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12-25 15:32

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Servoi ventilator i

Charles Gomersall
Quick
Dept of Anaesthesia & Intensive Care start

The Chinese University of Hong Kong Menu

Prince of Wales Hospital Main

screen

Version 1.1

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm

Disclaimer 12-25 15:32

profile

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Although considerable effort has been taken to
ensure that the material in this tutorial i
accurately reflects the information provided by
Maquet AB in its publications the author takes
no responsibility for the accuracy of the
information in this tutorial nor for any adverse Quick

event that occurs as a result of using this start

tutorial. Users are advised to consult the Main

Menu

manual that accompanies their ventilator. screen

Please note that this tutorial has not been

endorsed by Maquet AB.

!
Start O2 Exp. Insp.
breath breaths hold hold
 Navigation
Alarm
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12-25 15:32

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i
What’s different from a 300A?

Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32
User interface – a quick tour
Save Trends

What’s different from a 300A?

i

Setting the mode Modes

Quick
start
Changing parameters Alarms
Menu
Main
screen
Starting up Advanced

Click on “Maquet” to end the tutorial at any stage

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Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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A quick tour
Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Menu touch pad

Alarm
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32

Save Trends

i
Using the menu touch pad
Quick
start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
500 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
500 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
500 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40
.
Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
550 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40
.
Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
550 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40
.
Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
550 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40
.
Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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i
Text and alarm messages appear here

Quick
start

Menu
Main
screen

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breath breaths hold hold
 Alarm
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pofile
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Fixed keys i

Quick
start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
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 Silence/pre-silence alarms
Alarm
profile
pofile
12-25 15:32

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• Silences or pre-
i
silences alarms for 2
minutes
Quick
start

Menu
Main
screen

Additional
settings

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Start O2 Exp. Insp.
breath breaths hold hold
 Silence/pre-silence alarms
Alarm
profile
pofile
12-25 15:32

1:58 Save Trends

• Silences or pre-
i
silences alarms for 2
minutes
• After silencing an
alarm the Alarm
Quick
start

silence symbol is Main

Menu

shown with the screen

remaining time

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Start O2 Exp. Insp.
breath breaths hold hold
 Silence/pre-silence alarms
Alarm
profile
12-25 15:32

0:55 Save Trends

• When alarms are pre-

i
silenced a pre-silence
symbol is shown as
well as the remaining Quick

mute time start

Menu
Main
screen

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Start O2 Exp. Insp.
breath breaths hold hold
 Alarm profile
Alarm
profile
12-25 15:32

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• Press this button to:

i
– Display upper and lower alarm
limits
– Adjust preset limits Quick

– Adjust the alarm sound level start

Menu
Main
screen

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Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Alarm profile Save Trends

Lower Upper Alarm sound level
Pressure
cm H2O 40 100% i
Minute Ventilation
l/min 5.0 40.0
Respiratory Rate
b/min 5 30
Quick
End Exp. Pressure
cmH2O 3 start

Menu
Main
Autoset screen

Cancel Accept Additional

values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Save
Alarm
profile
12-25 15:32

Save Trends

• Saves:
i
– Current curve values
– Current parameter values
– Setting values Quick
start

• 10 secs before and 10 secs after Menu

pressing key Main

screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32
Recording T

50 cmH2O
Save Trends

i
70 l/min

Quick
-70 start
700 ml
Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32

Menu
Save Trends
Alarm

Review
i
Options

Compliance
comp.

Copy data

Biomed
Quick
Panel lock start

Change Menu
patient category
Main
Close screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32

Menu
Save Trends
Alarm Trends

Recorded
Review
waveforms
i
Options

Compliance
comp.

Copy data

Biomed
Quick
Panel lock start

Change Menu
patient category
Main
Close screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32
Recorded waveforms 12/25/02 14:32:10
50 cmH2O
Save Trends
40
cmH2O
i
70 l/min

0
l/min

Quick
-70 start
700 ml
Menu
475 Main
ml screen

0.0 s

Settings Cursor Close Additional

values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Trends graphs Save Trends

14:32 Recording saved

l/min
i
2 Vee 0


0
l/min
20 MVi 10.5
MVe 10.0
Quick
start
0
ml Menu
800 VTi 300
VTe 296 Main
 screen
0
14:00 15:00

Cursor Hours 1 Close

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32
Recorded waveforms 12/25/02 14:32:10
50 cmH2O
Save Trends
40
cmH2O
i
70 l/min

0
l/min

Quick
-70 start
700 ml
Menu
475 Main
ml screen

0.0 s

Settings Cursor Close Additional

values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Trends graphs Save Trends

14:42

l/min
i
2 Vee 0


0
l/min
20 MVi 10.5
MVe 10.0
Quick
start
0
ml Menu
800 VTi 300
VTe 296 Main
 screen
0
14:00 15:00

Cursor Hours 1 Close

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Trends graphs Save Trends

14:42

l/min
i
2 Vee 0


0
l/min
20 MVi 10.5
MVe 10.0
Quick
start
0
ml Menu
800 VTi 300
VTe 296 Main
 screen
0
14:00 15:00

Cursor Hours 1 Close

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Trends graphs Save Trends

14:42

l/min
i
2 Vee 0


0
l/min
20 MVi 10.5
MVe 10.0
Quick
start
0
ml Menu
800 VTi 300
VTe 296 Main
 screen
0
14:00 15:00

