the ventilator will automatically switch to
Volume. Back-up mode e providing controlled
During the remaining 3 breaths of the start up ventilation. In all spontaneous modes it is
sequence the maximum
ximum pressure increase is important to set the Minute Volume alarm.
20 cmH2O for or each breath. After the start up
sequence the pressure increases or
decreases in steps of maximum 3 cmH2O.
If the delivered Tidal Volume decreases
creases
below the set Tidal Volumeme the pressure
support level is increased in steps of
maximum 3 cmH2O until preset Tidal al Volume
is delivered. If the pressure support level
causes a larger
ger Tidal Volume than preset,
set, the
support pressure is lowered in steps of
maximum 3 cmH2O until the preset Tidal dal
Volume is delivered.
The maximum time for inspiration
nspiration is:
• Infant 1.5 seconds
• Adult 2.5 seconds
An alarm is activated if the
he pressure level
required to achieve the set target volume
cannot
nnot be delivered due to a lower setting of
pper pressure limit (- 5 cmH2O).
the upper

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
41
2 Supported
upported
pported
ported
orted
rted
ted
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Volume
olume
lume
ume
me
e Support
upport
pport
port
ort
rtt
Volume
olume
lume
ume
me
e Support
upport
pport
port
ort
rtt in
n detail
etail
tail
ail
ill
1 2 3

SVX-9005_XX

1. Volume Support
pport assures a set target
Tidal Volume upon patient effort by an
adapted inspiratory pressure support.
2. The inspiratory pressure level
vel is constant
during each breath, but alters in small
increments, breath-by-breath,
y-breath, to match
the patient´s breathing ability and
d lung
mechanical properties.
3. Inspiration with Volume Support starts:
When the patient triggers.
Expiration
on starts:
a. When the inspiratory flow decreases
below a preset fraction of the
inspiratory peak
k flow ((Inspiratory
ory
cycle-off)
b. If the upper pressure limit is
exceeded.
xceeded.
c. Maximum time for inspiration is
exceeded.

Servo… User´s manual

42 US edition
Infant Adult Universal Options Order No: 66 00 261
 Supported
upported
pported
ported
orted
rted
ted
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt 2
Functional
unctional
nctional
ctional
tional
ional
onal
nal
all description
escription
scription
cription
ription
iption
ption
tion
ion
on
n
Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt
Pressure Support is a patient initiated
breathing mode in which the ventilator
supports
upports the patient with a set constant
pressure.

The following parameters

meters are set: During Pressure Supported
pported ventilation the
1. PS (Pressure Support level) above
bove PEEP patient regulates the respiratory rate and the
Tidal Volume with support from the
(cmH2O) ventilator. The higher the pre-set inspiratory
2. PEEP (cmH2O) pressure level from m the ventilator the more
gas flows into the patient. As the patient
3. Oxygen concentration (%)) becomes more active the pressure support
level may be gradually
dually reduced. It is
4. Inspiratory rise time (s) important to set the Inspiratory rise time to a
comfortableble value for the patient. In Pressure
5. Trigg.
gg. Flow / Trigg. Pressure Support the Inspiratoryy rise time should
normally be increased.
6. Inspiratory
atory Cycle-off (%)
It is also very important
portant to set lower and
7. PC (pressure
pressure control level) above PEEP upper alarm limit for expired Minute Volume.
mH2O).
(cmH

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
43
2 Supported
upported
pported
ported
orted
rted
ted
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt

SVX-661_XX

Inspiratory Cycle-off
cle-off is important for the
patient’s comfort and ventilator
synchronization
zation with the patient. Inspiratory
Cycle-off is the point when inspiration
switches to expiration.
xpiration. E.g. for a patient with
expiratory resistancece the inspiratory Cycle-
off should be set to a high value to guarantee
enough time for expiration.
Note: It is important to monitor the
corresponding Tidal Volume levels.
Inspiration: when the patient triggers
ggers a
breath, gas flows into the lungs at a constant
pressure. Since the pressure provided by the
ventilator
ator is constant, the flow will decrease
until the Inspiratory Cycle-off is reached.

Expiration
n starts when:
– The inspiratory flow decreases to the
pre-set Inspiratory Cycle-off level.
– If the upper pressure limit
mit is exceeded.
– If the flow drops to a flow range
ge between
25% of the peak k flow and lower limit for
Inspiratory Cycle-off fraction level and
the spent time
me within this range exceeds
50% % of the time spent in between the
start of the inspiration and
d entering this
range.
The maximum time for inspiration
piration is:
• Infant 1.5 seconds
• Adult 2.5 seconds

Servo… User´s manual

44 US edition
Infant Adult Universal Options Order No: 66 00 261
 Supported
upported
pported
ported
orted
rted
ted
ed
d ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n - Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt 2
Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt in
n detail
etail
tail
ail
ill
1 2 3

SVX-9004_XX

1. Pressure Supportt assures that a preset

inspiratory pressure level is constantly
maintained upon patient effort.
2. The preset pressure level is controlled by
y
the ventilator, while the patient
determines frequency
quency and inspiration
time.
3. Inspiration starts when the patient
triggers.
Expiration starts:
a. When the inspiratory flow decreases
below a preset fraction of the
inspiratory peak
k flow ((Inspiratory
cycle-off)
b. If the upper pressure limit is
exceeded.
xceeded.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
45
2 Spontaneous/CPAP
pontaneous/CPAP
ontaneous/CPAP
ntaneous/CPAP
taneous/CPAP
aneous/CPAP
neous/CPAP
eous/CPAP
ous/CPAP
us/CPAP
s/CPAP
/CPAP
CPAP
PAP
AP
P
Functional
unctional
nctional
ctional
tional
ional
onal
nal
all description
escription
scription
cription
ription
iption
ption
tion
ion
on
n
Spontaneous
pontaneous
ontaneous
ntaneous
taneous
aneous
neous
eous
ousus
s breathing/CPAP
reathing/CPAP
eathing/CPAP
athing/CPAP
thing/CPAP
hing/CPAP
ing/CPAP
ng/CPAP
g/CPAP
/CPAP
CPAP
PAP
AP
P
The mode Continuouss Positive Airway
Pressure is used when the patient is
breathing spontaneously.

The following
wing parameters are set: A continuous positive pressure is maintained
1. PS (Pressure Support
ort level) above PEEP in the airways.
ways. Properly set this may prevent
collapse off airways. Inspiration starts upon
(cmH2O) patient effort. Expiration starts as for
2. PEEP (cmH2O) Pressure Support above. Always set the he
Apnea time appropriate to the individual
3. Oxygen
en concentration (%) patient situation. If the apnea alarm limit is
reached
ched the ventilator will automatically
4. Inspiratory rise time
me (s) switch back to a Back-up mode.
The alarmrm should alert staff to take action,
5. Trigg. Flow / Trigg. Pressure
ure either to go back to supported mode or
6. Inspiratory Cycle-off (%)
%) change ge to a controlled mode of ventilation.
It is also very important to set lower
wer and
7. PC (pressure control level)
vel) above PEEP upper alarm limit for expired Minute Volume
(cmH2O). The maximum time for inspiration is:
• Infant 1.5 seconds
• Adult 2.5 seconds.

Servo… User´s manual

46 US edition
Infant Adult Universal Options Order No: 66 00 261
 Spontaneous/CPAP
pontaneous/CPAP
ontaneous/CPAP
ntaneous/CPAP
taneous/CPAP
aneous/CPAP
neous/CPAP
eous/CPAP
ous/CPAP
us/CPAP
s/CPAP
/CPAP
CPAP
PAP
AP
P2
Spontaneous
pontaneous
ontaneous
ntaneous
taneous
aneous
neous
eous
ous
us
s breathing/CPAP
reathing/CPAP
eathing/CPAP
athing/CPAP
thing/CPAP
hing/CPAP
ing/CPAP
ng/CPAP
g/CPAP
/CPAP
CPAP
PAP
AP
P
in
n detail
etail
tail
ail
ill
– True spontaneous breathing willll occur:
a. In Volume Support when the target
get
volume is maintained without support
(automatically regulated by the
ventilator)
ntilator)
b. In Pressure Support when
hen the
inspiratory pressure level is set to zero
c. In Automode
mode when either of the above
defined conditions is met.
– Inspiration
piration starts upon patient effort.
Expiration starts:
a. When the inspiratory flow decreases
below a preset fraction of the
inspiratory peak
k flow ((Inspiratory
cycle-off)
b. If the upper pressure limit is
exceeded.
xceeded.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
47
7
2 Automode
utomode
tomode
omode
mode
ode
de
e
Automode
utomode
tomode
omode
mode
ode
de
e
Functional
unctional
nctional
ctional
tional
ional
onal
nal
all description
escription
scription
cription
ription
iption
ption
tion
ion
on
n

SVX-602_EN

Automode is a ventilatorr functionality where

the ventilator adapts to the patient's varying
g
breathing capacity and automatically shifts
between a control mode and a support
pport mode
using a fixed combination of ventilation
modes. There are three different
combinations, depending
pending on the modes
installed:
• Volume Control
Control<----> Volume Support
• PRVC <----> Volume Supportt
• Pressure Control <----> Pressure Support.
Note: Automode
mode is not possible in NIV.

Servo… User´s manual

48 US edition
Infant Adult Universal Options Order No: 66 00 261
 Automode
utomode
tomode
omode
mode
ode
de
e2
Volume Control<->Volume
<->Volume Support
pport Pressure Control<->Pressure
l<->Pressure
Support
ort

The ventilator uses the plateau pressure in In this combination

ombination of Automode - Pressure
the Volume Controlled breath as a reference Control and Pressure Support - the Direct
pressure for the first Volume Supported Access Knob will regulate
ate the PC above
breath. PEEP (Pressure Control level).
PRVC <-> Volume Support
pport

The first supported breath delivered to the

patient has the same pressure level as the
preceding g PRVC breath.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
49
2 Automode
utomode
tomode
omode
mode
ode
de
e
Automode
utomode
tomode
omode
mode
ode
de
e in
n detail
etail
tail
ail
ill
1. The ventilator starts in control mode
de and
operates according to the Volume
Control, PRVC or Pressure Control
mode. If the
he patient triggers a breath, the
ventilator will turn to support mode,
de, to
encourage the patient's respiratory
drive.
2. If the patient is breathing adequately: y:
a. In Volume Support the ventilator
adjusts
djusts the inspiratory pressure level
breath-by-breath to assure the preset
target
get volume.
b. In Pressure Support the he ventilator
assures that the preset inspiratory
pressure level is maintained
constantly during g the entire
inspiration.
3. Exceeding the default ult or manually set
trigger timeout limit without a sufficient
patient effort will cause:
a. In Volume Support; a PRVC or Volume
controlled breath will be delivered
according to the selected automode mode
functionality.
b. In Pressure Support; a Pressure
controlled breath will be delivered.
4. The ventilator initially adapts
pts with a
dynamic trigger timeout ut limit. This means
that for the spontaneously triggering
patient, the trigger timeout limit increases
creases
successively until the set trigger timeout
limit is reached.

Servo… User´s manual

50 US edition
Infant Adult Universal Options Order No: 66 00 261
 Automode
utomode
tomode
omode
mode
ode
de
e2
PRVC
RVC
VC
C - Volume
olume
lume
ume
me
e Support
upport
pport
port
ort
rtt
1 2a 3a 4

SVX-165_EN

Volume
olume
lume
ume
me
e Control
ontrol
ntrol
trol
rol
oll - Volume
olume
lume
ume
me
e Support
upport
pport
port
ort
rtt
1 2a 3a 4

SVX-222_EN

Pressure
ressure
essure
ssure
sure
ure
re
e Control
ontrol
ntrol
trol
rol
oll - Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt

1 2b 3b 4

SVX-167_EN

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
51
2 SIMV
IMV
MV
V
Functional
unctional
nctional
ctional
tional
ional
onal
nal
all description
escription
scription
cription
ription
iption
ption
tion
ion
on
n SIMV
IMV
MV
V
SIMV is a combination
tion mode where the The Breath cycle time is the length of the
patient receives mandatory breaths mandatory
datory breath in seconds.
synchronized with his breathing efforts and For example:
ple: A SIMV rate of 6, a breath
h cycle
according to the selected
lected SIMV mode. The time of 3 seconds with an I:EE ratio of 1:2
patient
atient can breath spontaneously with means that the inspiration will take
ke 1 second
Pressure Support in between the mandatoryy and the expiration 2 seconds.
breaths.
SIMV Cycle
There are three different SIMVV modes,
depending on the modes installed: 10 sec
• SIMV
IMV (PRVC) + Pressure Support
pport
• SIMV (Volume Control)) + Pressure Support 3 7 3
SIMV Period Spon. Period SIMV Period
• SIMV (Pressure Control) + Pressure SVX-9010_EN

Support
During the SIMV period, d, the first triggered
The mandatory
y breath breath will be a mandatory breath. If the
patient has not triggered a breath within the
first 90%
0% of the Breath Cycle time me a
SIMV mandatory breath will be delivered.
SIMV SIMV
(PRVC)+P
(VC)+ PS (PC) + PS
S Note: If the ventilator is configured for setting
of Inspiration time, an I:E ratio of 1:2 will be
PC above X
PEEP used to estimate the Breath
reath cycle time.

Tidal volume / X X The spontaneous/pressure supported d

Minute volume breaths are defined by setting the Pressure
support
ort level above PEEP.
SIMV rate X1 X1

Breath cycle X2 X2 X2
time

I:E ratio / X X X
Inspiration
spiration
time

Insp. rise time X X X

Pause time X2

1
Only y when the ventilator is configured for
Minute volume setting.
2
Only when
hen the ventilator is configured for
I:E ratio setting.
The Mandatory breath is defined by the basic
settings
gs (as shown in the table above):
Minute Volume/Tidal Volume (depending on
configuration),
figuration), PC above PEEP, I:E ratio//
Inspiration time (depending on
configuration), ), Pause time, Inspiratory rise
time and Breath h cycle time.
Note: In the Minute Volume configurationation the
Tidal Volume is determined byy Minute
Volume divided by SIMV rate.
Servo… User´s manual
52 US edition
Infant Adult Universal Options Order No: 66 00 261
 SIMV
IMV
MV
V2
SIMV
IMV
MV
V (PRVC)
PRVC)
RVC)
VC)
C)) + Pressure
ressure
essure
ssure
sure
ure
re
e
Support
upport
pport
port
ort
rtt

The following
wing parameters are set:
1. Tidal Volume
olume (ml)/Minute Volume (l/min)
2. SIMV rate
ate (b/min)
3. PEEP (cmH2O)
4. Oxygen concentration (%)
%)
5. I:E ratio / Insp. time
6. Inspiratory rise time (%/s))
7. Breath cycle time (s)
Note: The soft
ft key Breath cycle time is
not shown when an SIMV mode is
selected and inspiration
ration time is
configured. Refer to page 27.
8. Trigg. Flow / Trigg. Pressure
9. Inspiratory Cycle-off (%)
%)
10. PS (Pressure Support level) above PEEP
(cmH2O)

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
53
2 SIMV
IMV
MV
V
SIMV
IMV
MV
V (PRVC)
PRVC)
RVC)
VC)
C)) + Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt
P
SIMV SIMV
3 Breath cycle Spont. period Breath cycle 2
time 4 time

time
V 1 90%

time

SVX-9027_EN

SIMV
IMV
MV
V - in
n detail
etail
tail
ail
ill
1. This combined control and pressure
support/spontaneous function allows for
preset mandatoryy breaths synchronized
with the patient's breathing.
g.
2. If there is no trigger attempt within a time
window equalqual to 90% of the set Breath
cycle
ycle time, a mandatory breath is
delivered. (The
The Breath cycle time is the
total time for one mandatory breath.)
3. The mandatory breath is defined
fined by the
basic settings (mode of ventilation,
breath cycle time, respiratory pattern
and volumes/pressures).
umes/pressures).
4. The spontaneous/pressure supported d
breaths are defined by the setting for
Pressure Support.

Servo… User´s manual

54
4 US edition
Infant Adult Universal Options Order No: 66 00 261
 SIMV
IMV
MV
V2
SIMV
IMV
MV
V (Volume
Volume
olume
lume
ume
me
e Control)
ontrol)
ntrol)
trol)
rol)
ol)
l)) +
Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt

The following parameters

arameters are set:
1. Tidal Volume (ml)/Minute
Minute Volume (l/min)
2. SIMV rate
ate (b/min)
3. PEEP (cmH2O)
4. Oxygen concentration (%)
%)
5. I:E ratio / Insp. time
6. Pause time (%/s)
7. Inspiratory
piratory rise time (%/s)
8. Breath cycle time (s)
Note: The soft key Breath cycle time is
not shown when an SIMV mode is
selected and inspiration
ration time is
configured. Refer to page 27.
9. Trigg. Flow / Trigg. Pressure
10. Inspiratory Cycle-off (%)
%)
11. PS (Pressure support) above
ve PEEP
(cmH2O)

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
55
2 SIMV
IMV
MV
V
SIMV
IMV
MV
V (Volume
Volume
olume
lume
ume
me
e Control)
ontrol)
ntrol)
trol)
rol)
ol)
l)) + Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt
P
SIMV SIMV
Breath cycle time Spont. period Breath cycle time
3 4
2

time
V 1 90%

time

SVX-9011_EN

SIMV
IMV
MV
V - in
n detail
etail
tail
ail
ill
1. This combined control and pressure
support/spontaneous
/spontaneous function allows for
preset mandatoryy breaths synchronized
with the patient's breathing.
g.
2. If there is no trigger attempt within a time
window equalqual to 90% of the set Breath
cycle
ycle time, a mandatory breath is
delivered. (The
The Breath cycle time is the
total time for one mandatory breath.)
3. The mandatory breath is defined
fined by the
basic settings (mode of ventilation,
breath cycle time, respiratory pattern
and volumes/pressures).
umes/pressures).
4. The spontaneous/pressure supported d
breaths are defined by the setting for
Pressure Support.

Servo… User´s manual

56 US edition
Infant Adult Universal Options Order No: 66 00 261
 SIMV
IMV
MV
V2
SIMV
IMV
MV
V (Pressure
Pressure
ressure
essure
ssure
sure
ure
re
e Control)
ontrol)
ntrol)
trol)
rol)
ol)
l)) +
Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt

The following
g parameters are set:
1. PC (Pressure Control level)
vel) above PEEP
(cmH2O)
2. SIMV rate (b/min)
3. PEEP (cmH2O)
4. Oxygen
en concentration (%)
5. I:E ratio / Insp. time
me
6. Inspiratory rise time (%/s))
7. Breath cycle time (s)
Note: The soft
ft key Breath cycle time is
not shown when an SIMV mode is
selected and inspiration
ration time is
configured. Refer to page 27.
8. Trigg. Flow / Trigg. Pressure
9. Inspiratory Cycle-off (%)
%)
10. PS (Pressure Support level) above PEEP
(cmH2O)

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
57
2 SIMV
IMV
MV
V
SIMV
IMV
MV
V (Pressure
Pressure
ressure
essure
ssure
sure
ure
re
e Control)
ontrol)
ntrol)
trol)
rol)
ol)
l)) + Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt
P
SIMV SIMV
3 Breath cycle Spont. period Breath cycle 2
time 4 time

time
V 1 90%

time

SVX-9027_EN

SIMV
IMV
MV
V - in
n detail
etail
tail
ail
ill
1. This combined control and pressure
support/spontaneous function allows for
preset mandatoryy breaths synchronized
with the patient's breathing.
g.
2. If there is no trigger attempt within a time
window equalqual to 90% of the set Breath
cycle
ycle time, a mandatory breath is
delivered. (The
The Breath cycle time is the
total time for one mandatory breath.)
3. The mandatory breath is defined
fined by the
basic settings (mode of ventilation,
breath cycle time, respiratory pattern
and volumes/pressures).
umes/pressures).
4. The spontaneous/pressure supported d
breaths are defined by the setting for
Pressure Support.

Servo… User´s manual

58
8 US edition
Infant Adult Universal Options Order No: 66 00 261
 Bi-Vent
i-Vent
-Vent
Vent
ent
ntt 2
Bi-Vent
i-Vent
-Vent
Vent
ent
ntt
Functional
unctional
nctional
ctional
tional
ional
onal
nal
all description
escription
scription
cription
ription
iption
ption
tion
ion
on
n

Bi-Vent is pressure controlledd breathing that In the Bi-Vent mode the ventilator
ator uses two
allows the patient the opportunity off shifting pressure levels, with the patient
unrestricted spontaneous breathing. Two being able to breath spontaneouslyy on both
pressure levels are set together with the these levels.
individually
y set duration of each level.
Spontaneous
pontaneous breathing efforts can be. Since Bi-Vent is basically a controlled
rolled mode
assisted by pressure support of ventilation, apnea alarm and back-up
ventilation are not available. It is
s also very
The following parameters are set: important to set lower and upper alarm limit
1. Pressure high (PHigh) for the higher for expired
xpired Minute Volume.
pressure level (cmH H2O) Everyy Bi-Vent cycle is regarded as
autonomous
mous and therefore most of the
2. PEEP for the lower pressure
ssure level measured values are updated every Bi-Vent
(cmH2O) cycle, i.e. minute volumes, respiratory rate,
mean pressure and d end expiratory pressure.
3. Oxygen
gen concentration (%) In accordance to this, associated alarms are
also handled for every Bi-Vent cycle.
4. Time at the ( High) level
he higher pressure (T At extreme settings the update of measured
(s) values and alarms will show a mandatory
frequencycy dependence even in the face of
5. Time at the lower ( PEEP) level
ower pressure (T preserved spontaneous breathing. g.
(s) As a result of switching between two
different pressure levels, the tidal volumes
6. Inspiratory rise time
me (s) may vary significantly
gnificantly between different
7. Trigg. Flow / Trigg. Pressure
ure breaths. This may also be the case for etCO2
concentration.
ncentration.
8. Inspiratory Cycle-off (%)
%) It is not recommended to use Auto scale in
Bi-Vent mode, when hen patient is breathing
9. Pressure Support level above
bove PHigh spontaneous on both levels.
(cmH2O)
10. Pressure
ure Support level above PEEP
H2O)
(cmH

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
59
2 Bi-Vent
i-Vent
-Vent
Vent
ent
ntt
Bi-Vent
i-Vent
-Vent
Vent
ent
ntt in
n detail
etail
tail
ail
ill
11

5
33

4
2
2

SVX-184_XX

This function allows for spontaneous

breathingg / pressure supported ventilation at
two different pressure levels. These basic
levels are individually set, as well as the time
me
in seconds at each level.The ventilator
always tries to synchronizeze with the patient´s
breathing.
1. Bi-Vent cycle; THigh + TPEEP
2. PEEP
3. PHigh
4. The pressure support level is set
individually:
dividually: PS above PEEP
5. PS above PHigh

Servo… User´s manual

60 US edition
Infant Adult Universal Options Order No: 66 00 261
 Non
on
n Invasive
nvasive
vasive
asive
sive
ive
ve
e Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n (NIV)
NIV)
IV)
V)) 2
Non
on
n Invasive
nvasive
vasive
asive
sive
ive
ve
e Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n Read
ead
ad
d more
ore
re
e about
bout
out
utt NIV
IV
V
This chapter
er refers to when the Servo-i is Intended population page 4
used during Non Invasive
asive Ventilation (NIV). Ventilation modes (NIV): pages 62, 63
NIV refers to ventilation, where the patient is
not intubated or tracheotomized. It is Alarm
rm settings: page 73
achieved using g a nasal mask / prongs, face Preparation: page 1600
mask / prongs or full-face mask / prongs.
Note: In NIV,
V, flow and pressure curves and
the measured values: VTi, VTe, MVe, MVi are
compensated
pensated for leakage.

WARNINGS!

• Avoid high inspiratoryy pressure as it may

lead to gastric overdistension and riskk of
aspiration. It may also cause excessive
leakage.
ge.
• The dead space will increase when use off
a mask / prongs.
• NIV is not intended
ended to be used on
intubated patients.
• CO2 measurement will be affected by
mask / prongs
ongs leakage.
Cautions:
• Mask / prongs leakage might affect
ffect the
nebulizer efficiency.
• It is not recommended to use the nebulizer
during g NIV as the nebulized drug might
come in contact with the patient eyes in
case of leakage.
kage.
Important:
• The mask / prongs must be applied in
order to avoid leakage.
• Selection off the mask / prongs must take
into consideration
deration proper size and an
accurate adaptation to the patient.
O2 rebreathing will increase during NIV
• CO
and use of a face mask / prongs.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
61
2 NIV
IV
V - Pressure
ressure
essure
ssure
sure
ure
re
e Control
ontrol
ntrol
trol
rol
oll

Functional
unctional
nctional
ctional
tional
ional
onal
nal
all description
escription
scription
cription
ription
iption
ption
tion
ion
on
n Differences
nces from invasive Pressure
control mode:
de:
Pressure
ressure
essure
ssure
sure
ure
re
e Control
ontrol
ntrol
trol
rol
oll • When the Standbyy key is pressed a
The Pressure Controlled
d (NIV) mode is a waiting
g position dialog is shown. All
controlled breathing
hing mode.
patient related alarms are turned
urned off during
120 seconds. Press the Start ventilation
pad to start the ventilation.
• During NIV the ventilator automatically
adapts
dapts to the variation of leakage in order
to maintain the required
quired pressure and
PEEP level. If the leakage
kage is excessive, the
ventilator will issue a high priority
y alarm,
deliver a continuous flow and pause
breath cycling. Ventilation will resume
automatically if the leakage decreases.
Ventilation can also be started manually by
pressingg the Start ventilation pad in the
excessive leakage dialog.
SVX-9013_XX
• Trigger sensitivity cannot be set in NIV.
V.
The following parameters are set::
1. PC (Pressure Control level) above PEEP Read
ead
ad
d more
ore
re
e about
bout
out
utt NIV
IV
V
(cmH
cmH2O) Intended population page 4
2. Respiratory
y Rate (b/min) NIV general information:
mation: page 61
Ventilation modes (NIV):
NIV): page 63
cmH2O)
3. PEEP (cmH Alarm settings:
ttings: page 73
4. Oxygen concentration
ion (%) Preparation: page 160
5. I:E ratio / Insp. time
e
6. Inspiratory rise time (%/s))

Servo… User´s manual

62 US edition
Infant Adult Universal Options Order No: 66 00 261
 NIV
IV
V - Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt 2

Functional
unctional
nctional
ctional
tional
ional
onal
nal
all description
escription
scription
cription
ription
iption
ption
tion
ion
on
n Differences from
m invasive Pressure
support
ort mode:
Pressure
ressure
essure
ssure
sure
ure
re
e Support
upport
pport
port
ort
rtt • When the Standby key is pressed a
Pressure
ure Support (NIV) is a patient initiated waiting position
osition dialog is shown. All
breathing mode in which the ventilator
patient related alarms are turned
urned off during
supports
upports the patient with a set constant
pressure. 120 seconds. Press the Start ventilation
pad to start the ventilation.
• During NIV the ventilator automatically
adapts
dapts to the variation of leakage in order
to maintain the required
quired pressure and
PEEP level. If the leakage
kage is excessive, the
ventilator will issue a high priority
y alarm,
deliver a continuous flow and pause
breath cycling. Ventilation will resume
automatically if the leakage decreases.
Ventilation can also be started manually by
pressingg the Start ventilation pad in the
excessive leakage dialog.
• During Pressure support the system
SVX-9014_XX ensures a minimum Back-up Rate and
The following parameters
meters are set: maintains the set Inspiratory
ratory pressure and
PEEP level. The
he Back-up Rate is activated
1. PS (Pressure Support level) above
bove PEEP
whenn the spontaneous breathing rate is
(cmH2O)
lower then the Back-up
k-up Rate, but the
2. PEEP (cmH2O) ventilator does not activate
ctivate a Backup
ventilation mode as in Invasive Pressure
3. Oxygen concentration (%))
Support.
4. Inspiratory rise time (s) • Trigger sensitivity cannot be set in NIV.
5. Inspiratory Cycle-off
cle-off (%)
Read
ead
ad
d more
ore
re
e about
bout
out
utt NIV
IV
V
6. NIV rate (b/min)
/min) Intended population page 4
7. Backup Ti (s) NIV general information: page 611
Ventilation modes (NIV): page
ge 62
Alarm settings: page 73
Preparation: page 160

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
63
2 NIV
IV
V - Nasal
asal
sal
all CPAP
PAP
AP
P
Functional
unctional
nctional
ctional
tional
ional
onal
nal
all description
escription
scription
cription
ription
iption
ption
tion
ion
on
n Nasal
asal
sal
all Differences
ces from invasive CPAP
CPAP
PAP
AP
P • When the Standby key is pressed a
waiting position dialog is shown. All
The
he mode Nasal Continuous Positive Airway
Pressure is used when the patient is patient related alarms are turned
urned off during
breathing spontaneously. 120 seconds. Press the Start ventilation
pad to start the ventilation.
• Trigger and cycle-off
ycle-off is automatically
adapted to the leakagege and cannot be set
in Nasal CPAP.
AP.
• There is no backup
p ventilation available in
Nasal CPAP.
The following functions are not available
during Nasal CPAP ventilation:
on:
• Volume curve
• Loops
• Open Lung
g Tool
• Additional values
SVX-9057 • Additional settings
The following
wing parameters are set: • Inspiratoryy hold
1. CPAP (cmH2O) • Expiratory hold
2. Oxygen concentration
ation (%) • CO2 Analyzer.

WARNING!
ARNING! Patient effort and artifacts
affecting patient flow or pressure such as
heart beats, movement
vement of patient tubings,
intermittent leakage mayy not always be
correctly detected or discriminated. This
his may
affect the accuracy of alarms and measured
parameters, therefore, we advise that a
ventilator-independent means of monitoring
the patient should
uld be in place.

Read
ead
ad
d more
ore
re
e about
bout
out
utt NIV
IV
V
Intended population page 4
NIVV general information: page 61
SVX-9061 Ventilation modes (NIV): page 62
Alarm settings: page 73
Preparation: page 160

Servo… User´s manual

64 US edition
Infant Adult Universal Options Order No: 66 00 261
 Open
pen
en
n Lung
ung
ng
g Tool
ool
oll 2
Open
pen
en
n Lung
ung
ng
g Tool
ool
oll
Clinical performance
rformance
The Open Lung Tool is a tool for graphically
visualizing measured d and calculated values
for easier interpretation of already available
ventilation data. Three simultaneous
graphical trends are presented with a fixed
set of parameters as a function of a numberber
of collected breaths. The User Interface
features an adjustable cursor which helps
illustrate the opening and closing airway
pressures. This alternative presentation may
be used d for immediate visualization of the
effect of altered settings.
Note: When the Y Sensor Measuring g
function is active, then the values recorded in SVX-9023_XX

the Open
pen Lung Tool are based on values The following
ollowing parameters are presented:
measured att the Y-piece. Note that when this – In the top window, measured End
function is disabled or enabled, then the Inspiratory Pressure (EIP
P) and Positive
compliance in the patient circuit may cause End Expiratory
xpiratory Pressure ((PEEP) are
the values in the Open Lung Tool to change. simultaneously presented,d, breath-by-
breath.
Read
ead
ad
d more
ore
ree about
bout
out
utt the
he
e Open
pen
en
n – In the middle window, measured
Lung
ung
ng
g Tool
ool
oll Inspiratory
piratory tidal volume (VTi)
( and
Operating: page 175 Expiratory tidal volume (VTe) are
simultaneously presented, breath-by-
breath.
– Dynamic compliance (C dyn i) is
calculated breath-by-breath and filtered
before presentation. (C dyn i = VTi / EIP –
PEEP)
– In the lower
wer window measured Tidal CO2
elimination (VTCO2) is simultaneouslyy
presented as well, breath-by-breath
( CO O2 Analyzer).
– The time parameter on the lower right
screen indicates how long it will take at
the current
urrent settings for the waveform to
fill the axis. Changing the scaling with
the zoom in or out function will change
the time and number of breathss needed
for filling the axis.
– The breaths parameter
meter on the lower right
screen indicates the number off breaths
at the current respiratory rate it will take
ke
for the waveform to fill the axis.
Servo… User´s manual
US edition
Order No: 66 00 261 Infant Adult Universal Options
65
5
2 Ventilatory
entilatory
ntilatory
tilatory
ilatory
latory
atory
tory
ory
ryy parameters,
arameters,
rameters,
ameters,
meters,
eters,
ters,
ers,
rs,
s,, overview
verview
erview
rview
view
iew
ew
w

SVX-202_EN

When a ventilation mode is selected, the only 9. Trigger sensitivity

nsitivity
parameters shown are those affecting the a) Below zero: Trigger
gger sensitivity is pressure
actual mode.
de. Below are all the mode-related dependant. The pressure below ow PEEP which
parameters presented. the patient must create to initiate an
inspiration (cmH2O) is indicated.
1. Respiratory
y rate (RR)
( Rate off controlled b) Above
ove zero: Trigger sensitivity is flow
mandatory breaths or used for calculation of dependent. As the dial is advanced to the
target
get volume (b/min). right (step wise from the green into the red
area) the trigger sensitivity increases
creases i.e the
inhaled fraction of the bias flow leading to
2. Tidal volume (VT) Volume per breath
ath or triggering is reduced.
target volume (ml).
Minute volume (Vmin) Volume per minute or
target Minute volume (ml/min or l/min). 10. PEEP Positive End Expiratory Pressure
Presentation can be configured to either tidal cmH2O).
(cmH
or minute volume.
11. Inspiratory cycle-off
le-off Fraction of
3. PC
C above PEEP Inspiratory
spiratory pressure level maximum flow at which
hich inspiration should
for each breath (cmH
H2O) in Pressure Control. switch to expiration (%).
%).

4. PS above PEEP Inspiratory y pressure

support level for triggered breaths (cmH
cmH2O)
in Pressure Support. t.

5. Inspiratory
spiratory rise time (T inspiratory rise)
Time to full inspiratory flow or pressure at the
start of each
ch breath, as a percentage of the
breath cycle time (%), or in seconds (s).

6. I:E
:E ratio (I:E)
( (Inspiration time + Pause
time): Expiration time.

7. Inspiration time (Ti) Time for active flow or

pressure delivery to the patient (s).

8. Pause time (Tpause) Time for no flow or

pressure deliveryy (% or s).

Servo… User´s manual

66 US edition
Infant Adult Universal Options Order No: 66 00 261
 Ventilatory
entilatory
ntilatory
tilatory
ilatory
latory
atory
tory
ory
ryy parameters,
arameters,
rameters,
ameters,
meters,
eters,
ters,
ers,
rs,
s,, overview
verview
erview
rview
view
iew
ew
w2

SVX-218_EN

SVX-203_EN

12. Breath cycle time (Breath cycle T) Total

cycle time perr mandatory breath in SIMV V
(inspiratory + pause + expiratory). Set in
seconds.
conds.

13. SIMV rate Rate of controlled mandatory

breaths (b/min).

14. Trigger
gger timeout The maximum allowed d
apnea time in Automode, after which the
system switches to controlled ventilation (s).

– O2 concentration (O2 Conc.

Conc.) O2
concentration in inspiratory gas (not
shown in the figure).

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
67
2 Ventilatory
entilatory
ntilatory
tilatory
ilatory
latory
atory
tory
ory
ryy parameters,
arameters,
rameters,
ameters,
meters,
eters,
ters,
ers,
rs,
s,, overview
verview
erview
rview
view
iew
ew
w

SVX-204_XX

15.
5. Time high (THigh) Time at PHigh level in
Bi-Vent
Vent (s).

16. Time PEEP (TPEEP) Time at PEEP level in

Bi-Vent (s).

17.
7. Pressure Support above Pressure high gh
(PS above PHigh) Inspiratory
piratory pressure
support level for breaths triggered during
ng the
THigh period in Bi-Vent (cmH H2O).

18. Pressure Supportt above PEEP

(PS above PEEP) Inspiratory pressure
support level for breaths triggered during the
TPEEP period in Bi-Vent
Vent (cmH2O).

19. Pressure high (PHigh) Positive End

Expiratory Pressure at the upper level
vel in Bi-
Vent (cmH2O).

20. PEEP Positive

ositive End Expiratory Pressure
he lower level in Bi-Vent (cmH2O).
at the

Servo… User´s manual

68 US edition
Infant Adult Universal Options Order No: 66 00 261
 Notes
otes
tes
ess 2

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Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
69
2 Notes
otes
tes
ess

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Servo… User´s manual

70 US edition
Infant Adult Universal Options Order No: 66 00 261
 3.. Patient
atient
tient
ient
ent
ntt safety
afety
fety
ety
tyy

Contents
ontents
ntents
tents
ents
nts
ts
s

Alarms-
larms-
arms-
rms-
ms-s-- General
eneral
neral
eral
ral
all . . . . . . . . . . . . . . . . . . . . . . . . . 72
2
High
igh
gh
h priority
riority
iority
ority
rity
ity
ty
y alarms
larms
arms
rms
ms s ....................... 72
2
Medium
edium
dium
ium
umm priority
riority
iority
ority
rity
ity
ty
y alarms
larms
arms
rms
ms s .................... 72
2
Low
ow
w priority
riority
iority
ority
rity
ity
ty
y alarms
larms
arms
rms
ms s. . . . . . . . . . . . . . . . . . . . . . . . 72
2
Technical
echnical
chnical
hnical
nical
ical
calall alarms
larms
arms
rms
ms s. . . . . . . . . . . . . . . . . . . . . . . . . . 72
2

Alarm
larm
arm
rm
m output
utput
tput
put
utt connection
onnection
nnection
nection
ection
ction
tion
ion
on
n option
ption
tion
ion
on
n . . . . . . . . . . . . 72
2

The
he
e alarm
larm
arm
rmm profile
rofile
ofile
file
ile
le
e window
indow
ndow
dow
oww . . . . . . . . . . . . . . . . . 73 3
The
he
e alarm
larm
arm
rmm window
indow
ndow
dowow
w . . . . . . . . . . . . . . . . . . . . . . . 74
4
Alarms
larms
arms
rms
mss - Visual
isual
sual
ual
all / audible
udible
dible
ible
ble
le
e . . . . . . . . . . . . . . . . . . 755

Audio
udio
dio
io
o off fff (Silence
Silence
ilence
lence
ence
nce
cee / Pre-silence
re-silence
e-silence
-silence
silence
ilence
lence
ence
nce
cee off alarm)
larm)
arm)
rm)
m)) . . . . 76 6
General
eneral
neral
eral
ral
all . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
6
Audio
udio
dio
io
o offfff off non-latching
on-latching
n-latching
-latching
latching
atching
tching
ching
hing
ing
ngg alarms
larms
arms
rms
ms s . . . . . . . . . . . . . 766

Built-in
uilt-in
ilt-in
lt-in
t-in
-in
in
n safety
afety
fety
ety
ty
y precautions
recautions
ecautions
cautions
autions
utions
tions
ions
ons
ns
s . . . . . . . . . . . . . . . . 78
8

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 71
3 Alarms-
larms-
arms-
rms-
ms-
s-- General
eneral
neral
eral
ral
all
Several measures
sures have been taken to design
this system
m for safe treatment and use. Alarm
larm
arm
rm
m output
utput
tput
put
utt connection
onnection
nnection
nection
ection
ction
tion
ion
on
n
The alarms are based on three priorityy levels; option
ption
tion
ion
onn
High, Medium and Low. An Alarm output connection option makes it
possible to connect the ventilator to an
High
igh
gh
h priority
riority
iority
ority
rity
ity
ty
y alarms
larms
arms
rms
ms
s external alarm signal
gnal system. High and
These alarms are warnings and are indicated
ted medium priority
ority alarms are transferred. The
by a red background. They are latched, i.e. alarm output signal
gnal is active as long as the
the visual indication remains even though the audio alarm is active on the ventilator.
alarm condition ceases.The background Importants:
nts:
color switches to yellow if the alarm
condition returns to normal. Latched alarms • It is required that the patient is never left
require manual resetting. unattended and that external alarm is used
Note: NIV
IV alarm Leakage out of range is not only to draww extra attention to a patient.
latched. • The alarm output is a non-guaranteed
guaranteed
For more information about the high alarm according to IEC 60601-1-8
0601-1-8 and it is
priority
y alarms see page 226. recommended that the user establish
blish a
pre-use check routine for this application.
Medium
edium
dium
ium
um
m priority
riority
iority
ority
rity
ity
ty
y alarms
larms
arms
rms
ms
s
These alarms are advisory.
y. They may be
reset (cleared) even
n though the alarm
condition remains.
For more information
formation about the medium
priority alarms
larms see page 231.

