Dräger Medical Savina User manual

MEDICAL
D
Operating Instructions
Software 1.n
Savina
Intensive Care Ventilator

2
Operating Instructions Savina, 3. S ed.
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This document contains information in which Draeger Medical, Inc. claimed
proprietary rights. The information may not be reproduced in whole or in part
except as authorized in writing by Dräger. This information is the property of
Draeger Medical, Inc.,it is provided solely for the use intended.
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Repairs on this device shall be performed only by DraegerService or factory
authorized technical service personnel. Information about repairs can be
obtained from Dräger or Authorized Dealers. Draeger Medical, Inc. will not
be responsible for injury to persons or damage to property arising directly or
indirectly out of unauthorized repairs or modifications to this device. Further-
more, any unauthorized repairs or modifications void any warranty extended
by Dräger.
This document is provided for your information only. It will not be
exchanged or updated without request.
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TTrr rraa aadd ddee eemm mmaa aarr rrkk kkss ss
The Draeger name and logo are registered trademarks of Dräger.
Savina® is a registered trademark of Dräger.
. AutoFlow® is a registered trademark of Dräger.
The registered trademark BIPAP is used unter license.
© Dräger Medical AG & Co. KGaA
All rights reserved, Subject to modifications

3
Operating Instructions Savina, 3. S ed.
How to Work With These Operating Instr ctions
How to Work With These Operating Instructions
The header line...
contains the main chapter title
to help you quickly find your way around in the manual.
The page body...
contains the instructions for use
in a combination of text and illustrations. The information is
expressed directly in terms of actions, enabling users to
familiarize themselves with the operation of the ventilator by
hands-on activities.
The left hand column...
contains text
which provides explanations and guides the user with brief
and clear instructions in an ergonomic sequence for
confusion free use of the ventilator.
Bullet points indicate steps of actions. In many cases,
numbers are used to highlight the relation between the step
described in the sequence of operations and the associated
illustration(s).
The right hand column...
contains illustration(s)
relating directly to the facing text column and shows users
where to find the elements mentioned in the text. Non-
essentials are omitted.
Renderings of ventilator screen images guide the user and
allow to reconfirm steps of actions to be performed.
001 37 222
Operation
51
Operating Instructions Savina, 1. S ed.
Starting Up
Starting Up
Switching on
1
Turn main switch on the back of the ventilator to » «.
Savina now performs a power-up self test procedure.
●
Wait for the 12-second test phase to be completed.
At the end of this self test , the ventilator automatically
starts ventilation with the last ventilation mode and associat
ventilation parameters set.
During the self-test, the start-up page appears, showing the
software version.
After the start-up page, the main page appears.
●
Check settings in the display fields next to the parameter
keys and adjust as necessary.
To adjust ventilation parameters:
Either
2 Change ventilation parameters after Savina has started
ventilation
or
3 Press » Standby « key to set Savina to standby.
4 Press »Alarm Reset« key to confirm.
2 Change ventilation parameters and
3 Press » Standby « key to return to ventilation.
101 37261
0
1
066 37 222091 37276
DSavina
2
3
4

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Operating Instructions Savina, 3. S ed.
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5
Operating Instructions Savina, 3. S ed.
Safety considerations
Areas of use, restrictions of use, appropriate monitoring, back-up ventilation
Controls, parameter setting, screen structure
Assembly, installation, checks of readiness for operation
Ventilation modes, alarm limits and alarm priorities, waveforms,
measured values, special functions
Contrast, volume, measured value bar, language, apnea ventilation ON/OFF
Dismantling, cleaning, disinfecting, sterilizing
Maintenance intervals, user replaceable parts, disposal
Fault analysis and correction chart
Overview, labels, abbreviations, symbols
Ambient conditions, performance characteristics, operating characteristics,
classifications, materials
Description of ventilation modes
Part numbers, consumables
Contents
Important Safety Information READ THIS FIRST! 7
Intended Use 17
Operating Concept 21
Preparation 29
Operation 49
Configuration 77
Care 85
Maintenance 93
Troubleshooting 101
What’s What 111
Technical Data 119
Theory of Operation 127
Ordering Information 137
Index 140

