Maquet Servo-i series User manual

User’s manual (US Version)Version)

VENTILATOR SYSTEMOR SYSTEMM

SERVO-i V3.03.0

Servo… User´s manual

US edition

Order No: 66 00 261 Infant Adult Universal Options

1 Before useBefore useBefore useBefore useefore usefore useore usere usee useuseusesee ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................3

2 VentilationVentilationVentilationVentilationentilationntilationtilationilationlationationtioniononn.................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................155

3 Patient safetyPatient safetyPatient safetyPatient safetyatient safetytient safetyient safetyent safetynt safetyt safetysafetysafetyafetyfetyetytyy.....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................711

4 Device descriptionDevice descriptionDevice descriptionDevice descriptionevice descriptionvice descriptionice descriptionce descriptione descriptiondescriptiondescriptionescriptionscriptioncriptionriptioniptionptiontioniononn.........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................811

5 Set-ups and preparationsSet-ups and preparationsSet-ups and preparationsSet-ups and preparationset-ups and preparationst-ups and preparations-ups and preparationsups and preparationsps and preparationss and preparationsand preparationsand preparationsnd preparationsd preparationspreparationspreparationsreparationseparationsparationsarationsrationsationstionsionsonsnss..........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................119199

6 Pre-use checkPre-use checkPre-use checkPre-use checkre-use checke-use check-use checkuse checkse checke checkcheckcheckheckeckckk .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................145455

7 Operating your ServoOperating your ServoOperating your ServoOperating your Servoperating your Servoerating your Servorating your Servoating your Servoting your Servoing your Servong your Servog your Servoyour Servoyour Servoour Servour Servor ServoServoServoervorvovoo-ii ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................157577

8 Routine cleaningRoutine cleaningRoutine cleaningRoutine cleaningoutine cleaningutine cleaningtine cleaningine cleaningne cleaninge cleaningcleaningcleaningleaningeaninganingningingngg...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................191911

9 MaintenanceMaintenanceMaintenanceMaintenanceaintenanceintenancentenancetenanceenancenanceancencecee ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................211111

10 Troubleshooting0 TroubleshootingTroubleshootingTroubleshootingTroubleshootingroubleshootingoubleshootingubleshootingbleshootingleshootingeshootingshootinghootingootingotingtingingngg.........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................225255

11 Technical data1 Technical dataTechnical dataTechnical dataTechnical dataechnical datachnical datahnical datanical dataical datacal dataal datal datadatadataatataa ..............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................241411

12 Abbreviations and definitions2 Abbreviations and definitionsAbbreviations and definitionsAbbreviations and definitionsAbbreviations and definitionsbbreviations and definitionsbreviations and definitionsreviations and definitionseviations and definitionsviations and definitionsiations and definitionsations and definitionstions and definitionsions and definitionsons and definitionsns and definitionss and definitionsand definitionsand definitionsnd definitionsd definitionsdefinitionsdefinitionsefinitionsfinitionsinitionsnitionsitionstionsionsonsnss ......................................................................................................................................................................................................................................................................................................................................................................................................................255555

13 Appendix: User Interface3 Appendix: User InterfaceAppendix: User InterfaceAppendix: User InterfaceAppendix: User Interfaceppendix: User Interfacependix: User Interfaceendix: User Interfacendix: User Interfacedix: User Interfaceix: User Interfacex: User Interface: User InterfaceUser InterfaceUser Interfaceser Interfaceer Interfacer InterfaceInterfaceInterfacenterfaceterfaceerfacerfacefaceacecee......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................259599

14 Index4 IndexIndexIndexIndexndexdexexx...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................273733

Contentsontentsntentstentsentsntstss

Servo… User´s manual

US edition

Order No: 66 00 261

Infant Adult Universal Option

Contentsontentsntentstentsentsntstss

Servo… User´s manual

US edition

Order No: 66 00 261 Infant Adult Universal Options

1.. Before useefore usefore useore usere usee useuseusesee

Brief device descriptionrief device descriptionief device descriptionef device descriptionf device descriptiondevice descriptiondevice descriptionevice descriptionvice descriptionice descriptionce descriptione descriptiondescriptiondescriptionescriptionscriptioncriptionriptioniptionptiontioniononn . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 44

