Dräger Medical Savina User manual

MEDICAL
D
Operating Instructions
Software 2.1n
Savina
Intensive Care Ventilator

2
Operating Instructions Savina SW 2.1n 1. US 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 Draeger. 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 Draeger 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 Draeger.
This document is provided for your information only. It will not be
exchanged or updated without request.
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The Dräger name and logo are registered trademarks of Draeger.
Savina® is a registered trademark of Draeger.
. AutoFlow® is a registered trademark of Draeger.
The registered trademark BIPAP is used under license.
© Dräger Medical AG & Co. KGaA 2003
All rights reserved Subject to modifications

3
Operating Instructions Savina SW 2.1n 1. US 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.
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 specified
under “Intended Use” on page 20 and in conjunction with
appropriate airway monitoring (see page 22). Observe
all WARNINGS and CAUTIONS as rendered throughout
this manual and on labels on the equipment.
001 37626
Operation
55
Operating Instructions Savina SW 2.1n 1. US ed.
Starting Up
Starting Up
Switching on
1Turn 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 associated
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
2Change ventilation parameters after Savina has started
ventilation
or
3Press »Stand by« key to set Savina to standby.
4Press »Alarm Reset« key to confirm.
2Change ventilation parameters and
3press »Stand by« key to return to ventilation.
10137624
0
1
0663762609137624
DSavina
2
3
4

4
Operating Instructions Savina SW 2.1n 1. US ed.
Installed Options
Installed Options

Contents
5
Operating Instructions Savina SW 2.1n 1. US 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
Power sources priorities battery level display
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 19
Operating Concept 23
Preparation 31
AC Line Power and Battery Operation 47
Operation 53
Configuration 85
Care 95
Maintenance 103
Troubleshooting 111
What’s What 123
Technical Data 131
Theory of Operation 141
Ordering Information 153
Index 156

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Operating Instructions Savina SW 2.1n 1. US ed.
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Important Safety Information READ THIS FIRST!
7
Operating Instructions Savina SW 2.1n 1. US 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 CAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Important Safety Information
8
Operating Instructions Savina SW 2.1n 1. US ed.
Operator's Responsibility for Patient Safety
Limitation of Liability
Important Safety Information
Operator's Responsibility for Patient Safety
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 Draeger 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 conse-
quences 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 Draeger
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.
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 specified
under “Intended Use” on page 20 and in conjunction with
appropriate airway monitoring (see page 22). Observe
all WARNINGS and CAUTIONS as rendered throughout
this manual and on labels on the equipment.
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 LlEU OF
ALL OTHER WARRANTIES EXPRESSED OR IMPLIED
INCLUDING WITHOUT LIMITATION WARRANTlES OF
MERCHANTABILITY FITNESS FOR ANY PARTICULAR
PURPOSE 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 SW 2.1n 1. US ed.
Warranty
Warranty
All Draeger 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 Draeger or its authorized representative.
3. Examination by Draeger 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 Draeger 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 Draeger are not authorized to modify the
terms of this warranty.
Draeger Medical Inc. Telford PA

Important Safety Information
10
Operating Instructions Savina SW 2.1n 1. US ed.
Definitions
Definitions
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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 128 and “Symbols”
on page 130 for explanations.
Labels on the equipment
Please refer to “Labels” on page 127.
WARNING !
A WARNING statement refers to conditions with a
possibility of personal injury if disregarded.
CAUTION !
A CAUTION 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 SW 2.1n 1. US ed.
S mmary of WARNINGS and CAUTIONS
Summary of WARNINGS and CAUTIONS
General Precautions
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 specified
under “Intended Use” on page 20 and in conjunction with
appropriate airway monitoring (see page 22). 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 !
In order to avoid fire hazards from elevated oxygen con
centrations, always ensure a clearance of at least 4 inches
(10 cm) between the back panel of the ventilator and any
large obstacle or room wall.
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
ventilator.
Mobile phones can cause interference with electrical and
electronic medical equipment with the risk of patient
injury.
WARNING !
Do not use in conjunction with nuclear spin tomography
(MRT, NMR, or NMI)!
Equipment malfunction with the risk of patient injury may
result.
WARNING !
Using high frequency electrosurgery equipment, defibril
lators, or short wave treatment equipment in the vicinity
of the ventilator may interfere with its operation and pose
a risk of patient injury.
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 !
Do not place the Savina ventilator on a patient’s bed
while in motion.
Ensure that the ventilator is properly secured to prevent it
from falling or being knocked over.
WARNING !
To avoid risk of ventilator failure, always protect Savina
from splashes and rain. The ventilator is not designed to
be splash proof.
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.