Low
ow
w priority
riority
iority
ority
rity
ity
ty
y alarms
larms
arms
rms
ms
s
These alarms are cautionary and are
indicated by a yellow background.
For more information
formation about the low
priority
y alarms see page 234.

Technical
echnical
chnical
hnical
nical
ical
cal
all alarms
larms
arms
rms
ms
s
Technical
hnical problem identified by a code.
For more information about the high
priority alarms
larms see page 239.

Alarm
larm
arm
rm
m signals
ignals
gnals
nals
als
ls
s
All alarms are visual and audible.

WARNINGS!
ARNINGS!

• To protect the patient against high airway

pressures, the Upper pressure limit
mit must
always be set to the relevant value so as to
provide
de adequate patient safety.
• To provide adequate patient safety, always
ways
set the alarm limits at relevant values.

Servo… User´s manual

US edition
72 Infant Adult Universal Options Order No: 66 00 261
 The
he
e alarm
larm
arm
rm
m profile
rofile
ofile
file
ile
le
e window
indow
ndow
dow
ow
w3
Alarm
larm
arm
rm
m profile
rofile
ofile
file
ile
le
e window
indow
ndow
dow
ow
w Non
on
n Invasive
nvasive
vasive
asive
sive
ive
ve
e Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n

SVX-9016_XX

1. Press the Alarm profile key 1. Press the Alarm profile key to show the
Shows all applicable
pplicable alarms and settings for applicable alarms
ms for Non Invasive
both lower
wer and upper limits. Also used for Ventilation (NIV).
adjustingg current limits and alarm sound
level. 2. The bell indicates if the alarm is audible
active or Audio off (permanently
Note: Current alarm limits are displayed
yed
silenced,
ced, a crossed bell).
adjacent to the measured value, in smaller
figures
gures to the right of the display. Default Read
ead
ad
d more
ore
re
e about
bout
out
utt NIV
IV
V
values are displayed duringng power up and Ventilation modes page 61
when admitting a new patient. Always ys make Preparation page 160
sure that values are appropriate for the
patient.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 73
3
3 The
he
e alarm
larm
arm
rm
m window
indow
ndow
dow
ow
w
Current
urrent
rrent
rent
ent
ntt alarms
larms
arms
rms
ms
s window
indow
ndow
dow
ow
w

This
his window can be displayed if more re than
one alarm is active.
1. Press the bell (s) in the alarm messagege
pad.
2. All alarms are shown in a window. This is
dynamic and will be updated
pdated if more
alarms occur while the window is open.
The alarms are listed by priority and 10
0
alarm messages are displayed at the
most.
3. Press the History pad.

4. The last 16 alarm-dependent

ndent events are
listed chronologically. The most recent
event is at the bottom.
Note: For viewing more than the latest 10 0
alarms, use the Event log to view all loggedd
alarms (refer to page 270).
).
Servo… User´s manual
US edition
74 Infant Adult Universal Options Order No: 66 00 261
 Alarms
larms
arms
rms
mss - Visual
isual
sual
ual
all / audible
udible
dible
ible
ble
le
e3
Visual
isual
sual
ual
all Audible
udible
dible
ible
ble
le
e
An active alarm is indicated by a distinct,, but
soft alarm signal. The sound level
vel can be
adjusted, e.g. lowered during the night time.
me.
(Set sound level is indicated in the Alarm
profile window.))
Technical errors may also be indicated by a
signal
gnal similar to that a medium priority alarm,
generated by a sounding devicevice in the
Patient Unit.

1. A text message explaining thehe cause of

the alarm flashes in the alarm message
area. The alarm with highest priority is
displayed first.
2. The corresponding g measured value or
set value box flashes and an arrow
w
points at the exceeded limit.
A red background color indicates a high
priority
y alarm. A yellow background
d indicates
a medium or low priority alarm.
A high priority alarm which has been
een active
but for which the condition has returned to
normal is latched and requires
quires manual
resetting. (Latched alarms: The alarm text
remains even though the alarm condition
dition
ceases.)
Note: NIV alarm Leakage out of range is not
latched.
Two bells in the alarm message area indicate
cate
that more than one alarm is activated.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 75
3 Audio
udio
dio
io
o off
fff (Silence
Silence
ilence
lence
ence
nce
ce
e / Pre-silence
re-silence
e-silence
-silence
silence
ilence
lence
ence
nce
ce
e off alarm)
larm)
arm)
rm)
m))
General
eneral
neral
eral
ral
all Audio
udio
dio
io
o off
fff (Silence
Silence
ilence
lence
ence
nce
ce
e off alarms)
larms)
arms)
rms)
ms)
s))
At any time while the ventilator is operating
g
(either Invasive or Non Invasive Ventilation
modes),
des), alarms can be placed into a state of
audio off (silence alarms).
Non Invasive
sive Ventilation
When Non Invasive Ventilation is chosen, the
following
wing alarms can be placed into a state of
audio
udio off (silenced alarms):
– Minute volume
– Respiratory rate
– PEEP
O2 (
– End tidal CO CO2 Analyzer)
By pressing
ing the corresponding bell symbol in
the alarm profile
file window the button changes
to a crossed bell to indicate Audio Off. It is
also possible to configure
gure these alarms
All alarms
s except for No battery capacity and d individually to be set to the Audio Off state by
technical error alarms can be silenced (Audio default.
pause) for two minutes. New alarms can be Note: When an alarm is silenced (Audio off) ff)
activated during this
his period. In Standby, only in the NIV mode, a symbol bol will appear on the
the following
wing alarms are applicable: screen, next to the corresponding measured
– No battery capacity (when Batteryttery value, saying Audio Off (a bell with h negation
module is connected) cross). The Audio Off symbol will remain on
– Limited
mited battery capacity (when Battery the screen until the user reactivates the
module is connected) alarms or returns to the standby mode. Iff the
– Battery operation (when
when Battery module user then enters Invasive ventilation and after
is connected)) that returns to NIV, the audible alarms
ms will be
reset to their default states.
– Technical error
– Touch screen or knob press time Audio
udio
dio
io
o off
fff off non-latching
on-latching
n-latching
-latching
latching
atching
tching
ching
hing
ing
ng
g
exceeded alarms
larms
arms
rms
mss
– Internal temperature: High For a veryy limited number of alarms a single
– Exp. cassette exchanged
d alarm condition can be silenced (Audio
Audio off)
during the remaining time of the continuing
– Technical error in Expiratory
tory cassette alarm condition when the message Audio
off?
? is shown. These alarms, such as Battery
operation and Low Air/O O2 supply pressure,
will be re-activated the
he next time the alarm
condition occurs.

Servo… User´s manual

US edition
76 Infant Adult Universal Options Order No: 66 00 261
 Audio
udio
dio
io
o pause
ause
use
se
e (Silence
Silence
ilence
lence
ence
nce
ce
e / Pre-silence
re-silence
e-silence
-silence
silence
ilence
lence
ence
nce
ce
e alarm)
larm)
arm)
rm)
m)) 3
Audio
udio pause/Prolong
rolong pre-silence Pre-silence alarm (Audio
Audio pause))
period/Clear
/Clear latched alarm
m

SVX-5098_EN SVX-5099_EN

1. Press the Audio pause (Silence/Pre- re- 1. If you

ou press the Audio pause (Silence//
silence alarm) key briefly, for less than Pre-silence alarm) key for more than two
wo
two
wo seconds: seconds:
• Active alarms are silenced (Audio •The active alarms are silenced (Audio
Audio
pause) for 2 minutes. pause), i.e. a two minute period is
started.
• If already silenced,
ced, the silent period is
prolonged for two minutes. •All other
her alarms are silenced (Audio
pause) for 2 minutes, except those
• Latched alarms disappear (latched
which cannot be silenced.
alarms: the alarm text remains even
though
ough the alarm condition ceases). –Latched alarms disappear from the
alarm message
ge area.
An alarm silence (Audio pause) symbol and
the remaining time are then displayed in the
message area.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 77
3 Built-in
uilt-in
ilt-in
lt-in
t-in
-in
in
n safety
afety
fety
ety
ty
y precautions
recautions
ecautions
cautions
autions
utions
tions
ions
ons
ns
s
For patient safety your Servo-i Ventilator NIV rate
System also has a range of built-in safety
precautions. During Pressure support (NIV) the
he system
ensures a minimum Back-up Rate and d
Apnea
nea alarm maintains the set Inspiratory pressure and
PEEP level. The Back-up Rate is activated
The apnea alarm m is applicable in all when the spontaneous breathing rate is
supported/spontaneous modes. lower then the Back-up
k-up Rate.
Note: When using the knob to adjust a value,
the defined safety limits may be
No gas supply
upply
unintentionally reached or exceeded.
xceeded. In this If the air and O2 pressure is too low the safety
valve and the expiratory valve will open. An
case, the knob will become inoperable
perable for 2 alarm will be activated simultaneously. y.
seconds to make you aware that the safety
limit has been passed.d. (Note that this is only Parameters
s and alarm limits
valid for Servo-i Infant and Servo-i Universal The system has default values for
parameters andnd alarm limits. These are valid
System versions). until you adjust them before/after connection
to a patient. You can also enter new default
Backup
p ventilation values or use the values previously applied.
In case of exceeded
xceeded apnea in Volume
Support or Pressure Support, a safety Standby
y position
backup mode is activated with default All settings
gs will be saved when the ventilator
breathing
g frequency and set / default values. is set in standby position. The ventilator can
thus be prepared and the CO2 transducer
High
h pressures warmed up for or admission in advance.
The
he safety valve opens if the pressure in the
inspiratory channel is too high.
Caution: If airway
way pressure rises 6 cmH2O
above
bove the set upper pressure limit the safety
valve opens. The safety valve also opens if
xceeds 117 ± 7 cmH2O.
system pressure exceeds

Gas supply O2/Air

If the O2 or air supply pressure is too low the
flow from the missing gas is automatically
cally
compensated for. The patient will get preset
volumes and pressure with O2/air and an
alarm will be activated.
Mains failure and battery
In case of a mains failure, the ventilator will
automatically switch over to battery
operation.
peration. The switch is indicated by a
medium priority alarm. The remaining battery Read
ead
ad
d more
ore
re
e about
bout
out
utt the
he
e alarms
larms
arms
rms
ms
s
capacity is displayed in the status menu on Alarm settings: page 165
65
top off the screen. In case of a mains failure
and no Battery module has been inserted or Troubleshooting: page
age 225
connected, a high priority alarm m is activated. Auto set values
The inspiratory and expiratory
xpiratory valves are calculation: page 244
44
opened to allow for breathing
hing through the Default values: page 249
ventilator. All settings are saved until the
ventilator is powered again. Keys
ys and touch pads: pages 268,
8, 269.

Servo… User´s manual

US edition
78 Infant Adult Universal Options Order No: 66 00 261
 Notes
otes
tes
ess 3

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Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 79
3 Notes
otes
tes
ess

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Servo… User´s manual

US edition
80 Infant Adult Universal Options Order No: 66 00 261
 4.. Device
evice
vice
ice
ce
e description
escription
scription
cription
ription
iption
ption
tion
ion
on
n

Contents
ontents
ntents
tents
ents
nts
ts
s

The
he
e system
ystem
stem
tem
emm............................. 82
2
An
n overview
verview
erview
rview
view
iew
ew
w............................. 83
3
Configuration
onfiguration
nfiguration
figuration
iguration
guration
uration
ration
ation
tion
ion
on
n............................ 85
5
Options
ptions
tions
ions
ons
ns
s / Accessories
ccessories
cessories
essories
ssories
sories
ories
ries
ies
es
s ..................... 86
6

User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce e
User
ser
err Interface
nterface
terface
erface
rface
face
acece
e - General
eneral
neral
eral
ral
all . . . . . . . . . . . . . . . . . . . . 87
7
User
ser
err Interface
nterface
terface
erface
rface
face
acece
e - Connections
onnections
nnections
nections
ections
ctions
tions
ions
ons
nss and
ndd labels
abels
bels
els
lss . . . . . . . 88
8
Touch
ouch
uch
ch
h screen
creen
reen
een
enn ............................ 90
0
Main
ain
in
n Rotary
otary
tary
ary
ryy Dial
ial
all . . . . . . . . . . . . . . . . . . . . . . . . . . 90
0
Fixed
ixed
xed
ed
d keyseys
yss .............................. 91
1
Adjusting
djusting
justing
usting
sting
ting
ing
ng g parameter
arameter
rameter
ameter
meter
eter
ter
err values
alues
lues
ues es
s................. 91
1
Waveforms
aveforms
veforms
eforms
forms
orms
rms
ms s.............................. 92
2
Measured
easured
asured
sured
ured
red
edd value
alue
lue
uee boxes
oxes
xes
ess. . . . . . . . . . . . . . . . . . . . . 92
2
User
ser
err Interface
nterface
terface
erface
rface
face
acece
e - Positioning
ositioning
sitioning
itioning
tioning
ioning
oning
ning
ing
ngg................. 93
3
User
ser
err Interface
nterface
terface
erface
rface
face
acece
e - Accessories
ccessories
cessories
essories
ssories
sories
ories
ries
ies
ess ................ 94
4

Patient
atient
tient
ient
ent
ntt Unit
nititt
Patient
atient
tient
ient
ent
ntt Unit
nit
itt - Connections
onnections
nnections
nections
ections
ctions
tions
ions
ons
nss and
nd
d labels
abels
bels
els
lss . . . . . . . . . 96
6
Patient
atient
tient
ient
ent
ntt Unit
nit
itt - Expiratory
xpiratory
piratory
iratory
ratory
atory
tory
ory
ryy cassette
assette
ssette
sette
ette
tte
te
e . . . . . . . . . . . . 988

Mobile
obile
bile
ile
le
e Cartart
rtt Servo-i
ervo-i
rvo-i
vo-i
o-i-ii . . . . . . . . . . . . . . . . . . . . . . 99
9
Holders
olders
lders
ders
ers
rs
s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10000
0
Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zererr . . . . . . . . . . . . . . . . . . . . 102
02
2
O2 Analyzer
CO nalyzer
alyzer
lyzer
yzer
zer
err Servo-i
ervo-i
rvo-i
vo-i
o-i-ii . . . . . . . . . . . . . . . . . . . . 104
04
4
Y Sensor
ensor
nsor
sor
orr measuring
easuring
asuring
suring
uring
ring
ing
ng g . . . . . . . . . . . . . . . . . . . . . 106
06
6
Battery
attery
ttery
tery
ery
ry
y module
odule
dule
ule
le
e . . . . . . . . . . . . . . . . . . . . . . . . . 10808
8
Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
onn Record
ecord
cord
ord
rdd Card ard
rdd . . . . . . . . . . . . . . . . . . 114
14
4
Compressor
ompressor
mpressor
pressor
ressor
essor
ssor
sor
orr Mini
ini
nii . . . . . . . . . . . . . . . . . . . . . . . 11515
5
System
ystem
stem
tem
emm transport
ransport
ansport
nsport
sport
port
ort
rtt andndd storage
torage
orage
rage
age
gee . . . . . . . . . . . . 11616
6
Servo… User´s manual
US edition
Order No: 66 00 261 Infant Adult Universal Options
81
4 The
he
e system
ystem
stem
tem
em
m
The
he
e ventilator
entilator
ntilator
tilator
ilator
lator
ator
tor
orr
All ventilatoryy settings are made on the User
Interface panel. It can either be operated by
the touch screen and the Main Rotary Dial or
by using the e Main Rotary Dial only. Flow and
pressure are continuously measured by
transducers and controlled by a feedback k
system in the Patient Unit. The information is
compared with the User Interface settings, gs,
and a difference between the actual 6
measured value and the preset/calculated
values will cause adjusted gas deliveryy 7
according to the target flow/volume/ me/
pressure. The Servo-i Ventilator
tilator System has
two gas modules, one ne for air and one for O2.
Gas can be connected from a medical 8
pipeline system, a compressor or gas tanks.
Air can also be supplied by a compressor.

1. Air and
nd O2 supply
2. Mains supply
3. User
er Interface
4. Patient Unit
5. Expiratoryy inlet
6. Servo guard, viral/bacterial
bacterial filter
7. Inspiratory outlet
8. Patient system
9. Module compartment
partment

Servo… User´s manual

82 US edition
Infant Adult Universal Options Order No: 66 00 261
 The
he
e system
ystem
stem
tem
em
m4
An
n overview
verview
erview
rview
view
iew
ew
w

1. The ventilator can be delivered in three 2. The User Interface, where all settings are
configurations. Your configuration is made and effects are monitored.
clearly indicated on the Patient Unit, at 3. The Patient Unit, where gases are
start up and in the Brief Instructions.
ons. administrated, also has slots for Battery
The Servo-i Infant with modules and future function modules.
defaults, scales
cales and safety Battery module allow backup during
precautions, designed for use with h Infant mains failure and transport.
ort.
patients. It is standard configurated for
4. The Servo Ultra Nebulizer
zer is
pressure controlled modes of
operated from the User Interface.
ventilation.
Note: The Aeroneb Professional
The Servo-i Adult with Nebulizer
zer System can be used as a stand
defaults,
faults, scales and safety precautions, alone nebulizer system. Refer to
designed for use with h adolescent and separate manual.
adult patients. It is standard
configurated for volume me controlled 5. The mainstream CO2 measurement
modes of ventilation. and calculations are displayed
yed on the
User Interface.
The Servo-i Universal (Basic or
Extended edition) is an advanced 6. Y Sensor measuring. Allows
ventilator to be used with infants and measurement of pressure and flow right
adults. Enhanced functionality i.e. a up to the Y-piece.
ce.
comprehensive
mprehensive array of different
ventilation modes, extended Tidal
Volume range, allows for advanced
vanced
ventilatory treatment in both categories.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
83
4 The
he
e system
ystem
stem
tem
em
m
In
n the
he
e system
ystem
stem
tem
em
m

Default values give fast system start-up.p. 4. An alarm outputput connection option
User set values tailor the ventilatory makes it possible to connect the
management. Signals are fed to the Patient
Unit, which executes ventilation managed by ventilator to an external alarm signal
gnal
the servo control system. The internal designgn system
of the Patient Unit allows for true inspiratoryy
and expiratory regulation and measurement. 5. Signals from the CO2 Capnostat
Set,, measured and calculated values are sensor are conveyed to the User
presented on-screen breath-by-breath.
y-breath. Interface, where they are calculated and
1. Patient data can be transferred to a displayed on the screen.
Personal Computer via the Ventilation 6. Y Sensor measurements are
record
d card for further processing and conveyed
yed to the User Interface, where
storage. they are calculated and displayed
played on the
2. Signals are conveyed from the he User screen.
Interface for controlling of drug
nebulization.
zation.
Important: Only valid for the built in
Servo Ultra Nebulizer.

3. Data communication to a Personal

Computer is possible via the
he
Communication Interface Emulator (CIE)
and
d the serial communication port
(RS
S 232C).
Servo… User´s manual
84 US edition
Infant Adult Universal Options Order No: 66 00 261
 Configuration
onfiguration
nfiguration
figuration
iguration
guration
uration
ration
ation
tion
ion
on
n4
System
ystem
stem
tem
em
m elements;
lements;
ements;
ments;
ents;
nts;
ts;
s;; overview
verview
erview
rview
view
iew
ew
w

Reference in
Functionality/Configuration
ctionality/Configuration
this manual

Basic Extended
Alarm output connection option 0 0 0 0 pages 72, 150
Automode, pressure 0 0 0  page 48
Automode, PRVC
C 0 0 0  page 48
Automode, volume 0 0 0  page 48
Bi-Vent 0 0 0 0 page 59
CO2 Analyzer 0 0 0 0 pagess 104,
151
NIV (Non Invasive Ventilation) 0 0 0 0 pages 61, 160
Nasal CPAP 0 - 0 0 page 64
4
Open Lung Tool 0 0 0  pages 65,
5,
175, 176
Pressure Control  0   page
ge 38
Pressure Support     page 43
PRVC
RVC (Pressure Reg. Volume 0 0 0  page 32
Control))
SIMV (Press.
ss. Contr.) +Pressure  0   pages 52, 57
Support
SIMV (PRVC) + Pressure
ressure Support 0 0   pages 52, 53
SIMV
V (Vol. Contr.) + Pressure 0    pages
ages 52, 55
Support
Suction Support     page 170
70
Upgrade to universal (all patient 0 0 -
categories)
Volume Control 0    page 35
Volume Support 0 0 0  page 40
Y Sensor measuring 0 0 0 0 pages
106,135, 192,
2,
248

 included (in standard configuration)

0optional
Note: Refer to page 83 for Servo-i
configuration definition.

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
85
4 Options
ptions
tions
ions
ons
nss / Accessories
ccessories
cessories
essories
ssories
sories
ories
ries
ies
es
s

General options / accessories Reference in this manual

Aeroneb Professional Nebulizer System Refer to separate
parate manual
Battery module Servo-i page
ge 108
CO2 Analyzer Servo-i pages 104, 151, 207,
7, 238 ,247
Compressor Mini
ni pages 115, 248
Drawer kit Servo-i page 99
Extra Expiratory cassette.
ssette. page 196
Fisher & Paykel
ykel humidfier MR730/MR850
0/MR850 page 127
Gas cylinder restrainer Servo-i pages
ges 101, 248
Gas trolley Servo-i pages 101, 126, 248
8
Holder Servo-i pages 100, 124,
24, 248
Humidifier Holder pagess 100, 127
IV pole pages 100, 248
Mobile Cart Servo-i pages 97, 123, 248
O2 cell / O2 Sensor
sor pages 98, 213
Patient tubing
ubing (10, 15, 22 mm diameter) pages 120, 121, 122
Servo guard (viral/bacterial
/bacterial filter) page 137
Servo
vo humidifier page 136
Servo Ultra Nebulizer Servo-i s 102, 128, 205, 246
pages
Shelf base Servo-i
rvo-i page 100
Support Arm 177
77 pages 100, 125
User Interface
ce panel cover page 95
Y Sensor measuring pages 106,135, 192,
2, 248

Servo… User´s manual

86 US edition
Infant Adult Universal Options Order No: 66 00 261
 User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e - General
eneral
neral
eral
ral
all 4
An
n overview
verview
erview
rview
view
iew
ew
w

Mode
Volume control

SVX-5001_EN

The User Interface is ergonomically

gonomically Read
ead
ad
d more
ore
re
e about
bout
out
utt the
he
e User
ser
err
designed. You can operate te it via the touch
screen or by means of the Main Rotary Dial. Interface
nterface
terface
erface
rface
face
ace
ce
e
Fixed keyss allow immediate access. Direct Positioning: page 93
Access Knobs bs allow for immediate Operating: page 159
adjustments. Data can be shown as
waveforms and/or as numerics.. The Alarm settings page 165
65
measured value boxes are always ys visible Cleaning: page 191
(also while setting the ventilator). Alarm limits Technical data: page 241
are displayed adjacent to the measured ured
value. All functions and necessary Keys and touch
ch pads: page 259
information are gathered in the User
Interface. Do not use sharp p tools on the
screen.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
87
4 User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e - Connections
onnections
nnections
nections
ections
ctions
tions
ions
ons
nss and
nd
d labels
abels
bels
els
ls
s

Servo… User´s manual

88 US edition
Infant Adult Universal Options Order No: 66 00 261
 User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e - Connections
onnections
nnections
nections
ections
ctions
tions
ions
ons
nss and
nd
d labels
abels
bels
els
ls
s4
It consists
nsists of:
1. Patient category. 20. A section where measured values and
2. Active
ve mode of ventilation. set alarm limits are displayed in boxes.
You can choose which parameter values
3. Automode On/Off. to show.
4. Admit patient/Entered patient data and 21. Additional settings.
admission date.
22. Additional measured values.
5. Nebulizer On/Off. 23.
3. Loudspeaker.
6. System
stem status parameters. 24. Cable
ble reel for the control cable.
7. Fixed keys for
or immediate access to 25. Slot for Ventilation record
d card with a
special windows. cover.
8. The
he Main Rotary Dial with which you 26. Screen rotation locking
king lever.
select the desired menu touch pad or
parameter box. You can also adjust 27. Locking screw for alternative cart
values. By pressing
ressing it, you confirm your mounting.
settings. 28. Panel holder for positioning on the
9. Special
al function keys for immediate Mobile Cart.
ventilatory functions. 29.
9. Control cable, 2.9 meters between User
10.
0. Direct Access Knobs for immediate
diate Interface and Patient Unit.
adjustments of vital parameters. A built- 30. Service connector
onnector
in 2 seconds safety delay with inactive
ve 31. On/Off switch. In the off position
knobs when a setting reaches everything
verything is turned off; however the
predefined
defined safety limits. plug-in battery continues to charge
11. Mains indicator (green).
green). when connected to mains (Set to On in
12. Standby indicator (yellow). the graph).
13. Start/Stop (Standby)
dby) ventilation key. In 32. Locking arm to tilt the screen.
Standby everythingg is turned on, except
for ventilation.
Read
ead
ad
d more
ore
re
e about
bout
out
utt the
he
e User
ser
err
14.
4. On/Off switch (rear side)
interface
nterface
terface
erface
rface
face
ace
ce
e
Positioning: page 93
15. Slot for Ventilation record card
Operating: page 159
59
16. Luminiscens
uminiscens detector: adjusts screen Alarm settings page 165
brightness automatically.
y. Cleaning: page 191
17. Informative text messages. A purple Technical data: page 241
symbol indicates
tes patient triggering. Keys and touch pads: page 259
18. Alarm messages.
19. The
he waveform area which monitors two
to four parameters, individually
lly scaled.
You can add an pressure/flow loop, with th
the ordinary waveforms still visible. This
waveform area is also used for the trend
presentation.

Servo… User´s manual

US edition
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89
4 User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e - Functionality
unctionality
nctionality
ctionality
tionality
ionality
onality
nality
ality
lity
ity
tyy
Touch
ouch
uch
ch
h screen
creen
reen
een
en
n Main
ain
in
n Rotary
otary
tary
ary
ry
y Dial
ial
all

SVX-6021_XX

1. Activate
vate the desired menu touch pad by
y 1. Turn the Main Rotary Dial until the
pressing it. desired menu touch pad is marked with
2. Activate the desired parameter
meter by a blue frame.
pressing the touch padd (highlighted 2. Press the Dial to
o confirm.
white with a blue frame). It is now – The menu touch pad is highlighted
ghlighted in
possible to enter a new value. white with a blue frame.
3. Turn the Main Rotary Dial to the desired – Change values by turning the Dial and
value
ue or line. confirm
onfirm the settings by pressing the Dial.
4. Confirm your setting by pressing the Dial Note: For more information about settings
or the parameter touch pad (turns blue and operating, refer to page 145.
45.
again). To set more parameter values
repeat steps 2) - 4).
5. To activate your settings, press Accept.
6. To cancel your settings, press Cancel.
Note: For more information about settings
and operating, refer to page 145.
5.

Servo… User´s manual

90 US edition
Infant Adult Universal Options Order No: 66 00 261
 User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e - Functionality
unctionality
nctionality
ctionality
tionality
ionality
onality
nality
ality
lity
ity
tyy 4
Fixed
ixed
xed
ed
d keys
eys
ys
s Adjusting
djusting
justing
usting
sting
ting
ing
ng
g parameter
arameter
rameter
ameter
meter
eter
ter
err values
alues
lues
ues
es
s

SVX-5089_EN

There are two kinds

s of fixed keys:
1. Short-cut to function or screen.
2. Start special ventilatory function, which
demands continuous supervision when Immediate
ate adjustment
used. 1. Turn the
he Direct Access Knob to the
Press to activate. desired value.
alue. When you reach the
Note: For more information about settings defined safety limits
mits the knob is
and
d operating, refer to page 157. inoperative for 2 seconds,
ds, to make you
aware that you have passed a safety
fety
limit.
Combined
ombined adjustments
stments
2. Press Additional settings
gs and adjust
values. Confirm your setting

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
91
4 User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e - Functionality
unctionality
nctionality
ctionality
tionality
ionality
onality
nality
ality
lity
ity
tyy
Waveforms
aveforms
veforms
eforms
forms
orms
rms
ms
s Measured
easured
asured
sured
ured
red
ed
d value
alue
lue
ue
e boxes
oxes
xes
es
s

15
20
10

8.5 6.2
8.5
8.5
6.5
6.5

30
40

11
6

As default four waveforms are shown The measured value boxes

xes show measured/
simultaneouslyy (If CO2 Analyzer is calculated values in numerics and the unit
connected).
ted). being used.
1. Each waveform displays
plays one measured 1. Set Lower and Upper alarm limits are
parameter against time (x-axis).
). The also shown.
displayed variable and scale are 2. If an alarm limit is exceeded,
ceeded, the box
indicated on the y-axis. turns red for a high priorityy alarm (page
2. The waveforms
ms are color-coded (default 72) and yelloww for a medium priority
from factory): alarm (page 72).
2). The exceeded limit is
– Yellow
w for pressure indicated byy an arrow.
– Green for flow 3. A value out of range is also labelled
belled "***".
– Light blue for volume 4. Additional measured values can be
shown in the box.
– Light yellow for CO2 concentration.
The waveform m amplitude can be set
individually or by the
he system, using Auto.
Sweep speed can an also be adjusted. For
further information see page
ge 157. The
settings are effective from
m the first breath
after adjustment.
The displayed
yed waveforms can be
configurated
urated using Waveform configuration
nfiguration.
For further information see page 169.69.

Servo… User´s manual

92 US edition
Infant Adult Universal Options Order No: 66 00 261
 User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e - Positioning
ositioning
sitioning
itioning
tioning
ioning
oning
ning
ing
ng
g4
User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e positioning
ositioning
sitioning
itioning
tioning
ioning
oning
ning
ing
ng
g

The User Interface can be positioned on the

Mobile Cart, a table, a shelf or a pipe.
1. Lift the User Interface straight up.
2. Place the panel on a table, shelf or on a
pipe and fasten it securely by turning
g the
handle of the locking screw.
Note: Make sure
ure that the User Interface is
fastened firmly. When positioned on a pipe
the dimension of the pipe must be between
ween
15 - 30 mm.

Servo… User´s manual

US edition
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93
4 User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e - Accessories
ccessories
cessories
essories
ssories
sories
ories
ries
ies
es
s
Knob
nob
ob
b cover
over
ver
err

The knobb cover protects the Direct Access

Knobs against inadvertent activation. Raise
the cover to access the Direct Access Knobs.

Servo… User´s manual

94 US edition
Infant Adult Universal Options Order No: 66 00 261
 User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e - Accessories
ccessories
cessories
essories
ssories
sories
ories
ries
ies
ess 4

User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e panel
anel
nel
ell cover
over
ver
err

The User Interface panel cover protects the

screen from inadvertent activation of settings
and mechanical damage duringuring transport.
While attached the user can still access the
vital settings. Raise the cover to access the
screen.

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
95
4 Patient
atient
tient
ient
ent
ntt Unit
nit
itt - Connections
onnections
nnections
nections
ections
ctions
tions
ions
ons
ns
s and
nd
d labels
abels
bels
els
ls
s

Note: Refer to chapter

pter Before use (page 5)
for more information about
bout symbols on the
Servo-i Ventilator
ator system.

Servo… User´s manual

96 US edition
Infant Adult Universal Options Order No: 66 00 261
 Patient
atient
tient
ient
ent
ntt Unit
nit
itt - Connections
onnections
nnections
nections
ections
ctions
tions
ions
ons
nss and
nd
d labels
abels
bels
els
ls
s4
1. Handle Read
ead
ad d more
ore
re
e about
bout
out
utt the
he
e patient
atient
tient
ient
ent
ntt
2. Gas inlet for air unit
nit
itt
3. Gas inlet for O2 Positioning:
g: pages 123, 124
4. Air / Luft Cleaning: page 191
5. O2 Technical
chnical data: page 241

6. Model number
ber
7. Serial number
8. Manufacturing
g information
9. Equipotentiality terminal, Label
10. Fuse label T 2.5AL
11. Mains powerr voltage
12. Mains supply connector with fuse
13. Cooling fan
an with filter
14. Alarm output connection option
15. External +12V DC inlet
Caution: When external +12 V DC is
used, at least one installed Battery
module is required to ensure proper
operation.
16. Fuse for external DC power supply
17. Optional connector
18. User Interface connector
19.
9. RS232 connector
20. Expiratory
piratory outlet
21. Cover, inspiratory channel
hannel
22. Expiratory inlet
23. Battery lock
ck
24. Module compartment
nt
Note: The slots are numbered (1,2,3...)
2,3...)
from top to bottom.
25. Nebulizer connector (only for Servo Ultra
Nebulizer)
ulizer)

SVX-6076_XX

26. Inspiratory outlet

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
97
4 Patient
atient
tient
ient
ent
ntt Unit
nit
itt - Expiratory
xpiratory
piratory
iratory
ratory
atory
tory
ory
ryy cassette
assette
ssette
sette
ette
tte
te
e
Gas
as
s flow
low
ow
w through
hrough
rough
ough
ugh
gh
h the
he
e Patient
atient
tient
ient
ent
ntt Unit
nit
itt

1. Gas inlet for O2. 8. The patient system´s expiratory

ory tubing is
2. Gas inlet for air. connected to the expiratory
atory inlet. The
inlet also contains a moisture trap.
3. The gas flow is regulated by the gas
modules for Air and O2. 9. The gas flow through the expiratory
channel is measured by ultrasonic
4. The gases are mixed
xed in the inspiratory transducers.
mixing section.
10. The expiratory pressure is measured by
5. The Oxygen concentration can be the expiratory pressure transducer
nsducer
measured either with an O2 cell or an O2 (located inside the ventilator). The
Sensor. The O2 cell is protected by a transducer is protected by a bacterial
bacterial filter. filter in the cassette.
Note: On the illustration an O2 cell is 11. The pressure (PEEP
PEEP pressure) in the
connected. patient system is regulated
d by the
expiratory valve.
6. The pressure of the mixed gas
as delivered
12. Gas from the patient system leaves the
to the patient is measured by the
ventilator via the expiratory outlet.
utlet. The
Inspiratory pressure transducer.
cer. The
outlet contains a non-return valve.
transducer is protected by a bacterial
filter. Note: The Expiratoryy cassette can be
exchanged between different Servo-i
7. The inspiratory channel delivers
vers the
Ventilator System. Always perform a Pre-use
mixed gas to the patient system´s
check after exchanging
ging an Expiratory
inspiratory tubing.
ubing. The inspiratory
cassette.
channel also contains a safety
fety valve.

Servo… User´s manual

98 US edition
Infant Adult Universal Options Order No: 66 00 261
 Mobile
obile
bile
ile
le
e Cart
art o-i 4
rtt Servo
ervo
rvo
vo
Mobile
obile
bile
ile
le
e Cart
art
rtt
Front and rear side Drawer
rawer
awer
wer
err kit
itt

SVX-696_XX

The drawer kit with twoo drawers can be

mounted on the Mobile le Cart.

SVX-008_XX

SVX-571_XX

The
he Mobile Cart Servo-i is designed
gned for
carrying the User Interface, the Patient Unit
and all required
quired optional equipment.
A drawer at the top contains brief operating
instructions. The Patient Unit is positioned
on a console so that it can easily be moved
from the Mobile Cart or rotated (to switch
sides for the patient breathing system).
ystem).
The Mobile Cartrt has side rails for accessories
such as a humidifier and slots in the column
for the Support Arm, IV-pole with holder etc.
Two off the wheels can be locked.

Read
ead
add more
ore
re
e about
bout
out
utt the
he
e Mobile
obile
bile
ile
le
e
Cart
art
rtt
Positioning:
g: page 123
System transport: page 116
6
Cleaning: page 191
Technical data:
ta: page 241

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
99
4 Holders
olders
lders
ders
ers
rss

Servo-i Holder Humidifier

fier Holder

SVX-568_XX

SVX-037_XX

The universal holder allows

ws for positioning of The Humidifier Holder can
n be attached on
the Patient Unit on a bed,
d, a stretcher or a the Mobile Cart.
standard rail.

Servo-i Shelff base IV Pole

SVX-695_XX

The shelf base allows for positioning

g of the
Patient Unit on a shelf.

Supportt Arm 177

SVX-569_XX

The IV
V pole with holder can be attached on
the Mobile Cart.

SVX-036_XX

The Support
pport Arm can be attached on the
Mobile Cart.

Servo… User´s manual

100 US edition
Infant Adult Universal Options Order No: 66 00 261
 Holders
olders
lders
ders
ers
rss 4

Servo-i Gas trolley

y

SVX-605_XX

The Gas trolley can

n be attached on the
Mobile Cart or to a separate wall clamp.

Servo-i Gas cylinder restrainer

SVX-572_XX

The Gas cylinderr restrainer is mounted onto

the Mobile Cart. For details, please refer to
the Installation instructions.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
101
4 Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err
Note:
Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err
The Servo Ultra Nebulizer
zer is intended for • For information about the stand alone
nebulizing drugs to patients requiring Aeroneb Professional Nebulizer System,
ystem,
mechanical ventilation or positive pressure refer to separate manual.
breathing assistance via an endotracheal
dotracheal
tube or face mask / prongs. • The Y Sensor measurement (page 135) 35)
The nebulizer operates continuouslyy can be incorrect when the Aeroneb
regardless of ventilation mode setting. No Professional
fessional Nebulizer System is in use.
extra gas volume
ume is added to the inspiratory Therefore, we recommend that the Y
Minute Volume and thus neither the ventilator Sensor is removed from the patient circuit
settings nor the readings are affected.
cted. during
g nebulization.
WARNINGS!
RNINGS!