Intended usentended usetended useended usended useded useed used useuseusesee . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 44

Intended userntended usertended userended usernded userded usered userd useruserusersererr . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 44

Warnings, Cautions and Important in this manualarnings, Cautions and Important in this manualrnings, Cautions and Important in this manualnings, Cautions and Important in this manualings, Cautions and Important in this manualngs, Cautions and Important in this manualgs, Cautions and Important in this manuals, Cautions and Important in this manual, Cautions and Important in this manualCautions and Important in this manualCautions and Important in this manualautions and Important in this manualutions and Important in this manualtions and Important in this manualions and Important in this manualons and Important in this manualns and Important in this manuals and Important in this manualand Important in this manualand Important in this manualnd Important in this manuald Important in this manualImportant in this manualImportant in this manualmportant in this manualportant in this manualortant in this manualrtant in this manualtant in this manualant in this manualnt in this manualt in this manualin this manualin this manualn this manualthis manualthis manualhis manualis manuals manualmanualmanualanualnualualall . 44

Symbolsymbolsmbolsbolsolslss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 55

Support material related to the Servoupport material related to the Servopport material related to the Servoport material related to the Servoort material related to the Servort material related to the Servot material related to the Servomaterial related to the Servomaterial related to the Servoaterial related to the Servoterial related to the Servoerial related to the Servorial related to the Servoial related to the Servoal related to the Servol related to the Servorelated to the Servorelated to the Servoelated to the Servolated to the Servoated to the Servoted to the Servoed to the Servod to the Servoto the Servoto the Servoo the Servothe Servothe Servohe Servoe ServoServoServoervorvovoo-ii systemsystemystemstemtememm.... .. ... 77

General warningseneral warningsneral warningseral warningsral warningsal warningsl warningswarningswarningsarningsrningsningsingsngsgss . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 99

General cautionseneral cautionsneral cautionseral cautionsral cautionsal cautionsl cautionscautionscautionsautionsutionstionsionsonsnss . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 10100

Context-related warningsontext-related warningsntext-related warningstext-related warningsext-related warningsxt-related warningst-related warnings-related warningsrelated warningselated warningslated warningsated warningsted warningsed warningsd warningswarningswarningsarningsrningsningsingsngsgss. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 12122

Servo… User´s manual

US edition

Order No: 66 00 261

Infant Adult Universal Option

Welcome as a user of the Servo-i Ventilatorhe Servo-i Ventilator

system! We hope that you will be veryWe hope that you will be very

satisfied with your new system. For the latestfied with your new system. For the latest

information about it, call your local MAQUETbout it, call your local MAQUETET

representative. Before use, please read thehe

general information below.

The Servo-i Ventilator System consists of avo-i Ventilator System consists of a

Patient Unit where gases are mixed andUnit where gases are mixed and

administered, and a User Interface where the

settings are made and ventilation isventilation is

monitored.

The ventilator delivers controlled or

supported breaths to the patient, with eitherbreaths to the patient, with either

constant flow or constant pressure, using a

set oxygen concentration. The entire Servo-iygen concentration. The entire Servo-i

system includes a wide range of optionalludes a wide range of optional

accessories, e.g. Mobile Cart, breathingbile Cart, breathing

systems, compressors, Battery modules,pressors, Battery modules,

humidifiers and equipment for nebulization,quipment for nebulization,

COO2measurement and Y-piece

measurement.

Intended usentended usetended useended usended useded useed used useuseusesee

The Servo-i Ventilator System is intended forhe Servo-i Ventilator System is intended for

treatment and monitoring of patients in theg of patients in the

range of neonates, infants and adults with

respiratory failure or respiratory insufficiency.ciency.