Cursor Hours 1 Close

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Trends graphs Save Trends

14:32

l/min
i
2 Vee 0


0
l/min
20 MVi 10.5
MVe 10.0
Quick
start
0
ml Menu
800 VTi 300
VTe 296 Main
 screen
0
14:00 15:00

Cursor Hours 1 Close

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Trends graphs Save Trends

14:38

l/min
i
2 Vee 0


0
l/min
20 MVi 10.5
MVe 10.0
Quick
start
0
ml Menu
800 VTi 300
VTe 296 Main
 screen
0
14:00 15:00

Cursor Hours 1 Close

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Trends graphs Save Trends

14:32

l/min
i
2 Vee 0


0
l/min
20 MVi 10.5
MVe 10.0
Quick
start
0
ml Menu
800 VTi 300
VTe 296 Main
 screen
0
14:00 15:00

Cursor Hours 1 Close

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Trends graphs Save Trends

14:38

l/min
i
2 Vee 0


0
l/min
20 MVi 10.5
MVe 10.0
Quick
start
0
ml Menu
800 VTi 300
VTe 296 Main
 screen
0
14:00 15:00

Cursor Hours 1 Close

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Trends graphs Save Trends

14:38

l/min
i
2 Vee 0


0
l/min
20 MVi 10.5
MVe 10.0
Quick
start
0
ml Menu
800 VTi 300
VTe 296 Main
 screen
0
14:00 15:00

Cursor Hours 1 Close

!
Start O2 Exp. Insp.
breath breaths hold hold
 i
Alarm
profile
12-25 15:32

Save Trends

• This function is not currently

i
available

Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 SIEMENS
Alarm
profile
12-25 15:32

Save Trends

Quick
start
Main rotary dial
Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32

Save Trends

i
Using the main rotary dial
Quick
start

Menu
Main
screen

.
Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

.
Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

.
Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
500 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40
.
Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
500 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40

Cancel Accept
Additional .
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
500 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40

Cancel Accept
Additional .
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
500 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40

Cancel Accept
Additional .
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
550 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values
.

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
550 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values
.

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
550 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values
.

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
550 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40

Additional .
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
550 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40

Additional .
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

i
Measured values appear here

Quick
start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Pplat (cmH2O) Save Trends

40
34
Pmean 12
PEEP 6
i
RR (b/min)
30
15 5
O2 (%)
48
42 36
I:E Quick
1:2.0 start
MVe (l/min)
8.5
7.4 6.0
Menu
VTi 501 Main
screen
VTe 493
Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Pplat (cmH2O) Save Trends

40
34
Pmean 12
PEEP 6
i
RR (b/min)
30
15 5
O2 (%)
48
42 36
I:E Quick
1:2.0 start
MVe (l/min)
8.5
7.4 6.0
Menu
VTi 501 Main
screen
VTe 493
Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
Expiratory MinuteVolume Low 12-25 15:32

Pplat (cmH2O) Save Trends

40
34
Pmean 12
PEEP 6
i
RR (b/min)
30
15 5
O2 (%)
48
42 36
I:E Quick
1:2.0 start
MVe (l/min)
8.5
5.2 6.0
Menu
VTi 356 Main
screen
VTe 346
Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
Respiratory Rate: High 12-25 15:32

Pplat (cmH2O) Save Trends

40
34
Pmean 12
PEEP 6
i
RR (b/min)
30
31 5
O2 (%)
48
42 36
I:E Quick
1:2.0 start
MVe (l/min)
8.5
8.5 6.0
Menu
VTi 292 Main
screen
VTe 274
Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
Respiratory Rate: High 12-25 15:32

Pplat (cmH2O) Save Trends

40
34
Pmean 12
PEEP 6
i
RR (b/min)
30
31 5
O2 (%)
48
42 36
I:E Quick
1:2.0 start
MVe (l/min)
8.5
8.5 6.0
Menu
VTi 292 Main
screen
VTe 274
Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Pplat (cmH2O) Save Trends

40
34
Pmean 12
PEEP 6
i
RR (b/min)
30
15 5
O2 (%)
48
42 36
I:E Quick
1:2.0 start
MVe (l/min)
8.5
7.4 6.0
Menu
VTi 501 Main
screen
VTe 493
Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Pplat (cmH2O) Save Trends

40
34
Pmean 12
PEEP 6
i
RR (b/min)
30
15 5
O2 (%)
48
42 36
I:E Quick
1:2.0 start
MVe (l/min)
8.5
7.4 6.0
Menu
VTi 501 Main
screen
VTe 493
Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Ppeak 34 Save Trends

Pplat 24
Pmean 12
PEEP 5 i
RR 15
O2 21
Vee 0
I:E 1:2.0 Quick
start

MVe 7.0 Menu

MVi 7.5 Main
screen
VTi 501
VTe 471

Additional Next
settings page

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Ppeak 34 Save Trends

Pplat 24
Pmean 12
PEEP 5 i
RR 15
O2 21
Vee 0
I:E 1:2.0 Quick
start

MVe 7.0 Menu

MVi 7.5 Main
screen
VTi 501
VTe 471

Additional Next
settings page

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

PEEPtot Save Trends

C static

E i

C dyn 16
Ri 17
Re 24 Quick
start

WOB tot 922 Menu

Main
Tc screen

Additional Next
settings page

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

PEEPtot Save Trends

C static

E i

C dyn 16
Ri 17
Re 24 Quick
start

WOB tot 922 Menu

Main
Tc screen

Additional Next
settings page

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

PEEPtot Save Trends

C static

E i

C dyn 16
Ri 17
Re 24 Quick
start

WOB tot 922 Menu

Main
Tc screen

Additional Next
settings page

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

Additional Additional
settings values

Special function keys

!
Start O2 Exp. Insp.
breath breaths hold hold
 Special function keys
Alarm
profile
12-25 15:32