• Servo Humidifier/HMEE must be

disconnected during nebulization.
Otherwise the humidifier may be blocked.
ocked.
• The heated humidifier must be switched
witched
off during nebulization. Otherwise the
particle size may be affected.
ffected.
• The nebulizer must not be used without
buffer liquid (sterile water). Otherwise the
ultrasonic generator crystal may break.
• When a Servo Ultra Nebulizer is used,
always consult
onsult the drug manufacturer
regarding the appropriateness of
ultrasonic nebulization
bulization for certain
medications.
• When the ventilator is running on batteries
the nebulizer module is inoperative to
reduce the power consumption.
• During nebulization a filter must be
connected d to the expiratory inlet of the
ventilator. Always
s carefully monitor the
airway pressure during nebulization.
Increased airway pressure could be
caused by a clogged filter. The
he filter should
be replaced if the expiratory resistance
increases or every
very 24 hours when the
nebulizer is being
g used.

Servo… User´s manual

102
2 US edition
Infant Adult Universal Options Order No: 66 00 261
 Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err 4
Basic principles Nebulizer
bulizer Holder

6
1

2 3

SVX-135_XX
SVX-136_XX

1. Gas from
rom ventilator. The holder can be used when the Servo Ultra
Nebulizer is not in use or when
hen filling with
2. Cable from ventilator. medication.
3. The
he ultrasonic generator produces
ultrasonic waves. Read
ead
ad
d more
ore
re
e about
bout
oututt the
he
e Servo
ervo
rvo
vo
o
4. The waves are transmitted through gh Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err
sterile buffer water. Breathing systems:
ystems: pages 120 - 122
5. A medication
dication mist is produced in the Preparation: page 128
8
medication cup. The 10 0 ml cup is Operating: page 186
disposable. It can be filled duringg Cleaning: page 205
05
nebulization through an injection Technical data: page 246
46
membrane in the T-piece,
piece, or before
mounting the T-piece. The medicationation
mist is carried to the patient by the
inspiratory flow.
w.
6. The T-piece has a mechanical particle
separation system
ystem (baffles). This ensures
a mass median
dian diameter (MMD) of
approximatelyy 4.0 µm of droplets in the
mist. Larger
arger droplets are re-nebulized.
7. Injection membrane.

Servo… User´s manual

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103
4 CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer o-i
err Servo
ervo
rvo
vo
Important:
CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err
The CO2 Analyzer
yzer allows for continuous • The capnostat sensor and airway adapter
monitoring shown in a waveform
veform indicating windows should be placed vertically to
the COO2 concentration. A numerical reduce the possibility of optical
presentations of End Tidal CO2 interference due to window contamination.
concentration (etCO2), CO2 minute
elimination and CO2 tidal elimination is also • If Servo Ultra Nebulizer and CO2 Analyzer
shown on the screen.
reen. Alarm limits for high are in use
se simultaneously. It may affect the
and low etCOCO2 can be individually set. CO2 readings.
The CO2 Analyzer processes
cesses data and • Only MAQUET
UET airway adapter may be
derives values for the following parameters:
meters: used together with the Capnostat sensor.
Instantaneous CO O2 (Capnogram) – the
instantaneous value of the CO O2 level; Read
ead
ad
d more
orere
e about
bout
out
utt the
he
e CO
O2
displayed on the screen as a waveform
depicting the variation in airway y CO2 level Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err
during the patient’s s respiration cycle. Preparation: page 134
End-tidal CO2 (etCO2) – the level off CO2 in Calibration: page 151
51
the airway at the end of expiration;
piration; normally
the maximum value measured over a Cleaning: page 208
specified
cified interval. The current value for Technical
hnical data: page 247
etCOO2 is displayed on the screen.
CO2 minute elimination on ( CO2) –
expressed in ml per minute indicates the
volume of expired CO2 per minute.
CO2 tidal elimination (VTCO2) – expressed d
in ml per breath indicates the volume of
xpired CO2 per breath.
expired

Note: CO2 Minuteute elimination ( CO2) and

Tidal CO2 elimination (VTCO2). Elimination of
CO2 from the
he body takes place via expired
gas from the lung. Production of CO2 takes
place in cellular compartments and d body
tissues.
Cautions:
utions:
O2 modules at the
• Do not insert two CO
same time. The Servo-i Ventilator system
can only handle one COO2 module at a
time.
• If the upper alarm limit is set above
ve the
maximum measuring range, no alarm will
be activated
ctivated even if the upper limit is
exceeded.

Servo… User´s manual

104 US edition
Infant Adult Universal Options Order No: 66 00 261
 CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer o-i 4
err Servo
ervo
rvo
vo
CO2 Analyzerr parts

1. CO2 Analyzer module.

dule. Basic principles
2. Connection for sensor.
3. Connector.
4. Airway adapter.
5. Capnostat sensor.
6. Reference cell.
7. Zero cell.

1. Gas flow
w through the airway adapter in
the Capnostat sensor..
2. The sensor uses a solid state and IR
based optical
ptical system with no moveable
parts. The difference between a
reference light beam and one filtered for
CO2 wave length is measured.d.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
105
5
4 Y Sensor
ensor
nsor
sor
orr measuring
easuring
asuring
suring
uring
ring
ing
ng
g

Y Sensor
ensor
nsor
sor
orr measuring
easuring
asuring
suring
uring
ring
ing
ng
g Note:
e:
The Y Sensor measuring
asuring function is based on • It is recommended to place an HME or
fixed orifice, differential pressure sensor tube between thehe Y Sensor (Adult version)
technology, y, and allows the pressure and flow and the test lung. The high resistance in
to be measured as close as possible to the
patient’s airway.y. The Y Sensor measuring the test lung may result in inaccurate
can be used in all modes of ventilation. measurements.
The Y Sensor measuring is included in both th • The Y Sensor measurement can be
the Pre-use check and the Patient Circuit incorrect when
hen the Aeroneb Professional
Test. Nebulizer System is in use. Therefore, we
recommend d that the Y Sensor is removed
WARNING!
NING!
from the patient circuit during nebulization.
• Do not apply tension to the Y Sensor • A Pre-use
se check or a Patient Circuit Test
tubing.
bing. is required
d to use Y Sensor measuring.
• If the Y Sensor is not connected to the Y Sensors
ensors
nsors
sors
ors
rs
s
module then do not connect to the patient
There
here are two versions of the disposable,
circuit due to leakage. single-use
use Y Sensors - Adult and Neonatal
Cautions: (Infant).
fant).
• The Y Sensor is intended for single patient
atient
use only.
• Avoid kinking the sensorr tubing, otherwise
the measuring is impaired.
• Condensed water or other fluids in the Y
sensor may impair measurement accuracy
(immediately or as a long term drift).
).
Therefore it is recommended to always ys
check if the sensor is affected by
condensed water or other fluids
uids before
adjusting settings.
• Do not insert two Y Sensor modules at the SVX-9049
same time. The Servo-i
vo-i Ventilator system
can only handle one Y Sensor module at a 1. Adult sensor
time. 2. Infant sensor including adapter
pter for use
Important:To guarantee that hat waveforms and together with the neonate CO2 adapter.
dapter.
metrics are always displayed
played on the User
Interface, the internal pressure and flow w Read
ead
ad
d more
ore
re
e about
bout
out
utt the
he
eY
sensors are at all times active as back-up. Sensor
ensor
nsor
sor
orr measuring
easuring
asuring
suring
uring
ring
ing
ng
g
Their readings are compared with the Y Breathing systems: page 120
20 - 122
Sensor measurement and the Y Sensor is Preparation: page 135
disabled iff there is a significant deviation or
Cleaning: page 192
malfunction.
Technical data:
ta: page 248

Servo… User´s manual

106 US edition
Infant Adult Universal Options Order No: 66 00 261
 Y Sensor
ensor
nsor
sor
orr measuring
easuring
asuring
suring
uring
ring
ing
ng
g4
Y Sensor measuring
uring parts

SVX-9037

1. Y Sensor
sor module
2. Connector for sensor
3. Connector
4. Y piece
5. Y Sensor
6. Endotracheal
acheal tube

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
107
4 Battery
attery
ttery
tery
ery
ryy module
odule
dule
ule
le o-i
e Servo
ervo
rvo
vo
General
eneral
neral
eral
ral
all Important:
ortant:
Battery modules
dules are used as a power backup • When delivered, the Battery modules
odules may
in the Intensive
ve Care Unit (ICU) and during not be fully charged. Check the status of
transportation.
ortation. The batteries used are the batteries via the User Interface
nterface and, if
“smart” NiMH
MH 12V re-chargeable batteries. required, charge the battery before clinical
On delivery, more recent ventilators have two
wo
fixed Battery modules installed, with
h dummy use.
se. See “Checking battery status”us” on
modules covering the other four slots. Extra page 111.
Battery modules are ordered and delivered • Charge new batteries
ies by connecting the
separately.
parately. ventilator to the mains power
wer supply.
WARNING! To guarantee safe battery • Always recharge discharged batteries.
backup,
kup, always use at least two batteries. • When not in use, the ventilator should
Replace the
he batteries, due to old age, after always
ys be connected to the mains power
two and a half years from
m their manufacturing supply
upply to ensure fully charged batteries.
ies.
date. The ventilator software
ware will notify when • If necessary, batteries can be added
batteries need to be replaced. during operation (where free slots are
available).
Basic
asic
sic
ic
c principles
rinciples
inciples
nciples
ciples
iples
ples
les
es
s Caution:
on: When the ventilator is running
unning on
In case of mains power failure, the ventilator batteries, the Servo Ultra Nebulizer is
performs an automatic switch to external disabled to reduce power consumption.
mption.
+12V (if connected) or to the Battery
attery
modules. In both cases, the ventilatory
settings
gs and stored data remain intact.
The ventilator chooses the Batteryy module
powered with the highest voltage to be the
prime module for powering the ventilator,
ator,
where the other modules adopt an
assistance role. This automatic changeover
geover
enhances system safety in case of a
malfunctioning Battery module.
dule.

Servo… User´s manual

108 US edition
Infant Adult Universal Options Order No: 66 00 261
 Battery
attery
ttery
tery
ery
ryy module
odule
dule
ule
le o-i 4
e Servo
ervo
rvo
vo
Charging/Operating
harging/Operating
arging/Operating
rging/Operating
ging/Operating
ing/Operating
ng/Operating
g/Operating
/Operating
Operating
perating
erating
rating
ating
ting
ing
ng
g time
ime
me
e
The ventilator can be run for at least 30
minutes per Batteryy module, i.e. two Battery
modules for 600 minutes.

SVX-9036

The estimated remaining battery backupckup

time, in minutes, is indicated on the User
Interface
face – see time on Status button (when
operating
perating from batteries) at the top-right of
screen.

WARNING! If the remaining battery y time on

the Status button is displayed in red, the
battery modules have very little operational
time left
ft and at least one battery module
must be replaced. If possible, connect the
he
ventilator to the mains power supply.

The Battery status window shows status

information for each
ch battery module
mounted in the ventilator. See “Battery
status window” on page 111 for more
information.
Battery modules are automatically chargedged
when the ventilator is connected to the mains
power supply.
upply. During Battery module
charging, the ventilator charges the batteries
in consecutive order using time-sharing to
avoid uncharged batteries from blocking
king
charging capacity. Charging starts with the
lowest
owest voltage battery.
Each discharged Battery module will need
approximately three
hree hours to be fully
charged.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
109
4 Battery
attery
ttery
tery
ery
ryy module
odule
dule
ule
le o-i
e Servo
ervo
rvo
vo
Checking
hecking
ecking
cking
king
ing
ng
g battery
attery
ttery
tery
ery
ry
y status
tatus
atus
tus
us
s If, as shown in the picture,
ure, a battery needs to
be replaced due to either old age or poor
Pre-use check
heck operational capacity, perform
form the following:
A Pre-use check can be run each time the • Press OK to acknowledge
knowledge the information
ventilator
or is switched on and also from dialog box. The remaining Pre-use check
Standbyy mode. The following dialog box x is is then completed.
pleted.
typically displayed after system start-up:
• Access the Battery status window
ndow to
identify the Battery module to be replaced.
placed.
See “Battery status window”
ow” on page 111
for a detailed description of both
h how to
access this window and a thorough
description of the information
mation found there.
• Replace the ‘poor’ or ‘old’ Battery module
with a new Battery module.
• Dispose
spose of the discarded Battery module
according
ng to local regulations.
Special
ecial waste
This product contains electronic
and electrical components.
SVX-9034 Discard disposable, replaced and
left-over parts in accordance with
h
• Press Yes to o start this system status appropriate industrial and
check, or No to proceed directly with environmental standards.
ventilation. Recycling
During the Pre-use check, the Battery Worn-out batteries must be
module status is checked. If the battery recycled or disposed of properly
status is unsatisfactory, the following screen in accordance with appropriate
will typically
pically be displayed: industrial and environmental
standards.
• Re-check the battery status to ensure safe
battery operation.
ion.

SVX-9035

Servo… User´s manual

110 US edition
Infant Adult Universal Options Order No: 66 00 261
 Battery
attery
ttery
tery
ery
ryy module
odule
dule
ule
le o-i 4
e Servo
ervo
rvo
vo
Battery
attery
ttery
tery
ery
ry
y status
tatus
atus
tus
us
s window
indow
ndow
dow
ow
w The following information is displayed for
each mounted Battery module:
The Battery status window contains status
information on each of the Battery modules • Slot number
mounted in the ventilator.. It also displays the • Serial number
total usable backup time for the ventilator –
this time is also displayed, during g battery • Charge indicator, where
operation, on the Status button at the top- 0 boxes
xes filled = < 10% relative charge
ge
right of the User Interface, and in the Status 1 box filled = 10-25% relative
ative charge
window. 2 boxes filled = 26-50%
6-50% relative charge
To access the Battery status window, 3 boxes filled = 51-75% relative
ve charge
perform the following: 4 boxes filled = 76-100%
6-100% relative charge
• Press the Status pad d at the top-right of the
• Remaining
maining operating time in minutes
User Interface. The Status window is
displayed: • Activity instruction. Displayed directly next
to the Remaining
maining operating time in
minutes.

SVX-9033

• Press the
he Batteries pad. The Battery status
window is displayed.
layed.

SVX-9032

Note: The total usable backup time me is the

sum of the estimated operation time
displayed for each Battery module minus 10
minutes. This
his is a safety feature.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
111
4 Battery
attery
ttery
tery
ery
ryy module
odule
dule
ule
le o-i
e Servo
ervo
rvo
vo
Informative
nformative
formative
ormative
rmative
mative
ative
tive
ive
ve
e text
ext
xtt message
essage
ssage
sage
age
ge
e
Text
xt message Remedy
Check battery status Mains voltage disappears.
ppears. Problem with
battery module.
ule. One or more Battery
modules must be replaced.
placed. Open the Battery
status window for information. Replace and
discard battery.
y.

Activity
ctivity
tivity
ivity
vity
ity
ty
y instructions
nstructions
structions
tructions
ructions
uctions
ctions
tions
ions
ons
ns
s
Activity instruction Remedy
Expires soon The Battery module will soon
n need to be
replaced. Order a new battery.
Replace batteryy The
he Battery module has either exceeded its
life span
pan or its operational capacity is too
poor for continued usage. Replace and
discard the
he battery.
Note: Even if the battery indicates a
significant operational
perational time, e.g. 55 min in the
above picture, the batteryy must be replaced.

Important:
mportant:Batteries to be discarded must be
disposed of according to local regulations.
Batteries must not be disposed of with h
ordinary waste. Recycle facilities may not be
available in all areas.
Important:When a battery moduleule has been
replaced, re-check the Battery status
window to ensure safe battery operation.

Servo… User´s manual

112 US edition
Infant Adult Universal Options Order No: 66 00 261
 Battery
attery
ttery
tery
ery
ryy module
odule
dule
ule
le o-i 4
e Servo
ervo
rvo
vo
Alarms
larms
arms
rms
ms
s and
nd
d safety
afety
fety
ety
ty
y
The
he status of the Battery modules is
continuously monitored by the ventilator. If
the status is unsatisfactory, two types
pes of
message information can be displayed at thehe
top of the User Interface:
• Informative text messagege see page 230.
• Alarm message, see page 226.

WARNING!
RNING! If one of the above message
types is displayed,
layed, it is important to check
the battery status
us as soon as possible. If no
action is taken, while operatingg the ventilator
on batteries, the ventilator may eventually
switch
ch itself off!

Battery
attery
ttery
tery
ery
ry
y storage
torage
orage
rage
age
ge
e
Battery modules should not be stored over
long periods of time. This will negatively
affect their capacity. If Battery modules need
to be stored for short periods of time (one
week),
k), then store them fully chargedd in a cool
(15-20°C) and dry environment.
vironment.

Caution: Stored batteries need to be

recharged before
fore operation.
Special
ecial waste
This product contains electronic
and electrical components.
Discard disposable, replaced and
left-over parts in accordance with
h
appropriate industrial and
environmental standards.
Recycling
Worn-out batteries must be
recycled or disposed of properly
in accordance with appropriate
industrial and environmental
standards.

Read
ead
ad
d more
ore
re
e about
bout
out
utt the
he
e battery
attery
ttery
tery
ery
ry
y
module
odule
dule
ule
le
e
Module handling: page 133
Cleaning: page 191
91
Technical data: page 241

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
113
4 Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n Record
ecord
cord
ord
rd
d Card
ard
rd
d

Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n record
ecord
cord
ord
rd
d card
ard
rd
d
The Ventilation record card allows for
transfer of patient data or copy of screen
from the
he ventilator system to a personal
computer. Patient data can then be further
processed and stored.
Accessible patient data in the ventilator are
the logged events, trends, recordings and
Open Lung
ung Tool data, including patient
name, patient identification code, ventilator
serial number and pre-use check status.
Information
ormation (patient data or screen dump) is
never overwritten on thehe card by new
information. The card can onlyly be erased in a
personal computer.
Important:
ortant: The
he Ventilation record card and
its contents should be handled according to
national regulations, hospital routines and
established routines for diskettes/pc-cards.
Basic principles
nciples
Data can be copied to thehe card in Standby
mode or during ventilatory care. The card is
inserted into the User Interface and the user
confirms the copying. Insert the cardd in a
personal computer. Patient data is accessed
in Excel format (refer to separate manual).

Read
ead
ad
d moreore
re
e about
bout
out
utt the
he
e
Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n record
ecord
cord
ord
rd
d card
ard
rd
d
Set up and preparation page
ge 140
Copy patient data: page 174
Copy screen: page 173
Technical data: page 241

Servo… User´s manual

114 US edition
Infant Adult Universal Options Order No: 66 00 261
 Compressor
ompressor
mpressor
pressor
ressor
essor
ssor
sor
orr Mini
ini
nii 4

Compressor
ompressor
mpressor
pressor
ressor
essor
ssor
sor
orr Mini
ini
nii
Basic principles
The Compressor Mini is designed gned to supply a
ventilator with dry, filtered, compressed air.
The Compressor Mini is designed to work
together with all MAQUETQUET ventilators.
The Compressor Mini is equipped with ha
Standby function. In Standby mode, the
compressor
pressor will start to deliver compressed
air to the ventilator if the central compressed
air supplyy fails. The compressor
automatically stops when n the central air
supply returns.
The Compressor
mpressor Mini is fitted with two
alarms; a temperatureure alarm that is activated
if the compressor overheats, and a pressure
alarm that is activated if the air pressure
drops, or increases, outside the acceptable
range.
ge. Alarms are audible and visible, with h
error message display.
The outlet air pressure and nd the operating
time are also indicated on the display.

For further information please refer to the

Compressor Mini User’s manual and the
Compressor Mini Data Sheet.

SVX-688_XX
Read
ead
add more
ore
re
e about
bout
out
utt compressor
ompressor
mpressor
pressor
ressor
essor
ssor
sor
orr
Compressor Mini and
d Servo-i Ventilator on mini
ini
nii
the Mobile Cart Technical data: page
ge 248

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
115
4 System
ystem
stem
tem
em
m transport
ransport
ansport
nsport
sport
port
ort
rtt and
nd
d storage
torage
orage
rage
age
ge
e

Before transport During transport

Before transporting
ing the ventilator with or During
uring transportation of the ventilator with or
without a patient connected, make ke sure that without a patient connected, make sure that
the following conditions are fulfilled: the following conditions
ditions are fulfilled:
• The Patient Unit and the User Interface • Gas cylinders are connected with ha
panel are securelyy attached and locked. sufficient amount of gas, the Battery
• All accessories such as modules, gas module
dule is charged and the resuscitator is
cylinders and humidifier are securely functioning. Follow the hospital
pital guidelines.
attached and locked.
ked. Important: It is recommended that at least
• Connect and check the gas cylinders for two batteries are used for ventilation during
amount of gas and the batteries for transport.
charged capacityy (fully charged when • Use the
he handles on the Mobile
patient connected),
onnected), and check the Cart.Transport
port the bed and the ventilator
resuscitator for function. Follow the slowly, and watch the patient connection
hospital
pital guidelines. carefully
fully to see that no pulling or other
• Check that there is no
o damage to the movement occurs.
Mobile Cart. • Be careful not to tip the Mobile Cart when
crossing an obstacle such as a doorstep.p.

Servo… User´s manual

116 US edition
Infant Adult Universal Options Order No: 66 00 261
 System
ystem
stem
tem
em
m transport
ransport
ansport
nsport
sport
port
ort
rtt and
nd
d storage
torage
orage
rage
age
ge
e4
WARNING! G! If the trigger sensitivity is set too
high, a self-triggering (auto-triggering)
uto-triggering)
condition may be reached. This condition
can also be reached if there is leakagekage in the
breathing system, e.g. if an uncuffed
endotracheal tube is used. Triggering
ggering will
then be initiated by the system m and not by the
patient.Thiss should always be avoided by
decreasingng the trigger sensitivity (page 23).3).
This is also important during transport as the
movement off the body and the breathing
systemm may lead to false triggering.

Cautions:
• To prevent the ventilator from tipping over,
the Patient Unit must be pushed into its
locked
cked position during transportation.
• If Battery
y modules are inserted, the
ventilator should be connected to the
mains when not in use. The Battery
modules
dules are then charged automatically.
• Batteries and O2 cell must not be
disposed
posed of with ordinary waste.
• Lock
k the gas cylinders firmly to the Mobile
Cart.
• To prevent the gas cylinders from sliding
out or tipping over,, ensure that the straps
are firmly fixed to the center of the
cylinders.
• When moving g the Support Arm or
changing position,, watch the patient
connection carefully to see that no pulling
or other movement occurs.
• Store the system at a temperature between
-25 oC and +60 oC (-13
13 oF to 140 oF) at
<95% RH.H.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
117
4 Notes
otes
tes
ess

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

Servo… User´s manual

118 US edition
Infant Adult Universal Options Order No: 66 00 261
 5.. Set-ups
et-ups
t-ups
-ups
ups
ps
s and
nd
d preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
ns
s

Contents
ontents
ntents
tents
ents
nts
ts
s

Set-ups
et-ups
t-ups
-ups
ups
ps
s
Set-ups
et-ups
t-ups
-ups
ups
ps
s - Patient
atient
tient
ient
ent
ntt breathing
reathing
eathing
athing
thing
hing
ing
ng
g system
ystem
stem
tem
em
m . . . . . . . . . . 120
20
0

Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss
nss - Mobile Cart Servo-i
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons ervo-i
rvo-i
vo-i
o-i-ii . . . . . . . . . . . . 123
23
3
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Holder
older
lder
der
err . . . . . . . . . . . . . . . . . . . . . 124
24
4
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Support
upport
pport
port
ort
rtt Arm
rm
m. . . . . . . . . . . . . . . . 125
25
5
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Gas
ass trolley
rolley
olley
lley
ley
ey
y ................. 126
26
6
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Fisher
isher
sher
her
err & Paykel
aykel
ykel
kelell . . . . . . . . . . . . . . 127
27
7
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Servo
ervo
rvo
voo Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zererr . . . . . . . . . 128
28
8
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Modules
odules
dules
ules
les
ess................... 133
33
3
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - COO2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err Servo-i
ervo-i
rvo-i
vo-i
o-i-ii . . . . . . . . . 134
34
4
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Y Sensor
ensor
nsor
sor
orr measuring
easuring
asuring
suring
uring
ring
ing
ngg. . . . . . . . . . 135
35
5
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Servo
ervo
rvo
voo Humidifier
umidifier
midifier
idifier
difier
ifier
fier
ier
err . . . . . . . . . . . . . 136
36
6
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Servo
ervo
rvo
voo guard
uard
ard
rd
d ................ 137
37
7
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Battery
attery
ttery
tery
ery
ryy module
odule
dule
ulele
e Servo
ervo
rvo
voo-ii . . . . . . . 139
39
9
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
onn Record
ecord
cord
ordrd
d Card ardrd
d....... 140
40
0
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Start-up
tart-up
art-up
rt-up
t-up
-up
up p configuration
onfiguration
nfiguration
figuration
iguration
guration
uration
ration
ation
tion
ion
onn ........ 141
41
1

Overview
verview
erview
rview
view
iew
ew
w - Starting
tarting
arting
rting
ting
ing
ng
g the
he
e system
ystem
stem
tem
em
m. . . . . . . . . . . . 143
43
3

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options 119
5 Set-ups
et-ups
t-ups
-ups
ups
ps
s - Patient
atient
tient
ient
ent
ntt breathing
reathing
eathing
athing
thing
hing
ing
ng
g system
ystem
stem
tem
em
m
10
0 mm
m diameter
iameter
ameter
meter
eter
ter
err

4 9 10 11 12
3 5
7
6 8

SVX-017_XX
13
14

18
19

17
15
16

1. Servo guard,
d, viral/bacterial filter - must 11. Servo humidifier
difier - must be disconnected
always be connected
onnected during nebulization during nebulization (page
page 136).
2. Nipple connector 12. Angled connector
tor for endotracheal tube.
3. Support Arm 13. Nipple
pple connector
4. Patient tube
be 14. Water trap - mandatory iff a heated
5. Nipple connector for nebulizer humidifier is used.
6. Servo
vo Ultra Nebulizer - must be 15. Nipple connector
onnector
connected d only during nebulization, and 16. Humidifier (Fisher
her &Paykel) - must not be
should be disconnected immediately
mmediately active during nebulization (page 127).
27).
after medication has been delivered. 17. Patient tube heater
Note: For information about the stand 18. Probe housing
g
alone Aeroneb Professional Nebulizer
19. Y Sensor (Adult/Infant
/Infant with adapter)
System,
m, refer to separate manual.
7. Nipple connector for nebulizer
zer Important:
portant: Some of the equipment
quipment shown is
8. Tube connection available in different versions, e.g. for infant/
9. Y-piece pediatric and adults. See the “Products and
accessories” catalogue for more information.
0. CO2 sensor
10.

Servo… User´s manual

US edition
120 Infant Adult Universal Options Order No: 66 00 261
 Set-ups
et-ups
t-ups
-ups
ups
ps
s - Patient
atient
tient
ient
ent
ntt breathing
reathing
eathing
athing
thing
hing
ing
ng
g system
ystem
stem
tem
em
m5
15
5 mm
m diameter
iameter
ameter
meter
eter
ter
err

2 3 4 6 7 8 9 10
5

11

15
16

12 14

13

1. Servo guard, viral/bacterial

/bacterial filter - must 10.
0. Angled connector for endotracheal tube.
always be connected d during 11. Water trap - mandatory if a heated
nebulization. humidifier
umidifier is used.
2. Support Arm 12. Nipple connector
3. Patient tube 13.
3. Humidifier (Fisher &Paykel)
aykel) - must not be
4. Nipple
le connector for nebulizer active during
g nebulization (page 127).
5. Servo Ultra Nebulizer - must be 14.
4. Patient tube heater.
connected only during nebulization,
ation, and 15. Patient tube with probe housing.
sing.
should be disconnected immediately
16. Y Sensor (Adult/Infant
t/Infant with adapter)
after medication has been delivered.
Note: For information about the stand
Important: Some of the equipment
quipment shown is
alone Aeroneb Professional Nebulizer
available in different versions, e.g. for infant/
System,
m, refer to separate manual.
pediatric and adults. See the “Products and
6. Tube connection accessories” catalogue for more information.
7. Y-piece
8. CO2 sensor
9. Servo humidifier - must be disconnected
during
g nebulization (page 136).

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 121
5 Set-ups
et-ups
t-ups
-ups
ups
ps
s - Patient
atient
tient
ient
ent
ntt breathing
reathing
eathing
athing
thing
hing
ing
ng
g system
ystem
stem
tem
em
m
22
2 mm
m diameter
iameter
ameter
meter
eter
ter
err

5 6 7 8
2 3

SVX-251_XX
9

13
14

12
10

11

1. Servo guard, viral/bacterial

/bacterial filter - must 10. Nipple connector
always be connected d during 11. Humidifier (Fisher
Fisher &Paykel) - must not
ot be
nebulization. active during nebulization (page 127).
27).
2. Support Arm 12. Patient tube heater
3. Patient tube 13. Probe housing
g
4. Servoo Ultra Nebulizer - must be 14. Y Sensor (Adult/Infant
/Infant with adapter)
connected onlyy during nebulization, and
should be disconnected immediately
mmediately
Important: Some of the equipment
quipment shown is
after medication has been delivered.
available in different versions, e.g. for infant/
Note: For information about the stand pediatric and adults. See the “Products and
alone Aeroneb Professional Nebulizer accessories” catalogue for more information.
System,
m, refer to separate manual.
5. Y-piece
6. CO2 sensor
7. Servo humidifier
difier - must be disconnected
during nebulization (page
page 136).
8. Angled connector
tor for endotracheal tube.
9. Water trap
p - mandatory if a heated
humidifier is used.

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US edition
122 Infant Adult Universal Options Order No: 66 00 261
 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
ns
s - Mobile
obile
bile
ile
le
e Cart
art
rtt Servo-i
ervo-i
rvo-i
vo-i
o-i
-ii 5

Mobile
obile
bile
ile
le
e Cart/positioning
art/positioning
rt/positioning
t/positioning
/positioning
positioning
ositioning
sitioning
itioning
tioning
ioning
oning
ning
ing
ng
g

1. Press the brakes

kes to lock the wheels. Cautions:
2. Place the Patient Unit on the console • The ventilator must only be used in an
plate using the guide pins. upright position.
3. Ensure the ventilator is firmly fixed to the • Ensure the ventilator is positioned into its
console plate by turning the security locked
cked position on the Mobile Cart
art Servo-i,
knob tightly clockwise. to prevent unintentional movements.
4. Use the locking handle to push or pull • Lock
k the wheels if the ventilator is not to
the console. be used for transportation.
portation.
5. Insert the panel.
Read
ead
add more
ore
re
e about
bout
out
utt the
he
e Mobile
obile
bile
ile
le
e
If you want the Patient Unit oriented towards Cart
art
rtt
the left or right.
6. Lift the locking
cking handle and rotate the Description: page 99
Patient Unit until you hear a “click”. Cleaning: page 191
Technical data: pages 243, 248
8
7. Lift the locking handle.
8. Push in the Patient Unit to its end
position until you hear a “click”.
click”.

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Order No: 66 00 261 Infant Adult Universal Options 123
5 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Holder
older
lder
der
err

Holder/positioning
older/positioning
lder/positioning
der/positioning
er/positioning
r/positioning
/positioning
positioning
ositioning
sitioning
itioning
tioning
ioning
oning
ning
ing
ng
g

1. Place the Patient Unit on the holder.

2. Secure the Patient Unit with the handle.
3. Adjust the support and secure with the
screws.
4. Place the holder on a Rail (or bed or
stretcher).
).
5. Lock the holder with the arm.

Shelf
helf
elf
lff base
ase
se
e / positioning
ositioning
sitioning
itioning
tioning
ioning
oning
ning
ing
ng
g

Note: Be sure that the Servo-i Shelf base is

securely fixed
xed on the shelf.
1. Place the Patient Unit on the Servo-i
rvo-i
Shelf base.
2. Secure the Patient
nt Unit with the handle.

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124 Infant Adult Universal Options Order No: 66 00 261
 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Support
upport
pport
port
ort
rtt Arm
rm
m5

Support
upport
pport
port
ort
rtt Arm
rm
m 177
77
7

1. Insert the Support

upport Arm into the side
track.
2. Tighten the screw firmly.

SVX-148_XX

Adjust the Support Arm, CO O2 airway adapter

and snap the breathing system m into the grip.
Cautions:
• Use the Support Arm to relieve the patient
from the weight of the tubing
bing system.
• Ensure the Support
ort Arm is firmly fixed
before attaching
ng the tubing.
• When moving the Support rt Arm or
changing position, watch the patient
connection carefully
ully to see that no pulling
or other movement occurs.

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options 125
5 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Gas
as
s trolley
rolley
olley
lley
ley
ey
y
Gas
as
s trolley/positioning
rolley/positioning
olley/positioning
lley/positioning
ley/positioning
ey/positioning
y/positioning
/positioning
positioning
ositioning
sitioning
itioning
tioning
ioning
oning
ning
ing
ng
g

1. Place the gas trolley in position.

2. Hinge the gas trolley and lift it up into
locking position (a "click" is heard).
3. Secure the docking with the securityy
chains.
Note: Press the brakes to lock the wheels on
the Mobile Cart before positioning the gas
trolley.
y.
Note: The Gas trolley can also be mounted d
to a separate wall clamp. Refer to installation
instructions.

Servo… User´s manual

US edition
126
26 Infant Adult Universal Options Order No: 66 00 261
 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Fisher
isher
sher
her
err & Paykel
aykel
ykel
kel
ell 5
Fisher
isher
sher
her
err & Paykel
aykel
ykel
kel
ell humidifier
umidifier
midifier
idifier
difier
ifier
fier
ier
err Connection
MR
R 730
30
0 / MR R 850
50
0 10 mm breathing
g system
The use of an active humidifier
difier is often
beneficial for patients undergoing ventilatory
treatment.
ment. Please refer to the manufacturer´s
Operatingg manual for instructions on use.

WARNING! The heated humidifier must be

switched off during nebulization. Otherwise
the particle size may be affected.
ffected.
SVX-018_XX

Cautions:
ns:
• If an active humidifier is used in the system
a water trapp should be used on the 15 mm breathing system
expiratory tubing to avoid
void condensation in
the system.
• During
g operation the water traps must be
checked
ked regularly and if necessary
emptied.
Important:It is recommended
ommended only to use
original tubing from MAQUET.
AQUET. Soft tubing
g
may negatively effect the performance of the SVX-636_XX
ventilator.

Humidifier Holder 22 mm breathing system

SVX-567_XX

SVX-565_XX
Read
ead
ad
d more
ore
re
e about
bout
out
utt the
he
e Fisher
isher
sher
her
err &
A special holder allows for left or right
Paykel
aykel
ykel
kel
ell humidifier
umidifier
midifier
idifier
difier
ifier
fier
ier
err
positioning of the heated humidifier.
midifier. Breathing systems: page 120
20 - 122
Cleaning: page 191

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Order No: 66 00 261 Infant Adult Universal Options 127
5 Preparations
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eparations
parations
arations
rations
ations
tions
ions
ons
nss - Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err

Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err
WARNINGS! • Duringg nebulization a filter must be
connected to the expiratory
xpiratory inlet of the
• Servo
vo Humidifier/HME must be ventilator. Always carefully monitor the
disconnected
connected during nebulization. airway pressure during nebulization.
Otherwise
se the humidifier may be blocked. Increased airway pressure could be
• The heated humidifier must be switched caused by a clogged filter. The
he filter should
off during
ng nebulization. Otherwise the be replaced if the expiratory resistance
particle
cle size may be affected. increases or every
very 24 hours when the
nebulizer is being
g used.
• The nebulizer
ulizer must not be used without
buffer liquid (sterile water). Otherwise the Important:
tant:The patient unit of the Nebulizer
bulizer
ultrasonic generator crystal
ystal may break. must not be located inside an incubator.
• To avoid explosion
plosion hazards, flammable Caution: Checkk that the medication cup is
agents such
uch as ether and cyclopropane undamaged and that it is firmlyly in place
must not be used with this device. Only before the nebulizer is started.
agents which comply
mply with the
Note: For information about the stand alone
requirements on non-flammable ble agents in
Aeroneb Professional Nebulizer System,
m,
the IEC standard “Particular
ular requirements
refer to separate manual.
for electrical safety of anaesthetic
machines” are suitable. Note: The Y Sensor measurement can be
• For adult/pediatric patients, never fill the incorrect when the Aeroneb Professional
medication cup with more than 10 ml. Nebulizer System
ystem is in use. Therefore, we
recommend that at the Y Sensor is removed
• For neonatal patients, never fill the
from the patient circuit during nebulization.
medication cup with more than 4 ml.
• If the patient unit of the nebulizer
zer is tilted Read
ead
ad
d more
ore
re
e about
bout
oututt the
he
e Servo
ervo
rvo
vo
o
nebulizer function may be affected, the Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err
drug g can flow into the patient´s lungs or
Description: page 102
the ventilator.
Breathing systems: page 120 - 122
• The nebulizer must not be left unattended,
Operating: page 187
when connected to a patient.
Cleaning: page 205
05
• When the ventilator is running
unning on batteries Technical data: page 246
46
the nebulizer module is inoperative
ve to
reduce the power consumption.

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128 Infant Adult Universal Options Order No: 66 00 261
 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err 5
Filling
illing
lling
ling
ing
ng
g

1. Make sure the nebulizer

bulizer is turned off. Refill
2. Pour sterile water to the
he MAX level
indication.
3. Attach a new
w medication cup.
4. Fill the medication cup with medication
(max. 10 ml for adults, max. 4 ml for
Infants).
5. Fit the T-piece firmly to its end
d position.
Check that the injection membrane
brane is in
place and not damaged.
Important: Invisible damage will be detected
during
uring the Pre-use check. A faulty injection
jection
membrane may cause system leakage. To
change the membrane, please refer to
page 217.
SVX-211_EN

– Fill a sterile syringe with medication.

dication.
Note that the diameter of the needle
must not be more than 1.0 0 mm.
– Carefully inject the medication
on into the
medication cup through the injection
membrane. Make sure the needle does
not penetrate the medication cup.

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5 Preparations
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eparations
parations
arations
rations
ations
tions
ions
ons
nss - Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err
Connection
onnection
nnection
nection
ection
ction
tion
ion
on
n
Connect the nebulizer between the
inspiratory
spiratory tube and Y-piece. Connect the
cable from the nebulizer to the Patient Unit of
the ventilator. Refer to page 1200 to 122.