Servo-i is a ventilator system to be used only

by health care providers in hospitals or healthhealth care providers in hospitals or health

care facilities and for in-hospital transport.

Note: The Servo-i Ventilator System is not

intended to be used with any anestheticwith any anesthetic

agents.

Intended userntended usertended userended usernded userded usered userd useruserusersererr

Servo-i is a ventilator system with advanceddvanced

functionality. It may be used only by

professional health care providers who haverofessional health care providers who have

sufficient experience in ventilator treatment.ment.

Intended populationntended populationtended populationended populationnded populationded populationed populationd populationpopulationpopulationopulationpulationulationlationationtioniononn

The Servo-i Ventilator System can becan be

delivered in three configurations:

•Servo-i Infant range 0,5 - 30kg0,5 - 30kg

NIV (PC+PS) Infant range 3 - 30kg) Infant range 3 - 30kg

NIV Nasal CPAP range 0.5 - 10kgCPAP range 0.5 - 10kg

•Servo-i Adultlt range 10 - 250kg

•Servo-i Universal range 0.5 - 250kg

NIV (PC+PS) Infant range 3 - 30kge 3 - 30kg

NIV Nasal CPAP range 0.5 - 10kgrange 0.5 - 10kg

Note: Servo-i Universal covers both Basicboth Basic

and Extended edition.

Warnings, Cautions andarnings, Cautions andrnings, Cautions andnings, Cautions andings, Cautions andngs, Cautions andgs, Cautions ands, Cautions and, Cautions andCautions andCautions andautions andutions andtions andions andons andns ands andandandndd

Important in this manualmportant in this manualportant in this manualortant in this manualrtant in this manualtant in this manualant in this manualnt in this manualt in this manualin this manualin this manualn this manualthis manualthis manualhis manualis manuals manualmanualmanualanualnualualall

WARNING!ARNING! Indicates critical information

about a potential serious outcome to thepotential serious outcome to the

patient or the user.

Caution: Indicates instructions that must bemust be

followed in order to ensure the proper

operation of the equipment.quipment.

Important:mportant: Indicates information intended to

help you operate the equipment or its

connected devices easily and conveniently.

SVX-128_EN

User

Interface

Patient

Unit

Patient

breathing

system

Before useefore usefore useore usere usee useuseusesee

Servo… User´s manual

US edition

Order No: 66 00 261 Infant Adult Universal Options

Symbolsymbolsmbolsbolsolslss

User Interfacece

Audio off Silence alarm or confirm

alarm.

Audio pause Silence alarm or

confirm alarm.

Reserved for future use.

Save To save a recording or to copypy

screen.

Attention Consult accompanying

documents.

Standby/Start ventilation Set

standby mode or start ventilation.

Yellow lamp indicating Standbyg Standby

mode.

Mains indicatorcator

Green lampp indicating mains

connected.

Battery Symbol indicating batteryry

power supply.The estimated

remaining time with current powerning time with current power

consumption is indicated in minutes.

ON/OFF switch

Trigger indicationgger indication The indicationThe indication

appears in the message/alarm fieldfield

when the patient triggers a breath.

NIV symbolmbol

The NIV symbol appears in theNIV symbol appears in the Mode

pad field during Non Invasived field during Non Invasive

Ventilation.

Patient Unit

CE label The device complies withhe device complies with

the requirements of the Medicalf the Medical

Device Directive 93/42/EEC.42/EEC.

CSA label The device compliesplies

with the Canadian standards.

Class I equipment, Type Buipment, Type B The

device classification according toon according to

according to IEC 60601-1/EN 6060-1.N 6060-1.

Equipotentiality terminalality terminal

Nebulizer

connector for nebulizer.

RS 232 / Serial port232 / Serial port

connector for data communicationmmunication

Note: The symbol has two differentdifferent

labels depending on panel version.

User Interface connector / Panelser Interface connector / Panel

Note: The symbol has two differentymbol has two different

labels depending on panel version.g on panel version.

Optional connector / Expansionptional connector / Expansion

connector for optional equipment.