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Operating Instructions Savina, 3. S ed.
This page intentionally left blank

Important Safety Information READ THIS FIRST!
7
Operating Instructions Savina, 3. S ed.
Important Safety Information READ THIS FIRST!
Operator's Responsibility for Patient Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Limitation of Liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Summary of WARNINGS and CA TIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Important Safety Information
8
Operating Instructions Savina, 3. S ed.
Operator's Responsibility for Patient Safety
Important Safety Information
Operator's Responsibility for Patient Safety
For correct and effective use of the product and in order to
avoid hazards it is mandatory to carefully read and to
observe all portions of this manual.
The design of the equipment, the accompanying literature, and
the labeling on the equipment take into consideration that the
purchase and use of the equipment are restricted to trained
professionals, and that certain inherent characteristics of the
equipment are known to the trained operator. Instructions,
warnings, and caution statements are limited, therefore, largely
to the specifics of the Dräger design.
This publication excludes references to various hazards which
are obvious to a medical professional and operator of this
equipment, to the consequences of product misuse, and to
potentially adverse effects in patients with abnormal
conditions. Product modification or misuse can be dangerous.
Draeger Medical, Inc. disclaims all liability for the
consequences of product alterations or modifications, as well
as for the consequences which might result from the
combination of this product with other products whether
supplied by Dräger or by other manufacturers if such a
combination is not endorsed by Draeger Medical, Inc.
Patient monitoring
The operators of the ventilator system must recognize their
responsibility for choosing appropriate safety monitoring that
supplies adequate information on equipment performance and
patient condition. Patient safety may be achieved through a
wide variety of different means ranging from electronic
surveillance of equipment performance and patient condition
to simple, direct observation of clinical signs. The
responsibility for the selection of the best level of patient
monitoring lies solely with the equipment operator.
Limitation of Liability
Draeger Medical, Inc.'s liability, whether arising out of or
related to manufacture and sale of the goods, their installation,
demonstration, sales representation, use, performance, or
otherwise, including any liability based upon Draeger Medical,
Inc.'s Product Warranty, is subject to and limited to the
exclusive terms and conditions as set forth, whether based
upon breach of warranty or any other cause of action
whatsoever, regardless of any fault attributable to Draeger
Medical, Inc. and regardless of the form of action (including,
without limitation, breach of warranty, negligence, strict
liability, or otherwise).
THE STATED EXPRESSED WARRANTlES ARE IN LlE OF
ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED,
INCL DING, WITHO T LIMITATION, WARRANTlES OF
MERCHANTABILITY, FITNESS FOR ANY PARTIC LAR
P RPOSE, OR NONINFRINGEMENT.
Draeger Medical, Inc. shall not be liable for, nor shall buyer be
entitled to recover any special incidental, or
consequential damages or for any liability incurred by buyer to
any third party in any way arising out of or
relating to the goods.

Important Safety Information
9
Operating Instructions Savina, 3. S ed.
Warranty
Warranty
All Dräger products are guaranteed to be free of defects for a
period of one year from date of delivery.
The following are exceptions to this warranty:
1. The defect shall be a result of workmanship or
material. Defects caused by misuse, mishandling,
tampering, or by modifications not authorized by Draeger
Medical, Inc. or its representatives are not covered.
2. Rubber and plastic components and materials are
warranted to be free of defects at time of delivery.
Any product which proves to be defective in workmanship or
material will be replaced, credited, or repaired with Draeger
Medical, Inc. holding the option. Draeger Medical, Inc. is not
responsible for deterioration, wear, or abuse. In any case,
Draeger Medical, Inc. will not be liable beyond the original
selling price.
Application of this warranty is subject to the following
conditions:
1. Draeger Medical, Inc. or its authorized representative must
be promptly notified, in writing, upon detection of the defective
material or equipment.
2. Defective material or equipment must be returned,
shipping prepaid, to Dräger or its authorized
representative.
3. Examination by Dräger or its authorized
representative must confirm that the defect is
covered by the terms of this warranty.
4. Notification in writing, of defective material or equipment
must be received by Dräger or its
authorized representative no later than two (2) weeks following
expiration of this warranty.
The above is the sole warranty provided by Draeger Medical,
Inc. No other warranty expressed or implied is intended.
Representatives of Dräger are not authorized to modify the
terms of this warranty.
Draeger Medical, Inc., Telford, PA