Important Safety Information
12
Operating Instructions Savina SW 2.1n 1. US ed.
S mmary of WARNINGS and CAUTIONS
Precautions during preparation
WARNING !
Back up ventilation with an independent manual
ventilation device
If a fault is detected in the Savina ventilator, 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.
CAUTION !
Restriction of Distribution
Federal Law and Regulations in the United 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.
CAUTION !
While ventilator is exposed to transport conditions e.g. in
an aircraft vibration of patient circuits may affect flow
measurement.
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 !
Never operate Savina without a water trap on the expira
tory valve overcompensation for leakage might cause
unintentionally high airway pressure and false triggering
might occur.
WARNING!
Always use a bacteria filter on the inspiratory port of the
ventilator in order to protect the patient from
contaminants in the ambient air drawn for ventilation.
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!
The inspiratory breathing gas is warmed by the built in
blower fo the ventilator. For appropriate cooling of the
breathing gas it is therefore mandatory to use a patient
circuit with a total length of no less than 1.2 m (4 feet).
If shorter circuits would be used, the breathing gas
temperature at the patient wye might exceed the
permissible limit with the risk of patient injury.

Important Safety Information
13
Operating Instructions Savina SW 2.1n 1. US ed.
S mmary of WARNINGS and CAUTIONS
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 1.2 m (4 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.
WARNING !
Connecting other devices to the same extension power
strip may, in the event of grounding failure, cause the
leakage current to the patient to increase beyond the
permissible values.
In this case, the risk of electric shock 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 risk of explosion when operating the ventilator from
line power.
WARNING !
Always use medical grade oxygen that is dry and free
from contaminations. Contaminated gas may cause
ventilator malfunction.
Ensure a reliable source of 100% oxygen. Brief fluctua
tions in the concentration may lead to an incorrect cali
bration of the O2 sensor.
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 kit 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 check on screen messages.

Important Safety Information
14
Operating Instructions Savina SW 2.1n 1. US ed.
S mmary of WARNINGS and CAUTIONS
Precautions regarding electrical supplies
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.
WARNING !
Leave Savina connected to AC line power only in well
ventilated rooms (minimum air circulation: 1.2 m3/h).
Charging batteries generates hydrogen, that, with suffi
cient concentration, could cause an explosion with the
risk of personal injury.
WARNING !
An uneven discharge gradient indicates that the battery
is insufficiently charged or defective.
In this case, the remaining capacity can be expected
to be zero at any moment.
WARNING !
If the WARNING "!!! Int. batt. almost discharged" appears,
Savina could stop working at any moment.
Immediately reconnect Savina to AC line power,
a charged external battery, or DC on board system
in order to prevent any interruption of ventilation.
CAUTION !
Discharging the internal battery repeatedly without a full
recharge in between may damage the battery
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.