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• Start breath
i
– Activates a set breath
• O2 breaths
– Changes the FiO2 to 1.0 for one Quick
start
minute Menu

– Can be interrupted by re-pressing Main

screen

within one minute

!
Start O2 Exp. Insp.
breath breaths hold hold
 Special function keys
Alarm
profile
12-25 15:32

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• Expiratory hold
i
– Produces an expiratory pause hold for
measuring total PEEP
– Lasts as long as the key is pushed up to a
maximum of 30 secs Quick

• Inspiratory hold
start

Menu

– Produces an inspiratory pause hold for Main

screen
measuring plateau pressure
– Lasts as long as the key is pushed up to a
maximum of 30 secs

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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Quick
start

Menu
Main
screen

Additional Additional
settings values

Direct access knobs

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Pressure Control patient
profile
12-25 15:32

Direct access knobs Save Trends

i
• Parameter controlled by each direct
access knob depends on ventilation
mode selected
Quick

• Turn the knob to the desired value start

shown in the box above the knob

Menu
Main
screen

O2 conc. PEEP Resp. rate PC above PEEP

Additional Additional
30 5 15 15
settings % cm H O
2 b/min mmHg values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Pressure Control patient
profile
12-25 15:32

Direct access knobs Save Trends

i
• Parameter controlled by each direct
access knob depends on ventilation
mode selected
Quick

• Turn the knob to the desired value start

shown in the box above the knob

Menu
Main
screen

O2 conc. PEEP Resp. rate PC above PEEP

Additional Additional
30 5 15 15
settings % cm H O
2 b/min mmHg values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
PressureControl patient
profile
12-25 15:32

Direct access knobs Save Trends

i
• Parameter controlled by each direct
access knob depends on ventilation
mode selected
Quick

• Turn the knob to the desired value start

shown in the box above the knob

Menu

PC above PEEP
Main
screen

15
O2 conc. PEEP Resp. rate PC above PEEP
Additional Additional
30 5 15 15
settings % cm H O
2 b/min mmHg values

mmHg
!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Pressure Control patient
profile
12-25 15:32

Direct access knobs Save Trends

i
• If the bar in the box is white the
setting is within what is generally
considered safe limits
Quick
start

Menu

PC above PEEP
Main
screen

15
O2 conc. PEEP Resp. rate Tidal volume
Additional Additional
30 5 15 500
settings % cm H O
2 b/min ml values

mmHg
!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Pressure Control patient
profile
12-25 15:32

Direct access knobs Save Trends

i
• If the bar turns yellow the setting is
outside what are generally considered
safe limits
Quick
start

Menu

PC above PEEP
Main
screen

31
O2 conc. PEEP Resp. rate Tidal volume
Additional Additional
30 5 15 500
settings % cm H O
2 b/min ml values

% mmHg
!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Pressure Control patient
profile
12-25 15:32

Direct access knobs Save Trends

i
• If the bar turns red the setting is significantly
outside what are generally considered safe
limits
• An audible alarm and alarm message is given Quick
start

Menu

PC above PEEP
Main
screen

60
O2 conc. PEEP Resp. rate Tidal volume
Additional Additional
30 5 15 500
settings % cm H O
2 b/min ml values

% mmHg
!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Pressure Control patient
profile
12-25 15:32

Direct access knobs Save Trends

i
• When you come to a safety limit the
knob is inactive for 2 seconds in order
to make you aware that you have
passed a safety limit
Quick
start

Menu

PC above PEEP
Main
screen

60
O2 conc. PEEP Resp. rate Tidal volume
Additional Additional
30 5 15 500
settings % cm H O
2 b/min ml values

% mmHg
!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Pressure Control patient
profile
12-25 15:32

Direct access knobs Save Trends

i
• NB When you turn a direct
access knob the changes in
ventilation take place from the Quick

next breath without additional start

confirmation
Menu
Main
screen

O2 conc. PEEP Resp. rate PC above PEEP

Additional Additional
30 5 15 15
settings % cm H O
2 b/min mmHg values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

Additional Additional
settings values

Mains indicator
!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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Quick
start

Menu
Main
screen

Additional Additional
settings values

Start/stop ventilation (standby)

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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i
Waveform area

Quick
start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
T 12-25 15:32

50 cmH2O
Save Trends

i
70 l/min

Quick
-70 start
700 ml
Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
T 12-25 15:32

50 cmH2O
Save Trends

i
70 l/min

Quick
-70 start
700 ml
Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
T 12-25 15:32

50 cmH2O
Save Trends

i
70 l/min

Quick
-70 start
700 ml
Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
T 12-25 15:32

50 cmH2O
Save Trends

i
70 l/min

Quick
-70 start
700 ml
Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
T 12-25 15:32

50 cmH2O
Save Trends

i
70 l/min

Quick
-70 start
700 ml
Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
T 12-25 15:32