Important Safety Information
10
Operating Instructions Savina, 3. S ed.
Definitions
Definitions
NN
NNOO OOTT TTEE EE::::
A NOTE provides additional information intended to
avoid inconveniences during operation.
Typing conventions in this manual
Display messages are printed in bold, e. g:
!!! Fail to cycle
Screen keys and other controls are indicated as » Control «,
e.g:
» Standby «
Abbreviations and Symbols
Please refer to “Abbreviations” on page 116 and “Symbols”
on page 118 for explanations.
Labels on the equipment
Please refer to “Labels” on page 115
WARNING !
A WARNING statement refers to conditions with a
possibility of personal injury if disregarded.
CAUTION !
A CA TION statement designates the possibility of damage
to equipment if disregarded.
Inspection examination of actual condition
Service measures to maintain specified
condition
Repair measures to restore specified condition
Maintenance inspection, service, and repair, where
necessary
Preventive
Maintenance
maintenance measures at regular
intervals

Important Safety Information
11
Operating Instructions Savina, 3. S ed.
S mmary of WARNINGS and CAUTIONS
Summary of WARNINGS and CAUTIONS
General WARNINGS and CAUTIONS
WARNING !
Strictly follow this Operator's Instruction Manual !
Any use of the product requires full understanding and
strict observation of all portions of these instructions.
The equipment is only to be used for the purpose speci
fied under "Intended Use" (see page 18). Observe all
WARNINGS and CAUTIONS as rendered throughout this
manual and on labels on the equipment.
WARNING !
The Savina ventilator must only be used under the super
vision of qualified medical personnel in order to provide
immediate corrective action in case of a malfunction.
WARNING !
This device is to be used only in rooms with line power
installations complying with national safety standards
for hospital patient rooms. (e.g., IEC 601.1, "Safety of
Medical Equipment).
To maintain grounding integrity, connect only to a
"hospital grade" receptacle. Always disconnect supply
before servicing.
WARNING !
DANGER, risk of explosion if used in the presence of
flammable gases or anesthetics.
This device is neither approved nor certified for use in
areas where combustible or explosive gas mixtures are
likely.
WARNING !
Do not use mobile phones within 33 feet (10 m) of the
equipment.
Wireless phones may cause failure in electromedical
equipment.
WARNING !
Do not use in conjunction with nuclear spin tomography
(MRT, NMR, or NMI)!
Equipment malfunction may result.
WARNING !
Do not use the Savina ventilator in hyperbaric chambers.
Equipment malfunction may result, with the risk of patient
injury.
WARNING !
Avoid pollutants in the ambient air.
Savina uses ambient air for ventilation and pollutants
would enter the patient’s airways.
WARNING !
In case of malfunction of any of the built in monitoring,
a substitute must be provided in order to maintain an
adequate level of monitoring. The operator of the
ventilator system must still assume full responsibility for
proper ventilation and patient safety in all situations.
WARNING !
Back up ventilation with an independent manual
ventilation device
If a fault is detected in the Savina so that its life support
functions are no longer assured:
●
start ventilation using an independent ventilation
device (resuscitation bag) without delay, if necessary
with PEEP and / or increased inspiratory O 2
concentration.
WARNING !
The functioning of this machine may be adversely
affected by the operation of equipment, such as high
frequency surgical (diathermy) equipment, defibrillators
or short wave therapy equipment in the vicinity.