Note: The symbol has two different

labels depending on panel version.pending on panel version.

10A0A

fuse for external DC power supply.C power supply.

C US

Before useefore usefore useore usere usee useuseusesee

Servo… User´s manual

US edition

Order No: 66 00 261

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12V DC / Ext. bat 12Vat 12V

external +12V DC inlet.12V DC inlet.

Note: The symbol has two differentbol has two different

labels depending on panel version.

Caution: When external +12 V DCWhen external +12 V DCC

is used, at least one installed

Battery module is required to ensure

proper operation.

Expiratory labelpiratory label

Gas flow from patient.

Inspiratory label

Gas flow to patient.

Gas exhaust port labelust port label

Exhaust gas flow from ventilator.haust gas flow from ventilator.

Note: Should not be connected to ad not be connected to a

spirometer, as the volume throughgh

the exhaust port is not equal to the

expired volume from the patient.me from the patient.

Alarm output connectionnnection

option

External alarm output

communication.

In this manualmanual

Adult Information valid for the Adultd for the Adult

configuration

Infant Information valid for the Infant

configuration

Universal (Basic and Extendedrsal (Basic and Extended

editions) Information valid for the

Universal configuration.

Options

Single use

Special waste

This product contains electronicproduct contains electronic

and electrical components.

Discard disposable, replaced and

left-over parts in accordance withver parts in accordance with

appropriate industrial and

environmental standards.

Recycling

Worn-out batteries must be

recycled or disposed of properlyposed of properly

in accordance with appropriate

industrial and environmentalmental

standards.

Hazardous wastes waste (infectious) The

device contains parts which mustvice contains parts which must

not be disposed of with ordinarydisposed of with ordinary

waste.

Before useefore usefore useore usere usee useuseusesee

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options

Support material related toupport material related topport material related toport material related toort material related tort material related tot material related tomaterial related tomaterial related toaterial related toterial related toerial related torial related toial related toal related tol related torelated torelated toelated tolated toated toted toed tod tototoo

the Servohe Servoe ServoServoServoervorvovoo-i systemsystemystemstemtememm

This concept comprises componentsconcept comprises components

intended to cover the needs of a clinical user.

It is divided into different components

according to use to facilitate accessibility ofg to use to facilitate accessibility of

information. If you have any comments orve any comments or

suggestions regarding this information

material, please let us know.please let us know.

This User´s manual covers functionality andmanual covers functionality and

use but should not be regarded as allgarded as all

inclusive within the very complex field ofmplex field of

ventilatory treatment. Clinical judgements orjudgements or

settings are therefore not described in this

manual. Authorized, medically competentAuthorized, medically competent

health care providers with good knowledgeviders with good knowledge

of Servo-i Ventilator System have theVentilator System have the

responsibility to determine the clinicalbility to determine the clinical

judgement and settings based on the needssettings based on the needs

of the patient.

Read the User´s manual carefully before use´s manual carefully before use

and follow the instructions.he instructions.

SVX-129_EN

Wall cleaning diagram

Configuration Card

User‘s manual

Warnings, cautions and importantarnings, cautions and importantrnings, cautions and importantnings, cautions and importantings, cautions and importantngs, cautions and importantgs, cautions and importants, cautions and important, cautions and importantcautions and importantcautions and importantautions and importantutions and importanttions and importantions and importantons and importantns and importants and importantand importantand importantnd importantd importantimportantimportantmportantportantortantrtanttantantntt

Servo… User´s manual

US edition

Order No: 66 00 261

Infant Adult Universal Option

This User´s manualer´s manual

The information in this User´s manual is validvalid

for Servo-i Ventilator System 3.0 unless3.0 unless

stated otherwise.

Here you will find the information needed tofind the information needed to

use the Servo-i system safely.

It is divided into five main sections:ctions:

• Before use (mandatory information)

• Description

• Operation

• Maintenance

• Miscellaneous

Recommended use

The main document, for every-day use.