10
0 mm breathing
g system

SVX-144_XX

15 mm breathing
reathing system
m

SVX-631_XX

22 mm breathing
g system

SVX-560_XX

Function
unction
nction
ction
tion
ion
on
n test
est
stt
A function test must alwaysys be done after
cleaning and maintenance.
If any malfunction is detected the
he Servo Ultra
Nebulizer mustst not be used before the
malfunction is remedied.

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US edition
130 Infant Adult Universal Options Order No: 66 00 261
 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err 5

SVX-554_XX
1. Make sure the patient unit is filled with
buffer water to
o the appropriate level.
2. Remove the T-piece andd fill the
medication cup with approximatelyy 5 ml
water.
3. Put the T-piece
iece back.
4. Connect the connection cable.

Start the
he nebulizer. (See also page 187)
5. Press
ss the Nebulizer pad.
6. Press the Time pad.
7. Set the time byy using the Main Rotary
Dial.
8. To accept the time, press Accept.

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options 131
5 Preparations
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eparations
parations
arations
rations
ations
tions
ions
ons
nss - Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err

9. Check that mist is produced.

10. Disconnect the connection cable from
the Servo Ultra Nebulizer Patient unit.
11. Make sure an alarm text is given.

12. Connect the connection cable.

13. Stop the nebulizer.
zer.

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132 Infant Adult Universal Options Order No: 66 00 261
 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Modules
odules
dules
ules
les
es
s5
WARNING! Only accessories and auxiliary
equipment
pment that meet current IEC standards
dards
(e.g. IEC 60601-1, IEC 950) may be
connected d to the Servo-i Ventilator System.
m. If
external equipment such h as computers,
monitors, humidifiers or printers are
connected, the totall system must comply
with IEC 60601-1-1.

Inserting
nserting
serting
erting
rting
ting
ing
ng
g / disconnecting
isconnecting
sconnecting
connecting
onnecting
nnecting
necting
ecting
cting
ting
ing
ng
g

SVX-5094_XX

Insert a module:
1. Insert the module into the slot
2. Make sure it clicks into place.
Remove a module:
dule:
3. Push the lock handle aside. Remove
move the
module
Note:
e: The slots are numbered (1,2,3...)
2,3...) from
top to bottom.

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5 Preparations
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eparations
parations
arations
rations
ations
tions
ions
ons
nss - CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer o-i
err Servo
ervo
rvo
vo

CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err
The ventilator immediately recognizes when
hen
a CO2 Analyzer is inserted and the Capnostat
pnostat
sensor is connected.

1. Insert the CO2 Analyzer into the module Read

ead
ad
d more
orere
e about
bout
out
utt the
he
e CO
O2
compartment off the Patient Unit.
Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err
Note: The slots are numbered
d (1,2,3...) Description: page 104
from top to bottom.
Calibration: page 151
2. Connect
ect the Capnostat sensor to the Cleaning: page 207
CO2 Analyzer.
zer. Technical data: page 247
47
3. Attach the airway adapter between n the
Y-piece / Servo Humidifier
midifier and the
endotracheal tube / face mask / prongs.
The adapter windows should be placed
vertically to minimize condensation on
the
he windows.
4. Snap the Capnostat sensor onto the
airway
y adapter.
O2 concentration low alarm
Note: The etCO
can be permanently silenced (Audio
Audio off)
when the message Silence alarm
permanently?
y? is shown.
Cautions:
• The Capnostat sensor with airway adapter
should
uld be removed during nebulization.
wo CO2 Analyzers at the
• Do not insert two
same
me time. The Servo-i Ventilator system
can only handle one CO2 Analyzer at a
time.
me.
• If the upper alarm limit is set above the
maximum measuring g range, no alarm will
be activated even if the upper limit is
exceeded.

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 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
ns
s - Y Sensor
ensor
nsor
sor
orr measuring
easuring
asuring
suring
uring
ring
ing
ng
g5

Y Sensor
ensor
nsor
sor
orr measuring
easuring
asuring
suring
uring
ring
ing
ng
g

SVX-9031
The ventilator immediately
diately recognizes when • Avoid kinking
g the sensor tubing, otherwise
an Y Sensor module is inserted and the Y the measuring is impaired.
Sensor is connected.
• Condensed water or other fluids in the Y
1. Insert the Y Sensor module into the
sensor may impair measurement accuracy
module compartment
partment of the Patient Unit.
(immediately or as a long term drift).
).
Note: The slots are numbered
bered (1,2,3...) Therefore it is recommended to always ys
from top to bottom. check if the sensor is affected by
2. Connect
nnect the Y Sensor to the Y Sensor condensed water or other fluids
uids before
module, ensuring the tubing
bing is facing adjusting settings.
upwards on the Y Sensor. • Do not insert two Y Sensor modules at the
Note: A special plastic adapter is same time. The Servo-i
vo-i Ventilator system
enclosed for use between the infant Y can only handle one Y Sensor module at a
Sensor and the Y-piece
piece for use together time.
with the neonate COO2 adapter. Note:
3. Attach the Y Sensor
nsor to the endotracheal • A Pre-use check or a Patient Circuit Test
tube and the Y piece. is required
d to use Y Sensor measuring.
Note: Position the Y Sensor so that the • It is recommended to place an HME or
tube with the blue stripe is placed next
xt to tube between thehe Y Sensor (Adult version)
the patient. and the test lung. The high resistance in
the test lung may result in inaccurate
WARNING!
RNING! measurements.
• The Y Sensor measurement can be
• Do not apply tension to the Y Sensorr incorrect when
hen the Aeroneb Professional
tubing. Nebulizer System is in use. Therefore, we
• If the Y Sensor is not connectedd to the recommend d that the Y Sensor is removed
module then do not connect the sensor to from the patient circuit during nebulization.
the patient circuit due to leakage.
• If condensed water from the Y Sensor
Read
ead
ad
d more
ore
re
e about
bout
out
utt Y Sensor
ensor
nsor
sor
orr
tubing
ubing reaches the Y Sensor module,
dule, then measuring
easuring
asuring
suring
uring
ring
ing
ng
g
the module will be damaged. Breathing systems:
ystems: page 120 - 122
Caution: Description:
on: page 106
Cleaning: page 192
• The Y Sensor is intended for single patient Technical
chnical data: page 248
use only,
y, do not re-use, clean or sterilize.
Servo… User´s manual
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Order No: 66 00 261 Infant Adult Universal Options 135
5 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Servo
ervo
rvo
vo
o Humidifier
umidifier
midifier
idifier
difier
ifier
fier
ier
err
Servo
ervo
rvo
vo
o humidifier
umidifier
midifier
idifier
difier
ifier
fier
ier
err

SVX-9030_XX

The use of a humidifier is often beneficial

cial for
patients undergoing ventilatory treatment.
1. Connect the humidifier between the
endotracheal
acheal tube or face mask / prongs gs
(15 mm female connection) and the Y-
piece.
2. If the sampling port
rt is to be used,
connect it to the Luer port (standard
Luer connection).

WARNING! Servo Humidifier/HME mustt be

disconnected during nebulization. Otherwise
wise
the humidifier may be blocked.
ked.

Important:
ant:It is recommended only to use
original tubing from MAQUET. Soft tubing
ubing
may negatively effect the performance
ormance of the
ventilator.

Read
ead
ad
d more
ore
ree about
bout
out
utt the
he
e Servo
ervo
rvo
vo
o
humidifier
umidifier
midifier
idifier
difier
ifier
fier
ier
err
General options: page 85
Breathing systems: pages 120
20 - 122

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136
6 Infant Adult Universal Options Order No: 66 00 261
 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Servo
ervo
rvo
vo
o guard
uard
ard
rd
d5
Servo
ervo
rvo
vo
o Guard
uard
ard
rd
d filter
ilter
lter
ter
err Change
nge filter

SVX-147_XX

The Servo Guardard viral/bacterial filter can be

used on both expiratory
piratory and/or inspiratory
limbs of the breathing g circuit
Connect a Servo Guard bacterial filter to the
expiratory inlet. A bacterial filter must
ust always
be connected during nebulization (see pages Disconnect and change filter:
120, 121, 122). The use of filter on n the
expiratory side will also reduce the need for • Every
very 24 hours
cleaningg and autoclaving of the expiratory • New patient
ient
cassette.
ssette.
• Whenever needed
WARNING! During nebulization a filter must
be connected d to the expiratory inlet of the
Read
ead
ad
d more
ore
re
e about
bout
out
utt Servo
ervo
rvo
voo
ventilator. Alwayss carefully monitor the Guard
uard
ard
rd
d viral/
iral/
ral/
al/
l// bacterial
acterial
cterial
terial
erial
rial
ial
all filter
ilter
lter
ter
err
airway pressure during nebulization. General options: page
ge 86
Increased airway pressure could be caused Breathing systems: page 120 - 122
by a clogged filter. The
he filter should be Cleaning: page 197
replaced if the expiratory resistance
increases or every
very 24 hours when the
nebulizer is beingg used.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options 137
5 Water
ater
ter
err collector
ollector
llector
lector
ector
ctor
tor
orr
Water
ater
ter
err collector
ollector
llector
lector
ector
ctor
tor
orr

SVX-6110_XX

Condensation
ondensation at the expiratory outlet may
occur when dual heated patient tubing are in
use, and there is a draught fromm an air
condition, patient-cooling fan etc. that cools
down the expiratory
xpiratory outlet.
To avoid problems with condensation a
water collector can be connected to the
expiratory outlet.
utlet. The water collector also
works as an insulation of the expiratory
y outlet
and therefore reduces the amount of
condensation.

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138 Infant Adult Universal Options Order No: 66 00 261
 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Battery
attery
ttery
tery
ery
ryy module
odule
dule
ule
le o-i 5
e Servo
ervo
rvo
vo
Inserting
nserting
serting
erting
rting
ting
ing
ng
g batteries
atteries
tteries
teries
eries
ries
ies
es
s Removing
emoving
moving
oving
ving
ing
ng
g batteries
atteries
tteries
teries
eries
ries
ies
es
s
Insert a Battery module into the patient unit. To remove a Batteryy module:
Ensure the module is fully inserted so that the • Push and press the battery release button
battery release button returns to a to the right (2) until the battery is released
completely ‘closed’ position..
from the ventilator.

Note: The slots are numbered (1, 2, 3,...)

from top to bottom

Note: On more recent ventilators, Slots 1 and

d
2 are locked to ensure that two Batteryy
modules are always present in the ventilator.
These can be opened using an Allen key (1)
or similar.
• Remove the battery from the ventilator.
Note: On delivery, one fixed
xed battery module
is installed. Dummy modules covers
vers the
other slots. Extra battery modules are
delivered separately.
parately.

Read
ead
ad
d more
ore
re
e about
bout
out
utt the
he
e Battery
attery
ttery
tery
ery
ry
y
module
odule
dule
ule
le
e
Description: page 108
Module handling page 133
Cleaning: page 191
91
Technical data: page 242

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options 139
9
5 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n Record
ecord
cord
ord
rd
d Card
ard
rd
d
Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n record
ecord
cord
ord
rd
d card
ard
rd
d (insert
insert
nsert
sert
ert
rtt and
nd
d remove)
emove)
move)
ove)
ve)
e))
2 3

SVX-9012_XX

1. Gently pull out the slot cover and

d turn
the slot cover aside.
2. Insertion
rtion
– Insert the Ventilation record card into the
slot guide.
– Gently push the card into the slot guide
until the eject
ject button comes out.
3. Remove the card
– Press the eject button.
– Draw the card out of the slot.
– Put the slot cover back in position.

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140
0 Infant Adult Universal Options Order No: 66 00 261
 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
ns
s - Start-up
tart-up
art-up
rt-up
t-up
-up
up
p configuration
onfiguration
nfiguration
figuration
iguration
guration
uration
ration
ation
tion
ion
on
n5
Start-up
tart-up
art-up
rt-up
t-up
-up
up
p configuration
onfiguration
nfiguration
figuration
iguration
guration
uration
ration
ation
tion
ion
on
n Edit a Start-up configuration
guration
The ventilatorr always start-up with the set
Start-up configuration.
guration.
The following Start-up configuration settings
can be set by the user:
• Patient category
• Type of ventiation (Invasive or NIV))
• Volume setting
• Breath cycle
ycle setting
• Pre/post oxygenation concentration above
ve
set O2 conc (%) SVX-9045

• Mode of ventilation
ilation (including parameters 1. Press the Editt configuration pad
settings). 2. Press the Start-up configuration pad.

SVX-9047

3. Press the touch pad for desired Start-up

setting.
4. Press the Next
xt pad to continue to
SVX-9046
ventilation mode settings.

Note: The ventilator must be in Standbyy

mode. Refer to page 159.
1. Press the fixed key Menu
2. Press the Biomed pad and enter the
access
ccess code (1973, factory setting).
g).
Note: The access code can be changed
by the user from a Biomed sub menu.
The Biomed submenus are:
• Service
ce
• Edit configuration
• Copyy configuration
• Set date and clock
• Change access code

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options 141
5 Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
nss - Start-up
tart-up
art-up
rt-up
t-up
-up
up
p configuration
onfiguration
nfiguration
figuration
iguration
guration
uration
ration
ation
tion
ion
on
n
Copy
y configuration

SVX-9048

1. Press Copy configuration

ation pad and follow
5. Press the touch pad to change the the on-line instructions.
uctions.
settings Note: It is possible to either save or
Note: Press Restore mode settings pad restore a configuration.
to restore factoryy default settings
6. Press the Next pad to
o view a summary of
the Start-up configuration.

7. Press Accept pad to save the

he Start-up
settings.
Note: The ventilator must be restarted to
activate the new settings.
gs.

Servo… User´s manual

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142 Infant Adult Universal Options Order No: 66 00 261
 Work
ork
rk
k flow
low
ow
w5
Overview
verview
erview
rview
view
iew
ew
w - Starting
tarting
arting
rting
ting
ing
ng
g the
he
e 3. Always perform
rform a Pre-use check before
system
ystem
stem
tem
em
m connection to patient. The check covers
tests of internal technical functionality,
internal leakage,
ge, pressure transducers,
O2 cell / O2 sensor, flow w transducers,
safety valve, battery, leakage in the
patient breathing system, modules and
calculation of the circuit compliance,
which can be automatically
compensated
sated for (date for latest check
below the touch pad). ). After the Pre-use
check is completed d or if a Pre-use check
is not performed,
med, a dialog will appear,
asking if old patient related data shall be
erased or kept.
4. Enter data for the neww patient, including
body weight and body height. The
calculation of tidal and minute volume is
based on entered bodyy weight. You can
omit this data input. Default values will
then be used forr ventilation. To get an
automatic calculation of Tidal Volume
(based on body weight and immediately
executed)
xecuted) the Servo-i Ventilator System
ystem
must be configured to start with "Tidal
Volume based on n body weight" (refer to
Service
ce manual).
5. Select patient category, Adult or
Infant. Your setting will affect pressure
and flow regulation, safetyy limits,
1. Ensure that there is power and
d gas
defaults and scaling. If you do not select
supply to the ventilator.
a category, the default range will be
2. Set the ventilator On/Off switch to On. used.
The ventilator is then in Standby
showing
wing touch pads for Pre-use
e-use check, 6. Select type of ventilation, Invasive
ventilation or NIV
V (Non Invasive
Patient circuit test, Patient category
Ventilation).
and Type of ventilation.

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options 143
43
5 Notes
otes
tes
ess

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................
Servo… User´s manual
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144 Infant Adult Universal Options Order No: 66 00 261
 6.. Pre-use
re-use
e-use
-use
use
se
e check
heck
eck
ck
k

Contents
ontents
ntents
tents
ents
nts
ts
s

Pre-use
re-use
e-use
-use
use
see check
heck
eck
ckk. . . . . . . . . . . . . . . . . . . . . . . . . . 147
47
7
Start-up
tart-up
art-up
rt-up
t-up
-up
upp ............................... 147
47
7
Internal
nternal
ternal
ernal
rnal
nal
all tests
ests
sts
ts
s. . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
47
7
Automatic
utomatic
tomatic
omatic
matic
atic
tic
ic
c switch
witch
itch
tch
chh between
etween
tween
weeneen
en
n mains/battery
ains/battery
ins/battery
ns/battery
s/battery
/battery
battery
attery
ttery
tery
ery
ry
y..... 148
48
8
Patient
atient
tient
ient
ent
ntt breathing
reathing
eathing
athing
thing
hing
ing
ng
g system
ystem
stem
tem
em m / Y Sensor
ensor
nsor
sor
orr . . . . . . . . . 148
48
8
Compensate
ompensate
mpensate
pensate
ensate
nsate
sate
ate
te
e for
orr circuit
ircuit
rcuit
cuit
uit
itt compliance
ompliance
mpliance
pliance
liance
iance
ance
nce
ce
e. . . . . . . . . . 149
49
9
Alarm
larm
arm
rm
m output
utput
tput
put
utt connection
onnection
nnection
nection
ection
ction
tion
ion
onn option
ption
tion
ion
onn test
est
stt . . . . . . . . . 150
50
0
Complete
omplete
mplete
plete
lete
etete
e the
hee Pre-use
re-use
e-use
-use
use
see check
heck
eck
ckk............... 150
50
0

Calibration
alibration
libration
ibration
bration
ration
ation
tion
ion
onn /CO
CO O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err Servo-i
ervo-i
rvo-i
vo-i
o-i
-ii . . . . . . . . . 151
51
1
Cell
elllll zero
ero
ro
o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
53
3
Verification
erification
rification
ification
fication
ication
cation
ation
tion
ion
onn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154
54
4

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
145
6 Pre-use
re-use
e-use
-use
use
se
e check
heck
eck
ck
k
This checkk includes tests of internal technical
functionality, internal leakage, pressure
transducers, O2 cell / O2 Sensor, flow w
transducers, safety valve, battery, patient
breathing
hing system leakage, modules and
measurement of the circuit compliance.
Follow the instructions below in combination
with the instructions on-line.

WARNINGS! GS!
• A Pre-use check must always be done
before connecting the ventilator to a
patient.
• The separate Patient circuit test which can
be performed
med in Standby (refer to page
178) does not replace the Pre-use
use check.
• To avoid electrical shock hazard, connect
the ventilator power cord to a mains outlet
equipped with a protective
ve ground.
• If any malfunctions are detected during the
he
start-up procedure, please refer to
Chapter 10, Troubleshooting.
• If a malfunction persists, the ventilator
may not be connected to the patient.
Caution:
The Expiratory cassette must not be lifted up
when the ventilator is in operation. This may,
however, be done when in Standby.
Important:
• If the breathing circuit is changed after the
calculation
lculation of the circuit compliance
compensation factor, perform a new
calculation.
• Use only
y the blue test tube from MAQUET.
QUET.

Read
ead
ad
d more
ore
re
e about
bout
out
utt Pre-use
re-use
e-use
-use
use
se
e
check
heck
eck
ck
k messages
essages
ssages
sages
ages
ges
es
s
Troubleshooting:: page 218

Servo… User´s manual

146 US edition
Infant Adult Universal Options Order No: 66 00 261
 Pre-use
re-use
e-use
-use
use
se
e check
heck
eck
ck
k6
Start-up
tart-up
art-up
rt-up
t-up
-up
up
p

1. Connect
– To mains.
– Gas: Air and O2.
2. Set the ventilator to On.
3. To start the automatic
matic test: Press Yes
and follow the on-line instructions.
Note: If the Pre-use checkk is not performed,
a dialog will appear, asking if old patient
related data shall be erased or kept.

Internal
nternal
ternal
ernal
rnal
nal
all tests
ests
sts
ts
s

4. Connect the blueue test tube between the

inspiratory outlet and the expiratory inlet.

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
147
6 Pre-use
re-use
e-use
-use
use
se
e check
heck
eck
ck
k
Automatic
utomatic
tomatic
omatic
matic
atic
tic
ic
c switch
witch
itch
tch
ch
h between
etween
tween
ween
een
en
n mains/battery
ains/battery
ins/battery
ns/battery
s/battery
/battery
battery
attery
ttery
tery
ery
ry
y
5 6

If at least one Battery module

ule is connected, a
test of automatic switch to battery/mains
y/mains will
be performed.
5. When on-line instruction appears:
– Disconnect the ventilator from mains.
6. When on-line instruction appears:
ppears:
– Connect the ventilator to mains.
Note: For further
urther information about Pre-use
check messages (battery module), refer to
page 220.

Patient
atient
tient
ient
ent
ntt breathing
reathing
eathing
athing
thing
hing
ing
ng
g system
ystem
stem
tem
em
m / Y Sensor
ensor
nsor
sor
orr

SVX-155

7. Connect a complete breathing hing system 9. Block the Y Sensor (if a Y Sensor is
including (if available)
ble) a humidifier and a connected) and follow the
he on-line
Servo Ultra
tra Nebulizer. instructions
Note: If a Y Sensor with a Y Sensor 10. Unblock the Y Sensor (if a Y Sensor is
module is connected to the ventilator go connected) and follow the
he on-line
direct to step 9. instructions.
8. Block the Y-piece. Note: Refer to page 178.
8.
Important: Make sure there is no
leakage when blocking the Y-piece
because
se a leakage will affect the circuit
compliance
nce compensation calculation.
Servo… User´s manual
148 US edition
Infant Adult Universal Options Order No: 66 00 261
 Pre-use
re-use
e-use
-use
use
se
e check
heck
eck
ck
k6
Compensate
ompensate
mpensate
pensate
ensate
nsate
sate
ate
te
e for
orr circuit
ircuit
rcuit
cuit
uit
itt Note: Considerable leakage kage may occur
compliance
ompliance
mpliance
pliance
liance
iance
ance
nce
ce
e around the endotracheal tube iff it is uncuffed.
The combination of small tidal volumes,
leakage
kage around the tube and activated
compliance
pliance compensation may trigger the
Low Expiratory Minute Volume alarm, due to
a very low expiratory flow passing from m the
patient through the expiratory channel. By
observing
bserving the difference between the Vti and
Vte values
ues presented on the User Interface, a
leakagege can be detected and its extent easily
controlled. The first time an unacceptably
large leakage occurs around the tube,
correct this problem to avoid triggering
ggering the
Low Expiratory Minute alarm. If the leakage
still persists, adjust
djust the alarm limit right down
to its lowest level (i.e. 10 ml) – if this step is
The circuit compliance
nce is automatically clinically judged
dged to be appropriate. Finally, if
measured.
the leakage still has not been remedied, then
11. When
hen Compensate for circuit
deactivate the compliance compensation to
compliance?? appears on screen:
avoid triggering the Low Expiratory Minute
– To add the compensation, press Yes. alarm.m. If the compliance compensation is
– To ventilate without compensation, deactivated from Pressure ure Control, Pressure
press No. Support or SIMV (Pressure Control)
If the patient tubingg are replaced a new ventilation modes, thenhen no further settings
circuit compliance compensation must be need to be adjusted. However, ver, where
performed.
formed. volume-related modes are used, then the set
Important: The circuit compliance volumes must be adjusted.
compensation is not available
vailable in NIV-
modes.

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
149
6 Pre-use
re-use
e-use
-use
use
se
e check
heck
eck
ck
k

Alarm
larm
arm
rm
m output
utput
tput
put
utt connection
onnection
nnection
nection
ection
ction
tion
ion
on
n Complete
omplete
mplete
plete
lete
ete
te
e the
he
e Pre-use
re-use
e-use
-use
use
se
e check
heck
eck
ck
k
option
ption
tion
ion
onn test
est
stt

SVX-6091_XX

If the Alarm output connection option iss A message is shownwn after each test case
installed a test of the external alarm function when the test is completed. Refer to pagege
can be performed. 218 for Pre-use check messages.
ages.
12. A dialog for the external alarm system 13. Press OK to confirm and to haveve the test
test appears on the screen. logged. The ventilator now switches
–To activate an alarm output signal,
gnal, backk to Standby mode.
press Yes and follow the on-line Note: After the
he Pre-use check is completed,
instructions. a dialog
g will appear, asking if old patient
–To cancel the test, press No. related data shall be erased or kept.

Entering
ntering
tering
ering
ring
ing
ng
g patient
atient
tient
ient
ent
ntt data
ata
ta
a
For more information about entering patient
data refer to chapter
hapter 7, Operating your
Servo-i.
vo-i.

Servo… User´s manual

150
50 US edition
Infant Adult Universal Options Order No: 66 00 261
 Calibration
alibration
libration
ibration
bration
ration
ation
tion
ion
on
n /CO
CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err Servo-i
ervo-i
rvo-i
vo-i
o-i
-ii 6

CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err calibration
alibration
libration
ibration
bration
ration
ation
tion
ion
on
n
Preparation

1. Insert the CO2 Analyzer

yzer into the module
compartment of the Patient Unit.
Note: The slots are numbered
d (1,2,3...)
from top to bottom.
2. Connect
ect the Capnostat sensor to the
CO2 Analyzer.
zer.
Note: The Capnostat sensor must be warm
before calibration can begin. Values
displayed during warm-up have reduced ced
accuracy. If calibration is needed, the
operator will be notified with a message.
Note: The etCO2 concentration
ration low alarm
can be permanently silenced (Audioo off)
when the message Silence alarm
permanently? is shown.
Important:
• During calibration no CO2 waveformss or
measured CO2 values will be displayed.
played.
• During adapter zero calibration
bration the
adapter must only contain room air.

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
151
6 Calibration
alibration
libration
ibration
bration
ration
ation
tion
ion
on
n /CO
CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err Servo-i
ervo-i
rvo-i
vo-i
o-i
-ii

ntents of CO2 calibration window:

Contents

4. Cell zero: The cell zero calibration

bration is
used when the Capnostat sensor has
been shifted.
There are 2 alternatives for calibration: Cell 5. Verification
fication: The verification calibration
zero and Verification. includess cell zeroing, verification against
1. Press the
he fixed pad Menu. reference cell and adapter zeroing.
2. Press the pad Options. Note: The verification calibration
bration is
3. Press the pad CO2 calibration.
bration. recommended. A verification should uld always
be performed when the airway adapter is
altered, if a faulty Capnostat sensor is
suspected
cted or when prompted. This ensures
adequate
quate measurements and calculations.

Servo… User´s manual

152 US edition
Infant Adult Universal Options Order No: 66 00 261
 Calibration
alibration
libration
ibration
bration
ration
ation
tion
ion
on
n /CO
CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err Servo-i
ervo-i
rvo-i
vo-i
o-i
-ii 6
Cell zero

SVX-5078_XX

1. Select Cell zero if the Capnostat sensor

has been shifted..
2. When instruction appears on screen:
place the Capnostat sensor on the zero
cell.
Note: For information about CO2 calibration
error messages
ssages refer to page 221.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
153
6 Calibration
alibration
libration
ibration
bration
ration
ation
tion
ion
on
n /CO
CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err Servo-i
ervo-i
rvo-i
vo-i
o-i
-ii
Verification

1. Select Verification when the airway

adapter is altered, if a faulty Capnostat
sensor is suspected
cted or when prompted
prompted.
When instruction appears on screen:
2. Place the Capnostat sensor on the zero
cell.
3. When instruction appears on screen:
Place the Capnostat sensor on the
reference
ference cell.
When instruction appears on screen:
4. Place the Capnostat sensor on a non-
connected airwayy adapter, containing
room air.
ut CO2 calibration
Note: For information about
error messages refer
fer to page 221.

Read
ead
ad
d more
orere
e about
bout
out
utt the
he
e CO
O2
Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err
Description: page 116
Preparation: page 137
Cleaning: page 192
2
Troubleshooting: page 221
Technical
chnical data: page 232

Servo… User´s manual

154 US edition
Infant Adult Universal Options Order No: 66 00 261
 Notes
otes
tes
ess 6

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Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
155
6 Notes
otes
tes
ess

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Servo… User´s manual

156 US edition
Infant Adult Universal Options Order No: 66 00 261
 7.. Operating
perating
erating
rating
ating
ting
ing
ng
g your
our o-i
urr Servo
ervo
rvo
vo

Contents
ontents
ntents
tents
ents
nts
ts
s

Getting
etting
tting
ting
ing
ngg started
tarted
arted
rted
ted
edd
Turn
urn
rn
n on n thehee ventilator
entilator
ntilator
tilator
ilator
lator
ator
tor
orr . . . . . . . . . . . . . . . . . . . . . 159
59
9
Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Type
ype
pee off ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
onn. . . . . . . . . . . 160
60
0
Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Patient
atient
tient
ient
ent ntt category
ategory
tegory
egory
gory
ory
ryy............ 161
61
1
Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Admit
dmit
mit itt patient
atient
tient
ient
ent
ntt data ata
ta
a .......... 162
62
2
Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Starting
tarting
arting
rting
ting
ing
ng g ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on n .......... 163
63
3
Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Setting
etting
tting
ting
ing
ng g ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
onn modeode
dee. . . . . . 164
64
4
Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Setting
etting
tting
ting
ing
ng g alarm
larm
armrm
m limits
imits
mits
its
ts
s. . . . . . . . . . 165
65
5
Operating
perating
erating
rating
ating
ting
ing
ngg
Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Direct
irect
rect
ect
ctt Accessccess
cess
essss s Knobs
nobs
obs
bss ........ 166
66
6
Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Additional
dditional
ditional
itional
tional
ional
onal
nal
all settings
ettings
ttings
tings
ings
ngs
gss . . . . . . . . . . 167
67
7
Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Additional
dditional
ditional
itional
tional
ional
onal
nal
all values
alues
lues
ues
ess. . . . . . . . . . . . 168
68
8
Operating
perating
erating
rating
ating
ting
ing
ngg - Waveform
aveform
veform
eform
form
orm
rmm configuration
onfiguration
nfiguration
figuration
iguration
guration
uration
ration
ation
tion
ion
onn......... 169
69
9
Operating
perating
erating
rating
ating
ting
ing
ngg - Suction
uction
ction
tion
ion
onn Supportupport
pport
port
ortrtt . . . . . . . . . . . . . . . 170
70
0
Operating
perating
erating
rating
ating
ting
ing
ngg - Save
avevee onene e recording
ecording
cording
ording
rding
dinging
ngg. . . . . . . . . . . . . 172
72
2
Operating
perating
erating
rating
ating
ting
ing
ngg - Copyopy
pyy screen
creen
reen
een
enn.................. 173
73
3
Operating
perating
erating
rating
ating
ting
ing
ngg - Copyopy
pyy patient
atient
tient
ient
ent
ntt dataatataa. . . . . . . . . . . . . . 174
74
4
Operating
perating
erating
rating
ating
ting
ing
ngg - Openpenen
n Lungungng g Tool
oololl. . . . . . . . . . . . . . . . 175
75
5
Operating
perating
erating
rating
ating
ting
ing
ngg - Adjustments
djustments
justments
ustments
stments
tments
ments
entsnts
ts
s .................. 177
77
7
Operating
perating
erating
rating
ating
ting
ing
ngg - Patient
atient
tient
ient
ent
ntt circuit
ircuit
rcuit
cuit
uit
itt test
eststt . . . . . . . . . . . . . . 178
78
8
Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ngg
Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ngg - Menu enu
nuu key ey y. . . . . . . . . . . . . . . . . . . . 179
79
9
Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ngg - Event
vent
ent
ntt log
og g.................... 180
80
0
Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ngg - Trends
rends
ends
nds
dss ...................... 181
81
1
Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ngg - Loops
oops
ops
pss. . . . . . . . . . . . . . . . . . . . . . . 182
82
2
Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ngg - Status
tatus
atus
tus
uss ...................... 183
83
3
Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ngg - View
iew
eww configuration
onfiguration
nfiguration
figuration
iguration
guration
uration
ration
ation
tion
ion
onn. . . . . . . . . . . . . 184
84
4
Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ngg - Shown
hown
own
wn n valuesalues
lues
ues
es s ................ 185
85
5
Nebulization
ebulization
bulization
ulization
lization
ization
zation
ation
tion
ion
onn ........................... 186
86
6
Disconnect
isconnect
sconnect
connect
onnect
nnect
nect
ect
ctt the
he e patient
atient
tient
ient
entntt. . . . . . . . . . . . . . . . . . . 188
88
8
Servo… User´s manual
US edition
Order No: 66 00 261 Infant Adult Universal Options
157
7
7 Important
mportant
portant
ortant
rtant
tant
ant
ntt
WARNINGS!
RNINGS! substitute for therapeutic
herapeutic or diagnostic
decisions. Such decisions can be made
• A Pre-use check mustt always be done only by staff with medical expertise,
pertise,
before connecting the ventilator to a according to established and accepted
patient. practice. If auxiliary
xiliary equipment that has
• Always disconnect thehe ventilator if any not been manufactured
factured by MAQUET
UET is
operation which may involve risk k for the used, MAQUET denies all responsibility for
patient will be done, e.g. replacement
ment of the accuracy of signal processing.
O2 cell. • When combining the Servo-i Ventilator
• Should any unfamiliar
iliar events occur, such System with accessories and auxiliary
xiliary
as irrelevant pop-up windows on the equipment other than those
screen, unfamiliar
miliar sounds, alarms from the recommended ded by MAQUET, it iss the
Patient Unit or technical high
gh priority responsibility of the user to ensure the
alarms, the ventilator should immediately integrity of system performancece and
be checked and, if applicable, replaced. safety. In order to maintain electrical
system safety, i.e. such that compliance
• Check continuously
uously that the patient
with IEC 60601-1-1 is fulfilled, only
nly
tubing, connectors and other parts//
accessories and auxiliary equipment that hat
equipment are properly connected.
meet current IEC standards (e.g. IEC
• The Servo-i Ventilator System is not 60601-1, IEC 950) may be connected to
intended
ded to be used with any anesthetic signal inputs and outputs of the Servo-i
agent. To avoid risk of fire, flammable Ventilator System.
System
agents such
uch as ether and cyclopropane
• If there should be any
ny deviation between
must not under any circumstances be
information shown on the User Interface of
used with this device.
the ventilator and that shown byy the
Cautions: auxiliary equipment, the ventilator
• When connected to a patient, the parameters shown wn on the User Interface
ventilator must never be left unattended. shall be considered the primary
mary source for
• Before use, make sure the
he software information.
version displayed under Status • When using
g closed system suctioning:
corresponds to the version of the User´s
– If the suctioning flow is higher than
an that
manual.
which is delivered by the ventilator, a
• Check the water traps
ps regularly during negative pressure may be generated
operation and empty if necessary. whichch will be applied to the lung and the
• Do not use sharp tools on the screen. ventilator breathing system.
• For extra safety,
y, a resuscitator should – Do not use Inspiratory pause hold, or
always be readily accessible. Expiratory pause hold during the closed
• The Expiratory cassette must not be lifted
fted suctioning procedure.
up when the ventilator is in operation. (This Important:
mportant:When an active
ve humidifier is used
may, however, be done when in Standby the measured expired volume may be larger
setting). than the inspired vapour, since gas volume
me
• Values measured at the signal outputs
puts of expands when vapour is absorbed.
the Servo-i
vo-i Ventilator System andd which
have been processed in auxiliaryy
equipment must not be used as a

Servo… User´s manual

158 US edition
Infant Adult Universal Options Order No: 66 00 261
 Turn
urn
rn
n on
n the
he
e ventilator
entilator
ntilator
tilator
ilator
lator
ator
tor
orr 7

SVX-9026_XX SVX-9041

1. Use the On/Off switch on the rear side of

the User Interface to turn the ventilator
to the on position. Starting the
ventilation, refer to page 163.
Note: The plug-in battery continues to
charge when connected to the mains,
refer to page 88.
2. Press Yes to perform a Pre-use check k
and follow the on-line instructions. Refer
to page 145.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
159
7 Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Type
ype
pe
e off ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n

Select
elect
lect
ect
ctt type
ype
pe
e off ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n

Select type off ventilation:

1. Invasive ventilation or
2. NIV (Non Invasive Ventilation)
Ventilation).
Note: The background
ground color on the
touch pads is changed when NIVV is
activated.
3. Press the Standby
dby key to start the
ventilation.
ntilation. Refer to page 163.
Thiss selection determines default values,
alarm limits and operating ranges.
Note: The factory default values may have
been changed in the Start-up Configuration.
onfiguration.

Servo… User´s manual

160 US edition
Infant Adult Universal Options Order No: 66 00 261
 Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Patient
atient
tient
ient
ent
ntt category
ategory
tegory
egory
gory
ory
ry
y7

Selecting
electing
lecting
ecting
cting
ting
ing
ng
g patient
atient
tient
ient
ent
ntt category
ategory
tegory
egory
gory
ory
ry
y Changing patient category
ory

Select patient category:

In running mode:
1. Adult or
1. Press on the Menu pad
2. Infant.
2. Press the Change
ge patient category pad
This selection determines default values,,
alarm limits and operating ranges.
Note: The factoryy default values may have
been changed in the Start-up Configuration.

3. Press Yes to continue or

4. Press No to stop.
Note: Always
ays check the alarm settings after
changing the patient category (refer to page
165).

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
161
7 Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Admit
dmit
mit
itt patient
atient
tient
ient
ent
ntt data
ata
ta
a
Entering
ntering
tering
ering
ring
ing
ng
g patient
atient
tient
ient
ent
ntt data
ata
ta
a

9 1

11

11. When ID is activated,

ctivated, a keyboard is
shown in the window for entering
g data.
13 12 2 12. To confirm press
ss Accept
pt.
1. Press the Admit patient pad. 13. If you want to cancel the information
mation
press Cancel.
2. Values
ues are adjusted by turning the Main
Rotary
otary Dial.
Important:
When activated you can enter/adjust:
/adjust:
3. Patient name • For Adult the weight is in kilograms and
d for
4. Identity number
ber Infant the weight is in grams.
5. Date of birth • Copy
py patient data before you enter a new
name or ID,
D, otherwise all previous patient
6. Date of admission
data will be erased. (See “System
“
7. Body height transport and storage” on page 116.)6.)
8. Body weight
9. To enter
nter the patient´s name press Name.
10

10. Press the pad Close

se keyboard.

Servo… User´s manual

162 US edition
Infant Adult Universal Options Order No: 66 00 261
 Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gs
s - Starting
tarting
arting
rting
ting
ing
ng
g ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n7

NIV (Non Invasive

sive Ventilation)

Mode
NIV Pressure Support

00:14

SVX-9028_EN

Start/Stop ventilation (Standby).

dby).
1. Standby: 1. When the Standby key is pressed a
– Condition for warming
ming up the ventilator waiting position dialog is shown.
electronics. Note: All patient related alarms are
– Condition
dition after Pre-use check, ready turned off during 120
20 seconds.
to use. 2. Press Start ventilation pad to start the
2. Standby: push to start ventilation.
entilation. ventilation.
3. Stop ventilation, i.e. set to Standby: Note: The ventilation also starts upon
– Push the fixed Start/Stop ventilation patient effort.
(Standby) key.
Read
ead
ad
d more
ore
re
e about
bout
out
utt NIV
IV
V
4. Press on the Yess pad to stop ventilation.
NIV ventilation page
ge 61
Alarms pages 73, 76

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
163
7 Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Setting
etting
tting
ting
ing
ng
g ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n mode
ode
de
e

1. Activate
tivate the pad Mode.
2. Press the arrow at the active Mode pad 5. When
hen you have selected another mode,
and available
ble ventilation modes appear. all related parameters can be set in this
window. You will also find related
calculations in the window.
6. Values are adjusted by turning the Main
Rotary Dial.
7. Confirm each setting by pressing the
parameter touch pad.
d.
8. To activate all settings in the window,
press Acceptpt.
9. To cancel the settings, press Cancel.