50 cmH2O
Save Trends

i
70 l/min

Quick
-70 start
700 ml
Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

Patient category
i

Quick
start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

What’s different from a

i

Servo 300/300A?
Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Volume control Volume support Save Trends

i
Pressure support Inspiratory rise time

Quick
Apnoea time User interface start

Menu
Main
screen

SIMV Automode

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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Volume control
Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Volume control
Alarm
profile
12-25 15:32

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• 300 and 300A • Servoi

– If patient’s – If a pressure drop of i
3 cm H2O is
breathing effort detected during
reaches 2 cm H2O inspiration the
below preset PEEP ventilator switches to
ventilator permits pressure support, Quick
resulting in start
a higher flow increased flow Menu
– pressure is then – When flow  to Main
regulated to 2 cm calculated target screen

H2O above PEEP level flow maintained

until set tidal volume
delivered

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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Volume support
Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Minute volume
Alarm
profile
12-25 15:32

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• 300 or 300A • Servoi

– If RR < set RR (ie i
minute vol. < set – Neither RR nor
minute vol.) minute volume
– new target VT is are set
calculated (based – Inspiratory
on preset minute Quick

volume) & used to

pressure is start

regulate insp. regulated purely Menu

Main
pressure based on preset screen

– Max. VT =150% of VT
preset

!
Start O2 Exp. Insp.
breath breaths hold hold
 Inspiratory rise time
Alarm
profile
12-25 15:32

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• 300 and 300A • Servoi

– Inspiratory rise i
– Inspiratory rise time set as
time set as a % • % in control and
of breath cycle SIMV modes
time, which is in • absolute time (s)
in support Quick
turn dependent modes. (NB. As a start

on set RR result the Menu

proportion of Main
inspiration taken screen

up by rise time
will increase with
RR)

!
Start O2 Exp. Insp.
breath breaths hold hold
 I-E cycling
Alarm
profile
12-25 15:32

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• 300 and 300A • Servoi

i
– I-E cycling – I-E cycling
occurs when occurs when
inspiratory flow inspiratory flow
= 5% of = set % of
Quick
maximum maximum start

inspiratory flow inspiratory flow Menu

Main
– Set % = screen

inspiratory
cycle-off

!
Start O2 Exp. Insp.
breath breaths hold hold
 Apnoea back-up
Alarm
profile
12-25 15:32

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• 300 and 300A • Servoi

i
– Apnoea > 20 – Apnoea > set
secs (adults) apnoea time
 pressure  Back-up
regulated mode (volume
Quick
volume control control) start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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Pressure support
Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Apnoea back-up
Alarm
profile
12-25 15:32

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• 300 and 300A • Servoi

i
– None – Apnoea > set
apnoea time
 Back-up
mode (pressure
Quick
control) start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Inspiratory rise time
Alarm
profile
12-25 15:32

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• 300 and 300A • Servoi

– Inspiratory rise i
– Inspiratory rise
time set as a % time set as an
of breath cycle absolute time (in
seconds).
time, which is in
turn dependent – NB. As a result Quick
start
the proportion
on set RR of inspiration
Menu
Main
taken up by rise screen

time will
increase with RR

!
Start O2 Exp. Insp.
breath breaths hold hold
 I-E cycling
Alarm
profile
12-25 15:32

Save Trends

• 300 and 300A • Servoi

i
– I-E cycling – I-E cycling
occurs when occurs when
inspiratory flow inspiratory flow
= 5% of = set % of
Quick
maximum maximum start

inspiratory flow inspiratory flow Menu

Main
– Set % = screen

inspiratory
cycle-off

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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Inspiratory rise time

Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Inspiratory rise time
Alarm
profile
12-25 15:32

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• 300 and 300A • Servoi

i
– Always set as a % – Set as a % of
of cycle time cycle time
control modes
and SIMV
Quick
– Set as an start

absolute time in Menu

Main
support modes screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Apnoea time
Alarm
profile
12-25 15:32

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• 300 and 300A • Servoi

– Adjustable in i
– Preset
• Adult 20 s volume support,
pressure
• Paediatric 15 s
support/CPAP and
• Neonate 10 s SIMV modes Quick
start
– Press “Alarm
Menu
profile” to set time Main
• Adult 15-45 s screen

• Infant 5-15 s

!
Start O2 Exp. Insp.
breath breaths hold hold
 SIMV
Alarm
profile
12-25 15:32

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• 300 and 300A • Servoi

i
– SIMV cycle = – SIMV cycle =
60 60
SIMV rate presetresp rate
Quick
– SIMV period = – SIMV period = start

set breath cycle Menu

Main
60 time screen

CMV rate

!
Start O2 Exp. Insp.
breath breaths hold hold
 SIMV
Alarm
profile
12-25 15:32

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• 300 and 300A • Servoi

i
– Mandatory – Mandatory
(SIMV) breath (SIMV) breath
given at end of given after 90%
SIMV period if of SIMV period if
Quick
patient does not patient does not start

trigger ventilator trigger ventilator Menu

during SIMV in initial 90% of Main

screen
period SIMV period

!
Start O2 Exp. Insp.
breath breaths hold hold
 Automode
Alarm
profile
12-25 15:32

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• 300A • Servoi
i
– Ventilator shifts – Ventilator shifts
from control to from control to
spontaneous spontaneous
mode if patient mode if patient
Quick
triggers 2 triggers start

consecutive ventilator Menu

breaths Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Automode
Alarm
profile
12-25 15:32