Text shown on the User Interface is presentedxt shown on the User Interface is presented

in these instructions in auctions in a special typefacel typeface.

Brief instructionsctions

Overviews and step-by-step instructions fory-step instructions for

the set-ups. These instructions you will find

in the drawer above the ventilator, whenawer above the ventilator, when

positioned on the Mobile Cart.Cart.

Recommended usese

These documents are intended to be used as

a guide for the experienced user.guide for the experienced user.

Wall diagramgram

Overviews and step-by-step instructions forverviews and step-by-step instructions for

cleaning, to be posted on a wall.leaning, to be posted on a wall.

Recommended use

Checklist for the experienced user.klist for the experienced user.

Ventilator - Informationentilator - Informationntilator - Informationtilator - Informationilator - Informationlator - Informationator - Informationtor - Informationor - Informationr - Information- Information- InformationInformationInformationnformationformationormationrmationmationationtioniononn

materialaterialterialerialrialialall

Caution: The Servo-i Ventilator System mayServo-i Ventilator System may

have different software versions.ware versions. Before use,

make sure the software version shown on the

screen under theder the Status / GeneralGeneral menu

corresponds to the version number on the

User´s manual.anual. Refer to page 259.

Trademarkrademarkademarkdemarkemarkmarkarkrkk

Trademark ™demark ™ is written only when a product/product/

method name appears for the first time in this

manual.

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options

General warningseneral warningsneral warningseral warningsral warningsal warningsl warningswarningswarningsarningsrningsningsingsngsgss

• The Servo-i Ventilator System must beust be

operated only by authorized personnel

who are well trained in its use. It must bemust be

operated according to the instructions in

this User´s manual.User´s manual.

• After unpacking, perform a Routineg, perform a Routine

cleaning and a Pre-use check.se check.

• To provide adequate patient safety, set thent safety, set the

alarm limits to relevant values.

• To avoid electrical shock hazard, connectctrical shock hazard, connect

the power cord to a mains outlet equippedutlet equipped

with a protective ground.

• Should any unfamiliar events occur, suchccur, such

as irrelevant pop-up windows on the

screen, unfamiliar sounds, alarms from themiliar sounds, alarms from the

Patient Unit or technical high prioritygh priority

alarms, the ventilator should immediately

be checked and, if applicable, replaced.

• Only accessories and auxiliary equipmentories and auxiliary equipment

that meet current IEC standards (e.g. IECcurrent IEC standards (e.g. IEC

60601-1-1) may be connected to the1-1-1) may be connected to the

Servo-i Ventilator System. If externalvo-i Ventilator System. If external

equipment such as computers, monitors,quipment such as computers, monitors,

humidifiers or printers are connected, the

total system must comply with IEC 60601-ystem must comply with IEC 60601-60601-

1-1.

• The ventilator must only be used in any be used in an

upright position.

• When a Servo Ultra Nebulizer is used,ulizer is used,

always consult the drug manufacturermanufacturer

regarding the appropriateness of

ultrasonic nebulization for certainbulization for certain

medication.

• All personnel should be aware of the risksonnel should be aware of the risk

of parts being infected wheng infected when

disassembling and cleaning the ventilator.r.

• Service mode may only be used when nowhen no

patient is connected to the ventilator.

• Positive pressure ventilation can bebe

associated with the following adverse

events: barotrauma, hypoventilation,ma, hypoventilation,

hyperventilation or circulatory impairment.

• The Servo-i Ventilator System is verifiedServo-i Ventilator System is verified

against and complies with IEC 60601-1-2gainst and complies with IEC 60601-1-2C 60601-1-2

regarding electromagnetic compatibility. Itmagnetic compatibility. It

is the responsibility of the user to takeuser to take

necessary measures to ensure that the

clinical environment is compatible with theble with the

limits specified in IEC 60601-1-2.C 60601-1-2.

Exceeding of these limits may impair thethese limits may impair the

performance and safety of the system.