3. Press the
he touch pad for desired mode of
Read
ead
ad
d more
ore
re
e about
bout
out
utt ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n
ventilation. modes
odes
des
ess
Note: In NIV (refer to page
ge 160) only NIV Type of ventilation: page 160
Pressure Support
pport, NIV Pressure Control Ventilation modes:s: pages 15
and Nasal
asal CPAP are available.
4. Automode, green indication
cation in
spontaneous breathing.
Note: Automode
de is not available in NIV.

Servo… User´s manual

164 US edition
Infant Adult Universal Options Order No: 66 00 261
 Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gs
s - Setting
etting
tting
ting
ing
ng
g alarm
larm
arm
rm
m limits
imits
mits
its
ts
s7
Showing
howing
owing
wing
ing
ng
g Alarm
larm
arm
rm
m profile
rofile
ofile
file
ile
le
e Audio
udio
dio
io
o pause(Silence/Pre-
ause(Silence/Pre-
use(Silence/Pre-
se(Silence/Pre-
e(Silence/Pre-
(Silence/Pre-
Silence/Pre-
ilence/Pre-
lence/Pre-
ence/Pre-
nce/Pre-
ce/Pre-
e/Pre-
/Pre-
Pre-
re-
e--
silence)
ilence)
lence)
ence)
nce)
ce)
e)) alarms
larms
arms
rms
mss

1. Press the fixed key Alarm profile. 1. Silence or pre-silence (Audio pause)
2. Press the alarm limit you want to adjust
djust alarms
ms for two minutes.
or the sound level pad. 2. The Alarm Audiodio pause symbol is then
3. Turn the Main Rotary Dial to alter the shown, the remaining time. The high
value. priority alarm No batteryy capacity cannot
be silenced (Audio off).
4. Confirm each setting by pressing the
parameter touch pad (or pressing Main 3. When alarms are pre-silenced (except
Rotary Dial). those which cannot be silenced) a
symbol (Audio off) is shown
hown as well as
5. Press Autoset
set, iff desired, to get a a
the mute time.
proposal for alarm limits in VC, PC and
PRVC modes. Note: Some of the alarms can be
permanently silenced (Audio off)
ff). Refer to
Note: Autoset is not possible
ble in Stand by
page 76.
mode as the function needs to get
patient values in order to propose values Read
ead
ad
d more
ore
re
e about
bout
out
utt the
he
e alarms
larms
arms
rms
ms
s
from the calculated patient data. Autoset
Patient safety:
y: page 71
is only
y available in VC, PC and PRVC
modes.
odes. When pressing Autoset make NIV Alarm profile
file
window page 73
sure settings
ttings are appropriate for the
Autoset
set proposed
patient. If not the settings must be set values calculation: page 244
manually. Current alarm limits are also
Default values: page 249
displayed during running mode, in
Keys
ys and touch pads: pages 268,
8, 269
smaller figures to the
he right of the display.
Note: Autoset is not possible in NIV
modes.
6. Activate by pressing Accept.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
165
7 Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Direct
irect
rect
ect
ctt Access
ccess
cess
ess
sss Knobs
nobs
obs
bss

The four Direct Access Knob parameters are

automaticallyy selected depending on the
active mode of ventilation.
1. Turn the knob to the desired value
shown
wn in the corresponding Set
parameter
meter box above the knob.
2. If the bar is white, the setting is within
what is generally considered safe limits.
3. If the bar turns yellow, the setting is too
low or too high compared to what are
generally considered safe fe limits
(advisory information).
4. If the bar turns red, the setting is
significantly outside what are generally
considered safe limits (advisory warning,
accompanied by an audible signal and
an advisory message).
When you come to a safety limit, the knob b is
inactive during 2 seconds. This
his is a safety
precaution, intended to make you awareware of
that you have passed a safety limit.
When you turn a Direct Access Knob,
ventilation will change accordingly.
y. from the
next breath without additional confirmation.

Servo… User´s manual

166 US edition
Infant Adult Universal Options Order No: 66 00 261
 Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Additional
dditional
ditional
itional
tional
ional
onal
nal
all settings
ettings
ttings
tings
ings
ngs
gss 7

SVX-9001

Shortcut for adjusting

sting parameter values Note: The trigger sensitivity bar has different
1. Press the pad Additional settings to o see colors
olors based on the setting. A green bar
all settings available. The settings are indicates a normal setting for the flow w
effective from the first breath after triggering. The risk of self-triggering
adjustment
djustment (when the touch pad is increases when the bar is red. d. A white bar
deactivated).). indicates that pressure triggering is required.
quired.
2. This field shows values derived from Refer to page 23.
settings
ttings such as inspiration time in
seconds and calculated inspiratory flow.
3. A white bar indicates that the setting
g is
within generally considered safe limits.
4. If the bar turns yellow, the setting is
beyond d what is generally considered
safe limits (advisory information).
5. If the bar turns red, the setting is
significantly beyond what is generally
considered safe limits (advisory warning,
accompanied by an audible signal and
an advisory message).
6. Values are adjusted by turning the Main
Rotary Dial.
7. The waveforms and measured values
are visible next to this window. Thus the
effects of the adjustments made can be
checked immediately.
8. To close window, press
ress Close.
Servo… User´s manual
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167
7 Initial
nitial
itial
tial
ial
all settings
ettings
ttings
tings
ings
ngs
gss - Additional
dditional
ditional
itional
tional
ional
onal
nal
all values
alues
lues
ues
ess

SVX.5092_EN

1. Press the Additional values pad.

2. Check
k desired values.
3. If desired, activate Next
xt page for more
additional values.
Note: In NIV only one page of additional
values
s is shown. In Nasal CPAP there is
no additional
dditional value page available.

Servo… User´s manual

168
68 US edition
Infant Adult Universal Options Order No: 66 00 261
 Operating
perating
erating
rating
ating
ting
ing
ng
g - Waveform
aveform
veform
eform
form
orm
rm
m configuration
onfiguration
nfiguration
figuration
iguration
guration
uration
ration
ation
tion
ion
on
n7
Adjusting waveforms
aveforms scales

Waveform configuration:
iguration: Makes it possible to
increase the space for viewing
wing the pressure –
flow waveforms. Scales: Set sweep speed and amplitude
ude for
displayed waveforms (auto scale is possible).
ble).
1. Press the fixed key Quick access.
1. Press the fixed key Quick access.
2. Press the Waveform configuration pad
2. Activate Scales.

3. Press the touch pad for desired

3. Press the touch
ouch pad for desired waveform or sweep speed (6, 10 or 20
waveform to display
y or turn off. mm/s)
The Pressure waveform m and the Flow 4. Turn the Main
ain Rotary Dial to the desired
waveform are mandatory, but ut the Volume
and the CO2 waveforms
veforms (If CO2 Analyzer
zer is value or use auto scale (Auto)
connected) can be displayed/hidden – To adjust another waveform
m repeat steps
independent off each other. 3) to 4).
– To adjust the
he time scale, repeat steps 3)
to 4) for the sweep speed d (mm/s).
Note: It is not recommended to use auto
scale in Bi-Vent mode, when patient is
breathing spontaneous on both levels.

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
169
7 Operating
perating
erating
rating
ating
ting
ing
ng
g - Suction
uction
ction
tion
ion
on
n Support
upport
pport
port
ort
rtt
This function makes it possible to Preparation
paration phase
automatically inhibit the ventilator from The user has 120 seconds ds for preparation
cycling
g during a tracheal suction procedure before the ventilator automatic returns to
without disturbing alarms.
ms. ventilation with previous oxygen setting. The
WARNING!
RNING! Suction Support is not intended ventilator
ator will stop cycling and enter the
to be used together with closed suction disconnect phase if the patient is
disconnected during
uring the preparation phase.
systems.
During the preparation phase the Check
WARNING! Minimum PEEP level during tubing
bing alarm is turned off.
mH2O. The Servo-i
suction support is 3cmH
Disconnect
connect phase
system will adjust to minimum level if the During the disconnect
connect phase the following
EEP level is below 3cmH2O, in order to
PEEP alarms are turned
d off:
detect disconnect of the patient. – Apnea
Note: Suction Support is not available
vailable when – Minute volume
NIV or O2 Breaths is activated.
d. – Frequency alarm
Suction
uction
ction
tion
ion
on
n Support
upport
pport
port
ort
rtt phases
hases
ases
ses
es
s – EtCO2
Suction Support includes the following – PEEP.
phases:
ases: Preparation, Disconnect and Post The ventilator will start cycling
g and enter the
oxygen
gen post-oxygenation phase at reconnection or
manually
ually by the user, see below.

1. Press Start ventilation pad to start the

ventilation manually.
Note: During the disconnect
connect phase in
Suction Support the nebulizer is temporarily
y
paused.
Important:
rtant:If the patient has not been
SVX-9000 XX
reconnected within 60 seconds, all alarms
are activated.
1. Press the fixed key Quick access.
Post-oxygen
xygen phase
2. Press the Suction Support pad. After reconnection the ventilator will deliver
3. Set the pre-oxygen value
lue by turning the the same oxygen
xygen concentration as in the
Main Rotary Knob. preparation phase. After 60 seconds the
oxygen concentration automatically
matically returns
Note: When only one gas is connected to the previous set value.
no elevated oxygen level can be set.
Post-oxygen phase is excluded
uded in this
case.
Note: The Cancel pad will close down
the Suction Support program.
gram.
Servo… User´s manual
170
70 US edition
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 Operating
perating
erating
rating
ating
ting
ing
ng
g - Saving
aving
ving
ing
ng
g data
ata
ta
a7

1. The fixed key Save can be used either to

o
– save one recording or
– Copy screen on a Ventilation
tilation record
card.
Note: Copy screen only possible if a
Ventilation record card is inserted.

Servo… User´s manual

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171
7 Operating
perating
erating
rating
ating
ting
ing
ng
g - Save
ave
ve
e one
ne
e recording
ecording
cording
ording
rding
ding
ing
ng
g
Recorded waveforms
ms

To save one recording g of the current 1. Press the fixed key Menu
waveform and parameter values:
lues: 2. Press the Review pad
1. Press the fixed key Save. 20 seconds
conds of
3. Press the Recorded
orded waveform pad.
data will be recorded (10 seconds before
activated key and 10 seconds after.
Note: If the key Save is pressed again
gain the
previous recording will be erased. The
previous recording will also be erased if
Admit
mit patient is used.
psuJSMOT|uu

4. Vertical grey lines indicates the time

when the Save key was pressed.
5. Measured/calculated
ted values are shown
next to the line.
6. Settings: opens a list off parameter
settings (used at the time Save pad was
activated).
vated).
7. Cursor: activates an extra, moveable
cursor line (adjusted using the Main
Rotary
y Dial.
8. To quit the recorded waveform window
press the pad Close.
Servo… User´s manual
172 US edition
Infant Adult Universal Options Order No: 66 00 261
 Operating
perating
erating
rating
ating
ting
ing
ng
g - Copy
opy
pyy screen
creen
reen
een
en
n7

Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n record
ecord
cord
ord
rd
d card
ard
rd
d
Copy screen
n

SVX-9007_XX

To make a copy of the screen n a Ventilation

record card must be inserted and the Save
keyy must be configured. It is possible to copy
data
ata (refer to page 174) to the same
Ventilation record card.
Insert the Ventilation record card. Refer to
page
ge 140.
1. Press the fixed key Menu.
2. Press the Copyy pad.
3. Press the Copy screen pad.
Insert the Ventilation record
cord card. Refer to
page 140.
4. Pressss OK to continue
5. Press the fixed key Save
ave to make a copy
of the screen on the Ventilation record
d
card.
Note: To make a new screen copy, press
the
he Save key again.
When the Ventilation record d card is removed
or the ventilator is restarted the Save key is
reconfigured
gured to save a recording. Refer to
page 172.
72.

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
173
3
7 Operating
perating
erating
rating
ating
ting
ing
ng
g - Copy
opy
py
y patient
atient
tient
ient
ent
ntt data
ata
ta
a

Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n record
ecord
cord
ord
rd
d card
ard
rd
d
Copy patient data

1. Press the fixed key Menu.

2. Press the Copy pad.
3. Press the Copy data
ta pad.
Insert the Ventilation record card. Refer to
page 140.
4. Press the Copy data pad. d. The following
data is copied:
– Event log
– Trends
– Recordings
– OLT
LT data
Included in all data files are patient name
and ID,, ventilator serial number and pre-
use check k status.
Remove the Ventilation record d card. Refer to
page 140.

Read
ead
ad
d moreore
re
e about
bout
out
utt the
he
e
Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n record
ecord
cord
ord
rd
d card
ard
rd
d
Description:
scription: page 114
Insert/remove card:
d: page 140
Technical data: page 246
6

Servo… User´s manual

174 US edition
Infant Adult Universal Options Order No: 66 00 261
 Operating
perating
erating
rating
ating
ting
ing
ng
g - Open
pen
en
n Lung
ung
ng
g Tool
ool
oll 7
Showing
howing
owing
wing
ing
ng
g Open
pen
en
n Lung
ung
ng
g Tool
ool
oll

Open Lung g Tool for continuous, breath-by-

y- 3. Activate Cursor to be able to analyze
ze the
breath graphical presentation of changes in stored breath by breath data. This may
d inspiratory pressure, PEEP, VT, Dynamic
End
compliance and tidal CO2 elimination (when assist in identifying
g opening and
CO2 Analyzer module
odule is installed). collapse pressures of the lung.
1. Press the fixed key y Quick access. – To move the cursor use the Main Rotary
2. Press the Open
pen Lung Tool pad
pad. Dial or touch screen
Note: If the cursor pad is activated the
Note: When the Y Sensor Measuring
cursor values will be shown in the value
function is active, then the values recorded in
field
the Open Lung Tool are based on values
measured at the Y-piece. Note ote that when this 4. To clear all waveforms press Clear pad.
function is disabled or enabled, then the Note: The clear pad is nott active in
compliance
pliance in the patient circuit may cause Cursor mode.
the values in the Open Lung g Tool to change.
5. To close the window, press Close.
6. Use these pads to alter the resolution on
the time axis.
7. Real time value field.
Note: If additional windows such
h as loops
are activated, the Open Lung
g Tool window
will be minimized and some function
ction buttons
will not be visible.
Note: Open Lung Tool is not available in Bi-
Vent and NIV-modes.
modes.

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7 Operating
perating
erating
rating
ating
ting
ing
ng
g - Open
pen
en
n Lung
ung
ng
g Tool
ool
oll scales
cales
ales
les
ess
Adjusting scales
ales

Open Lung Tool Scales: Set amplitude for

displayed
yed waveforms (Auto set possible).
1. Press the fixed keyy Quick access.
2. Press the Open
pen Lung Tool scales pad.

3. Press the touch pad for desired

waveform.
4. Turn the
he Main Rotary Dial to the desired
value.
ue.
– To adjust another waveform repeat
peat steps
3) to 4).
Note: Out of range values
lues will be
indicated by a flashing set maxx value.
5. For more information about Open
pen Lung
Tool refer to page 65.

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176 US edition
Infant Adult Universal Options Order No: 66 00 261
 Operating
perating
erating
rating
ating
ting
ing
ng
g - Adjustments
djustments
justments
ustments
stments
tments
ments
ents
nts
tss 7
O2 cell
ell
lll adjustment
djustment
justment
ustment
stment
tment
ment
ent
ntt
If the ventilator has continually been in use
for a long time,
me, the measured O2
concentration may drop due to normall
degradation of the O2 cell. In order to avoid
nuisance alarm m in this situation, it is possible
to temporarily adjust the reading g of the O2
concentration during ventilation. Byy
activating this function, the measured O2
concentration will be adapted in relation to
the set O2 concentration. This adjustment
will only be valid until the ventilator is
switched off.
Note: Pre-use
-use check is recommended to use 4. Press the Yes pad to perform the O2 cell
to calibrate the O2 cell.. adaptation.

SVX-9017_XX

1. Press the fixed key Menu

2. Press the Biomed pad
3. Press the O2 cell adaptation pad

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
177
77
7 Operating
perating
erating
rating
ating
ting
ing
ng
g - Patient
atient
tient
ient
ent
ntt circuit
ircuit
rcuit
cuit
uit
itt test
est
stt
Patient
atient
tient
ient
ent
ntt circuit
ircuit
rcuit
cuit
uit
itt test
est
stt
In Standby
by mode the patient circuit can be
tested separately from the Pre-use check, for
example when either changes are made to
the circuit, or additional accessories are
connected. The test evaluates
valuates circuit leakage
and measures the circuit compliance
pliance.

SVX-9042

1. Press Patient circuit test pad and follow

the on-line instructions.
Note: Refer to page 145 for information
about
ut the Pre-use check.

WARNING!

• A Pre-use check must always be done

before connecting the ventilator to a
patient.
• The separate Patient circuit test which can
be performed
med in Standby (refer to page
178) does not replace the Pre-use
use check.

Servo… User´s manual

178 US edition
Infant Adult Universal Options Order No: 66 00 261
 Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ng
g - Menu
enu
nu
u key
ey
y7
Menu
enu
nu
u

1. Press the fixed key Menu.

2. A sheet icon indicates that there are no
submenus. You will go directly to a
window.
3. An arrow indicates submenus.
Contents of sub menus
4. Alarm
m: (refer to pages
ges 71, 165)
– Profile
– History
– Mute
ute
5. Review
– Trends (refer
fer to page 181)
– Recorded waveform (refer to page
171))
– Event log (refer to page 180)
80)
– View configuration
ation (refer to page 184)
6. Options (refer to page 151)
51)
7. Circuit compliance
e compensation (refer
to pages 86, 149,
49, 229)
8. Copy to Ventilation record card (refer
fer to
pages 173, 174)
9. Biomed
d (refer to pages 177, 268, 269)
10. Panel lock activates panel lock,
ock, e.g.
during transportation
11. Change patient
tient category (refer to page
161)
61)

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179
7 Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ng
g - Event
vent
ent
ntt log
og
g
Showing
howing
owing
wing
ing
ng
g Event
vent
ent
ntt log
og
g

1. Press the fixed keyy Menu

2. Press the Review
w pad
3. Press the Event log pad to view
w all
logged events.

4. Use the arrows to scroll list.

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180 US edition
Infant Adult Universal Options Order No: 66 00 261
 Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ng
g - Trends
rends
ends
nds
dss 7
Showing
howing
owing
wing
ing
ng
g trends
rends
ends
nds
ds
s

Shows previous trend recordings

cordings for up to 24 8. Time, type of event and ventilation
hours. Values
alues are stored every 60 seconds. mode. Time valid for the
he cursor position
Stored events and systemm changes such as is shown. When the cursor is on an event
a completed Pre-use check,k, are shown as
event stamps on screen. stamp,
mp, the event is explained in the
1. Press the fixed key Trends. event box.

Note: The trend window can also

so be 9. Logged event stamps.
reached via the Menu / Review window. 10. If a recording
cording is saved at a time
corresponding to the cursor position, a
2. Values
ues are adjusted by turning the Main
Rotary
otary Dial. recording button is shown. To see the
recording, press the button.
3. Area where trended measured values are
shown. Stored measured values
A list of stored measured values can be
4. Use the up
p and down arrows to scroll found in the
he chapter Technical data / Trend
between the trend graphs. function (refer to page 245).
5. To quit the trend window press the pad
Close.
6. Use the Hours button to alter the
resolution on the time axis (alter with the
Main Rotary Dial).
7. Whenen activating the Cursor, a vertical
cursor line is shown. Move it back k and
forth on the time axis using the Main
Rotary Dial or touch screen.

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181
7 Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ng
g - Loops
oops
ops
pss
Showing
howing
owing
wing
ing
ng
g loops
oops
ops
ps
s 1. Press the fixed key Quick access
ess.
2. Press the Loops pad.

3. Press [Reference loop] to store a

Loops for a graphical presentation
sentation of the
relationship flow-volume and pressure- reference loop. Time for the reference
volume. loop is shown above
bove the pad.

4. Press [Overlayy loops] to see the two

previous loops and present loop
simultaneously.
multaneously.
5. To close the window,
dow, press Close.

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Infant Adult Universal Options Order No: 66 00 261
 Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ng
g - Status
tatus
atus
tus
uss 7
View status

When the ventilator is running on AC power

an indication
dication is shown in the Status
tatus pad.
Battery indication when the ventilator is
running
unning on the battery. Estimated remaining
battery capacity time with current power
consumption is shown in minutes in figures.
gures.
External 12V indication
on when the ventilator is
running on external 12V DC.
Caution: When external +12 V DC is used, at
least one installed Battery module is required
to ensure proper operation.
1. Press the Status pad
2. General system information
us of O2 cell / O2 Sensor
3. Status
4. Status of Expiratory
xpiratory cassette
5. Status of Batteries
6. Status of CO2 module (if
if available)
7. Status of Y Sensor measuring (if
available)
8. Installed options
9. Status of Pre-use check
k

Servo… User´s manual

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183
7 Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ng
g - View
iew
ew
w configuration
onfiguration
nfiguration
figuration
iguration
guration
uration
ration
ation
tion
ion
on
n
View
iew
ew
w configuration
onfiguration
nfiguration
figuration
iguration
guration
uration
ration
ation
tion
ion
on
n

SVX-9015_XX

1. Press the fixed key Menu

2. Press the Review pad
3. Press the View configuration to system
configuration:
figuration:
–General
–Units
– Invasive ventilation Adult
dult alarm limits
– Invasive ventilation Infant alarm limits
– Displayed values
– NIV adult alarm limits
– NIV infant alarm limits
–Start-up Configuration

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 Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ng
g - Shown
hown
own
wn
n values
alues
lues
ues
ess 7
Shown
hown measured
d values
Default variables
bles in boldface
boldface. MVe sp Spontaneous expiratory
y
minute volume (Bi-Vent)
MVe sp
p / The relation between
ween
MVe spontaneous expired minute
volume and total expired
minute volume (onlyy
applicable in Bi-Vent).
MVi Inspiratory
ory Minute Volume
MVe Expiratory Minute Volume
Leakage Leakage (%) (NIV)
VTi Inspiratory
ratory Tidal Volume
VTe Expiratory Tidal Volume
ee End
nd expiratory flow
O2 Measured
sured Oxygen
In the highlighted area the following concentration
measured values are shown. etCO
CO2 End tidal carbon
bon dioxide
concentration ( CO2
Ppeak Maximum inspiratoryy Analyzer)
yzer)
pressure
CO2 Volume of expired CO
O2 per
Pplat Pressure during end- minute. ( CO2 Analyzer))
inspiratory pause VTCO2 CO2 tidal elimination. ( CO2
Pmean Mean airway
way pressure Analyzer)
zer)
PEEP Total positive end expiratory Cdyn Dynamic characteristics
pressure Cstatic Static compliance, respiratory
CPAP Continuous Positive Airway system
Pressure (NIV
NIV Nasal CPAP E Elastance
only)
Ri Inspiratory resistance
RR Respiratory
espiratory Rate
Re Expiratory
xpiratory resistance
O2 Oxygen concentration in
vol.%
.% WOB v Work of breathing, ventilator
Ti Inspiration time WOB
Bp Work of breathing, patient
Tc Time constant P0.1 Indicator for respiratory drive.
I:E Inspiration to expiration ratio SBI Shallow Breathing Index
(onlyy during controlled
ventilation)
Ti/Ttot Duty cycle or ratio of
inspiration
piration time to total
breathing cycle time (only
during
uring spontaneous
breathing) and Bi-Vent
Vent
ventilation.

Servo… User´s manual

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185
7 Nebulization
ebulization
bulization
ulization
lization
ization
zation
ation
tion
ion
on
n
Cautions:
Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err
• Check that the medication cup is
WARNINGS!
GS! undamaged
ged and that it is firmly in place
before
ore the nebulizer is started.
• Servo Humidifier/HME
ME must be O2 analyzer are in use
• If a nebulizer and a CO
disconnected during nebulization.
ation. simultaneously, the CO2 reading
ding may be
Otherwise the humidifier may be blocked. affected.
• The heated humidifier must be switched
witched Important:The Servo rvo Ultra Nebulizer may be
off during nebulization. Otherwise the interrupted
d shortly due to overheating. It will
particle size may be affected.
ffected. automatically
cally start again when the buffer
• When a Servo Ultra Nebulizer is used, water has cooled.d. During this short period of
always consult the
he drug manufacturer time no alarm is activated
ctivated and the timer is not
regarding the appropriateness of interrupted.
ultrasonic nebulization
bulization for certain Note: For information about
bout the stand alone
medications. Aeroneb Professional Nebulizer
zer System,
• The
he nebulizer must not be used without refer to separate manual.
buffer liquid (sterile water). Otherwise the
ultrasonic generator crystal
ystal may break. Note: The
he Y Sensor measurement can be
incorrect when the Aeroneb Professional
• Continuously check
heck that the buffer liquid Nebulizer
zer System is in use. Therefore, we
level is between MIN. and MAX. during recommend
commend that the Y Sensor is removed
nebulization.
tion. from the patient circuit during nebulization.
• During nebulization: Continuously check
that moisture is generated in the
medication cup.
• During nebulization a filter must be
connected d to the expiratory inlet of the
ventilator. Always
s carefully monitor the
airway pressure during nebulization.
Increased airway pressure could be
caused by a clogged filter. The
he filter should
be replaced if the expiratory resistance
increases or every
very 24 hours when the
nebulizer is being
g used.
• When the ventilator is running on batteries
the nebulizer
zer module is inoperative to
reduce the power consumption..

Servo… User´s manual

186
86 US edition
Infant Adult Universal Options Order No: 66 00 261
 Nebulization
ebulization
bulization
ulization
lization
ization
zation
ation
tion
ion
on
n7

Nebulization
ebulization
bulization
ulization
lization
ization
zation
ation
tion
ion
on
n On/Off
n/Off
/Off
Off
fff Read
ead
ad
d more
ore
re
e about
bout
oututt the
he
e Servo
ervo
rvo
vo
o
Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err
Description: page 102
2
Breathing systems: page 120 - 122
Preparations: page 128
Cleaning: page 205
05
Technical data: page 246
46

1. Press the Nebulizer pad.

2. Press the Time pad.
3. Set the time
me by using the Main Rotary
ry
Dial.
4. To accept the time, press Accept.

5. Check that medication mist is produced.

uced.
6. During nebulization the remaining
maining time is
indicated.
7. The Nebulizer pad is shown
wn as a bar with
the remaining nebulizing time. Press the
Nebulizer pad to change the time
me or
cancel the operation.

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187
7
7 Disconnect
isconnect
sconnect
connect
onnect
nnect
nect
ect
ctt the
he
e patient
atient
tient
ient
ent
ntt
Disconnecting
isconnecting
sconnecting
connecting
onnecting
nnecting
necting
ecting
cting
ting
ing
ng
g from
rom
om
m the
he
e
patient
atient
tient
ient
ent
ntt
When adequate breathing
reathing capability without
the ventilator iss ensured:
1. Disconnect the patient.

SVX-9058

2. Press Standby.
3. Press on the Yes pad to stop ventilation.
4. Set the ventilator to Off.
ff.
Use the On/Off switch on the rear side to
turn
urn the ventilator to the off position (refer
to page 159.)The
9.)The plug-in battery
continues
ontinues to charge when connected to
the mains.

Servo… User´s manual

188 US edition
Infant Adult Universal Options Order No: 66 00 261
 Notes
otes
tes
ess 7

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Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
189
9
7 Notes
otes
tes
ess

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.................................................................. ..................................................................

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Servo… User´s manual

190 US edition
Infant Adult Universal Options Order No: 66 00 261
 8.. Routine
outine
utine
tine
ine
ne
e cleaning
leaning
eaning
aning
ning
ing
ng
g

Contents
ontents
ntents
tents
ents
nts
ts
s

Hygiene
ygiene
giene
iene
ene
nee ............................... 192
92
2
Cleaning
leaning
eaning
aning
ning
ing
ng
g flows
lows
ows
wss.......................... 193
93
3
Preparation
reparation
eparation
paration
aration
ration
ation
tion
ion
onn andndd Dismantling
ismantling
smantling
mantling
antling
ntling
tling
ling
ing
ngg............... 196
96
6
Disinfection
isinfection
sinfection
infection
nfection
fection
ection
ction
tion
ion
onn procedures
rocedures
ocedures
cedures
edures
dures
ures
res
ess................... 199
99
9
Sterilization
terilization
erilization
rilization
ilization
lization
ization
zation
ation
tion
ion
onn procedure
rocedure
ocedure
cedure
edure
dure
ure
ree (not
not
ott recommended)
ecommended)
commended)
ommended)
mmended)
mended)
ended)
nded)
ded)
ed)
d)) . . . . 201
01
1
Drying
rying
ying
ing
ngg the
hee expiratory
xpiratory
piratory
iratory
ratory
atory
tory
ory
ry
y cassette
assette
ssette
sette
ette
tte
te
e. . . . . . . . . . . . . . 203
03
3
Assembling
ssembling
sembling
embling
mbling
bling
ling
ing
ngg. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204
04
4
Function
unction
nction
ction
tion
ion
on
n test
est
stt . . . . . . . . . . . . . . . . . . . . . . . . . . . 204
04
4
Servo
ervo
rvo
voo Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err cleaning
leaning
eaning
aning
ning
ing
ngg. . . . . . . . . . . . . . 205
05
5
O2 Analyzer
CO nalyzer
alyzer
lyzer
yzer
zer
err Servo-i
ervo-i
rvo-i
vo-i
o-i
-ii cleaning
leaning
eaning
aning
ning
ing
ngg. . . . . . . . . . . . . . 207
07
7

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
191
8 Hygiene
ygiene
giene
iene
ene
ne
e
The gas that passes into the ventilator´s
r´s • When handling g any part of the Servo-i
inspiration system also passes an inspiratory Ventilator System, m, always follow your
filter and is usually clean and dry. hospital‘s guidelines
elines for handling
Caution: infectious material. Since cleaning,
sterilization,
zation, sanitation, and disinfection
• All personnel should be aware of the risk
k
practices vary widely amongmong health care
of parts being infected when
hen
institutions, it is not possible for MAQUET
disassembling and cleaning the ventilator.
to specifyfy on particular practices that will
• All disposable parts must be discarded meet all needs,ds, or to be responsible for the
according to hospital routine and in an effectiveness of cleaning, sterilization, and
environmentally safe way. other proceduresures carried out in the patient
Important: care setting. MAQUET
AQUET recommends
methods
thods that have been validated using
• Bacteria from the patient will appear in the
the specified equipment
quipment and procedures
moistst environment of the expiration side.
outlined in this manual. Other methods
MAQUET
AQUET recommends the use of Servo
may work but ut are not covered by the
Guard bacteria filter to reduce the
warranty unless MAQUET has given n
transmission
nsmission of bacteria from the patient
written permission.
via the expiratory channel to the Expiratory
cassette. By using the he recommended filter • The result of cleaning/disinfection
g/disinfection can be
the need for regular cleaning is reduced, affected by the quality
uality of water. MAQUETET
which consequently
quently would result in a recommend drinking water as minimum um
prolonged lifetimeme of the expiratory quality level.
cassette. By regularly
ularly replacing the • The most critical step p in cleaning/
bacteria filter, the risk of infection being disinfection is cleaning. It is impossible to
spread to the staff and the risk of cross disinfect or even
ven thermally sterilize an
infection between
ween patients are reduced. inadequately cleaned instrument. The
• Sterilization is normally
mally not necessary for reduction of bioburden by cleaning iss key
the expiratory cassette but when applied to a good result. Whenever ver possible
use validated processes only. cleaning shall be performed immediately tely
after use. Foreign particles such as saliva
• Autoclaving will reduce the lifetime
me of the
or blood should not be left to dry on the
cassette. Lifetime reduction is greater for
devices. Bacteria filters such as Servo
autoclaving in prolonged cycles (> 4min) at
Guard can be used to protect the he
134 °C (273 °F).
Expiratory cassette from contamination, a
• Cleaning routines for the Fisher & Paykel practice recommended ded by MAQUET. If
humidifier
midifier are described in a separate filters
ters are used and the stated replacement
operating manual. interval for the filter is observed, the onlyy
• Cleaning routines for the Aeroneb-Pro
Pro cleaning needed is wiping the exterior. Iff
(Aeroneb professional Nebulizer system)
ystem) bacteria filters are not used, MAQUETQUET
are described in a separate operating recommends using g medical dish
manual.
ual. disinfectors for cleaning/disinfection.
• The single use Y Sensors (Adult/Neonatal)
Adult/Neonatal)
is supplied NON-STERILE
STERILE in a plastic bag.
The
he Y Sensor can be sterilized before use
by EtO or radiation using normal
mal hospital
procedures.

Servo… User´s manual

192 US edition
Infant Adult Universal Options Order No: 66 00 261
 Cleaning
leaning
eaning
aning
ning
ing
ng
g flows
lows
ows
ws
s8
The expiratory
piratory cassette Recommended
ecommended
commended
ommended
mmended
mended
ended
nded
ded
ed
d cleaning
leaning
eaning
aning
ning
ing
ng
g
• When using an external bacterial filter the procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e
only cleaning needed is wiping the
Cleaning procedure
cedure when ServoGuard
exterior.
xterior. filter
ilter (or equivalent) has been used..
• Rinsing the cassette in water (<35°C/95°F)
35°C/95°F)
immediately after
fter use may be a useful
alternative to disinfection. Immediate
rinsing
g increases the probability of
removing
ving particles and minimizes the risk
of cross contamination between patients.
• After processing,
g, always make sure that
the cassette is dry. If not, the cassette may
fail the Pre-use check. Refer to page 198.
• Never dry the cassette by applying high-
pressure
ure air. Internal tubing may be
damaged.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
193
3
8 Cleaning
leaning
eaning
aning
ning
ing
ng
g flows
lows
ows
ws
s
Disinfection
isinfection
sinfection
infection
nfection
fection
ection
ction
tion
ion
on
n procedures
rocedures
ocedures
cedures
edures
dures
ures
res
es
s D3)) Disinfecting with liquid
d disinfectant
and sterilization methods when no
D1) Disinfecting with a medical
dical dish external
xternal bacterial filter has been used.
disinfector when an external bacterial
filter has been used. D3

D1

SVX-6042_EN

Refer to page 199.

SVX-6044_EN

D2) Disinfecting with

h medical dish Refer to page 199.
disinfector when no external bacterial
filter has been used.
D2

SVX-6043_EN

Refer to page 199.

Servo… User´s manual

194 US edition
Infant Adult Universal Options Order No: 66 00 261
 Cleaning
leaning
eaning
aning
ning
ing
ng
g flows
lows
ows
ws
s8
Sterilization
terilization
erilization
rilization
ilization
lization
ization
zation
ation
tion
ion
on
n procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e
Sterilizing
zing with autoclave when no
external bacterial filter has been used.

SVX-6046_EN

Refer to page 201.

01.
Autoclaving reduces the lifetime of
the expiratory cassette
Sterilization of the Expiratoryy cassette is not
necessary as it is not an invasive instrument.
MAQUET
QUET have clear indications s that
autoclaving will reduce the lifetime of the
Expiratory cassette and therefore do not
recommend
mmend it as a method for cleaning.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
195
8 Preparation
reparation
eparation
paration
aration
ration
ation
tion
ion
on
n and
nd
d Dismantling
ismantling
smantling
mantling
antling
ntling
tling
ling
ing
ng
g
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
ns
s

1. Set the ventilator to Off.

2. Disconnect the ventilator from mains
and from gas supply.
pply.
3. Disconnect optional equipment from
mains and from the ventilator.

Expiratory
xpiratory
piratory
iratory
ratory
atory
tory
ory
ry
y cassette
assette
ssette
sette
ette
tte
te
e

1. Lift the locking

g handle. Important:
2. Pull out the Patient Unit. • The Expiratory cassette is a precision
3. Press
ss the button on the Expiratory instrument
ment and must be handled carefully.
cassette, tilt it upwards
wards and remove. • The Expiratory cassette can be exchanged d
between different Servo-i Ventilator
WARNING!
ARNING! Systems.
stems. The ventilator may be used
• After removing the
he Expiratory cassette, do immediately by connecting a cleaned
not pour any fluid into the Expiratory Expiratory cassette. After replacing the
cassette compartment.
mpartment. Avoid contact with Expiratory cassette
ssette a Pre-use check must
electrical connectors.
s. be performed.
d.

Servo… User´s manual

196
6 US edition
Infant Adult Universal Options Order No: 66 00 261
 Preparation
reparation
eparation
paration
aration
ration
ation
tion
ion
on
n and
nd
d Dismantling
ismantling
smantling
mantling
antling
ntling
tling
ling
ing
ng
g8
Wiping
iping
ping
ing
ng
g and
nd
d discarding
iscarding
scarding
carding
arding
rding
ding
ing
ng
g

1. Wipe all parts with a soft

ft lint-free cloth Important:: During normall conditions, the
moistened in soap & water or detergent-gent- filter of the cooling fan (page 96 6 no. 6) does
based disinfectant. not need to be cleaned other than during
Important: When ServoGuard
voGuard filter (or preventive maintenance. In a dusty and
equivalent) is used, the onlyy cleaning needed warm environment it is recommended to
is to wipe the ventilator and accessories with regularly
gularly check that the filter looks clean (i.e.
a soft
ft lint-free cloth moistened in soap & black).). If dusty it can be removed (snap off/
water or detergent-based
gent-based disinfectant. snap on) and rinsed in water. Shake ke out and
make sure that the filter is free from excess
Note: In case of more contaminated surfaces water.
use ethyl
yl alcohol or isopropyl alcohol.
Module
odule
dule
ule
le
e cleaning
leaning
eaning
aning
ning
ing
ng
g (if
iff available)
vailable)
ailable)
ilable)
lable)
able)
ble)
le)
e))
• Wipe the Battery, CO2 Analyzer and Y
Sensor modules with a dry soft lint-free
cloth. If the surface is contaminated, use
ethyl alcohol. Avoid contact with the
electrical connector on the modules.
• Do not immerse the CO2 Analyzer
yzer module,
the battery module or the Y Sensor
nsor
module in any fluid.
SVX-6061_EN

2. Discard:
– the Servo
vo Guard viral/bacterial filter
– Servo Humidifier/HME
– Y Sensors
sors
– disposable patient tubing.
Hazardous waste (infectious)
These parts must not be
disposed of with ordinary
waste.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
197
8 Recommended
ecommended
commended
ommended
mmended
mended
ended
nded
ded
ed
d cleaning
leaning
eaning
aning
ning
ing
ng
g procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e
Cleaning
leaning
eaning
aning
ning
ing
ng
g procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e when
hen
en
n Important: When ServoGuard filter (or
ServoGuard
ervoGuard
rvoGuard
voGuard
oGuard
Guard
uard
ard
rdd filter
ilter
lter
ter
err (or
orr equivalent) is used, the only cleaning
g needed
is to wipe the ventilator and accessories with
equivalent)
quivalent)
uivalent)
ivalent)
valent)
alent)
lent)
ent)
nt)
t)) has
ass been
een
en
n used.
sed.
ed.
d.. a soft lint-free cloth moistened in soap &
water or detergent-based disinfectant.
fectant.
Note: In case of more contaminated surfaces
use ethyl alcohol or isopropyl alcohol.
Hazardous
waste
(infectious)

Hazardous
waste
(infectious)

Servo… User´s manual

198 US edition
Infant Adult Universal Options Order No: 66 00 261
 Disinfection
isinfection
sinfection
infection
nfection
fection
ection
ction
tion
ion
on
n procedures
rocedures
ocedures
cedures
edures
dures
ures
res
es
s8
Disinfection
isinfection
sinfection
infection
nfection
fection
ection
ction
tion
ion
on
n procedures
rocedures
ocedures
cedures
edures
dures
ures
res
es
s
To disinfect the Expiratory
atory cassette, you may Important:
use a medical dish disinfector or a
disinfectant. • After disinfection procedure all parts must
be dried before use.
• The
he Expiratory cassette must be dried
before use (if not dry - the Expiratory
atory
cassette may not pass the Pre-use check).
• To avoid bacteria growth, when no
bacterial filter is used, it is recommended
to clean the ventilator system as soon as
possible.
ble.
Rinse before
re disinfection
Rinse the parts thoroughly in water. Let the
water flow through the parts. Rinse the
expiratory
xpiratory cassette with water (<35
5 °C / 95
°F) to remove organic
c matter e.g. blood and
other residue.
Medical
al dish disinfectorr
Wash the parts with water in a medical dish
disinfector
or at a temperature of 85 - 95 °C
(185 - 203 °F). The water pressure in the dish
disinfector should not exceed 1.5 bar. The
water must have free passage through the
cassette..