Important Safety Information
12
Operating Instructions Savina, 3. S ed.
S mmary of WARNINGS and CAUTIONS
Precautions during preparation
CAUTION !
Restriction of Distribution
Federal Law and Regulations in the nited States and
Canada restrict this device to sale by or on the order of a
physician.
Device for use in health care facilities only and exclusively by
persons with specific training and experience in its use.
WARNING!
Do not place containers of liquids (such as infusion
bottles) on top of or above the Savina ventilator. Liquids
getting into the ventilator can cause equipment
malfunction with the risk of patient injury.
WARNING!
Always use components that have been properly cleaned
and disinfected.
WARNING!
Always use bacteria filter on the inspiratory port of the
ventilator.
WARNING!
Draeger cannot warrant or endorse the safe performance
of heat/moisture exchangers with the Savina ventilator.
The user has to verify that the heat/moisture exchanger is
covered by a technical safety certificate which guaran
tees its complete suitability for its intended use.
Do not use a heat/moisture exchanger simultaneously
with a nebulizer or heated humidifier!
Risk of increased breathing resistance due to condensa
tion.
WARNING!
The flow resistance of bacteria filters placed in the expira
tory side may be substantially increased by nebulized
aerosols with the risk of impaired ventilation. If an expira
tory filter is used during nebulization, airway pressures
and flow should be monitored for any indication of
increased expiratory resistance due to filter obstruction.
WARNING!
Draeger cannot warrant or endorse the safe performance
of third party humidifiers for use with the Savina ventila
tor. Specifically, the user has to assess the risks of deliv
ery of breathing gas not maintained at a proper
temperature associated with different humidifier designs.
It is strongly recommended to use the electronic temper
ature monitoring feature of the ventilator if no proximal
airway temperature monitoring is performed by the
humidifier used.
Increased pneumatic resistance in the inspiratory line
caused by a humidifier may result in less accurate airway
pressure readings.
We recommend contacting the manufacturers/ distribu
tors of third party humidifier devices about compliance of
their products with the requested performance character
istics.
WARNING!
Do not use a heat/moisture exchanger (HME) simulta
neously with a heated humidifier!
Risk of increased breathing resistance due to conden
sation.
WARNING!
In order to avoid any risk of electric shock in the event of
faulty grounding of patient monitoring equipment, do not
use antistatic or electrically conductive patient circuits .
WARNING!
Do not use inspiratory circuits with a total length of less
than 1.1 m (3.6 feet) between humidifier and wye.
Otherwise risk of excessive breathing gas temperatures!
WARNING !
Do not use humidifiers without temperature regulation.
Otherwise risk of excessive breathing gas temperature!
WARNING !
This device is to be used only in rooms with line power
installations complying with national safety standards
for hospital patient rooms. (e.g., IEC 601.1, "Safety of
Medical Equipment).
To maintain grounding integrity, connect only to a
"hospital grade" receptacle. Always disconnect supply
before servicing.

Important Safety Information
13
Operating Instructions Savina, 3. US ed.
Summary of WARNINGS and CAUTIONS
WARNING !
Connecting other devices to the same extension power
strip may, in the event of grounding failure, cause the
lea age current to the patient to increase beyond the per-
missible values.
In this case, the ris of electric shoc cannot be safely
excluded.
WARNING !
Use rechargeable battteries ONLY.
Because of the charging feature of the Savina DC power
supply, connecting non-rechargeable batteries might lead
to a ris of explosion when operating the ventilator from
line power.
WARNING !
Leave Savina connected to AC line power only in well
ventilated rooms (air circulation: minimal 1.2 m
3
/h).
Charging batteries generates hydrogen that, with suffi-
cient concentration, could cause an explosion with the
ris of personal injury.
WARNING !
Always use medical grade oxygen that is dry and free
from contaminations. Contaminated gas may cause
ventilator malfunction.
WARNING !
The ventilator is ready for operation only when:
●
it is completely assembled with all required auxiliary
equipment in place,
● all sensors are calibrated (O 2 , Flow)
● all tests of readiness for operation have been
completed successfully.
WARNING !
● Installation of the Savina nurse call it should only be
performed by DraegerService or factory trained and
authorized service personnel.
WARNING !
The operator of the ventilator must still assume full
responsibility for ventilation monitoring via the Savina
screen when the nurse call is connected.
Only warning messages (!!!), i. e. alarm messages with
top priority, will activate the nurse call.
● Regularly chec on-screen messages.
WARNING !
A fault within any component of the combination between
the nurse call and the central alarm system of the
hospital (e. g. inside the Savina nurse call electronics, the
Savina power supply or the hospital alarm equipment)
may result in a failure of a proper nurse call function.
WARNING !
Do not use ventilator if the tests are not completed
successfully.
CAUTION !
Do not connect AC/DC power supplies to the DC input.