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• 300A • Servoi
– Ventilator shifts i
– Ventilator shifts
from from control to
spontaneous to spontaneous mode
after trigger time-
control mode
out period Quick
after a set period start
– Increases with
of apnoea: Menu
each successive Main
• Adult 12 s breath until the screen

• Paediatric 8 s set trigger timeout

• Neonate 5 s limit is reached

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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Setting the mode

Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Basic I:E Trigger i

Tidal volume I:E
500 1:2.0 .
Trigger sensitivity
V

Resp. Rate T. pause

15 10
Quick
PEEP
start
T. Insp. rise
5 5 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Volume control  Automode
Save Trends

Select ventilation mode

i
SIMV (Vol. Control)
Volume control
.
Pressure Support
SIMV (Press. Control)
Pressure control
Pressure Support
SIMV (PRVC)
PRVC
Pressure Support
Quick
Pressure Support/CPAP start

Menu
Volume Support
Main
screen

Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Pressure control  Automode
Save Trends

Basic I:E Trigger i

PC above PEEP I:E
18 1:2.0 .
Trigger sensitivity
V

Resp. Rate
T. Insp. rise
15 5
Quick
PEEP
start
5 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Pressure control  Automode
Save Trends

Basic I:E Trigger i

PC above PEEP I:E
18 1:2.0 .
Trigger sensitivity
V

Resp. Rate
T. Insp. rise
15 5
Quick
PEEP
start
5 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Pressure control  Automode
Save Trends

Basic I:E Trigger i

PC above PEEP I:E
18 1:2.0 .
Trigger sensitivity
V

Resp. Rate
T. Insp. rise
15 5
Quick
PEEP
start
5 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode
PC above PEEP
12-25 15:32
Ti =1.33 s (33%)
Pressure control  Automode
Save Trends

Basic

18
18
PC above PEEP
I:E
I:E
1:2.0
Trigger
.
Trigger sensitivity
V
i

Resp. Rate
T. Insp. rise
15 5
Quick
PEEP
start
5 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile

PC above PEEP
12-25 15:32

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18 i

Quick
start

Menu
• If the bar in the box is white the Main
screen
setting is within what is generally
considered safe limits

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile

PC above PEEP
12-25 15:32

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31 i

Quick
start

Menu

• If the bar turns yellow the setting is Main

screen

outside what are generally considered

safe limits

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile

PC above PEEP
12-25 15:32

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60 i

Quick
start

Menu

• If the bar turns red the setting is Main

screen

significantly outside what are

generally considered safe limits

!
Start O2 Exp. Insp.
breath breaths hold hold
 Inspiratory rise time
Alarm
profile
12-25 15:32

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• Can be altered to increase

i
patient comfort
• Some patients find sudden
“bolus” of gas uncomfortable
Quick

• Excessively long rise time can start

result in receiving preset levels

Menu
Main

of ventilatory support for

screen

relatively short periods

!
Start O2 Exp. Insp.
breath breaths hold hold
 Inspiratory rise time
Alarm
profile
12-25 15:32

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• Control modes and SIMV

i
– Rise time set as a % of cycle time
– SIMV
• Cycle time is set Quick

– Control modes start

Menu
• Cycle time = 60/RR Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Inspiratory rise time
Alarm
profile
12-25 15:32

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• Support modes
i
– Rise time set as an absolute time
Proportion of inspiratory time that
is taken up by rise time increases Quick
as cycle time shortens (ie increased start

RR) Main
Menu

screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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Triggering
Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Pressure control  Automode
Save Trends

Trigger sensitivity
Basic I:E .
Trigger i
V
PC above PEEP I:E
18 1:2.0 .
Trigger sensitivity
V
-20 0
Resp. Rate
T. Insp. rise
15 5
Quick
PEEP
start
5 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Pressure control  Automode
Save Trends

Trigger sensitivity
Basic I:E Trigger i
-2
PC above PEEP I:E
18 1:2.0 .
Trigger sensitivity
V
-20 0
Resp. Rate
T. Insp. rise
15 5
Quick
PEEP
start
5 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
12-25 15:32

Save Trends

Automode
Quick
start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Automode
Alarm
profile
12-25 15:32

Save Trends

• When automode has been

i
selected the soft key turns white

Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Automode
Automode Admit
Nebulizer Status Alarm
Volume Control
Volume support
Volume support patient
12-25 15:32
profile

Save Trends

• Control mode
i

Quick
start

Menu
Main
screen

O2 conc. PEEP Resp. rate Tidal volume

Additional Additional
30 5 15 500
settings % cm H O
2 b/min ml values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Automode
Automode Admit
Nebulizer Status Alarm
Volume Control
Volume support
Volume support patient
12-25 15:32
profile

Save Trends

• Control mode
i

Quick
start

Menu
Main
screen

O2 conc. PEEP Resp. rate Tidal volume

Additional Additional
30 5 15 500
settings % cm H O
2 b/min ml values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Automode
Automode Admit
Nebulizer Status Alarm
Volume Control
Volume support
Volume support patient
12-25 15:32
profile

Save Trends

• Support mode
i

Quick
start

Menu
Main
screen

O2 conc. PEEP Resp. rate Tidal volume

Additional Additional
30 5 15 500
settings % cm H O
2 b/min ml values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Volume Control patient
profile
Set ventilation mode 12-25 15:32
Ti =1.33 s (33%)
Pressure control  Automode
Save Trends