SVX-6054_EN

SVX-586_XX

Place the Expiratory cassette on its side with

the electrical connector uppermost as shown
in the picture above. Maximum water flow 10
l/min.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
199
99
8 Disinfection
isinfection
sinfection
infection
nfection
fection
ection
ction
tion
ion
on
n procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e
Disinfectant Rinse after disinfectant
Let the parts soak in a disinfectant agent
gent • Rinse
nse the parts thoroughly in water to
such as remove all traces
ces of disinfectant. Let the
– Alcohol (ethyl- or isopropyl alcohol)) water flow through the parts.
– CidexOPA • Rinse the expiratory cassette by dip it in
– Hexanios G+R, Aniosyme DD1 and
d water and carefully shake and tilt the
Anioxide 1000. cassette holding it vertically
y in both
Important: Follow the disinfectant
ant agent directions, repeat this 3-4 times.
mes. Mineral
deposits on the expiratory cassette affects
manufacturer’s recommendations and
instructions. Otherwise
wise the cassette may be the function. It is important to rinse the
expiratory cassette thoroughly. ly. Residues
damaged.
from chemicals can affect the patient,
cause leakage and extra stress on the
material.

Drying
ying
Refer to page 203.

Servo… User´s manual

200 US edition
Infant Adult Universal Options Order No: 66 00 261
 Sterilization
terilization
erilization
rilization
ilization
lization
ization
zation
ation
tion
ion
on
n procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e (not
not
ott recommended)
ecommended)
commended)
ommended)
mmended)
mended)
ended)
nded)
ded)
ed)
d)) 8
Sterilization
terilization
erilization
rilization
ilization
lization
ization
zation
ation
tion
ion
on
n procedures
rocedures
ocedures
cedures
edures
dures
ures
res
es
s Autoclaving
ving reduces the
he lifetime of
To sterilize the Expiratory cassette, you may the expiratory
atory cassette
use an autoclave. Sterilization of the Expiratory cassette is not
necessary as it is not an invasive instrument.
MAQUET have clear indications
ndications that
autoclaving will reduce the lifetime of the
Expiratory cassette and therefore do not
recommend
mmend it as a method for cleaning.
Number
mber of cycles in
n the autoclave
The expiratory
piratory cassette will last at least:
• 100 autoclaving g cycles with 4 minutes
sterilization
on time at 134º C (273º F))
• 50 autoclaving cycles with h 18 minutes
sterilization time at 134º C (273º F).
Important:
• If autoclaving
ng is conducted in a prolonged
cycle (> 4 min) at 134 °C (273 °F), the
e
estimated remaining time of use of the
Expiratoryy cassette may be negatively
affected.
• Before
ore placing the Expiratory cassette in
an autoclave make sure that no water
remains inside the cassette.
• The Expiratory cassette must be dried
before
fore use (if not dry - the Expiratory
cassette may not pass the Pre-use check).
Note: Normally the expiratory cassette
does not have
ve to be dried after sterilization
as most steam autoclaves have a drying ying
period in the end of the autoclave cycle. If
there is no drying phase,, the expiratory
cassette must be dried before
fore use.
• To avoid bacteria growth h when no external
bacterial filter is used, it is recommended
mmended
to clean the ventilator system as soon as
possible.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
201
8 Sterilization
terilization
erilization
rilization
ilization
lization
ization
zation
ation
tion
ion
on
n procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e (not
not
ott recommended)
ecommended)
commended)
ommended)
mmended)
mended)
ended)
nded)
ded)
ed)
d))
Rinse
inse
Rinse the parts thoroughly in water. Let the
water flow through the parts. Rinse the
expiratory
xpiratory cassette with water (<35
5 °C / 95
°F) to remove organic
c matter e.g. blood and
other residue.
Drying before
ore autoclaving
Before
fore placing the Expiratory cassette in an
autoclave
ve make sure that no water remains
inside the cassette. Carefully shake and tilt
the cassette holdingg it vertically in both
directions, repeat this 5-7 times or use a test
lung for 10 min. Other drying aternatives are;
drying cabinet, 1 hour
our in maximum 70 °C
(158 °F)
F) or 12-24 hours in room air depending
pending
on surrounding conditions.
Caution: Never dry the cassette
assette by applying
high-pressure air as you may damage the
internal tubing.

Autoclave
• Instrument parts should be autoclaved in a
validated process at a temperature off 134
°C (273 °F). Typically
cally 4 minutes at 134 °C
(273
273 °F).
• Rubber parts should
hould be autoclaved in a
validated process at a temperature of 121
°C (250 °F). Typically 15 minutes at 121 °C
(250 °F).
Drying
rying after autoclaving
claving
Refer to page 203.

Servo… User´s manual

202 US edition
Infant Adult Universal Options Order No: 66 00 261
 Drying
rying
ying
ing
ng
g the
he
e expiratory
xpiratory
piratory
iratory
ratory
atory
tory
ory
ryy cassette
assette
ssette
sette
ette
tte
te
e8
Drying alternatives
ernatives Recommended
mmended postition.
There are several
veral drying alternatives to dry
the expiratory cassette:
• Carefully shake/tilt the cassette (5-7
7 times)
• Rune the cassette in a Servo-i
o-i ventilator
with a test lung for 10 minutes
• Drying cabintett 1 hour in maximum
ximum 70°C
(158 °F)
• Room
oom air (12-24
(1 hours in room air
depending
g on surrounding conditions.)
Caution: Never dry the cassette by applying
high-pressure air as you may damage the
internal tubing
Note: The time for drying can be shorter if the Recommended position in small drying
g
cabinets.
medical dish disinfector has a drying phase.
Note: Normally the expiratory cassette does
not have
ve to be dried after sterilization as
most steam autoclaves have a drying ying phase
in the end of the autoclave cycle. If there is no
drying phase,, the expiratory cassette must
be dried before
fore use.

Recommended position in room air or drying

ying
cabinet.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
203
8 Assembling
ssembling
sembling
embling
mbling
bling
ling
ing
ng
g
Expiratory
xpiratory
piratory
iratory
ratory
atory
tory
ory
ry
y cassette
assette
ssette
sette
ette
tte
te
e

SVX-6056_XX

1. Patient Unit: Lift the locking handle (a)

and pull
ull out (b).
2. Hinge the Expiratory
ratory cassette and press
it firmly down into lock position. Check
that the cassette cannot be moved
upwards.
pwards.

3. Patient Unit: Lift the

he locking handle.
4. Push back the unit until you hear a
"click".
Caution: The Expiratory cassette
ssette must be
pressed all the way down into its bottom
position. Make sure that the button on the
top of the cassette is completely
mpletely ejected to
ensure that the cassette is firmly locked.
ked.
Important:
portant:
• Note on a log sheet that a routine cleaning
has been performed. Refer to hospital
guidelines.

Function
unction
nction
ction
tion
ion
on
n test
est
stt
After cleaning, always perform
m a Pre-use
check. For more information please refer to
page 146.

Servo… User´s manual

204 US edition
Infant Adult Universal Options Order No: 66 00 261
 Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err cleaning
leaning
eaning
aning
ning
ing
ng
g8

Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err Important:

Cleaning flow • Cleaning shall be done after each patient

or according to hospital routine
utine
• Only T-piece and nipples can be
autoclaved.
oclaved.
• Do not autoclave or use a medical dish
disinfector when cleaning the nebulizing
chamber.
• Perform
orm a function test of the Servo Ultra
Nebulizer after the cleaning. Refer to
page 130.
• The medication
on cup must not be disposed
of with ordinary
ary waste.
Hazardous waste
e (infectious)

Preparation
reparation
eparation
paration
aration
ration
ation
tion
ion
on
n

1. Disconnect the Servo Ultra Nebulizer

from the
he ventilator.

SVX-6083_EN

The nebulizing chamber may be

cleaned by just
st wiping with a soft cloth
moistened in soap and water or disinfectant.

Servo… User´s manual

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205
8 Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err cleaning
leaning
eaning
aning
ning
ing
ng
g
Wiping
iping
ping
ing
ng
g and
nd
d discarding
iscarding
scarding
carding
arding
rding
ding
ing
ng
g Rinse
inse
nse
se
e
Rinse the parts thoroughly in water. Let the
water flow through the parts.

Disinfection
isinfection
sinfection
infection
nfection
fection
ection
ction
tion
ion
onn procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e
(medical
medical
edical
dical
ical
cal
all dish
ish
sh
h disinfector)
isinfector)
sinfector)
infector)
nfector)
fector)
ector)
ctor)
tor)
or)
r))
Wash the T-piece and nipples in a medical
dish disinfector at a maximum
um temperature
of 85 - 95 °C (185 - 203 °F).
Important: Do not put the nebulizing
zing
chamber in a medical dish disinfector.

Disinfection
isinfection
sinfection
infection
nfection
fection
ection
ction
tion
ion
onn procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e
(aldehyde)
aldehyde)
ldehyde)
dehyde)
ehyde)
hyde)
yde)
de)
e))
Let the nebulizing chamber, the T-piece and d
the nipples soak in a disinfectant agent such
as
– 2%
% Glutaraldehyde solution
– CidexOPA
SVX-6080_EN – Hexanios G+R, Aniosyme DD1
1. Unscrew
w the T-piece and discard the Important: Follow
w the disinfectant agent
medication cup. manufacturer’s recommendations and
instructions.
2. Empty the buffer water from the
nebulizing chamber. Rinse
3. Wipe
pe the nebulizing chamber and Rinse the parts thoroughly in distilled water.
connection cable with a soft cloth
moistened in soap & water or detergent-
gent- Sterilization
terilization
erilization
rilization
ilization
lization
ization
zation
ation
tion
ion
onn procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e
based disinfectant. (autoclave)
autoclave)
utoclave)
toclave)
oclave)
clave)
lave)
ave)
ve)
e))
Note: In case of more contaminated The T-piece and nipples should be
surfaces use ethyl
yl alcohol or isopropyl autoclaved
ved in a validated process at a
temperature of 1344 °C (273 °F). Typically 4
alcohol. minutes at 134 °C (273 °F).
F).
Important: Do not autoclave the nebulizing
chamber.
mber.

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206 US edition
Infant Adult Universal Options Order No: 66 00 261
 CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err Servo-i
ervo-i
rvo-i
vo-i
o-i
-ii cleaning
leaning
eaning
aning
ning
ing
ng
g8

CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err Servo-i
ervo-i
rvo-i
vo-i
o-i
-ii Important:

Cleaning flow
ow • Cleaning shall be done after each patient
or according to hospital routine.
mmerse the CO2 Analyzer module
• Do not immerse dule
nor the Capnostat sensor in any fluid.

Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
ns
s

1. Disconnect the Capnostat sensor and

airwayy adapter from the ventilator.

Wiping
iping
ping
ing
ng
g

Wipe the adapter and Capnostat sensor with

a soft cloth moistened in soap & water or
detergent-based disinfectant.

SVX-6082_EN

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
207
8 CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err cleaning
leaning
eaning
aning
ning
ing
ng
g
Disinfection
isinfection
sinfection
infection
nfection
fection
ection
ction
tion
ion
on
n procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e Disinfection
isinfection
sinfection
infection
nfection
fection
ection
ction
tion
ion
onn procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e
(airway
airway
irway
rway
way
ay
y adapter)
dapter)
apter)
pter)
ter)
er)
r)) (Capnostat
Capnostat
apnostat
pnostat
nostat
ostat
stat
tat
att sensor)
ensor)
nsor)
sor)
or)
r))
Let the adapter soak in 2%
% Glutaraldehyde
solution for about
bout one hour.
Important: Follow the disinfectant agent
gent
manufacturer’s recommendations and
instructions.
Rinse
Rinse the parts thoroughly in distilled water.
Dry
Before reusing the adapter the windows
must be dry.

Sterilization
terilization
erilization
rilization
ilization
lization
ization
zation
ation
tion
ion
on
n procedure
rocedure
ocedure
cedure
edure
dure
ure
re
e
(airway
airway
irway
rway
way
ayy adapter)
dapter)
apter)
pter)
ter)
er)
r))
• The Adult adapter
pter can be sterilized using
either Steam
m or ETO (ethylene oxide)) gas
methods.
• The Neonate adapterr can be sterilized 1. Wipe the
he Capnostat sensor with a soft
using ETO
O (ethylene oxide) gas method. cloth moistened in disinfectant (2%
• After sterilization procedure
ure the adapters Glutaraldehyde or isopropyl
propyl alcohol
must be dried before use. 70%).
The adult adapter cann be autoclaved in a 2. After
fter cleaning wipe the Capnostat
validated process at a temperature of 134
34 °C sensor with a water dampened
mpened clean
(273°F). cloth.
Important: The Capnostat sensor
windows must be dried after cleaning.

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08 US edition
Infant Adult Universal Options Order No: 66 00 261
 Notes
otes
tes
ess 8

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Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
209
8 Notes
otes
tes
ess

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

.................................................................. ..................................................................

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Servo… User´s manual

210 US edition
Infant Adult Universal Options Order No: 66 00 261
 9.. Maintenance
aintenance
intenance
ntenance
tenance
enance
nance
ance
nce
ce
e

Contents
ontents
ntents
tents
ents
nts
ts
s

General
eneral
neral
eral
ral
all . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 212
12
2
Replacement
eplacement
placement
lacement
acement
cement
ement
ment ntt off O2 cell/filter
ent ell/filter
ll/filter
l/filter
/filter
filter
ilter
lter
ter
err . . . . . . . . . . . . . . . 214
14
4
Assembling
ssembling
sembling
embling
mbling
bling
ling
ing
ngg. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
17
7
Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err membrane
embrane
mbrane
brane
rane
ane
nee ..................... 217
17
7
Extended
xtended
tended
ended
nded
ded
edd cleaning
leaning
eaning
aning
ning
ing
ngg off Inspiratory
nspiratory
spiratory
piratory
iratory
ratory
atory
tory
ory
ryy channel
hannel
annel
nnel
nel
ell . . . . . 218
18
8

WARNING!
RNING! Always disconnectt the ventilator if any operation which may
involve risk ment of O2 cell.
k for the patient will be done, e.g. replacement

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
211
9 General
eneral
neral
eral
ral
all
MAQUET
UET recommends that the equipment
uipment is Fisher
isher
sher
her
err & Paykel
aykel
ykel
kel
ell Humidifier
umidifier
midifier
idifier
difier
ifier
fier
ier
err
inspected regularly. The environmental
vironmental
declaration is part of the service manual. MR730
R730
730
30
0 / MR850
R850
850
50
0
Important: Refer to the Operating manuall for the Fisher
& Paykel Humidifier
midifier MR730 / MR850.
Special
cial waste
This product contains electronic CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err
and electrical components.
Discard disposable,
ble, replaced and No regular overhaul required.
left-over parts in accordance with
appropriate industrial and Y Sensor
ensor
nsor
sor
orr measuring
easuring
asuring
suring
uring
ring
ing
ng
g
environmental
mental standards.
Recycling No regular overhaul required.
Worn-out batteries must be
recycled or disposed
posed of properly Aeroneb
eroneb
roneb
oneb
neb
ebb Professional
rofessional
ofessional
fessional
essional
ssional
sional
ional
onal
nal
all
in accordance with appropriate Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err System
ystem
stem
tem
em
m
industrial and environmental
mental
standards. Refer to the Operating manual for the
Aeronebb Professional Nebulizer System.
m.
Hazardous
dous waste (infectious) The
device
vice contains parts which must Disposable
isposable
sposable
posable
osable
sable
able
ble
le
e parts
arts
rts
ts
s
not be disposed of with ordinary
waste. Use disposable- and spare parts from
MAQUET
AQUET only. All disposable
ble parts must be
discarded according to hospital routine and
in an environmentally
vironmentally safe way.
Preventive
reventive
eventive
ventive
entive
ntive
tive
ive
ve
e maintenance
aintenance
intenance
ntenance
tenance
enance
nance
ance
nce
ce
e
A preventive maintenance, according to Ventilator
entilator
ntilator
tilator
ilator
lator
ator
tor
orr
corresponding chapter in the Service
manual,
ual, must be performed by authorized Expiratory cassette
ette
personnel
nnel at least once every year as long as MAQUET
QUET recommends that at the Expiratory
the unit is not used more than normal. cassette should be exchanged
nged if an
Normal operation during one year is instruction appears on screen during Pre-use
estimated to correspond to approximately
ximately check:: Exchange Expiratory
piratory cassette
cassette.
5000 hours of operation. n. The current
operating time and time to next preventive
ventive Bacteria filter for pressure
ure
maintenance is presented under the Status transducer (Inspiratory
piratory channel)
l)
menu on the User Interface.
face. The bacteria filter can be exchanged
Important: Always perform a regular according to hospital
pital routine (page 218).
cleaning
ing and an extended cleaning of the
Inspiratory channel before performing a
preventive maintenance. The extended
xtended
cleaning must only be performed by
personnel who are well trained in its use.

Servo… User´s manual

212 US edition
Infant Adult Universal Options Order No: 66 00 261
 all 9
General
eneral
neral
eral
ral
O2 Sensor (iff installed) O2 cell (if installed)

SVX-9050

Regularly checkk the cell status in the menu

Status. The O2 cell should be exchanged if
<10% iss indicated for it in the Status menu.
ge 177 for O2 cell adaptation.
Refer to page

WARNING! The he sealed unit of the O2 cell

contains a caustic liquid which may cause
severe burns to the skin and eyes.. In case of
contact, immediately flush continuously with
SVX-9044 water for at least 15 minutes and seek
medical attention especially iff the eyes are
No regular overhaul required. affected.

Important:
ant:
• Make sure the O2 cell is for
or the Servo-i
model. O2 cell package
ge must have a blue
label.
• Replacement of the O2 cell and filter and
extended cleaning must
st only be
performed by personnel who are well
trained in its use.
Bacteria filter for O2 cell
The bacteria filter for the O2 cell can be
exchanged
ged when the cell is replaced, or at
other intervals according to hospital routine.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
213
9 Replacement
eplacement
placement
lacement
acement
cement
ement
ment
ent
ntt off O2 cell/filter
ell/filter
ll/filter
l/filter
/filter
filter
ilter
lter
ter
err
Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
ns
s and
nd
d dismantling
ismantling
smantling
mantling
antling
ntling
tling
ling
ing
ng
g

SVX-076_EN

1. Unpack the O2 cell at least 155 minutes

before replacement. Set the
he ventilator to
off by pressing the button at the backk of
the screen.
2. Disconnect the ventilator from the mains
and
d gas supply.
3. Lift the locking
king handle and pull out the
Patient Unit.
Check that the Inspiratory channel is in the
front. If not, Push the locking handle upwards
wards
and turn until you hear a “click”.

SVX-075_XX

1. Lift the handle and fold it over the

Expiratory cassette.
2. Loosen the screw.
3. Lift off the cover.

Servo… User´s manual

214 US edition
Infant Adult Universal Options Order No: 66 00 261
 Replacement
eplacement
placement
lacement
acement
cement
ement
ment
ent err 9
ntt off O2 cell/filter
ell/filter
ll/filter
l/filter
/filter
filter
ilter
lter
ter
Changing
hanging
anging
nging
ging
ing
ng
g bacteria
acteria
cteria
teria
eria
ria
ia
a filter
ilter
lter
ter
err only
nly
ly
y

SVX-072_EN

1. Lower the locking catch.

ft the O2 cell.
2. Lift
3. Remove and discharge
scharge the bacteria filter.
Hazardous us waste (infectious)
The filter must not be disposed
of with ordinaryy waste!

– Ensure that the rubber seal is intact,

then firmly put a new bacteria filter into
it
4. Connect the rubber seal tightly with the
filter.
5. Put the O2 cell in position.
6. Close the locking catch.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
215
5
9 Replacement
eplacement
placement
lacement
acement
cement
ement
ment
ent
ntt off O2 cell/filter
ell/filter
ll/filter
l/filter
/filter
filter
ilter
lter
ter
err
Changing
hanging
anging
nging
ging
ing
ng
g O2 cell
ell
lll including
ncluding
cluding
luding
uding
ding
ing
ng
g bacterial
acterial
cterial
terial
erial
rial
ial
all filter
ilter
lter
ter
err and
nd
d rubber
ubber
bber
ber
err seal
eal
all

SVX-073_EN

1. Lower the locking catch.

2. Disconnect the connector.
– Lift and discharge the O2 cellll with the
rubber seal.
Special waste
This product contains electronic
and electrical components.
mponents.
Discard disposable, replaced and
left-over parts in accordance with
appropriate industrial and
environmental standards.
– Remove and discharge
charge the bacteria
filter.
Hazardous
ous waste (infectious)
These parts must not be
disposed of with ordinary
y
waste!

3. Ensure that the new rubber seal is not

damaged, then firmly put a new bacteria
filter into it.
4. Connect the connector
– Connect the rubber seal tightly
y with
the filter.
– Put the O2 cell in position.
sition.
5. Close the locking catch.

Servo… User´s manual

216
16 US edition
Infant Adult Universal Options Order No: 66 00 261
 Assembling,
ssembling,
sembling,
embling,
mbling,
bling,
ling,
ing,
ng,
g,, Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer e9
err membrane
embrane
mbrane
brane
rane
ane
ne
Assembling
ssembling
sembling
embling
mbling
bling
ling
ing
ng
g

SVX-077_XX

1. Put the cover in position.

2. Tighten
ghten the screw.
3. Angle up the handle and push it down in
position.

Perform
erform
rform
form
orm
rm
m a Pre-use
re-use
e-use
-use
use
se
e check
heck
eck
ck
k
For further information see page
ge 145.

Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err membrane
embrane
mbrane
brane
rane
ane
ne
e
A faulty injection membrane on the Servo
Ultra Nebulizer
zer Servo-i may cause system
leakage andnd must be replaced.

SVX-127_XX

• Replacement of membrane:
– Peel off the old membrane.
– Put a new membrane in place.
– Make sure the new membrane
brane is
properly attached. This is easiest to
see from
m the inside.
Check the Servo Ultra Nebulizer for leakage
(Pre-use
se check, page 145).

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
217
7
9 Extended
xtended
tended
ended
nded
ded
ed
d cleaning
leaning
eaning
aning
ning
ing
ng
g off Inspiratory
nspiratory
spiratory
piratory
iratory
ratory
atory
tory
ory
ryy channel
hannel
annel
nnel
nel
ell
Important:
Always perform a regular cleaning
ing and an
extended cleaning of the Inspiratory channel
before a preventive maintenance. The
extended
ded cleaning must only be performed
formed
by personnel who are well trained in its use.

Preparations
reparations
eparations
parations
arations
rations
ations
tions
ions
ons
ns
s

SVX-589_XX

1. Set the ventilator to off by pressing

g the
button at the back of the screen.
2. Disconnect the ventilator from the mains
and gas supply.
y.
3. Lift the locking handle and pull out the
Patient Unit.

SVX-254_XX

1. Lift the upper handle and fold it over

ver the
expiration cassette.
2. Loosen the screw.
3. Lift off the cover.

Servo… User´s manual

218 US edition
Infant Adult Universal Options Order No: 66 00 261
 Remove
emove
move
ove
ve
e the
he
e O2 cell orr 9
elllll / O2 sensor
ensor
nsor
sor
Iff an
n O2 cell
ell
lll is
s installed
nstalled
stalled
talled
alled
lled
led
ed
d

1 2

ServoS-0114_XX

1. Lower the locking

ng catch.
2. Disconnect the connector and lift the O2
cell.

Iff an
n O2 sensor
ensor
nsor
sor
orr is
s installed
nstalled
stalled
talled
alled
lled
led
ed
d

1 2

SVX-9060_XX

1. Disconnect the connector and carefully

unlock the latches.
2. Lift the O2 sensor.

Servo… User´s manual

US edition
Order No: 66 00 261 Infant Adult Universal Options
219
9 Remove
emove
move
ove
ve
e / insert
nsert
sert
ert
rtt the
he
e Inspiratory
nspiratory
spiratory
piratory
iratory
ratory
atory
tory
ory
ryy channel,
hannel,
annel,
nnel,
nel,
el,l,, tube
ube
be
e
Remove
emove
move
ove
ve
e the
he
e the
he
e inspiratory
nspiratory
spiratory
piratory
iratory
ratory
atory
tory
ory
ry
y Insert
nsert
sert
ert
rtt the
he
e Inspiratory
nspiratory
spiratory
piratory
iratory
ratory
atory
tory
ory
ry
y channel
hannel
annel
nnel
nel
ell
channel
hannel
annel
nnel
nel
ell and
nd
d tube
ube
bee and
ndd tube
ube
be
e
Hazardous waste
(infectious) 2 1
1 2

ServoS_0113_EN ServoS-0112_XX

1. Press the latches

ches and lift the Inspiratory 1. Put the
he new bacteria filter in position and
channel upwards. connect the filter to the tube.
2. Disconnect the tube and remove ve the 2. Put the silicon cuffs in position.
filter. Discard the bacteria filter. 3. Press the latches andd insert the
Hazardous
dous waste (infectious)) Inspiratory channel.
The filter must not be disposed Important:
of with ordinary waste!
• There shall always be clearance between
the cuffs and gas modules.
odules.
Disinfection
isinfection
sinfection
infection
nfection
fection
ection
ction
tion
ion
on
n / sterilization
terilization
erilization
rilization
ilization
lization
ization
zation
ation
tion
ion
on
n • Make sure the latches are locked in
procedures
rocedures
ocedures
cedures
edures
dures
ures
res
ess position.

Disinfection/
Sterilization

ServoS-0122_EN

For cleaning (Disinfection/Sterilization)

Disinfection/Sterilization)
instructions for the Inspiratory
piratory channel and
tube please refer to chapter Routine cleaning
(page 191).

Servo… User´s manual

220 US edition
Infant Adult Universal Options Order No: 66 00 261
 Insert
nsert
sert
ert
rtt the
he
e O2 cell orr 9
elllll / O2 sensor
ensor
nsor
sor
Iff an
n O2 cell
ell
lll is
s used
sed
ed
d

1 2

ServoS-0111_XX

1. Connect the O2 cell connector and put

the O2 cell in position.
2. Close the locking catch.

Iff an
n O2 sensor
ensor
nsor
sor
orr is
s used
sed
ed
d

1 2 3
2x

SVX-9059_XX

1. Put the O2 sensor in position.

2. Connect the O2 sensor (a
a "click" is
heard)
3. Connect the O2 sensor connector

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
221
9 Assembling
ssembling
sembling
embling
mbling
bling
ling
ing
ng
g
r

SVX-077_XX

1. Put the cover in position.

2. Tighten the screw.
3. Angle up the handle
andle and push it down in
position.

SVX-588_XX

4. Patient Unit: Lift the locking handle and,

5. push
sh back the unit until you hear a
"click".

After
fter assembling
• Note on a logg sheet that a extended
cleaning of the Inspiratory channel has
been performed.
• Connect patient tubing
g and accessories.
• Perform a Pre-use check. (For further
information see page 145).
45).

Servo… User´s manual

222 US edition
Infant Adult Universal Options Order No: 66 00 261
 ess 9
Notes
otes
tes

.................................................................... ....................................................................

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Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
223
9 Notes
otes
tes
ess

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Servo… User´s manual

224 US edition
Infant Adult Universal Options Order No: 66 00 261
 10.
0..Troubleshooting
roubleshooting
oubleshooting
ubleshooting
bleshooting
leshooting
eshooting
shooting
hooting
ooting
oting
ting
ing
ng
g

Contents
ontents
ntents
tents
ents
nts
ts
s

High
igh
gh
h priority
riority
iority
ority
rity
ity
ty
y alarms
larms
arms
rms
mss ...................... 226
26
6
Medium
edium
dium
ium
umm priority
riority
iority
ority
rity
ity
ty
y alarms
larms
arms
rms
mss ................... 230
30
0
Low
ow
w priority
riority
iority
ority
rity
ity
ty
y alarms
larms
arms
rms
ms s. . . . . . . . . . . . . . . . . . . . . . . 234
34
4
Pre-use
re-use
e-use
-use
use
see check
heck
eck
ckk messages
essages
ssages
sages
ages
ges
ess. . . . . . . . . . . . . . . . . . 235
35
5
O2 Analyzer
CO nalyzer
alyzer
lyzer
yzer
zer
err - Calibration
alibration
libration
ibration
bration
ration
ation
tion
ion
onn error
rror
ror
orr messages
essages
ssages
sages
ages
ges
ess. . . . 238
38
8
Technical
echnical
chnical
hnical
nical
ical
calall error
rror
ror
orr messages
essages
ssages
sages
ages
geses
s. . . . . . . . . . . . . . . . . . 239
39
9

WARNING!
RNING! Always disconnect
nnect the ventilator if any operation which may
involve risk
k for the patient will be done, e.g. replacement
ment of O2 cell.

Caution: The Expiratory

atory cassette must not be lifted up when the ventilator
is in operation. This may, however, be done when in Standby setting.

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 0 High
10 igh
gh
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ority
rity
ity
tyy alarms
larms
arms
rms
mss

Problem
blem Possible
ossible cause Remedy
(Display message)
Apnea Preset or default alarm limit Check patient and breathingg
exceeded. system.
Check ventilator settings.
Time between two consecutive
inspiratory
piratory efforts exceeds the set
alarm limit.
Backup ventilation
tilation An apnea has caused
used the ventilator Check patient. Select ventilator
to switch from support mode to mode.
backup ventilation mode. Check ventilator settings. Iff the
problem still remains contact a
service technician.
Check tubing Problems with patient tubing or Refer to service. Remove water
expiratoryy pressure transducer. from tubing
ubing and check humidifier
Disconnected pressure transducer settings, i.e. relative humidity.
(expiratory or inspiratory). Blocked Check heater wires in humidifier (if
pressure transducer (expiratory or present). Check connections of
inspiratory). Water in expiratory limb tubingg and expiratory cassette.
of ventilator. Wet bacteria filter.
Clogged d bacteria filter. Excessive
leakage.
Expiratory
ratory cassette The Expiratory cassette is Connect the Expiratory cassette.
disconnected disconnected or not connected Replace the Expiratory cassette.
properly. Perform a Pre-use check if a new
Expiratory cassette is inserted.
Expiratory Minute Preset or default alarm limit Check patient and breathing
Volume:
lume: High exceeded. system.
Check trigger sensitivity setting.
Increased patient activity.
vity. Ventilator Check alarm limit settings.
self-triggering (auto cycling).
Improper alarm limit setting.
Expiratory Minute Preset or default alarm limit Check patient and breathing
Volume: Low exceeded.
xceeded. system.
(See note on page 229.) Note: This alarm also works as a Check cuff
uff pressure.
patient disconnect alarm. Check patient breathing system
(perform leakage test if necessary).
Low spontaneous patient breathing Check pause time and graphics to o
activity. Leakage around the cuff. verify. Consider increased
Leakage in the patient breathing ventilatory support for the patient.
system.
m. Improper alarm setting.
Gas supplyy pressures: Air and O2 supply is below 2.0 kPa x Check
k the gas connections.
Low 100.

Both air and O2 gas supply

disconnected.
High continuous Constantly high airway pressure for Check
heck patient and breathing
pressure more than 15 seconds (PEEP + 15 system.
cmH2O). Check ventilator
or settings. If the
problem remains, contact a service
technician.

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226
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 High
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tyy alarms
larms
arms
rms 0
Problem Possible cause Remedy
y
(Display message)
ge)
Leakage
kage out of range Leakage to high. The mask / prongs Check patient and breathing
may not be applied correct on the system. Check mask / prongs size
patient. Make
ke sure a proper size of and
d accurate adaptation to the
the mask / prongs is used. patient.
Limited battery capacity
pacity Less than 10 minutes left of battery Insert a new Battery module or
operating
g time. attach to mains.
Low battery voltage Battery voltage too low. Cannot If possible, connect to mains power
guarantee continued ventilator supply.
y. Replace and discard all
operation. batteries.
Note:
te: If this alarm occurs after
one of the battery alarms;
Limited battery capacity or No
battery capacity, then
hen the
batteries do not need to be
replaced. However, the
ventilator must be connected to
the mains power supply. y.
Nebulizer hardware error Technical problem with nebulizer
ulizer Change the nebulizer. Iff the problem
hardware. Temperature too high. still remains contact a service
technician.
No battery capacity Less than 3 minutes left of battery Connect to mains. Insert charged
operation. Battery modules. (Recharge
Recharge Battery
module by leaving the ventilator
plugged into mains.)
s.)
No patient effort The time between two consecutive Check
heck patient and breathing
detected inspiratory efforts has exceeded
xceeded system. Check ventilator
or settings.
(Adult 45 seconds, Infant 15
seconds).
O2 cell / sensor failure O2 cell / sensor missing or Check O2 cell / sensor and
disconnected. connection.
Note: If O2 sensor is used make
sure O2 sensor software is installed.
O2 concentration: High Measured O2 concentration Check air supply. Perform a Pre-use
exceeds the set value by more than check.
6 Vol.%. Refer to page 177 for O2
cell adaptation.

Gas supply or air line disconnected.

No supply from wall outlet. The air
gas module is disconnected.
nnected. If no
gas is available, then both expiratory
and safety valves will open.

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arms
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Problem Possible cause Remedy
y
(Display message)
ge)
O2 concentration: Low
w Measured O2 concentration is below Check O2 supply
pply line. Perform a
the set value by more than 6 Vol.%, Pre-use check.
or concentration below 18 Vol.% Refer to page 177 for O2 cell
which is independent off operator adaptation.
settings. Refer to page 177 for O2
cell adaptation.

Gas delivered in O2 supply

upply line is not
O2. O2 sensor faulty or exhausted.
O2 cell uncalibrated. O2/oxygen
gen gas
module faulty.
Paw high Airway pressure exceeds
ds preset Check
heck patient and breathing
Caution: If airway Upper pressure limit. system.
pressure rises 6 cmH
mH2O Check ventilator
or settings and alarm
Kinked or blocked tubing. Mucus or limits.
above set upper secretion plug in endotracheal
acheal tube
pressure limit, the safety or in airways. Patient coughing or
valve opens.The
The safety fighting ventilator. Inspiratory flow
valve also opens if rate too high, Improper
mproper alarm
setting. Blocked expiratory filter.
system pressure
exceeds 117 7± 7 cmH2O.
Restart ventilator! Software related error. Restart the ventilator and perform a
Pre-use check. If the problem still
remains, take the unit out of
operation and contact a service
technician.
Safetyy valve test failed During Pre-use check the system Contact a service technician.
found failures during the check of
the opening
pening pressure for the safety
valve.
Settings lost; Restart Software error, memory corrupt. Restart the ventilator and perform a
ventilator Pre-use check.k.
Check ventilator settings.
Technical
chnical error in Technical problem with the Perform a Pre-use check. Change
Expiratory cassette Expiratory cassette. the Expiratory cassette and perform
a Pre-use check. If the problem still
remains contact a service
technician.
Technical error: Restart Ventilator settings
gs lost. Restart the ventilator, perform a
ventilator Pre-use check and d check all
settings. If the problem still remains
contact a service technician.
Time in waiting position Time in waiting position is exceeded. Check patient and breathing
exceeds 2 min. Patient is not connected to the system.
ventilator or leakage is excessive.

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Note: Expiratory Minute
e Volume: Low
Considerable ble leakage may occur around the
endotracheal tube iff it is uncuffed. The
combination of small tidal volumes, leakage kage
around the tube and activated compliance pliance
compensation may trigger the Low
Expiratory Minute Volume alarm, due to a
very low expiratory flow passing from m the
patient through the expiratory channel. By
observing
bserving the difference between the Vti and
Vte values
ues presented on the User Interface, a
leakagege can be detected and its extent easily
controlled. The first time an unacceptably
large leakage occurs around the tube,
correct this problem to avoid triggering
ggering the
Low Expiratory Minute alarm. If the leakage
still persists, adjust
djust the alarm limit right down
to its lowest level (i.e. 10 ml) – if this step is
clinically judged
dged to be appropriate. Finally, if
the leakage still has not been remedied, then
deactivate the compliance compensation to
avoid triggering the Low Expiratory Minute
alarm.m. If the compliance compensation is
deactivated from Pressure ure Control, Pressure
Support or SIMV (Pressure Control)
ventilation modes, then hen no further settings
need to be adjusted. However, ver, where
volume-related modes are used, then the set
volumes must be adjusted.

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larms
arms
rms
mss

Problem Possible cause Remedy

(Display
play message)
Air supply pressure: High Air supply pressure above 6.5 kPa x Check the gas supply lines. Perform
100. a Pre-use check. If the problem
blem still
remains contact a service
Air supply pressure at gas inlet is too technician.
high.
Air supply pressure: Low
ow Air supply pressure below 2.0
0 kPa x Check and connect gas supply
pply
100. lines. Perform a Pre-use check.