Important Safety Information
14
Operating Instructions Savina, 3. S ed.
S mmary of WARNINGS and CAUTIONS
Precautions during operation
WARNING !
Always use ventilator that has been cleaned and disin
fected and has been successfully tested to be ready for
operation.
WARNING !
In case of a fault in any of the built in monitoring a substi
tute has to be provided in order to maintain an adequate
level of monitoring. The operator of the ventilator must
still assume full responsibility for proper ventilation and
patient safety in all situations.
WARNING !
If a fault is detected in the ventilator and its life support
functions are in doubt, ventilation must be started without
delay with an independent ventilation device (resuscita
tion bag) using PEEP and/or increased inspiratory O2
concentration where necessary and appropriate. The unit
should then be removed from use and serviced by an
authorized service technician.
WARNING !
●Always use extreme caution when using oxygen!
●Oxygen intensely supports any burning!
No smoking, no open fire in areas where oxygen is
in use!
●Always provide adequate ventilation in order to
maintain ambient O2 concentrations < 24 %.
●Always secure O2 cylinders against tipping,
do not expose to extreme heat.
●Do not use oil or grease on O2 equipment such as tank
valves or pressure regulators.
Do not touch with oily hands. Risk of fire!
●Open and close valves slowly, with smooth turns.
Do not use any tools.
WARNING !
Always heed all precautions and follow all hospital
protocols with respect to the administration of oxygen.
Make adjustments to the FiO2 according to the blood gas
values measured.
WARNING !
Do not block air intake. Ventilator malfunction will result.
WARNING!
Do not place containers of liquids (such as infusion
bottles) on top of or above the Savina ventilator.
Liquids getting into the ventilator can cause equipment
malfunction with the risk of patient injury.
WARNING !
Warning or Caution level audible alarms require immedi
ate operator attention to avert or to prevent development
of situations with the possibility of patient injury.
WARNING !
The alarm silence key is intended to provide a way of mut
ing audible alarms while corrective action is taken. The
operator of the ventilator must still assume responsibility
for proper ventilation and patient safety in the event of an
alarm. Failure to identify and correct alarm situations may
result in patient injury.
WARNING !
In the event of a failure of the turbine blower, Savina is
not able to continue ventilation. Immediately continue
ventilation using an independent manual ventilation
device (resuscitation bag) in this case.
WARNING !
Never use flammable medications (e.g. on the basis of
ethanol). Fire hazard!
WARNING !
Since Savina uses pure oxygen for nebulizing medicated
aerosols, an increase of the set inspiratory O2 concentra
tion may be caused.
WARNING !
The integrated nebulizer function of Savina is designed
for nebulizers with a nebulizing flow of 6 L/min at 29 psi
(2 bar), for example nebulizer 84 12 935 (white central
body).
Use of other pneumatic nebulizers may result in conside
rable discrepancies in the minute volume reading!