Basic I:E Trigger i

PC above PEEP I:E
18 1:2.0 .
Trigger sensitivity PS above PEEP
V 20

Resp. Rate
T. Insp. rise Insp. cycle off
15 5 5
Quick
PEEP
start
Trigger timeout
5 7 Menu
Main
O2 conc. screen
40

Additional
Cancel Accept
values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Automode
Alarm
profile
12-25 15:32

Save Trends

• Automode can only be set in

i
association with the following
modes of ventilation
– Volume control Quick
start
– Pressure regulated volume control Menu

– Pressure control Main

screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Modes
Alarm
profile
12-25 15:32

Save Trends

Volume control Volume support

i

Pressure control Pressure support/CPAP

Quick
start
PRVC SIMV
Menu
Main
screen

Automode Back up ventilation

Click on a mode to find out more about it or on the return button to return to the previous menu

!
Start O2 Exp. Insp.
breath breaths hold hold
 Volume control
Alarm
profile
12-25 15:32

Save Trends

• volume preset assist/control

ventilation i

• ventilator delivers preset volume in

preset inspiratory time with preset
pause time and preset flow pattern Quick
start

– when triggered by the patient’s respiratory Menu

efforts Main
screen

– as determined by the preset ventilatory

rate

!
Start O2 Exp. Insp.
breath breaths hold hold
 Volume control
Alarm
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50 cmH2O

70 l/min

Quick
start

-70 Menu

700 ml Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Volume control
Alarm
profile
12-25 15:32

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• Ventilator will deliver breaths to

ensure preset frequency is achieved i

• In general preset volume is delivered

according to preset waveform for all
breaths Quick
start

• With the Servo i it possible for the Main

Menu

patient to obtain a higher inspiratory screen

flow and tidal volume from the

ventilator than is pre-set

!
Start O2 Exp. Insp.
breath breaths hold hold
 Volume control
Alarm
profile
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• Flow is usually dependent on preset

volume and the inspiratory time. i

• Inspiratory time is determined by the

I:E ratio and the respiratory rate
• If the flow does not meet patient
Quick
start

demand the flow is automatically Main

Menu

increased. screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Volume control
Alarm
profile
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• If a pressure drop of 3 cm H2O is

detected during inspiration the i
ventilator switches to pressure
support, resulting in increased flow
• When flow  to calculated target level Quick
start

flow maintained until set tidal volume Menu

delivered Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Volume control
Alarm
profile
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Flow

Quick
start

Menu
Main
screen

Time
Insp. Pause Exp time
time time

!
Start O2 Exp. Insp.
breath breaths hold hold
 Volume control
Alarm
profile
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Flow

Quick
start

Menu
Main
screen

Time
Insp. Pause Exp time
time time

!
Start O2 Exp. Insp.
breath breaths hold hold
 Pressure control
Alarm
profile
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• Pressure preset assist/control

i
ventilation
• Similar to volume control except
pressure is preset Quick
start

• Inadequate flow unlikely to be a Menu

problem
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Pressure control
Alarm
profile
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i
Pressure

PC above PEEP

PEEP

Quick
Flow

start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Pressure control
Alarm
profile
12-25 15:32

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• Theoretical decrease in risk of

i
barotrauma
• Improved oxygenation due to
decelerating flow pattern Quick
start

• Risk of hypoventilation as lung Menu

compliance falls
Main
screen

– monitor tidal and minute volumes

!
Start O2 Exp. Insp.
breath breaths hold hold
 Pressure regulated volume 12-25 15:32
Alarm
profile

control Save Trends

• Preset tidal volume delivered in preset i

inspiratory time at preset frequency
• Ventilator automatically adapts
inspiratory pressure control level to Quick
changes in mechanical properties of start

chest
Menu
Main
screen
• Inspiratory pressure constant
• Inspiratory flow decelerating

!
Start O2 Exp. Insp.
breath breaths hold hold
 PRVC
Alarm
profile
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i
Pressure

Quick
Flow

start

Menu
Main
screen
Volume

!
Start O2 Exp. Insp.
breath breaths hold hold
 PRVC
Alarm
profile
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Upper Pressure limit

5 cm H2O
i
Pressure

Quick
Flow

start

Menu
Main
screen
Volume

!
Start O2 Exp. Insp.
breath breaths hold hold
 PRVC
Alarm
profile
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• Has the advantages of pressure

control ventilation without the i
disadvantage of potential
hypoventilation/over-ventilation as
chest compliance changes Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 PRVC
Alarm
profile
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• With automode off: i

– PRVC
• With automode on:
– PRVC if patient is apnoeic
Quick
start

– VS if patient is triggering the Main

Menu

ventilator screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 PRVC
Alarm
profile
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• In this mode the pressure is

titrated to the tidal volume i

• should not be used in a

situation where the inspiratory
tidal volume leaving the Quick
start

ventilator is not an accurate Menu

reflection of delivered tidal Main

screen

volume (eg circuit leak,

uncuffed tube)

!
Start O2 Exp. Insp.
breath breaths hold hold
 Volume support
Alarm
profile
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• Every breath is patient triggered

i
• Pressure square wave with
decelerating flow
• Ventilator automatically titrates Quick
start

pressure to achieve preset tidal Menu

volume with the lowest possible

Main
screen

pressure

!
Start O2 Exp. Insp.
breath breaths hold hold
 Volume support
Alarm
profile
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Upper Pressure limit