Air supply pressure at gas inlet is too

low.Gas
Gas supply line disconnected.
Note: The Air supply too low alarm
can be permanently silenced (Audio
Audio
off) when activated.
Alarm output connection Technical problems (hardware
dware or Contact a service technician.
error software) with the external alarm
function.
Battery mode!
de! Nebulizer Ventilator is running
g on batteries and Connect to mains if Servo Ultra
switched off the Servo Ultra Nebulizer is Nebulizer is desired.
inoperative, to reduce
ce the power Check the mains connection.
consumption.
Battery
attery operation Mains voltage disappears. Check the mains connection.
Check alarm limits The persistent memory has corrupt Check the alarm limits.
contents.
Check CO2 airway
way Either the data or reference channel Make sure that
hat the adapter is
adapter or both channels are out of range. completely inserted. Clean airway
Usually caused when the airway adapter if necessary. If the problem
adapter is removed
moved from the persists open the”COO2 Calibration”
Capnostat or when there is an window and perform”Verification”
optical blockage
ge on the windows of to correct.
the airway adapter. May also be
caused when changed the adapter
type without performing
ming verification
to correct for adapter type.
Check default alarm Problems in internal memory for Check default alarm limits. If the
limitss default alarm limits. problem still remains contact a
service technician.
Check Y Sensor Y Sensor is not connected to the Check
ck sensor connection to patient
patient breathing system
ystem or Y breathing system. If problem
Sensor not working properly. persists, change Y Sensor.
CO2 module error Hardware error in the CO2 Analyzer
zer Check that the module is properly
module. plugged in. Re-insert the module if
necessary. If the error persists, it is
probably hardware related. Change
module. Call a service technician.
CO2 module unplugged
plugged CO2 Analyzer
yzer module is not properly Insert the CO2 Analyzer
alyzer module.
inserted.
CO2 sensor CO2 Capnostat sensor is not Connect the sensor to the CO2
disconnected attached. Analyzer module.

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larms
arms
rms 0
Problem Possible cause Remedy
(Display
play message)
CO2 sensor error Hardware error in CO2 Capnostat
stat Check k that the Capnostat sensor is
sensor. The values in the Capnostat properly plugged in. Re insert the
memory failed the internal test. Capnostat sensor if necessary.
Calibrate
brate the Capnostat sensor
(refer to page 151). Change the
Capnostat sensor. If the error
persists, contact a service
technician.
CO2 sensor temperature Possible hardware error. The Make sure that the Capnostat
too high Capnostat sensor temperature is sensor is not exposed to extrememe
gher than 50o C.
higher heat (heat lamp, incubator etc.). If
the error persist, the problem is
most likely a faulty Capnostat
sensor.
CO2 sensor temperature The Capnostat sensor does not The problem is probablyy hardware
too low reach operating temperature. related. Change Capnostat sensor
and/or module. Call a service
ce
technician.
CPAP
PAP High/Low Preset or default alarm exceeded. Check patient and breathing
system. Check mas k/ prongs size
and
d accurate adaptation to the
patient
Check alarm settings.
etCO2 high Hypoventilation.
ypoventilation. Leakage with high Check patient
tient circuit. Ventilator
bias flow. CO
O2 sensor, Y-piece, settings.
HME

etCO2 low Hyperventilation. Leakage with

h high Check patient circuit. Ventilator
bias flow. CO2 sensor, Y-piece, settings.
gs.
HME
Exp. cassette exchanged Expiratory cassette has been Perform a Pre-use check.
exchanged during operation. No
Pre-use check performed after
exchange.
Inspiratory flow
low Combination of settings exceeds the Change the ventilator settings.
overrange allowable inspiration flow range. Increase the gas inlet pressure.
Internal temperature: Temperature inside the ventilator is Check
k the function of the fan.
High too high. Check the operating temperature.
Nebulizer disconnected The nebulizer is
s disconnected Connect the nebulizer or change
during nebulization. Technical connection cable.
problem with connection cable.
Nebulizer hardware error Technical problem with nebulizer Restart
start the nebulizer.
hardware.
dware. Temperature too high. Check buffer liquid level. Change
Not enough buffer liquid.
quid. Technical the nebulizer. Change connection
problem with connection cable. cable. If the problem still remains
contact a service technician.
Nebulizer inhibited due Temperature too high. Turn off the nebulizer and restart
to overheating
g when cooled down.

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mss
Problem Possible cause Remedy
(Display
play message)
O2 supply pressure: High O2 supply pressure above 6.5
5 kPa x Check the gas supply lines. Perform
100. a Pre-use check. If the problem
blem still
remains contact a service
O2 supply pressure at gas inlet is too technician.
high.
O2 supply pressure: Low O2 supply pressure below 2.00 kPa x Check and connect gas supply
100 or above 6.5 kPa x 100. lines. Perform a Pre-use check.

O2 supply pressure att gas inlet is too

low.Gas supply line disconnected.
Note: The O2 supply too low alarm m
can be permanently silenced (Audio
off) when activated.
Panel disconnected No communication between User Check control cable. If the problem
interface and
d Patient unit. still remains contact a service
vice
technician.
PEEP High The measured end expiratory Check patient breathing system.
pressure is above the preset or Check patient connection (cuff
default alarm limit for three pressure/tracheal
/tracheal tube size).
consecutive breaths. Perform a Pre-use check.
Check ventilator
ntilator settings.
Check the alarm settings.
PEEP Low The measured end expiratory y Check patient breathing system.
pressure is below the preset or Check patient connection (cuff
uff
default alarm limit for three pressure/tracheal tube size).
consecutive breaths. Perform a Pre-use check.
Check the alarm settings.
Note: Setting the alarm to 0 (zero) is
equal to alarm off.
Leakage
kage in patient breathing
system. Leakage at patient
connection (cuff, tracheal tube).
).
Regulation pressure It is not possible to reach the Set Check ventilator settings.
limited volume
ume in PRVC and VS, due to
restrictions imposed by the set
Upper pressure limit.

Set high pressure alarm limit, limits

the regulatory pressure used in
PRVC or VS.
Remove one CO
O2 Two CO2 Analyzer modules are Remove one of the CO2 Analyzer
yzer
module connected at the same time. modules.
Respiratory Rate: High
gh Respiratory frequency too high.
gh. Attend to the patient.
Auto triggering. Check the trigger setting.
Respiratory Rate: Low Respiratoryy frequency too low. Attend to the patient.
Trigger sensitivity setting incorrect. Check trigger setting.
Large tidal volume.
me. Check Inspiratory cycle-off
ff setting.

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larms
arms
rms 0
Problem Possible cause Remedy
(Display
play message)
VT inspiratory
nspiratory overrange Setting causing larger volume than Check the adjustment for the
allowed for the selected category. inspiratory
piratory Tidal Volume.

Limited adjustment of too high tidal

volume.
Y Sensor mismatch Y Sensor does not match h the Check patient category setting.
selected patient category Check Y Sensor.
Y Sensor Module Y Sensor module is not properly Insert the Y sensor module.
disconnected inserted.
Remove one Y Sensor Two Y Sensor modules are Remove one of the Y Sensor
Module connected at the same time. modules.
Y Sensor Module error Hardware
ware error in the Y Sensor Checkk that the module is properly
measuring module. plugged in. Re-insert the module if
necessary. If the error persists, it is
probably
bably hardware related. Change
module. Contact a service
technician.
Y Sensor Module temp
p Possible hardware error. The Y Make sure that the Y Sensor Module
high Sensor module temperature
perature is is not exposed to extreme heat. If
higher than 60o C. the error persists, it is probablyy
hardware related. Change module.
Call a service technician.
Y Sensor measuring Derivation between Y Sensor Check
ck patient and patient circuit. If
error measuring and internal problem persists, change Y Sensor.
measurements, Y Sensor measuring
has been disabled.
Y Sensor disconnected Y Sensor is not attached. Connect the sensor to the Y Sensor
module.

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larms
arms
rms
mss

Problem Possible cause Remedy

(Display
play message)
Touch screen or knob Screen or knob has been pressed Check screen and knobs. If the
press time exceeded for more than one minute. Screen or problem still remains contact a
knob hardware time out. service technician.

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 Pre-use
re-use
e-use
-use
use
se
e check
heck
eck
ck ess 10
k messages
essages
ssages
sages
ages
ges 0

Message Description Remedy

y if test fails
Cancelled The test was cancelled by the user. It is recommended to perform a Pre-
use check k before connecting the
ventilator to a patient.
Failed The test did not pass. Check all connections and the
Expiratory cassette. Perform a Pre-
use check again. If the problem still
exists please contact a service
technician.
Not completed The test was not completed. Not completed means that the test
case passed with some
reservations. The message ge will be
shown if:
• The battery option is installed
and the battery capacity is less
than 100 minutes or
• The test could not be completed
due to a missing gas.
Note: The ventilator mayy still be
used (limited) if the message Not
completed is shown. If the missing
gas is applied a Pre-use check must
be performed.
Passed The test case has passed. The function is working according
to the test specification.
Running A test is in process. The message is flashing
lashing (white)
during the test.

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-use
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eck
ck
k messages
essages
ssages
sages
ages
ges
es
s
Pre Use Check messages in detail
Test Description
n Remedy, if test fails
(Display
Display message)
Alarm state test Checks that no Technical error Refer to Service.
alarms
ms are active during the Pre-use
check.
Barometer test Checks the barometric pressure Check the Barometric pressure
measured byy the internal barometer value in the Status window.
Battery switch
ch test If Battery modules are connected: Check that the total remaining time
Checks
hecks that the power supply for the connected battery modules
switches to battery when mains are >10 min. If not, replace the
power is disconnected. Checks that discharged batteryy with a charged
the power supply switches back to battery and repeat the test.
mains power when main is
reconnected.d.
Flow transducer test Checks the inspiratory flow Check that the connected gas
transducers.
ucers. Calibrates and checks Air and O2) is
supply pressure (Air
the expiratory flow
w transducer. within the specified range.
Check k that the cassette is correctly
seated in the cassette
compartment.
Gas supply pressure test Checks that the gas supply Check that the connected gas
Air and O2) measured by
pressures (Air supply pressure (Air and O2) is
the internal gas supply pressure within the specified range.
transducers
cers are within the specified
range.
Internal leakage test Checks the internal leakage, with If message ”Leakage” orr ”Excessive
test tube connected, using the leakage” appears:
inspiratory
y and expiratory pressure Check that the test tube is correctlyy
transducers. connected.
Allowed leakage: 10ml/min
0ml/min at 80 Check all connections for the
cmH2O. expiratory cassette and inspiratory
section.
Make sure that the expiratory
cassette and the inspiratory channel
are well cleaned and dry. Refer to
pages 191, 203
03 and 218.
Contact a service technician.
Internal test Audio
udio test and other internal tests Make
ke sure that the Patient Unit front
(memories, safety-related hardware, cover and the User Interface rear
etc.). cover are correctly mounted,
otherwise
wise the audio test may fail.
O2 cell / sensor test Calibrates and checks the O2 cell / Check k that the connected gas
sensor at 21% O2 and 100% O2. supply pressure (Air and O2) is
Checks
ks if the O2 cell is worn out. within the specified range. Replace
Note: As different gas mixtures are the O2 cell. Replace gas modules
ules
used during this test, calibration and (Air and/or O2).
check of O2 cell / sensor will not be
performed if one gas is missing.

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-use
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heck
eck
ck ess 10
k messages
essages
ssages
sages
ages
ges 0
Test Description
n Remedy, if test fails
(Display
Display message)
Patient circuit leakage Checks the patient circuit leakage, If the internal leakage test has
test with patient tubing connected, using passed, the leakage is to be located
the inspiratory and expiratory to the patient circuit. Check for
pressure transducers. Allowed leakage or replace the patient
leakage: 80 ml/min at 50 cmH H2O. circuit.
Will allow the system to calculate a
compensation for circuit compliance
(if the leakage requirements are
met).
Y Sensor test Checks the pressure and flow Check Y module and Y Sensor. If
measurement of the Y Sensor. problem persists, change Y sensor.
If problem still presists, change Y
module
Pressure transducer test Calibrates and checks the If the Internal leakage
ge test passed
inspiratory and expiratory pressure (see above):
transducers. Check/replace Insp.
nsp. or Exp.
pressure transducer.
Check that there is no excess water
in the expiratory cassette. Refer to
pages 202 and 203.
Safety valve test Checks
ks and if necessary adjusts the Check the inspiratory y section:
opening pressure for the safety valve Check that the safety valve
to 117 ± 3 cm H2O. membrane is correctly seated in the
inspiratory pipe.
Check that the inspiratory pipe is
correctly mounted
unted in inspiratory
section.
Check that the safety valve closes
properly when the Pre-use check is
started (distinct clicking sound from
the valve).

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-use
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e check
heck
eck
ck
k messages
essages
ssages
sages
ages
ges
es
s

CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer
err - Calibration
alibration
libration
ibration
bration
ration
ation
tion
ion
on
n error
rror
ror
orr messages
essages
ssages
sages
ages
ges
es
s
Error Description
n Remedy, if calibration fails
s
(Display message)
Adapter
pter zero: Failed An error was detected during the Perform a verification calibration. If
verification calibration (adapter problem persists it may be a
zero). The airway adapter is hardware error. Call a service
occluded or CO O2 gas is present in technician.
the adapter. The calibration was
cancelled and old cell zero
parameters
meters were not restored.
CO2 cell zero failed An error was found during cell zero Perform a Cell zero calibration. If
calibration.
bration. The calibration was problem persists it may be a
cancelled and old cell zero hardware error.
parameters were not restored. Call a service
vice technician.
Verification against
gainst Ref- The Capnostat sensor is faulty or Clean the Capnostat sensor
there is an optical blockage
ge of the windows. If the problem persists,
erence cell: Failed Capnostat sensor windows. replace the Capnostat sensor.

Servo… User´s manual

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 Technical
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all error
rror
ror ess 10
orr messages
essages
ssages
sages
ages
ges 0

Error code no. Possible cause/ part of sub Remedy

system
Technical error no. xxxx Technical problem, identified by the Restart the ventilator and perform a
(General) error code xxxx. Pre-use check. If the problem still
remains, take the unit out of
operation and contact a service
technician.
Technical error no. 1 - 6, Power
wer failure. Contact a service technician.
29, 10001
0001
Technical error no. 7, 10- Expiratory / Inspiratory channel Contact a service technician.
11 failures.
Technical error no. 12, Connection failures. Contact a service technician.
16
Technical error no. 25, Communication failure. Contact a service technician.
43
3
Technical error no. 27 Test of back-up
k-up sound device failed. Restart the ventilator and perform a
Pre-use check. If the problem
blem still
remains, take the unit out of
operation and contact a service
technician.
Technical error no. 28, Alarm sound level too low.
w. Check that the loudspeaker outlet is
20004 not obstructed.
Restart the ventilator and perform
form a
Pre-use check. If the problem still
remains, take the unit out of
operation and contact a service
technician.
Technical error no. 38-39 Barometer failures. Contact a service technician.
Technical error no. 8-9, Timeout failures. Contact a service technician.
33-35,
5, 41
Technical error no. 46 Internal failure, Alarm output
put Contact a service technician.
circuitry.
Technical error no. 48 Timeout failures. Contact a service technician.
Technical error no. 49 Timeout failures. Contact a service technician.
Technical error no. 51 Technical problem with Y Sensor Contact a service technician.
module.
Technical error no. Backlight broken. Contact a service technician.
20002
Technical error no. Button stuck. Check User Interface buttons.
20003
3 Contact a service technician.
Technical error no. Exp. flow meter failure. Contact a service technician.
40001
Technical error no. 22, Various failures. Contact a service technician.
24,40, 42, 44, 45, 50
10002-10003, 20001

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Servo… User´s manual

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 11.
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ata
ta
a

Contents
ontents
ntents
tents
ents
nts
ts
s

The
hee system
ystem
stem
tem
emm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 242
42
2
The
hee ventilator
entilator
ntilator
tilator
ilator
lator
ator
tor
orr . . . . . . . . . . . . . . . . . . . . . . . . . . . 242
42
2
Standard
tandard
andard
ndard
dard
ardrdd condition
ondition
ndition
dition
ition
tion
ion
on n specification
pecification
ecification
cification
ification
fication
ication
cation
ation
tion
ion
on n............ 243
43
3
Inspiratory
nspiratory
spiratory
piratory
iratory
ratory
atory
tory
oryryy channel
hannel
annel
nnel
nelell . . . . . . . . . . . . . . . . . . . . . . . 243
43
3
Expiratory
xpiratory
piratory
iratory
ratory
atory
tory
oryryy channel
hannel
annel
nnel
nelell . . . . . . . . . . . . . . . . . . . . . . . 243
43
3
Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ng g ............................. 243
43
3
Alarms
larms
arms
rms
ms s ................................ 244
44
4
Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on n modes odes
des
ess. . . . . . . . . . . . . . . . . . . . . . . . 244
44
4
Trend
rend
end
ndd function
unction
nction
ction
tion
ion
onn .......................... 245
45
5
Log
ogg function
unction
nction
ction
tion
ion
on n. . . . . . . . . . . . . . . . . . . . . . . . . . . . 245
45
5
Communication/Interface
ommunication/Interface
mmunication/Interface
munication/Interface
unication/Interface
nication/Interface
ication/Interface
cation/Interface
ation/Interface
tion/Interface
ion/Interface
on/Interface
n/Interface
/Interface
Interface
nterface
terface
erface
rface
face
ace
cee. . . . . . . . . . . . . . . . . . 246
46
6
Servo
ervo
rvo
vo o Ultra ltra
tra
raa Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err . . . . . . . . . . . . . . . . . . . . . 246
46
6
COO2 Analyzer
nalyzer
alyzer
lyzer
yzer
zererr Servo
ervo
rvovo
o-ii . . . . . . . . . . . . . . . . . . . . . 247
47
7
Y Sensor
ensor
nsor
sororr measuring
easuring
asuring
suring
uring
ring
ing
ngg. . . . . . . . . . . . . . . . . . . . . . 248
48
8
Drawer
rawer
awer
wer err Kit itt Servo
ervo
rvo
vo
o-ii . . . . . . . . . . . . . . . . . . . . . . . 248
48
8
Holder
older
lder
der err Servoervo
rvo
vo o-ii . . . . . . . . . . . . . . . . . . . . . . . . . . 248
48
8
Shelf
helf
elf
lff baseasesee Servo ervo
rvo
vo
o-ii . . . . . . . . . . . . . . . . . . . . . . . 248
48
8
Gasas
s cylinder
ylinder
linder
inder
nder
dererr restrainer
estrainer
strainer
trainer
rainer
ainer
iner
ner
err Servo
ervo
rvo
voo-ii . . . . . . . . . . . . . . 248
48
8
IV
V Pole
ole le
e ................................ 248
48
8
Gasas
s trolley
rolley
olley
lley
ley
eyy Servoervo
rvo
voo-ii . . . . . . . . . . . . . . . . . . . . . . . 248
48
8
Compressor
ompressor
mpressor
pressor
ressor
essor
ssor
sororr Miniini
nii . . . . . . . . . . . . . . . . . . . . . . . . 248
48
8
Default
efault
fault
aultult
ltt values
alues
lues
uesess andndd parameter
arameter
rameter
ameter
meter
eter
ter
err settings
ettings
ttings
tings
ings
ngs
gss. . . . . . . . 249
49
9
Alarm
larm
arm
rm
m limitsimits
mitsits
ts
s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252
52
2

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241
 1 Technical
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The
he
e system
ystem
stem
tem
em
m The
he
e ventilator
entilator
ntilator
tilator
ilator
lator
ator
tor
orr
General General
The device
ce complies with requirements of Medical Dimensions User Interface: W 355 x D 53 x H 295 mm,
Device Directive 93/42/EEC.
42/EEC. Patient Unit: W 300 x D 205 x H 415 mm.
Standards EN IEC 60 601-1 (Class 1, Type B). Weight Approximately
pproximately 20 kg
IEC 60601-2-12 (User interface 5 kg, Patient Unit 15 kg).
EN 794-1
Method of triggering Flow and pressure.
Electromagnetic compatibility (EMC)C)
According IEC 60601-1-2, 2nd edition (2001) Gas supply
Immunity: Extended test to 30V/m The gases supplied must be free from water, oil and
The EMC declaration, n, Information to the responsible particles.
organization is available from MAQUET.
Air: H2O < 7 g/m3,Oil < 0.5 mg/m3
Patient range Adult
dult (weight: 10-250kg)
Infant (weight: 0.5-30kg) Oxygen: H2O < 20 mg/m3
NIV (PC+PS) Infant range 3-30kg. Inlet gas pressure 2 – 6.5 kPa x 100 (29
9 – 94 PSI)
PSI).
NIV Nasal CPAP Infant range 0.5-10kg Connection standards available AGA, DISS, NIST or
French.
Operating
g conditions
Operating temperature range +10 to +40 ºC. Patient system gas connectors
Relative humidity
dity 15 to 95%
% non-condensing. Conical fittings Male 22 mm and female 15 mm.
In accordance with ISO 5356-1.
Atmospheric pressure 660 to 1060hPa.
Gas exhaust port Male 30 mm cone.
Lowest pressure in patient circuit - 400 cmH2O.
Impact User Interface
Peak acceleration: 155 g. Weight approximately 5 kg. Can be attached to the
mobile cart, a table, railing or pipe (15 - 30 mm
Pulse duration: 6 ms. diameter).
Number of impacts:1000.

Non-operating
erating conditions
Storage temperature -25 to +60 ºC (-13 to 140 ºF).
Storage relative humidity < 95%.
Storage atmospheric pressure 470 — 1060hPa.
Power supply
Power supply, automatic range selection
100-120V ±10%, 220-240 V ±10%, AC 50-60Hz.
Battery backup
2– 6 battery modules
odules rechargable 12 V, 3.5 Ah each.
Recharge time approximatelyy 3 h/battery. Battery
backup time approximately 3 h, when using 6 batteries.
External 12V DC 12.0V
2.0V - 15.0V DC, 10A
Caution: : When external +12 V DC is used, at least one
installed Battery module is required to ensure proper
operation.
Max power consumption
At 110-120V: 2A, 190VA, 140W.
W.
At 220- 240V: 1A, 190VA, 140W.

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Standard
tandard
andard
ndard
dard
ard
rd
d condition
ondition
ndition
dition
ition
tion
ion
on
n Expiratory
xpiratory
piratory
iratory
ratory
atory
tory
ory
ry
y channel
hannel
annel
nnel
nel
ell
specification
pecification
ecification
cification
ification
fication
ication
cation
ation
tion
ion
on
n Pressure drop Max.x. 3 cmH2O at a flow of 1 l/s
Internal compressible factor Max. 0.1 ml/cmH2O
Inaccuracy in this document is given under the following
standard conditions and for the worst case, i.e. all errors PEEP
EEP regulation Microprocessor controlled valve
are summarized positive. Statistically 95%% of all values PEEP setting range:0 - 50 cmH2O
will be within 2/3 of the given inaccuracy. Inaccuracy: ± 5% or ± 1 cmH2O6
• Ambient pressure: 101.3 kPa Expiratory flow measurements
• Room temperature: 20 ºC Flow range: 0 - 3.2 l/s
• Dry gases in patient system Rise time: < 12 ms for 10 - 90% response at a
flow of 0.055 - 3.2 l/s.
• Inlet
let pressure: 4.3 kPa x 100
Inaccuracy: ± 5% or ± 2.5 ml/s
• Pre-use check performed on a warmed up ventilator
• Default settings unless otherwise specified Monitoring
onitoring
nitoring
itoring
toring
oring
ring
ing
ng
g
Expiratory Minute Volume
Inspiratory
nspiratory
spiratory
piratory
iratory
ratory
atory
tory
ory
ry
y channel
hannel
annel
nnel
nel
ell Adult
Pressure drop Max. 3 cmH2O at a flow of 1 l/s Range: 0 - 60 l/min
Internal compressible factor Max. 0.1 ml/cmH2O Inaccuracy: ± 8% or ± 0.1515 l/min7
NIV ± 10% 8
Gas delivery system Microprocessor controlled valves
Gas delivery device Infant
Flow range:
ge: Range: 0 - 20 l/min
Adult 0-3.3 l/s Inaccuracy: ± 8% or ± 0.15 l/min9
Infant 0-0.55 l/s NIV ± 10%10
Inaccuracy: ±5% or ± 0.1 ml/s NIV,, Nasal CPAP ± 25% or ± 0.15 l/min11
Pressure setting: Max. 80/120 cmH2O (Infant/Adult) Expiratory Tidal
dal Volume
Inaccuracy: % or ± 1 cmH2O1
± 5% Adult
Range: 0 - 2000/4000
4000 ml
NIV Max leakage compensation
tion level: Inaccuracy: ± 8% or ± 18 ml12
Adult 50 l/min Infant
Infant 15 l/min Range: 0 - 350 ml
Infant Nasal CPAP
PAP 12 l/min Inaccuracy: ± 8% or ± 2 ml13
O2 concentration
O2 concentration Range: 0 - 100%
Setting range: 21 - 100% Inaccuracy: ± 5% of read d value
Inaccuracy: ± 3% O2
Airway pressure
Inspiratory Minute Volume Range: -40 - 160 cmH2O
Adult Inaccuracy: ± 5%
% or ± 1 cmH2O
Setting range: 0.5 - 60 l/min Supply pressure
Inaccuracy: ± 6%2 Range: 0 - 7 bar
Infant Inaccuracy: ± 5% of read
d value
Setting range: 0.3 - 20 l/min
Inaccuracy: ± 6%3

Inspiratory Tidal Volume

Adult
Setting range: 100 - 2000/4000
4000 ml
Inaccuracy: ± 7%4
Infant 5. at 20-350 ml and set I:E<1:1
Setting range: 5 - 350 ml 6. at RR < 60 b/min
Inaccuracy: ± 6%5 7. at RR < 100 b/min
8. at constant leakage fraction <30%
9. at RR < 100 b/min
1. at RR < 100 b/min 10. at constant leakage fraction <30%
2. at 2.5-60 l/min and set I:E<1:1 11. at constant leakage fraction <30%
3. at 1-20 l/min and set I:E<1:1 12.
2. at Expiration time < 4 s and RR <100 b/min
4. at 400-4000 ml and set I:E<1:1 13. at Expiration time < 1 s and RR <100 b/min
Servo… User´s manual
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Order No: 66 00 261 Infant Adult Universal Options
243
 1 Technical
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Alarms
larms
arms
rms
ms
s Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n modes
odes
des
es
s
Airway pressure (upper) Adult: 16 - 120 cmH2O. Controlled ventilation:
fant: 16 - 90 cmH2O.
Infant: Pressure Control (PC) Pressure controlled ventilation.
High continuous pressure Set PEEP level + 15 cmH2O
Volume Control (VC) Volume controlled ventilation.
exceeded forr more than 15 seconds.
O2 concentration Set value ±6vol% or < 18 vol%. Pressure Reg.g. Volume Control (PRVC) Pressure
regulated
gulated volume controlled ventilation.
Expired minute volume (UpperUpper alarm limit) Adult:
0.5 – 60 l/min. Infant: 0.01 – 30 l/min. NIV Pressure Control Non-invasive Pressure
Expired minute volume (Lower alarm limit) Adult: controlled ventilation.
0.5 – 40 l/min. Infant: 0.01 – 20 l/min.
Apnea Adult:15 - 45 s. Infant: 5 - 45 s. Supported ventilation:
Gas
s supply Below 2.0 kPa x 100 and over 6.5 kPa x 100. Volume Support (VS) Volume supported ventilation.
Respiratory frequency 1 – 160 b/min. Pressure Support (PS)/CPAP AP Pressure supported
High end expiratory pressure 0 - 55 cmH2O ventilation / Continuous positive airway pressure
Low end expiratory pressure 0 - 47 cmH2O1 ventilation.
End-tidal CO2 (upper and lower limit2) 0.5-20%,
20%, 4-100 NIV Pressure Support Non-invasive Pressure
mmHg, 0.5-14 kPa supported ventilation.
CPAP (Upper alarm limit) Adult: 0-55 cmH2O Infant:
fant: 0-
Nasal CPAP Nasal Continuous positive airway
55 cmH2O (Lower
Lower alarm limit) Adult: 0-47 cmH2O
Infant: 0-47 cmH2O pressure ventilation.
Battery alarms Combined ventilation:
Limited battery capacity: 10 min SIMV (VC) + PS Synchronized intermittent mandatory
ventilation based on volume controlled ventilation with
Low
w battery voltage
pressure support.
No battery capacity: less than 3 min
SIMV (PC) + PS Synchronized intermittent mandatory
Technical See table in chapterr Troubleshooting.
ventilation based on pressure controlled ventilation with
Autoset (alarm limits) specification
pressure support.
High airway pressure:
ure:
Mean peak pressure +10 cmH2O or at least 35 cmH2O. SIMV (PRVC) + PS Synchronized intermittent
mandatory ventilation based on pressure regulated
Upper minute volume: volume controlled ventilation with pressure support.
Expiratory minute volume + 50%.
Bi-Vent Pressure controlled ventilation that allows the
Lower minute volume: patient the opportunity of unrestricted spontaneous
Expiratory minute volume - 50%. breathing.
Upper respiratory frequency: Automode
Breathing frequency + 40%. Control mode Support mode
Lower respiratory frequency: VC
C <----------- ----------> VS
Breathing frequency - 40%. PC <----------- ----------> PS
High
gh end expiratory pressure: PRVC <----------- ----------> VS
ssure +5 cmH2O
Mean end expiratory pressure In Servo-i flow measurements and all preset and
indicated volumes are referenced to ambient
bient pressure at
Low end expiratory pressure:
+21°C (AP21).
Mean end expiratory pressure -3 cmH2O.
CO2):
Upper end tidal carbon dioxide concentration (etCO
end tidal carbon dioxide concentration + 25%
Lower end tidal carbon dioxide concentration (etCO2):
end tidal carbon dioxide concentration - 25%
Audio
dio pause (Alarm silence/reset) 2 minute silence
and reset of latched alarms.

1. Note: Setting the alarm to 0 (zero) is equal

to alarm off.
2. In NIV low limit can be set to 0 (zero).
Servo… User´s manual
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 Technical
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Trend
rend
end
nd
d function
unction
nction
ction
tion
ion
on
n Open
pen
en
n lung
ung
ng
g tool
ool
oll trend
rend
end
nd
d
Peak Airway Pressure Ppeak
EIP
Pause Airway Pressure Pplat
PEEP
Mean Airway Pressure Pmean
VTi
End Expiratory Pressure PEEP
VTe
Continuous Positiv Airway Pressure CPAP
C dyn i
Spontaneous breaths per minute RRspont

Breathing frequency RR
VTCO2 ( CO2 Analyzer)
zer)

Spontaneous Exp. Minute Volume MVe sp

Log
og
g function
unction
nction
ction
tion
ion
on
n
Inspired Minute Volume MVi
Event log
Expired Minute Volume MVe
Alarms
Leakage fraction (%) Leakage
Ventilator settings
Inspired Tidal Volume VTi
Apnea periods
Expired Tidal Volume VTe
Immediate functions
End Expiratory Flow
ee
Service log
Measured Oxygen concentration O2

Technical alarms
CO2 End tidal concentration etCO2

Test results
CO2 Minute elimination
CO2
Preventive maintenance
CO2 Tidal elimination VTCO2
Service report history
Dynamic Characteristics Cdyn
Configuration log
Static Compliance Cstatic

Elastance E
Note: For access
ccess the logs refer to page 268.
Inspiratory Resistance Ri

Expiratory Resistance Re

Work of Breathing ventilator WOB v

Work of Breathing patient WOB p

P0.1 P0.1

Shallow Breathing Index (SBI) SBI

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Immediate
mmediate
mediate
ediate
diate
iate
ate
te
e functions
unctions
nctions
ctions
tions
ions
ons
ns
s Servo
ervo
rvo
vo
o Ultra
ltra
tra
ra
a Nebulizer
ebulizer
bulizer
ulizer
lizer
izer
zer
err
Oxygen breaths s 100% for 1 minute.
Patient
atient Unit
Start breath Initiation of 1 breath in all modes.
(In SIMV mode initiation of 1 mandatory breath). Weight Approximately
ximately 125 g.
Pause hold inspiratory
piratory or expiratory Dimensions W 60 mm x L 108 mm x H 105 mm.
Nebulizer
ulizer T-piece connections Inlet/outlet: 22/15 mm
Communication/Interface
ommunication/Interface
mmunication/Interface
munication/Interface
unication/Interface
nication/Interface
ication/Interface
cation/Interface
ation/Interface
tion/Interface
ion/Interface
on/Interface
n/Interface
/Interface
Interface
nterface
terface
erface
rface
face
ace
ce
e outer/inner diameter and 22 mm inner diameter, ISO
standard. Infant patient tubing: Nipple connectors 22/10
Serial port RS-232C - isolated. For data mm outer diameter and 15/105/10 mm, outer diameter.
communication via the Communication Interface
Internal volume 60 ml.
Emulator (CIE).
Ultrasonic generator frequency 2.4 MHz.
Alarm output connection option - isolated 4-pole
Particle size (water)
water) Mass Median Diameter (MMD) =
modular connector for communication of high and approximately 4.0 µm, measured distally in endotracheal
medium priority alarms. The Alarm output connection tube 8 mm inner diameter.
option is a non- guaranteed alarm according to Output from nebulizer (water)
IEC60601-1-8.
60601-1-8. Max 40 V DC, Max 500 mA, Max 20 W. Minimum water flux:
Data transfer via Ventilation record card Servo-i File 0.1
1 ml/min at gas flow 0.1l/s
0.3 ml/min at gas flow 0.5l/s
format: Unicode (big endian). Layout format and 0.5 ml/min at gas flow 1.0l/s.
software requirements: For PC C Microsoft Excel 2000 Buffer liquid Sterile water.
with Visual Basic for applications. Max.
x. medication temperature 55º C (131º F).
Service Volume, medication cup Max.
x. 10 ml.
• A preventive maintenance, according to Noise level Max. 50 dBA, measured at 0.3 m distance.
corresponding chapter in the Service manual, must Connection cable
be performed by authorized personnel at least once Length 2.0 m.
every year as long as the unit is not used more than
Note: For information about
bout the stand alone Aeroneb
normal. Normal operation during one year is
Professional Nebulizer System, refer to separate
estimated to correspond to approximately 5000
manual.
hours of operation. The current operating time is
presented under the Status menu on the user
interface.
• Battery modules must be replaced after 3 years.
• Original parts from MAQUET must be used.
d.
• Service repair must be done only by MAQUET
ET
authorized personnel.
• Service mode should only be used without a patient
connected to the ventilator.

Servo… User´s manual

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 Technical
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CO
O2 Analyzer
nalyzer
alyzer
lyzer
yzer
zer o-i
err Servo
ervo
rvo
vo
General Performance
ance
Standard compliance EN864, ISO9918. Measuring method Mainstream, dual-wavelength, non-
dispersive infrared.
frared.
Classification Class I equipment.
ment. According to IEC 60
601-1/EN 60 601-1. Type BF. Stability (within 8-hour period)) 0 to 100 mmHg
±2mmHg, 0 to 13.3 kPa ±0.3 kPa, 0 to 13.2% ±0.3% (at
Size a barometric pressure
ssure of 1013hPa).
CO2 Analyzer module 154 x 90 x 43 mm Measuring range
Sensor 32.0 x 42.4 x 21.6 mm 0 to 100 mmHg CO2 partial pressure
0 to 13.3 kPa CO2 partial pressure
Weight 0 to 13.2%
% CO2 volume (at a barometric pressure of
CO2 Analyzer module 0.45 kg 1013hPa).).
Sensor 18 g Accuracy
Airway adapter 10 g
0 to 40 mmHg ±2mmHg,
Connectors
ctors and cables 41 to 70 mmHg ±5% of reading,
71 to 100 mmHg ±8% of reading,
CO2 Analyzer module 15-pole D-sub
b female connector
connector.
Sensor 20-pole, 2.4 m cable. 0 to 5.3 kPa ± 0.3 kPa,
5.4 to 9.3 kPa ± 5% of reading,
Power source 9.4 to 13.3 kPa ±8% of reading,
CO2 Analyzer module Supply voltage: powered from
the Servo-i. Power consumption: 0 to 5.3% ±0.3%,
• ≤ 8 W at 12V, during warm up. 5.4 to 9.2% ±5% of reading,
• ≤ 6.5
5 W at 12V, during normal operation. 9.3 to 13.2% ±8% of reading.
Sensor powered from the CO2 Analyzer module. Measurement conditions CO2 minute elimination and
CO2 tidal elimination measurements are referenced to
standard temperature and pressure (STP). Standard gas
mixture of CO2, balance saturated air at 33º C,
barometric pressure 1013 hPa, gas flow rate 2 l/mm,
halogenated hydrocarbons <5%.
Step response time <25 ms (10 to 90% step
p response)
Warm-up time 30 s to initial CO2 indication, max. 5 min
to full specification.
Oxygen concentration compensation Automatic.
Values supplied from the
he Servo-i Ventilator System.
Barometric pressure compensation Automatic.
Values supplied from the Servo-i Ventilator System.
Digitizing rate 87 Hzz
dapter dead space Adult <5 cm3. Infant <0.5
Airway adapter
cm3

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versal Options
247
7
 1 Technical
11 echnical
chnical
hnical
nical
ical
cal
all data
ata
ta
a

Y Sensor
ensor
nsor
sor
orr measuring
easuring
asuring
suring
uring
ring
ing
ng
g Compressor
ompressor
mpressor
pressor
ressor
essor
ssor
sor
orr Mini
ini
nii
Size: Dimensions W 430,D 330,H 250 mm
– Y Sensor Module 154 x 90 x 43 mm Weight Approximately 26 kg (70 lbs)
s)
– Y sensor adult Length h 63 mm Power supply 115 V AC,60 Hz, 220 –240 V AC,50 Hz
– Y sensor infant Length 51 mm Compressor capacity
Weight: Continuous
ntinuous flow at normal atmospheric pressure
– Y Sensor Module 0.4 4 kg (approx.1013 hPa) 30 l/min (expanded to ambient air
– Y sensor adult 10.5 g pressure) at 3.5
5 kPa x 100 (bar)/50 psi.
– Y sensor infant 7.0 g For more information refer to Compressor Mini Data
Sheet.
Sensor material: Makrolon polycarbonate
bonate
Tubing: 2.0 m. Medical grade PVC.
Power source:
– Y Sensor Moduleule supply voltage Powered from Servo-i
< 5 W at 12 V (normal operation)
Y sensor measuring – Performance
Measuring method: Fixed orifice, differential pressure
Parameters: Airway pressure, Airway flow, Inspiratory
and expiratory volumes
Measuring range:
– Adult 2 to 180 l/min
– Infant 0.125 to 40 l/min
Airway y adapter dead space:
– Adult < 6.9 ml
– Infant < 0.75 ml

Mobile
obile
bile
ile
le
e cart
art o-i
rtt Servo
ervo
rvo
vo
Weight 20 kg
g
Dimensions W 542 mm x L 622 mm x H 1010 mm.