Such measures should include, but are notuch measures should include, but are not

limited to:

– Normal precautions with regard toprecautions with regard to

relative humidity and conductivemidity and conductive

characteristics of clothing in order to

minimize the build-up of electrostaticze the build-up of electrostatic

charges.

– Avoiding the use of radio-emitting

devices, such as cellular phones andces, such as cellular phones and

high-frequency apparatus in closetus in close

proximity to the system.

• The Servo-i Ventilator System is notServo-i Ventilator System is not

intended to be used in MR environmentused in MR environment

during MR examinations. This may causeThis may cause

deactivation of the system functions and

may result in permanent damage to thepermanent damage to the

Servo-i Ventilator System.ystem.

• The Servo-i Ventilator System is not

intended to be used with any anestheticded to be used with any anesthetic

agent. To avoid risk of fire, flammableTo avoid risk of fire, flammable

agents such as ether and cyclopropaneuch as ether and cyclopropane

must not under any circumstances be

used with this device.with this device.

Servo… User´s manual

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Infant Adult Universal Option

• To avoid fire hazard, keep all sources ofzard, keep all sources of

ignition away from they from the Servo-i Ventilator

System and oxygen hoses. Do not usexygen hoses. Do not use

oxygen hoses that are worn, frayed, ord, or

contaminated by combustible materials

such as grease or oils. Textiles, oils, andTextiles, oils, and

other combustibles are easily ignited andy ignited and

burn with great intensity in air enriched

with oxygen. Immediately disconnect thexygen. Immediately disconnect the

ventilator from the oxygen supply, facilityfrom the oxygen supply, facility

power, and backup sources if there is awer, and backup sources if there is a

smell of burning.mell of burning.

General cautionseneral cautionsneral cautionseral cautionsral cautionsal cautionsl cautionscautionscautionsautionsutionstionsionsonsnss

• As a general rule always avoid contactvoid contact

with external electrical connector pins. It is

recommended to have the moduleule

compartment filled up with empty moduless

to protect from spillage and dust.

• Federal law in the USA restricts this devicew in the USA restricts this device

to sale by or on the order of a physician (orale by or on the order of a physician (or

a properly licensed practitioner).

• The Servo-i Ventilator System must beust be

serviced at regular intervals by specially

trained personnel. The intervals are statedThe intervals are stated

in the chapter Regular maintenance. Anymaintenance. Any

maintenance must be noted in a log bookk

for that purpose in accordance with

national regulations.gulations.

• MAQUET has no responsibility for the safeT has no responsibility for the safe

operation of the equipment if service orment if service or

repair is done by a non-professional or by

persons who are not employed by orwho are not employed by or

authorized by MAQUET. We recommendMAQUET. We recommendmmend

that service is done as part of a service

contract with MAQUET.MAQUET.

• MAQUET has no responsibility for the safeesponsibility for the safe

operation of the equipment if the

equipment is used for anything other thand for anything other than

its intended use, as specified in this User´sUser´s

manual.

• A resuscitator should always be readilyways be readily

accessible for extra safety.

• When connected to a patient, the systemhen connected to a patient, the system

must never be left unattended.be left unattended.

• The nebulizer module is inoperative whenperative when

the ventilator is running on batteries, to

reduce the power consumption.ce the power consumption.

• The Expiratory cassette must not be liftedatory cassette must not be lifted

up when the ventilator is in operation. Thiswhen the ventilator is in operation. This

may, however, be done when in Standbybe done when in Standby

mode.

• Always use heat and moisture exchangerlways use heat and moisture exchangerger

(HME) or equipment to preventt to prevent

dehydration of lung tissue.

• Refer to the Installation instructions to

assemble the system or options to obtainptions to obtain

a proper mechanical assembly.

• When lifting or moving the ventilator

system or parts of the system, followparts of the system, follow

established ergonomic guidelines, ask forgonomic guidelines, ask for

assistance, and take appropriate safetyy

precautions.

• Antistatic or electrically conductive

breathing tubing should not be used with

this lung ventilator system.m.