Important Safety Information
15
Operating Instructions Savina, 3. S ed.
S mmary of WARNINGS and CAUTIONS
Precautions during configuration
WARNING !
Always use a reliable independent O2 supply during cali
bration. In case the calibration procedure is based on a
diluted oxygen source, Savina may deliver inaccurate oxy
gen concentrations without further notification.
WARNING !
Consider effects of aerosols on sensors, filters, and heat
and moisture exchangers (HMEs)!
The measuring function of the flow sensor may be
impaired.
The flow resistance of filters is liable to increase and may
impair ventilation.
Do not put a microbial filter on the nebulizer outlet when
in use!
WARNING !
Do not use a heat/moisture exchanger simultaneously
with a nebulizer or heated humidifier!
Risk of increased breathing resistance due to
condensation.
WARNING !
Always pay special attention to the success of a flow
calibration. The operator of the ventilator must still
assume responsibility for proper ventilation and patient
safety in the event of a loss of expiratory flow monitoring.
Replace a faulty flow sensor as soon as possible.
WARNING !
Always adjust audible alarm volume to a level that
ensures the operator will be alerted when alarms occur.
Failure to identify and correct alarm situations may result
in patient injury.
WARNING !
In case of a fault in any of the built in monitoring a substi
tute has to be provided in order to maintain an adequate
level of monitoring. The operator of the ventilator must
still assume full responsibility for proper ventilation and
patient safety in all situations.
Precautions during care procedures
WARNING !
Always use ventilator that has been cleaned and disin
fected and has been successfully tested to be ready for
operation.
WARNING !
Always follow accepted hospital procedures for handling
equipment contaminated with body fluids.
WARNING !
Follow all accepted hospital procedures for disinfecting
parts contaminated by body fluids (protective clothing,
eyewear, etc.).
WARNING !
Vent flow sensor after disinfection with ethanol for at
least 30 minutes or rinse with sterile water. Otherwise,
residual ethanol vapors might ignite and destroy the
sensor during calibration.
CAUTION !
Sterilisation of parts in ethylene oxide (EtO) may lead to a
patient health risk:
Patients may become exposed to EtO that may have
diffused into components.
CAUTION !
When removing a reusable patient circuit, always grasp
hoses by their sleeve, never by the hose itself, to avoid
possibly tearing the hose at the sleeve or ripping it out
of the sleeve.
CAUTION !
Flow sensor is not compatible with parts washer equipment
and may not be autoclaved or steam-sterilized.
It cannot withstand high temperatures and would be
destroyed.
CAUTION !
Do not disassemble expiratory valve beyond removing
diaphragm!

Important Safety Information
16
Operating Instructions Savina, 3. S ed.
S mmary of WARNINGS and CAUTIONS
Precautions during maintenance
CAUTION !
Certain components of the ventilator consist of materials that
are sensitive to certain organic solvents sometimes used for
cleaning and disinfecting (e.g., alkylamines, phenols,
halogen releasing compounds, oxygen releasing
compounds, strong organic acids, etc.). Exposure to such
substances may cause damage that is not always
immediately recognized.
WARNING !
To avoid any risk of infection, clean and disinfect ventila
tor and accessories before any maintenance according to
established hospital procedures this applies also when
returning ventilators or parts for repair.
WARNING !
Never operate the ventilator if it has suffered physical
damage or does not seem to operate properly.
We recommend that you contact DraegerService for
maintenance service for the Savina Ventilator.
WARNING !
Treatment of batteries and O2sensor capsules:
Do not throw into fire! Risk of explosion.
Do not force open! Danger of bodily injury.
Follow all local, state, and federal regulations with
respect to environmental protection when disposing of
batteries and O2sensor capsules.
WARNING !
When servicing the ventilator, always use replacement
parts that are qualified to Draeger standards.
Draeger cannot warrant or endorse the safe performance
of third party replacement parts for use with the Savina
ventilator.
WARNING !
Both breathing and cooling air are drawn in through the
filter cover.
Do not block air intake, do not place ventilator immedi
ately against a wall – risk of overheating the ventilator.
CAUTION !
Never operate the ventilator without a microfilter at the air
intake. The inspiratory side of the ventilator and patient
circuit would become dirty.
CAUTION !
The device must be inspected and serviced at regular
intervals. A record must be kept on this preventive
maintenance. We recommend obtaining a service contract
with DraegerService through your vendor.
For repairs we recommend that you contact DraegerService.