Drawer
rawer
awer
wer
err Kit o-i
itt Servo
ervo
rvo
vo
Weight 4.5 kg
Dimensions W 300 mm x L 210mm x H 240mm.

Holder
older
lder
der o-i
err Servo
ervo
rvo
vo
Weight 3.5 kg
Dimensions W 159 mm x L 247 mm x H 352 mm.

Shelf
helf
elf
lff base
ase
se o-i
e Servo
ervo
rvo
vo
Weight 1.2 kg
Dimensions W 159 mm x L 205 mm x H 29 mm.

Gas
as
s cylinder
ylinder
linder
inder
nder
der
err restrainer
estrainer
strainer
trainer
rainer
ainer
iner
ner
err
o-i
Servo
ervo
rvo
vo
Max load Two 5-litre
tre bottles.

IV
V Pole
ole
le
e
Max load (total)) 6 kg.

Gas
as
s trolley
rolley
olley
lley
ley
ey o-i
y Servo
ervo
rvo
vo
Max load Two10 kg bottles.

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248 US edition
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 Default
efault
fault
ault
ult
ltt values
alues
lues
ues
es
s and
nd
d parameter
arameter
rameter
ameter
meter
eter
ter s 11
err settings
ettings
ttings
tings
ings
ngs
gs 1
Default values and parameter settings
(standard configuration)

Parameter Factory set default Setting

g range

Universal Universal
Infant Adult Infant Adult
Infant Adult Infant Adult

Automode ON/OFF
FF OFF OFF OFF OFF ON/OFF ON/OFF ON/OFF ON/OFF

Automode trigger 3 7 3 7 3-7 7 - 12 3-7 7 - 12

timeout (s)

Backup pressure 10 20 10 20 5-(80- 5-(120- 5-(80- 5-(120-

above PEEP PEEP) PEEP) PEEP) PEEP)

Backup Ti (s) 0.5 1.0 0.5 1.0 0.3-1 0.5-2 0.3-1 0.5-2

Bias flow (l/min) 0.5 2 0.5 2 - - - -

Breath cycle time, 1 4 1 4 0.5 - 15 1 - 15 0.5 - 15 1 - 15

SIMV (s)

CMV frequency 30 15 30 15 4 - 150 4 - 100 4 - 150 4 - 150

(b/min)

Compensate for OFF OFF OFF OFF ON/OFF ON/OFF ON/OFF ON/OFF
compliance

CPAP
AP (cmH2O) in NIV 5 - 5 - 2-20 - 2-20 -
Nasal CPAP

Flow trig sensitivity

ensitivity 50% 50% 50% 50% 0-100% 0-100% 0-100% 0-100%
level (fraction of bias
flow)

I:E ratio 1:2 1:2 1:2 1:2 1:10-4:1 1:10-4:1 1:10-4:1 1:10-4:1

Inspiratory cycle-off 30 30 30 30 1 - 70 1 - 70 1 - 70 1 - 70
(% of peak flow)

Inspiratory cycle-off 30 50 30 50 10-70 10-70 10-70 10-70

(% of peak flow) in NIV

Inspiratory rise time

me 5 5 5 5 0 - 20 0 - 20 0 - 20 0 - 20
(%)

Inspiratory rise time (s) 0.15 0.15 0.15 0.15 0 - 0.2 0 - 0.4 0 - 0.2 0 - 0.4

Inspiratory rise time (s) 0.15 0.2 0.15 0.2 0 - 0.2 0 - 0.4 0 - 0.2 0 - 0.4
in NIV

Maximum inspiratory 0.56 3.3 0.56 3.3 - - - -

flow (l/s)

Servo… User´s manual

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249
 1 Default
11 efault
fault
ault
ult
ltt values
alues
lues
ues
es
s and
nd
d parameter
arameter
rameter
ameter
meter
eter
ter
err settings
ettings
ttings
tings
ings
ngs
gss

Parameter Factory set default

fault Setting range

Universal Universal
Infant Adult Infant Adult
Infant Adult Infant Adult

Maximum permitted 80 120 80 120 - - - -

absolute pressure
(cmH2O)

Minute Volume (l/min) - 7.5 2.4 7.5 - 0.5-60 0.3-20 0.5-60

Mode (in NIV) PS PS PS PS - - - -

Mode (Invasive PC VC PC VC - - - -
ventilation)

Nebulizer OFF OFF OFF OFF ON/OFF ON/OFF ON/OFF ON/OFF

Nebulizer time (min) 10 10 10 10 5 - 30 5 - 30 5 - 30 5 - 30

NIV Rate (b/min) 4 4 4 4 4-40 4-20 4-40 4-20

O2 concentration (%) 40 40 40 40 21 - 100 21 - 100 21 - 100 21 - 100

PEEP (cmH2O) 5 5 5 5 0 - 50 0 - 50 0 - 50 0 - 50

PEEP in NIV (cmH2O) 5 5 5 5 2-20 2-20 2-20 2-20

Phigh (cmH2O) 15 15 15 15 (PEEP+1) (PEEP +1) (PEEP +1) (PEEP +1)

- 50 - 50 - 50 - 50

Press trig sensitivityy - - - - -20 - 0 -20 - 0 -20 - 0 -20 - 0

level (cmH2O)

Pressure level above 20 20 20 20 0 - (80 - 0 - (120 0 - (80 - 0 - (120

PEEP (cmH2O) PEEP) - PEEP) PEEP) - PEEP)

Pressure level above 5 5 5 5 0-(32- 0-(32- 0-(32- 0-(32-

PEEP in NIV (cmH2O) PEEP) PEEP) PEEP) PEEP)

PS above PEEP 0 0 0 0 0-(80- 0-(120- 0-(80- 0-(120-

(cmH2O) PEEP) PEEP) PEEP) PEEP)

PS above Phigh 0 0 0 0 0-(80- 0-(120- 0-(80- 0-(120-

PHigh) PHigh) PHigh) PHigh
(cmH2O)

SIMV frequency
uency 20 5 20 5 1 - 60 1 - 60 1 - 60 1 - 60
(b/min)

Thigh (s) 1 2 1 2 0.2 - 10 0.2 - 10 0.2 - 10 0.2 - 10

Ti (s) 0.5 0.9 0.5 0.9 0.1-5 0.1-5 0.1-5 0.1-5

Tidal Volume (ml) - 500 80 500 - 100- 5 - 350 100-

2000 4000

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250 US edition
Infant Adult Universal Options Order No: 66 00 261
 Default
efault
fault
ault
ult
ltt values
alues
lues
ues
es
s and
nd
d parameter
arameter
rameter
ameter
meter
eter
ter s 11
err settings
ettings
ttings
tings
ings
ngs
gs 1

Parameter Factory
ory set default Setting range

Universal Universal
Infant Adult Infant Adult
Infant Adult Infant Adult

Tpause (%) - 10 10 10 - 0 - 30 0 - 30 0 - 30

Tpause (s) - 0.4 0.2 0.4 - 0-1.5 0 - 1.5 0-1.5

TPEEP (s) 1 2 1 2 0.2 - 10 0.2 - 10 0.2 - 10 0.2 - 10

Weight (kg) 3 50 3 50 0.5 - 30 10- 250 0.5 - 30 10- 250

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 1 Default
11 efault
fault
ault
ult
ltt values
alues
lues
ues
es
s and
nd
d parameter
arameter
rameter
ameter
meter
eter
ter
err settings
ettings
ttings
tings
ings
ngs
gss

Alarm limits Factory set default

ult Setting range

Universal Universal
Infant Adult Infant Adult
Infant Adult Infant Adult

Airway pressure,
40 40 40 40 16 - 90 16-120 16 - 90 16 - 120
upper limit (cmH2O)

Airway pressure,
upper limit (cmH2O) in 20 20 20 20 16 - 60 16-60 16 - 60 16 - 60
NIV

Apnea, time till alarm 10 20 10 20 5 - 45 15 - 45 5 - 45 15 - 45

(s)

CPAP high limit

10 10 10 10 0 - 55 0 - 55 0 - 55 0 - 55
(cmH2O)

CPAP lower
ower limit
(cmH2O)
Note: Setting the 10 10 10 10 0 - 47 0 - 47 0 - 47 0 - 47
alarm to 0 (zero) is
equal to alarm off.

End
d expiratory
pressure, high limit 10 10 10 10 0 - 55 0 - 55 0 - 55 0 - 55
(cmH2O)

End expiratory
pressure, lower limit
(cmH2O)
10 10 10 10 0 - 47 0 - 47 0 - 47 0 - 47
Note: Setting the
alarm to 0 (zero) is
equal to alarm off.

etCO2 lower limit

% 4.0 4.0 4.0 4.0 0.5-20 0.5-20 0.5-20 0.5-20

mmHg
Hg 30 30 30 30 4-100 4-100 4-100 4-100

kPa 4.0 4.0 4.0 4.0 0.5-14 0.5-14 0.5-14 0.5-14

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Infant
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 Default
efault
fault
ault
ult
ltt values
alues
lues
ues
es
s and
nd
d parameter
arameter
rameter
ameter
meter
eter
ter s 11
err settings
ettings
ttings
tings
ings
ngs
gs 1

etCO2 lower limit

mit in
NIV
Note: In NIV low limit
can be set to 0 (zero).

% 4.0 4.0 4.0 4.0 0 - 20 0 - 20 0 - 20 0 - 20

mmHg 30 30 30 30 0 - 100 0 - 100 0 - 100 0 - 100

kPa
Pa 4.0 4.0 4.0 4.0 0 - 14 0 - 14 0 - 14 0 - 14

Alarm limits Factory

ory set default Setting range

Universal Universal
Infant Adult Infant Adult
Infant Adult Infant Adult

etCO2 upper limit

Note: In NIV low limit
can be set to 0 (zero).

% 6.5 6.5 6.5 6.5 0.5-20 0.5-20 0.5-20 0.5-20

mmHg 49 49 49 49 4-100 4-100 4-100 4-100

kPa 6.5 6.5 6.5 6.5 0.5-14 0.5-14 0.5-14 0.5-14

Expired minute
volume, lower limit 0.01- 0.5 - 0.01- 0.5 -
2.0 5.0 2.0 5.0
20.0 40.0 20.0 40.0
(l/min)

Expired minute
0.01- 0.5 - 0.01 - 0.5 -
volume, upper limit (l/ 5.0 40.0 5.0 40.0
30.0 60.0 30.0 60.0
min)

Respiratory frequency,
20 5 20 5 1 - 160 1 - 160 1 - 160 1 - 160
lower limit (b/min)

Respiratory frequency,
50 30 50 30 1 - 160 1 - 160 1 - 160 1 - 160
upper limit (b/min)

Always make sure that relevant values are

Default values are set: set.
• during
ng power up
• when admitting a new patient
• when changing type
ype of ventilation or
• when changing patient category.

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253
 1 Notes
11 otes
tes
ess

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254
54 US edition
Infant Adult Universal Options Order No: 66 00 261
 12.
2..Abbreviations
bbreviations
breviations
reviations
eviations
viations
iations
ations
tions
ions
ons
nss and
nd
d definitions
efinitions
finitions
initions
nitions
itions
tions
ions
ons
nss 12
2
b/min
/min Breaths per minute. MVe sp Spontaneous expiratory
xpiratory minute
Bias flow The continuous flow during the volume.
expiratory
piratory phase. MVe sp / MVe The relation between ween
Breath cycle
ycle time Total cycle time per spontaneous expired minute volume and
mandatory breath in SIMV (inspiratoryy + total expired minute volume (only y applicable
pause + expiratory). Set in seconds. in Bi-Vent).
MVi inspiratory Minute Volume.
Cdyn Dynamic characteristics. O2 Oxygen concentration
ration in vol.%.
CMV Controlled Mechanical Ventilation. O2 breaths 100% oxygen for one minute. ute.
Can be interrupted by pressing the key again
CPAP
AP Continuous Positive Airway Pressure. within one minute.
Cstatic Static compliance,
pliance, respiratory Option
on Optional,l, add-on functionality or
system. accessory.

E Elastance. NIV Non Invasive Ventilation.

etCO2 End tidal carbon dioxide NIV Rate (b/min) Rate of controlled
concentration. mandatoryy breaths in NIV in absence of
Expiratory
ratory hold Manual closure of spontaneous
us breathing.
inspiration and expiration valves after
expiration (max.
max. 30 seconds). Measures
Total PEEP. P Pressure.
P0.1 Indicator for respiratory
piratory drive.
Flow sensitivity level The flow which the Pause time
me Time for no flow or pressure ure
patient must
ust inhale to open the ventilator for, delivery (%).
and start, an inspiration (fraction of the bias PC Pressure Control.
trol.
flow).The
w).The trigger functionality is set for either PEEP Positive end expiratory pressure
pressure or flow sensitivity. mH2O).
(cmH
Paw Airway pressure.
HME Heat and moisture exchanger. Ppeak Max. inspiratory pressure.
Phigh High pressure level.
I:E Inspiration to Expiration ratio (only
ly during Pmean n Mean airway pressure.
controlled ventilation).
Pplat Pressure during end-inspiratorytory pause.
Inspiratory hold d Manual closure of
inspiration
piration and expiration valves after PRVC Pressure regulated Volume Control.
inspiration (max. 30 seconds).
conds). Measures PS Pressure Support.
plateau pressure. PS above Phigh gh Inspiratory pressure
Inspiratory cycle-off Fraction of maximum support level for breaths triggered during the
flow at which inspiration should switch to THigh period in Bi-Vent (cmH2O).
expiration (%). PS above PEEP Inspiratory atory pressure
Inspiratory rise time Time to full inspiratoryy support level for breaths triggered duringng the
flow or pressure at the start of each breath, TPEEP period in Bi-Vent (cmH mH2O).
as a percentagege or in seconds of the breath
cycle time (% or s).

Leakage (%) Leakage during inspiration.

tion.

Minute Volume Volume per minute or target

volume (l).
MVe expiratory
y Minute Volume.

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
255
 2 Abbreviations
12 bbreviations
breviations
reviations
eviations
viations
iations
ations
tions
ions
ons
nss and
nd
d definitions
efinitions
finitions
initions
nitions
itions
tions
ions
ons
nss
Re expiratory y resistance.
RH Relative Humidity.
Respiratory
spiratory Rate Rate off controlled
mandatory breaths or used for calculation of
target
get volume (b/min).
Ri inspiratoryy resistance.
RR Respiratory Rate.

Service card Field Service

vice Software card.
SIMV
MV Synchronized Intermittent
mittent Mandatory
Ventilation.
SIMV rate Rate of controlled mandatory
breaths (b/min).
Start breath Manually triggered
ggered set breath.

T Time.
Tc Time constant.
Ti Inspiration
piration time.
Ti/Ttot
ot Duty cycle or ratio of inspiration time
to total breathing
hing cycle time (only during
spontaneous
aneous breathing).
Tidal Volume Volume per breath or target
volume (ml).
Thigh Time at Phigh level in Bi-Vent (s).
TPEEP
EEP Time at PEEP level in Bi-Vent (s).

Flow.
w.
CO2 CO2 Minute elimination.
leak Leakagege flow (l/min).
Ventilation record
cord card Documentation
card.
d.
VTCO2 CO2 Tidal elimination.
Va Alveolar ventilation.
VC Volume Control.
VDaw Airway dead space.
ee End expiratory flow.
VS
S Volume Support.
VTA Alveolar Tidal
dal Volume.
VTe Expiratory Tidal Volume.
VTi Inspiratory
nspiratory Tidal Volume.

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256 US edition
Infant Adult Universal Options Order No: 66 00 261
 Notes
otes
tes
ess 12
2

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Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options
257
 2 Notes
12 otes
tes
ess

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Servo… User´s manual

258 US edition
Infant Adult Universal Options Order No: 66 00 261
 13.
3..Appendix:
ppendix:
pendix:
endix:
ndix:
dix:
ix:
x:: User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e

Contents
ontents
ntents
tents
ents
nts
ts
s

General
eneral
neral
eral
ral
all . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 260
60
0
Start
tart
art
rtt / Stop
top
op p (Standby)
Standby)
tandby)
andby)
ndby)
dby)
by)
y)) key,
ey,
y,, Main
ain
in
n Rotary
otary
tary
ary
ryy Dial
ial
all . 262
62
2
Direct
irect
rect
ect
ctt Access
ccess
cess
ess
sss Knobs
nobs
obs
bss . . . . . . . . . . . . . . . . . . . . 263
63
3

Keys
eys
yss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264
64
4
Fixed
ixed
xed
edd keys
eys
ys
s ............................. 264
64
4
Special
pecial
ecial
cial
ial
all function
unction
nction
ction
tion
ion
onn keys
eys
yss. . . . . . . . . . . . . . . . . . . . . 265
65
5
Quick
uick
ick
ck
k access
ccess
cess
esssss keyey
y. . . . . . . . . . . . . . . . . . . . . . . . 266
66
6
Main
ain
in
n Screen
creen
reen
een
enn keyeyy. . . . . . . . . . . . . . . . . . . . . . . . . 267
67
7
Menu
enu
nuu keyeyy (in
in
n Standby
tandby
andby
ndby
dby
byy mode)
ode)
de)
e)) . . . . . . . . . . . . . . . 268
68
8
Menu
enu
nuu keyeyy (during
during
uring
ring
ing
ngg ventilation)
entilation)
ntilation)
tilation)
ilation)
lation)
ation)
tion)
ion)
on)
n)) . . . . . . . . . . . . . . . 269
69
9
Biomed
iomed
omed
med
edd menuenu
nuu (Standby
Standby
tandby
andby
ndby
dby
byy mode)
ode)
de)
e)) . . . . . . . . . . . . . 270
70
0

Screen
creen
reen
een
en
n touch
ouch
uch
ch
h pads
ads
ds
s . . . . . . . . . . . . . . . . . . . . . . 271
71
1

Servo… User´s manual

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259
 3 General
13 eneral
neral
eral
ral
all

Mode
Volume control

SVX-5001_EN

The User Interface

terface is ergonomically
designed. You can operate
perate the unit via the
soft keys on the touch screen or by means of
the knobs or dial and fixed keys. There is a
Main Rotary Dial, fixed
xed keys and Direct
Access Knobs
obs which allow immediate
adjustments. Data can be shown as wave ve
forms, numerical displays and/or loops. The
measured value boxes are always ys available
while you are setting the ventilator. Screen
creen
brightness is automatically adjusted
justed
depending on the ambient light levels.

Servo… User´s manual

260 US edition
Infant Adult Universal Options Order No: 66 00 261
 all 13
General
eneral
neral
eral
ral 3

1. Patient category
2. Menu touch
h pad
3. Text and alarm messages
4. Fixed keys
5. Waveform
orm area
6. Measured value boxes
7. Main
n Rotary Dial
8. Special function
unction keys
9. Direct Access Knobs
bs
10. Mains indicator (green)
11. Start ventilation/Stop ventilation
(Standby)
12. Service connector
13. On/Off switch
witch (rear side)

Servo… User´s manual

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261
 3 Start
13 tart
art
rtt / Stop
top
op
p (Standby)
Standby)
tandby)
andby)
ndby)
dby)
by)
y)) key,
ey,
y,, Main
ain
in
n Rotary
otary
tary
ary
ryy Dial
ial
all
Start/Stop
tart/Stop
art/Stop
rt/Stop
t/Stop
/Stop
Stop
top
opp Ventilation
entilation
ntilation
tilation
ilation
lation
ation
tion
ion
on
n Main
ain
in
n Rotary
otary
tary
ary
ry
y Dial
ial
all
(Standby)
Standby)
tandby)
andby)
ndby)
dby)
by)
y))

SVX-6021_XX

The Main Rotaryy Dial is a hardware dial that

provides a means ns of selecting on-screen
Start/Stop
op ventilation (Standby). elements and changing values byy turning and
1. Standby: pressing.The Main Rotary Dial can be turned
(1)) either clockwise or counter clockwise and
2. Condition for warming up the
he ventilator then it is pressed (2)
2) to select the value given.
electronics.
3. Condition after Pre-use
use check, ready to
use.
4. Standby:
by: push to start ventilation.
5. Stop ventilation, i.e. set to Standby:
dby:
6. Push the fixed Start/Stop
rt/Stop ventilation
(Standby) key.
7. Press on the Yes pad
d to stop ventilation.

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262 US edition
Infant Adult Universal Options Order No: 66 00 261
 Direct
irect
rect
ect
ctt Access
ccess
cess
ess bss 13
sss Knobs
nobs
obs 3

The four Direct Access Knob parameters are

automatically selected depending on the
SVX-6020_XX
active
ve mode of ventilation.
The Direct Access Knobs alloww for 1. Turn the knob b to the desired value
immediate adjustment of vital parameters: shown in the corresponding g Set
• O2 concentration parameter box above the knob.
• PEEP-level 2. If the bar is white, the setting is within
what is generally considered
dered safe limits.
• Respiratory
piratory Rate
3. If the bar turns yellow,
w, the setting is too
• Tidal/Minute
ute volume/Pressure above
low or too high compared to what are
PEEP.
generallyy considered safe limits
Which
hich vital parameters are available (advisory information).
depends upon the ventilation mode you are
in and how the ventilator is configured. 4. If the
he bar turns red, the setting is
significantly outside what are generally
considered safe limits (advisory warning,
accompanied by an audible signal and
an advisory message).
When you come to a safety limit, the knob b is
inactive during 2 seconds. This
his is a safety
precaution, intended to make you aware
ware of
that you have passed a safety limit.

WARNING! When you turn a Direct Access

Knob, ventilation will change accordingly.
y.
from the next breath without additional
confirmation.

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 3 Keys
13 eys
ys
s
Fixed
ixed
xed
ed
d keys
eys
ys
s

Audio off / Audio pause (Silence or pre-silence alarms)

SVX-580_EN

Note. Autoset is not possible in NIV.

Note. In NIV the alarm sound can be
permanently silenced (Audio off).

The Save key can be used either to:

- copy screen or
- save one recording (10 s before and 10 s after pressing the key).

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 yss 13
Keys
eys 3
Special
pecial
ecial
cial
ial
all function
unction
nction
ction
tion
ion
on
n keys
eys
ys
s
Start
breaths
The ventilator will initiate a new breath cycle according to the current ventilator
settings.

This function allows 100 % oxygen to be given for 1 minute.

After this time the oxygen concentration will return to the pre-set value.
O2- The oxygen breaths can be interrupted by repressing the O2 breaths fixed key during
breaths the 1 minute interval.
Note. If O2 Breaths is activated during the pre- or post-oxygenation phase in
Suction Support the procedure will be discontinued.

SVX-583_EN
Expiratory hold is activated by manually pressing the fixed key. The maximum time
Exp. is 30 seconds.T he inspiratory and expiratory valves close after expiration.
hold This function can provide an exact measurement of the end expiratory lung pressure.
It can be used for static compliance measurement and to determine the total PEEP.
Note. Expiratory hold is not available in Nasal CPAP.

Inspiratory hold is activated by manually pressing the fixed key. The maximum time
is 30 seconds.The inspiratory and expiratory valves close after inspiration.
Insp. This function can provide an exact measurement of the end inspiratory lung pressure.It
hold can be used during x-ray or to determine Plateau pressure, or static compliance
calculation.
Note. Inspiratory hold is not available in Nasal CPAP.

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 3 Keys
13 eys
ys
s
Quick
uick
ick
ck
k access
ccess
cess
ess
ss
s key
ey
y
This function allows the user to disconnect the patient from the
ventilator and turning off the alarms (for apnea, minute volume,
frequency alarm, check tubing, EtCO2, low PEEP) during suction
support.
Suction Support
Note. Suction Support is not available when NIV or O2 Breaths is
activated.

Loops
Note. A reference loop can be saved by
the user.

Scales

These three scales are by default set to automatic scaling.

The sweep speed, mm/s, can be set to 6, 10 or 20 mm/s (default).

Waveform Possibility to increase the space viewing the waveform curves.

configuration This in turns means that more detailed information can be gained.

Open Lung
Tool

Open Lung
Tool scales Note. Open Lung Tool is not available in NIV

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 yss 13
Keys
eys 3
Main
ain
in
n Screen
creen
reen
een
en
n key
ey
y

Main Main The Main screen fixed key will return you to the Main screen,
screen screen cancelling current work, from wherever you are in the Menu/dialog
windows.

SVX-582_EN

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 3 Keys
13 eys
ys
s
Menu
enu
nu
u key
ey
y (in
in
n Standby
tandby
andby
ndby
dby
by
y mode)
ode)
de)
e))
Alarm profile setup

Possible selections: By pressing the autoset in controlled

- Pressure (upper) modes of ventilation the alarm limits are
- Minute Volume (lower and upper) automatically set for:
- Respiratory Rate (lower and upper) - Pressure
- End Expiratory Pressure (lower) - Volume
- Alarm sound level (20-100%) - Resp.Rate
- End Tidal CO2 (lower and upper) - PEEP
In spontaneous modes an alarm setting for
apnea time is available.

Note. In NIV the alarm sound

can be permanently silenced (Audio off).

Note. Autoset is not possible in NIV.

This shows alarms that have been activated.

SVX-577_EN The alarms are listed in chronological order.

Audio off / Audio pause (Silence or pre-silence alarms)

Review trends, recorded waveforms, event log or configuration.

Copy data (event log, recordings, trends, OLT data,

Start-up configuration) to PC Card.

Copy screen to PC Card.

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 yss 13
Keys
eys 3
Menu
enu
nu
u key
ey
y (during
during
uring
ring
ing
ng
g ventilation)
entilation)
ntilation)
tilation)
ilation)
lation)
ation)
tion)
ion)
on)
n))
Alarm profile setup
Possible selections: By pressing the autoset in controlled
- Pressure (upper) modes of ventilation the alarm limits are
- Minute Volume (lower and upper) automatically set for:
- Respiratory Rate (lower and upper) - Pressure
- End Expiratory Pressure (lower) - Volume
- Alarm sound level (20-100%) - Resp.Rate
- End Tidal CO2 (lower and upper) - PEEP
In spontaneous modes an alarm setting for
apnea time is available.
Note. In NIV the alarm sound
can be permanently silenced (Audio off).

Note. Autoset is not possible in NIV.

This shows alarms that have benn activated.

The alarms are listed in chronological order.

Audio off / Audio pause (Silence or pre-silence alarms)

Trends

Recorded
waveforms Review trends, recorded waveforms, event log or configuration.
Event log

View
configuration

Copy data (event log, recordings, trends, OLT data, Start-up

configuration) to PC-card

Copy screen to PC-card.

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 3 Keys
13 eys
ys
s
Biomed
iomed
omed
med
ed
d menu
enu
nu
u (Standby
Standby
tandby
andby
ndby
dby
by
y mode
ode
de
e)

Enter code 1973 to access the Biomed menues.

Note. The access code can be change by the user.

SVX-632_EN

Technical alarms

Alarm
sound level

NIV adult
alarm

NIV infant
alarm
Start-up
configuration

Copy configuration to/from PC Card.

Change Change access code to Biomed menu.

acces code

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 Touch
ouch
uch
ch dss 13
h pads
ads 3
Screen
creen
reen
een
en
n touch
ouch
uch
ch
h pads
ads
ds
s

SVX-579_EN

O2 cell/sensor

Batteries
Status of O2cell/sensor
CO2 Module Status ofY Sensor module
(if available)
Status of batteries
Y Sensor
Measuring

the bar is white when the pressure triggering is selected.

NIV Backup This pad is only visible during NIV Pressure Support mode.

Note. In NIV only one page is available.

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 3 Notes
13 otes
tes
ess

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 14.
4..Index
ndex
dex
ex
x 14
4
A Battery storage 113 Mobile Cart 99
Abbreviations 255 fore use 3
Before Patient Unit 96
Activityy instructions 112 Biomed 179, 270 The system 82
Additional settings 167, 185 5 Bi-Vent 20, 59, 85, 244 ulizer 102
Ultra Nebulizer
Additional values 168 Breath cycle time 26, 67 User Interface 87
Adult alarm limit 270 0 Brief device description 4, 82 Ventilation record card 114
4
Adult range 4, 242 Brief instructions 8 Dimensions 242
Aeroneb Professional Nebulizer Direct Access Knobs 91, 166,
C 263
3
System 212
Alarm output connection
nnection option
Change
ange acces code 270 Disinfection 199, 206, 208
ting time 109
Charging/Operating Displayedd values 270
72, 84, 246
Circuit compliance 143, 149, Disposable parts 212
Alarm output connection option
179, 229 Drawer kit 86, 99
test 150
50
Cleaning
Alarm profile 73, 165 E
Cleaning procedures 193
Alarm settings 252, 253
CO2 Analyzer cleaning 207 Edit configuration 270
Alarm sound level 270
Disinfection procedures
dures EMCC 242
Alarms
199 Event log 180, 245, 269
Alarm limits 252, 253
Drying 202, 203 piratory cassette 98, 196,
Expiratory
Alarm profile file 73, 165
Nebulizer cleaning 205 199, 201
Alarm signals 72
Preparation 196 Expiratory channell 243
Alarms 244
Sterilization procedures
dures Expiratory hold 30
Audiodio off (Silence/Pre-si-
201 External 12V 6, 97, 183, 242
lence) 76, 77
CO2 Analyzer Extra flow and extra breaths 17
Autoset 165 5, 244
on 151
Calibration
High priority alarms 72, 226 F
Cleaning 207
Low w priority alarms 72, 234 Face mask 61
Description 104
Medium priority alarms 72, ult 249, 252,
General 83, 84, 86, 92 Factory set default
230 0 253
Maintenance 212
Permanently silence 76
Setup p 134, 135 Filter
Silence/Pre-silence 76, 165 Replacement 214
Technical data 247
Appendix Set up 120, 121, 122
bleshooting 238
Troubleshooting
Direct Access Knobs 263 Fisher & Paykel
CO2 calibration 15252
Fixed keys 264
Communication/Interface 84, Humidifier 127
Main Rotary Dial 262 Maintenance 212
246
Main Screen key 267 ys 91, 264
Fixed keys
Compliance compensationsation 149
Menu Key 268, 269 9
Compressor Mini 115, 248 Flow sensitivity level 255
Quick access key 266
ctions and labels 88, 96
Connections Flow/volume in focus 17
Special function keys 265 5
Copy 140 0, 173 Function test, system 145
Start/Stop Ventilation 262
Copy configuration 142, 270
Audio off 76 G
ent data 174
Copy patient
Autoclave 202, 206, 208 Gas cylinderr restrainer 101, 248
Copy screen 173
Automode 20, 48 Gas flow 98
guration 165
Curve configuration
Gas supplyy 242
B
D Gas trolley 101, 126, 248
k-up ventilation 31, 78
Back-up
Default values 249
Bacteria filter 192, 197, 212, 213 H
Definitions 255
Battery
y module High priority alarms 226
Device description
Battery backup 242
Battery module 108 History 268, 269
harging time 113
Charging Holders
O2 Analyzer 104
CO2
Battery status 110 Fisher & Paykel 127
Compressor Mini 115
Battery status window 111 Holder 100
Holders 100
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 4 Index
14 ndex
dex
ex
x
Humidifier holder 100 N PEEP 26, 66, 255
IV Pole 100 Nasal CPAP 19 Power supply 242
Shelf base 100 Nasal mask 61 Pre-silence alarm
m 165
Support arm 100 Nebulizer
bulizer Pre-silence alarm (Audio off) 77
Technical data 248 Basic principles 103 Pressure and volume in focus
Humidifier Cleaning 205 17
&Paykel 127
Fisher&Paykel Filling 129 Pressure control 19, 38
fier 136
Servo humidifier Holder 103 NIV) 62
Pressure Control (NIV)
Nebulization
ation On/Off 187 Pressure Regulated Volume
I Control (PRVC) 19, 63
Preparation 128
IE ratio (IE) 66
Technical data 246 pport 19, 43
Pressure Support
IE ratio / Inspiration time 27 Pressure Support (NIV) 63
NIV 61, 73, 163
Important 11 Pre-use check 145
NIV - Nasal CPAP 64
Infant alarm limit 270 0
NIV - Pressure
essure Control 62 Pre-use check messages 235,
Infant range 4, 242 236
NIV - Pressure Support 63
Informative text message 112 VC 63
PRVC
+PS) Infant range 4
NIV (PC+PS)
Insert the O2 cellll / O2 sensor
NIV Adult alarmm 270 Q
221
NIV Backup 271
Inspiration time 66 Quick access key 65, 169, 175,
NIV Infant alarm 270
Inspiratory channel 243 3 82, 266
182
NIV Nasal CPAP range 4
Inspiratory cycle-off 25 Loops 182
NIV rate 78
Inspiratory hold 31 Open Lung Tool 175
ive Ventilation 61, 73,
Non Invasive
Inspiratory rise time 25, 66 Waveform configuration
163
Intended population 4 169
Non-operating conditions 242
Intended use 4
R
Intended user 4 O
Internal tests 147 Recorded waveforms 172
O2 breaths 30
Invasive ventilation 160 Recording 172, 181
O2 cell 177, 213, 216
Remove the
he O2 cell / O2 sensor
K ptation 177
O2 cell adaptation
219
O2 Sensor 213
Knob cover 94 Respiratory Rate 66
Open Lung Tooll 65, 85, 175
Retain mode 28
L Open Lung Tool scales 176
Review 179
Loops 182 ting conditions 242
Operating
Low priority alarms 234
34 Options 85 S
Options / Accessories 866 Saving data 171, 172, 174 4
M Service 246
P
Main Rotary Dial 90, 262 Service log 245
Main Screen
creen key 267 Panel cover 95
Servo guard 137
Maintenance 211 Panel lock 179, 269
Servo Humidifier 136
Parameter settingsgs 249
Mandatory breath 52 bulizer 102, 128,
Servo Ultra Nebulizer
Patient breathing system
Mandatory ventilation (SIMV) 20 186, 246
xes 92
Measured value boxes 10 mm diameter 120
Servo-i Adult 4
Measured values 185 5 mm diameter 121
15
nfant 4
Servo-i Infant
Mechanical cleaning 197 7 22 mm diameter 122
Servo-i Universal 4
Medium priority alarms 230 Patient category 4, 161, 179 9
Set date and clock 270
Menu key 179, 268, 269 Patient circuit test 148, 178
gs 249, 252, 253
Settings
Minute Volume 66, 255 Patient data 162
55 Shelf base 86, 100, 248
Mobile Cart 99, 123, 248 Patient range 242
own values 185
Shown
Module 83, 133, 134, 139 Patient Unit
Silence/Pre-silence alarm 77,
Module cleaning 197 Gas flow 98
165
65
Pause time (T pause) 66
SIMV 20, 52
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 Index
ndex
dex
ex
x 14
4
Software versions 8 User Interface 87, 88, 89, 93, Y
Special function keys 29, 93, 259 Y Sensor measuring 106, 212
2655 User´s manual 8
Spontaneous breathing/CPAP AP
19, 46 V
Standard configuration 249 Ventilation
Standardss 242 Automode 48
Standby 163, 188 Basic functionality 18
Start breath 29 Vent 59
Bi-Vent
Startingg the system 143, 159, Combined modes 20
163 Controlled ventilation 32,
Start-up configuration 141 35, 38, 62
Status 183, 271 Extra flow and extra breathss
Sterilization procedures 201, 17
206, 208 IE ratio / Inspiration time 27
Storage 116 Implementation 17
Suction Support 170 70 Mandatory breath 52
Support arm 100 Modes of ventilation 16
Supported ventilation 40 Parameters
meters 66
Symbols s 5, 6 Pressure Control 38, 62
Pressure in focus 17
T Pressure Support 43, 63
Technical error messages 239 PRVC 32
The system 82, 85 Retainn mode 28
Technical data 242 Setting ventilation mode
Tidal CO2 elimination 65 160, 164
Tidal Volume (VT) 66 Settings 25 5
Timing 17 SIMV 20, 52
Touchh screen 90, 271 Special functions 29
Trademark 8 Spontaneous breathing/
Transport
ort 116 CPAP 46
Trends 245 orted ventilation 40,
Supported
Trigger 43, 63
Functionalityy 23 Timing 17
Indication 5 Type
pe of ventilation 160
Stronger patient effort 24 Volume Control 35
Trigger sensitivity 66 Volume Support 40
Weak patient effort 24 4 Ventilation record card
Trigger timeout 26, 67 Basic principles 114
Troubleshooting Copy patient data 173, 174
CO2
O2 calibration messages Preparations 140
238 Volume Control 19, 35
High priority alarms 226 Volume Support 19, 40
Low priority alarms 234
dium priority alarms 230
Medium W
Pre-use check k messages Wall diagram 8
235, 236 Warnings 9
Technical errors 239 Water collector 138
ype of ventilation 160
Type uration 169
Waveform configuration
Waveforms scales 169
U Weight 242, 251
Universal range 4 Work flow 143
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tes
ess

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 User
ser
err Interface
nterface
terface
erface
rface
face
ace
ce
e elements
lements
ements
ments
ents
nts
tss

1. Patient category. 13. Start/Stop

p (Standby) ventilation
on key.
2. Active mode of ventilation. 14. On/Off switch
tch (rear side)
3. Automode
utomode On/Off. 15. Slot
ot for Ventilation record card
4. Admit patient/Entered patient data 16. Luminiscens
uminiscens detector.
and admission
on date. 17. Informative
ve text messages.
5. Nebulizer On/Off. 18. Alarm messages.
6. System status
us parameters. 19.
9. The waveform area.
7. Fixed keys for immediate access to 20.
0. Field for measured values and sett
special windows. alarm limits.
8. The Main Rotary Dial 21. Additional settings.
gs.
9. Special
cial function keys for immediate
diate 22. Additional measured
red values.
ventilatory functions.
10.
0. Direct Access Knobs
11. Mains indicator (green).
).
12. Standby indicator (yellow).
Servo… User´s manual
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SVX-701_XX

Turn page according

ding to picture above
bove
for more information about the
he User
Interface.

Servo… User´s manual

US edition
Infant Adult Universal Options Order No: 66 00 261
 © Maquet Critical Care AB 2005. All rights reserved. y MAQUET reserves the right to modify the design and specifications contained herein without prior notice.
Order No. 66 00 261 y Printed in Sweden y 050608 y Rev 10 US y User’s Manual Version 3.0.0

Maquet Critical Care AB

SE-171 95 Solna, Sweden
Phone: +46 8 730 73 00
www.maquet.com/criticalcare GETINGE GROUP is a leading global provider of equipment and
systems that contribute to quality enhancement and cost efficiency
For local contact: within healthcare and life sciences. Equipment, services and tech-h-
nologies are supplied under the brands ARJO for patient hygiene,
Please visit our website patient handling and wound care. GETINGE for infection control and
prevention within healthcare and life science and MAQUET for
www.maquet.com Surgical Workplaces, Cardiopulmonary and Critical Care.
 VENTILATOR SYSTEM V.3.0
SERVO-i
USER´S MANUAL (US VERSION)