• Any scavenging system (Gas evac)

connected must comply to ISO8835-3onnected must comply to ISO8835-38835-3

with regard to subatmospheric pressuremospheric pressure

and induced flow. Otherwise ventilatorOtherwise ventilator

functions and patient safety may bepatient safety may be

degraded.

• It is not recommended to use the Servocommended to use the Servo

Evac 180 in the Nasal CPAP mode.80 in the Nasal CPAP mode.ode.

• Values measured at the signal outputs off

the Servo-i Ventilator System and whichwhich

have been processed in auxiliaryy

equipment must not be used as a

substitute for therapeutic or diagnosticherapeutic or diagnostic

decisions. Such decisions can be mademade

only by staff with medical expertise,pertise,

according to established and accepted

practice. If auxiliary equipment that hasxiliary equipment that has

not been delivered by MAQUET with thedelivered by MAQUET with theT with the

system is used, MAQUET denies allQUET denies all

responsibility for the accuracy of signalty for the accuracy of signal

processing.

Servo… User´s manual

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• If there should be any deviation betweend be any deviation between

information shown on the User Interface ofUser Interface of

the ventilator and that shown by they the

auxiliary equipment, the ventilator

parameters shown on the User Interfacewn on the User Interface

shall be considered the primary source formary source for

information. When combining theg the Servo-i

Ventilator System with accessories andwith accessories and

auxiliary equipment other than thosepment other than those

recommended by MAQUET, it is theAQUET, it is the

responsibility of the user to ensure thebility of the user to ensure the

integrity of system performance andce and

safety. In order to maintain electrical

system safety, i.e. such that compliance

with IEC 60601-1-1 is fulfilled, onlynly

accessories and auxiliary equipment thathat

meet current IEC standards (e.g. IEC

60601-1, IEC 950) may be connected toconnected to

signal inputs and outputs of the Servo-i-i

Ventilator System.

• Only original parts from MAQUET must beparts from MAQUET must beT must be

used in the system.

• Only accessories, supplies or auxiliaryccessories, supplies or auxiliary

equipment recommended by MAQUETby MAQUET

should be used with the ventilator systemld be used with the ventilator system

(“Products and accessories” catalog and

“Spare parts list”). Use of any other). Use of any other

accessories, spare parts or auxiliary

equipment may cause degraded systemquipment may cause degraded system

performance and safety.ormance and safety.

• The displayed information about set andlayed information about set and

corresponding measured parameters,g measured parameters,

shall continously be compared by thebe compared by the

operator.

Important:

• This symbol on the unit meansn the unit means

Attention, consult accompanying

documents.

Note: The are two versions of this symbolymbol

depending on System version.

• The gases supplied must be free from

water, oil and particles:

Air ................... H2O < 7 g/m3

........................ Oil < 0.5 mg/m3

Oxygen ........... H2O < 20 mg/m20 mg/m3

• The environmental declaration is part ofdeclaration is part of

the service manual.

• The Servo-i Ventilator system does notdoes not

contain any latex.

• Data on pressures can be given in cmHgiven in cmH2O,

where:

1 kPa ~ 10 cmHPa ~ 10 cmH2O

100 kPa = 1bar ~1atm ~1kgf/cm/cm2(kp/cm2)

100 kPa ~15 psi.

• All disposable parts must be discarded

according to hospital routine and in anhospital routine and in an

environmentally safe way.way.

• Do not expose the Expiratory cassettecassette

compartment to excessive amounts of

fluid, e.g. during cleaning and disinfection,

as this may influence ventilatorhis may influence ventilator

functionality.

• Do not use sharp tools on the screen.p tools on the screen.

• It is recommended that at least two

batteries always is used in the ventilator forys is used in the ventilator for

backup.p.

• It is recommended that at least two

batteries are used for ventilation duringused for ventilation during

transport.

Servo… User´s manual

US edition

Order No: 66 00 261

Infant Adult Universal Option

• Documentation for Servo-i Ventilator

Systemstem consists of:

–User´smanual

– Brief instructions

– Wall diagramdiagram

– Installation instructions

– Service manual

– Products and accessories, catalog, catalog

– Spare parts list

Note: General warnings are not listed herehere

even though they are repeated inside the

manual.