Important Safety Information
15
Operating Instructions Savina SW 2.1n 1. US ed.
S mmary of WARNINGS and CAUTIONS
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
muting audible alarms while corrective action is taken.
The operator of the ventilator must still assume responsi
bility for proper ventilation and patient safety in the event
of an alarm. Failure to identify and correct alarm situa
tions may result in patient injury.
WARNING !
Installation of the Savina NIV option should only be
performed by DraegerService or factory trained and
authorized service personnel.
WARNING !
Precautions when using mask ventilation.
— Never ventilate an intubated patient in »Mask/NIV«
mode
— In MASK/NIV« mode, the alarm system is adapted to
mask ventilation. Make sure that only patients are
ventilated in this mode who can breathe sufficiently on
their own, especially when alarms have been manually
disabled.
— When masks are used, dead space increases.
— Always follow the mask manufacturer ’s directions to
properly deal with the increased dead space caused by
the mask.
— Avoid high airway pressures. Risk of aspiration.
— Never operate Savina without a water trap on the expi
ratory valve overcompensation for leakage might
cause unintentionally high airway pressure and mis trig
gering might occur.
— Always check alarm limits after changing from »Mask/
NIV «to »Tube« mode.
WARNING !
Never operate Savina without a water trap on the expira
tory valve overcompensation for leakage might cause
unintentionally high airway pressure and false triggering
might occur.
WARNING !
Only switch off alarms if the safety of the patient will not
be compromised by the absence of an alarm.
The operator of the ventilator system must still assume
full responsibility for proper ventilation and patient safety
in all situations.
WARNING !
Always check alarm limits after changing from »Mask/
NIV «to »Tube« mode.
WARNING !
Never use flammable medications (e.g. on the basis of
ethanol). Fire hazard!
WARNING !
Since Savina uses pure oxygen for nebulizing pharmaceu
tical aerosols, an increase of the set inspiratory O2 con
centration may result.
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!
WARNING !
Do not use a heat/moisture exchanger (HME) while
nebulizing pharmaceutical aerosols.
Risk of increased breathing resistance.

Important Safety Information
16
Operating Instructions Savina SW 2.1n 1. US ed.
S mmary of WARNINGS and CAUTIONS
Precautions during configuration
WARNING !
Consider effects of aerosols on sensors and filters!
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 bacteria filter on the nebulizer outlet when in
use!
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 use a reliable independent O2 supply during
calibration that contains 100% O2. In case the calibration
procedure is based on a diluted oxygen source, Savina
may deliver inaccurate oxygen concentrations without
further notification.
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 !
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 !
Always use a reliable independent O2 source during
calibration that supplies 100% O2. In case the calibration
procedure is based on a diluted oxygen source, Savina
may deliver inaccurate oxygen concentrations without
further notification.
Precautions during care procedures
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 !
To avoid risks to hospital staff and patients, disinfect and
clean ventilator after use.
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 !
Sterilization 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.
WARNING !
To avoid any risk of infection for hospital staff or other
patients, clean and disinfect ventilator after use.
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 !
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.

Important Safety Information
17
Operating Instructions Savina SW 2.1n 1. US ed.
S mmary of WARNINGS and CAUTIONS
Precautions during maintenance
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!
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 !
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.
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.
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 !
Maintenance
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.
CAUTION !
Avoid storing the ventilator for extended periods at
temperatures over 50 oC.
The internal battery and O2 sensors may be damaged
or equipment life may be shortened

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Operating Instructions Savina SW 2.1n 1. US ed.
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Intended Use
19
Operating Instructions Savina SW 2.1n 1. US ed.
Intended Use
Intended Medical Applications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Intended Areas of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Restrictions of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Appropriate Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Intended Use
20
Operating Instructions Savina SW 2.1n 1. US ed.
Intended Medical Applications
Intended Areas 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)
While automatically optimizing inspiratory flow and minimizing
airway pressure AutoFlow permits spontaneous breathing at
any time during the breathing cycle.
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)
While automatically optimizing inspiratory flow and minimizing
airway pressure AutoFlow permits spontaneous breathing at
any time during the breathing cycle.
CPAP
Continuous Positive Airway Pressure
Spontaneous breathing with positive airway pressure.
SB
Spontaneous Breathing
* Savina® is a registered trade mark of Dräger
** AutoFlow® is a registered trademark of Dräger
PSV
Pressure Support Ventilation
Pressure-assisted spontaneous breathing.
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 automatically switching over 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
— breath rate
— inspiratory tidal volume
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
— during transfer flights****
*** Trademark used under license
**** Please refer to FAA or other pertinent regulations regarding the
required permits for mobile use of the Savina ventilator
(in aircraft etc.)