5 cm H2O
i
Pressure

10 cm H2O

Quick
Flow

start

Menu
Main
screen
Volume

!
Start O2 Exp. Insp.
breath breaths hold hold
 Volume support
Alarm
profile
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Upper Pressure limit

5 cm H2O
i
Pressure

10 cm H2O
Maximum
inspiratory
flow
Set % of max
inspiratory flow Quick
Flow

start

Menu
Main
screen
Volume

!
Start O2 Exp. Insp.
breath breaths hold hold
 Volume support
Alarm
profile
12-25 15:32

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• If apnoea time is exceeded

i
ventilator automatically:
– Alarms and switches to Back up
mode (volume control with default Quick
settings) if Automode is off start

Menu
• Remains in Back up mode until alarm is Main
reset screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Pressure support/CPAP
Alarm
profile
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• With both PS and PEEP >0

i
– pressure support ventilation with
PEEP
• With PEEP = 0 Quick
start
– pressure support ventilation Menu

• With PS = 0
Main
screen

– PS of 2 cmH2O plus PEEP

!
Start O2 Exp. Insp.
breath breaths hold hold
 Pressure support
Alarm
profile
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• inspiratory assist
i
• constant preset airway pressure
supplied during inspiration
Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Pressure support
Alarm
profile
12-25 15:32

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i
Pressure

PS above PEEP

Maximum PEEP
inspiratory
flow
Set % of max
inspiratory flow Quick
Flow

start

Menu
Main
screen
Volume

!
Start O2 Exp. Insp.
breath breaths hold hold
 Pressure support
Alarm
profile
12-25 15:32

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i
Pressure

PS above PEEP

PEEP

Quick
Flow

start

Menu
Main
screen
Volume

!
Start O2 Exp. Insp.
breath breaths hold hold
 Pressure support
Alarm
profile
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• allows patient to control inspiratory

and expiratory times, inspiratory flow i
and tidal volumes. This control can
improve patient comfort
• can be combined with SIMV or CPAP Quick
start

or used on its own in patients whose Menu

gas exchange is improving and in Main

screen

whom weaning is being attempted

!
Start O2 Exp. Insp.
breath breaths hold hold
 Pressure support
Alarm
profile
12-25 15:32

Save Trends

• pressure support of 3.5-14.5 cmH2O

required to overcome the additional i
work of breathing due to breathing
through ETT and demand valve.
Patients who require pressure
support of < 6 cmH2O can probably
Quick
start

be extubated Menu
Main
• may unload respiratory muscles and screen

reduce diaphragmatic fatigue

!
Start O2 Exp. Insp.
breath breaths hold hold
 Pressure support
Alarm
profile
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• disadvantages:
i
– VT and minute ventilation variable,
excessively large VT may be
delivered
Quick
– high initial flow and termination start

algorithm may be unsuitable for Main

Menu

severe airflow obstruction screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Back-up ventilation
Alarm
profile
12-25 15:32

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• Operates in association with i

volume support and pressure
support/CPAP
• Does not operate when Quick
start

Automode is on Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Back-up ventilation
Alarm
profile
12-25 15:32

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Pressure control i
Default pressure =
PS or 20 cmH2O
Pressure
Default I:E ratio
support/ Apnoea>
set apnoea time Default respiratory
CPAP Quick
rate start

Default inspiratory Menu

rise time Main

screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Back-up ventilation
Alarm
profile
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i
Volume control
VT = set VT
Default I:E ratio
Volume Apnoea>
Default respiratory
support set apnoea time Quick
rate start

Default inspiratory Menu

rise time Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 SIMV (VC) & PS
Alarm
profile
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• patient can breathe spontaneously but

i
also receives a set number of volume
controlled mechanical breaths
• volume controlled breaths are
synchronized with the patient’s Quick

breathing to prevent the possibility of

start

Menu
a mechanical breath on top of a Main

spontaneous breath screen

• remaining breaths are pressure

supported

!
Start O2 Exp. Insp.
breath breaths hold hold
 SIMV
Alarm
profile
12-25 15:32

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Pressure support
Pressure above PEEP i

PEEP

Time
Flow
Quick
start

Menu

Time Main
screen

Trig Trig

!
Start O2 Exp. Insp.
breath breaths hold hold
 SIMV (VC) + PS
Alarm
profile
12-25 15:32

Save Trends

• If the patient is apnoeic the ventilator

delivers volume controlled breaths at i
the preset SIMV rate
• If the patient triggers the ventilator
the response of the ventilator Quick
start

depends on the point in the ventilator Menu

cycle at which triggering occurs Main

screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 SIMV (VC) & PS
Alarm
profile
12-25 15:32

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• Time is split up into a series of

i
SIMV cycles
• duration of each SIMV cycle =
60
Quick
start

Menu

preset SIMV rate Main

screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 SIMV (VC) & PS
Alarm
profile
12-25 15:32

Save Trends

• Each SIMV cycle is made up of 2

i
parts:
– SIMV period
• =breath cycle time
Quick

– spontaneous period start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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SIMV cycle
i
SIMV period
Volume
controlled
breath
Quick
start

Menu
Main
T T screen
Pressure
supported
breath

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

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Volume
controlled Quick
start
breath
Menu
Main
screen

90% of SIMV period

!
Start O2 Exp. Insp.
breath breaths hold hold
 SIMV (PC) + PS
Alarm
profile
12-25 15:32