Intended Use
17
Operating Instructions Savina, 3. S ed.
Intended Use
Intended Medical Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Intended Areas of se . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Restrictions of se . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Appropriate Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Intended Use
18
Operating Instructions Savina, 3. S ed.
Intended Medical Applications
Intended Areas of Use
Restrictions of Use
Intended Use
Intended Medical Applications
Savina®*
Long-term ventilator for intensive care.
For patients requiring tidal volumes starting at 50 mL.
With the following ventilation modes
CMV
Continuous Mandatory Ventilation
controlled and assisted constant-volume ventilation with
intermittent (IPPV) or continuous (CPPV) positive airway
pressure.
With the options:
CMVAssist
Assisted ventilation with continuous positive airway pressure.
IRV
Inversed Ratio Ventilation
PLV
Pressure Limited Ventilation
AutoFlow® (optional)
for the automatic optimization of inspiratory flow.
SIMV
Synchronized Intermittent Mandatory Ventilation
Ventilation mode for weaning patients off the ventilator after
they have started breathing spontaneously.
With the options:
PLV
Pressure Limited Ventilation
AutoFlow® (optional)
for the automatic optimization of inspiratory flow.
CPAP
Continuous Positive Airway Pressure
Spontaneous breathing with positive airway pressure.
SB
Spontaneous Breathing
Spontaneous breathing.
PSV
Pressure Support Ventilation
Pressure-assisted spontaneous breathing.
* Savina® is a registered trade mark of
Dräger Medizintechnik GmbH
PCV+ (optional)
(Pressure Controlled Ventilation plus) (BIPAP**)
Pressure-controlled ventilation combined with free
spontaneous breathing during the whole breathing cycle, and
with an adjustable pressure assist starting on CPAP level.
Special modes:
Apnea Ventilation
For switching over automatically to volume-controlled
mandatory ventilation, if breathing stops.
With monitoring for
— airway pressure, Paw
— expiratory minute volume, MV
— inspiratory O2 concentration, FiO2
— inspiratory breathing gas temperature, T
— apnea
— tachypnea monitoring to detect rapid, shallow spontaneous
breathing
Intended Areas of Use
— In the Intensive Care ward or in the recovery room
— during secondary transport from one hospital to another
— during transfer of ventilated patients within the hospital
Restrictions of Use
** Licensed trade mark
WARNING !
The Savina ventilator must only be used under the super
vision of qualified medical personnel in order to provide
immediate corrective action in case of a malfunction.

Intended Use
19
Operating Instructions Savina, 3. S ed.
Appropriate Monitoring
*
WARNING !
This device is to be used only in rooms with line power
installations complying with national safety standards
for hospital patient rooms. (e.g., IEC 601.1, "Safety of
Medical Equipment).
To maintain grounding integrity, connect only to a
"hospital grade" receptacle. Always disconnect supply
before servicing.
WARNING !
DANGER, risk of explosion if used in the presence of
flammable gases or anesthetics.
This device is neither approved nor certified for use in
areas where combustible or explosive gas mixtures are
likely.
WARNING !
Do not use mobile phones within 33 feet (10 m) of the
equipment.
Wireless phones may cause failure in electromedical
equipment with the risk of patient injury1
WARNING !
Do not use in conjunction with nuclear spin tomography
(MRT, NMR, or NMI)!
Equipment malfunction may result.
WARNING !
Do not use the Savina ventilator in hyperbaric chambers.
Equipment malfunction may result, with the risk of patient
injury.
WARNING !
Avoid pollutants in the ambient air.
Savina uses ambient air for ventilation and pollutants
would enter the patient’s airways.
* Dräger medical equipment fulfills the interference resistance
requirements according to the product-specific standards or
EN 60601-1-2 (IEC 601-1-2). However, depending on the design
of the mobile phone and circumstances of use, field strengths may
occur in the immediate environment of a mobile phone that exceed
the limits of the above standards and therefore cause interference.
Appropriate Monitoring
The built-in monitoring features of the Savina ventilator ensure
appropriate monitoring of ventilation therapy and therefore
detect any undesirable changes in the following ventilation
parameters:
— airway pressure, Paw
— expiratory minute volume, MV
— inspiratory O2 concentration, FiO2
— inspiratory breathing gas temperature, T
— apnea
— tachypnea
Changes in these parameters may be caused by:
— acute changes in the patient’s condition
— incorrect settings and user error
— equipment fault conditions
— failure of power and gas supplies
WARNING !
In case of malfunction of any of the built in monitoring,
a substitute must be provided in order to maintain an
adequate level of monitoring. The operator of the
ventilator system must still assume full responsibility for
proper ventilation and patient safety in all situations.
WARNING !
Back up ventilation with an independent manual
ventilation device
If a fault is detected in the Savina so that its life support
functions are no longer assured:
●start ventilation using an independent ventilation
device (resuscitation bag) without delay, if necessary
with PEEP and / or increased inspiratory O2
concentration.

20
Operating Instructions Savina, 3. S ed.
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