Save Trends

• Very similar to SIMV (VC) &PS

i
except that controlled breaths
are pressure rather than volume
controlled Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 SIMV (PRVC) + PS
Alarm
profile
12-25 15:32

Save Trends

• Very similar to SIMV (VC) &PS

i
except that controlled breaths
are PRVC breaths rather than
volume controlled breaths Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Automode
Alarm
profile
12-25 15:32

Save Trends

• Active in VC, PC and PRVC

i
modes
• When automode is on ventilator
switches between control and Quick

spontaneous modes based on

start

Menu

presence or absence of Main

screen

triggering

!
Start O2 Exp. Insp.
breath breaths hold hold
 Automode
Alarm
profile
12-25 15:32

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Pressure Apnoea Pressure i

control Triggering support

Volume Apnoea Volume Quick

control Triggering support start

Menu
Main
screen
Apnoea Volume
PRVC
Triggering support

!
Start O2 Exp. Insp.
breath breaths hold hold
 Automode
Alarm
profile
12-25 15:32

Save Trends

• Trigger timeout
i
– = duration of apnoea before
ventilator switches from support
mode to control mode
Quick
– The limit increases with each start

successive breath until the set Main

Menu

trigger timeout limit is reached screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Automode
Alarm
profile
12-25 15:32

Save Trends

• When automode has been

i
selected the soft key turns white

Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Automode
Automode Admit
Nebulizer Status Alarm
Volume Control
Volume support
Volume support patient
12-25 15:32
profile

Save Trends

• Control mode
i

Quick
start

Menu
Main
screen

O2 conc. PEEP Resp. rate Tidal volume

Additional Additional
30 5 15 500
settings % cm H O
2 b/min ml values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Automode
Automode Admit
Nebulizer Status Alarm
Volume Control
Volume support
Volume support patient
12-25 15:32
profile

Save Trends

• Control mode
i

Quick
start

Menu
Main
screen

O2 conc. PEEP Resp. rate Tidal volume

Additional Additional
30 5 15 500
settings % cm H O
2 b/min ml values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Automode
Automode Admit
Nebulizer Status Alarm
Volume Control
Volume support
Volume support patient
12-25 15:32
profile

Save Trends

• Support mode
i

Quick
start

Menu
Main
screen

O2 conc. PEEP Resp. rate Tidal volume

Additional Additional
30 5 15 500
settings % cm H O
2 b/min ml values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

i
Changing the parameters
Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Pressure Control patient
profile
12-25 15:32

Changing parameters Save Trends

i
• Direct access knobs
• Additional settings
Quick
start

Menu
Main
screen

O2 conc. PEEP Resp. rate PC above PEEP

Additional Additional
30 5 15 15
settings % cm H O
2 b/min mmHg values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Mode Admit
Automode Nebulizer Status Alarm
Pressure Control patient
profile
12-25 15:32

Changing parameters Save Trends

i
• Direct access knobs
• Additional settings
Quick
start

Menu
Main
screen

O2 conc. PEEP Resp. rate PC above PEEP

Additional Additional
30 5 15 15
settings % cm H O
2 b/min mmHg values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

Alarms i

This module will be available in later versions

of this tutorial
Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

Starting up
Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

i
Pre-use check
Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Standby Save Trends

Do you want to start Pre-use check?

Quick
Yes No start

Menu
Main
screen
Press to start ventilation

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Standby Save Trends

Do you want to start Pre-use check?

Quick
Yes No start

Menu
Main
screen
Press to start ventilation

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Pre-use check
Alarm
profile
12-25 15:32

Save Trends

•Do not use the i

ventilator if it does not

pass the pre-use Quick

check
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Check batteries
Alarm
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Status Alarm
profile
12-25 15:32

Save Trends

Quick
start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Status Alarm
profile
12-25 15:32

Status Save Trends

General Version Universal

Serial no. 2017

O2 cell
Pre-use check Passed: 2002-02-06 14:52
i
Exp. cassette Operating time 167 hours

Next Preventative Maintenance 1423 hours

Modules
Battery backup time 312 min
Options Barometric pressure 1023 hPa

Air Pressure 394 kPa*100

Quick
Pre-use check
O2 pressure 401 kPa*100 start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Status Alarm
profile
12-25 15:32

Status Save Trends

General Version Universal

Serial no. 2017

O2 cell
Pre-use check Passed: 2002-02-06 14:52
i
Exp. cassette Operating time 167 hours

Next Preventative Maintenance 1423 hours

Modules
Battery backup time 312 min
Options Barometric pressure 1023 hPa

Air Pressure 394 kPa*100

Quick
Pre-use check
O2 pressure 401 kPa*100 start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Status Alarm
profile
12-25 15:32

Status Save Trends

General Modules status

O2 cell
Battery 52 min, Slot position 1
i
Exp. cassette Battery 51 min, Slot position 2

Battery 49 min, Slot position 3

Modules
Battery 52 min, Slot position 4
Options Battery 52 min, Slot position 5

Battery 52 min, Slot position 6 Quick

Pre-use check
start

Menu
Main
screen

Additional Additional
settings values

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm
profile
12-25 15:32

Save Trends

Advanced i

This module will be available in later versions

of this tutorial
Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold
 Alarm messages
Alarm
profile
12-25 15:32

Save Trends

• This module will be available in

i
a later version of this tutorial

Quick
start

Menu
Main
screen

!
Start O2 Exp. Insp.
breath breaths hold hold