Note: Context-related Cautions and

"Important" are not listed here, but arebut are

written in the relevant context inside the

manual.

Operationperationerationrationationtioniononn

• Always disconnect the ventilator if anyventilator if any

operation which may involve risk for thek for the

patient will be done, e.g. replacement ofment of

O2cell, dismantling etc. (page 211,211,

page 225).

• If the trigger sensitivity is set too high, ay is set too high, a

self-triggering (auto-triggering) condition

may be reached. This condition can also

be reached if there is leakage in thekage in the

breathing system, e.g. if an uncuffedd

endotracheal tube is used. Triggering will

then be initiated by the system and not byy the system and not by

the patient.This should always be avoidedways be avoided

by decreasing the trigger sensitivity

(page 23). This is also important duringpage 23). This is also important duringduring

transport as the movement of the bodyy

and the breathing system may lead to

false triggering.

• When you turn a Direct Access Knob,Knob,

ventilation will change accordingly fromy from

the next breath without additional

confirmation (For further information see

page 166).166).

• If any malfunctions are detected during thedetected during the

start-up procedure, please refer to

Chapter, Troubleshooting (page 225).Troubleshooting (page 225).5).

• If a malfunction persists, the ventilatorventilator

may not be connected to the patient.

• A Pre-use check must always be donebe done

before connecting the ventilator to a

patient (page 145).45).

• To protect the patient against high airwayway

pressures, the upper pressure limit must

always be set to the relevant value so as to

provide adequate patient safety (pagede adequate patient safety (page

165).5).

Caution: If airway pressure rises 6 cmHH2O

above the set upper pressure limit the

safety valve opens. The safety valve alsofety valve opens. The safety valve also

opens if system pressure exceeds 117xceeds 117 ±7

cmH2O.

• To provide adequate patient safety, alwaysrovide adequate patient safety, always

set the alarm limits at relevant valueshe alarm limits at relevant values

(page 165).).

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Nebulizationebulizationbulizationulizationlizationizationzationationtioniononn

• Servo Humidifier/HME must beME must be

disconnected during nebulizationation

otherwise the humidifier may be blockedcked

(page 128).

• The heated humidifier must be switchedted humidifier must be switched

off during nebulization. Otherwise thezation. Otherwise the

particle size may be affected (page 128).y be affected (page 128).

• During nebulization a filter must be

connected to the expiratory inlet of thed to the expiratory inlet of the

ventilator. Always carefully monitor thes carefully monitor the

airway pressure during nebulization.during nebulization.

Increased airway pressure could bepressure could be

caused by a clogged filter. The filter shouldhe filter should

be replaced if the expiratory resistance

increases or every 24 hours when thevery 24 hours when the

nebulizer is being used.g used.

• When a Servo Ultra Nebulizer is used,Ultra Nebulizer is used,

always consult the drug manufactureronsult the drug manufacturer

regarding the appropriateness of

ultrasonic nebulization for certainbulization for certain

medications (page 128, 187).ge 128, 187).

• The nebulizer must not be used withoutmust not be used without

buffer liquid (sterile water). Otherwise theater). Otherwise the

ultrasonic generator crystal may breakmay break

(page 129, 187).7).

• To avoid explosion hazards, flammableflammable

agents such as ether and cyclopropanepropane

must not be used with this device. Onlyce. Only

agents which comply with theply with the

requirements on non-flammable agents inble agents in

the IEC standard “Particular requirementsular requirements

for electrical safety of anaesthetic

machines” are suitable.

• For adult/pediatric patients, never fill the

medication cup with more than 10 ml

(page 129).

• For neonatal patients, never fill thever fill the

medication cup with more than 4 ml4 ml

(page 129).

• If the patient unit of the nebulizer is tilted,nt unit of the nebulizer is tilted,

the drug can flow into the patient´s lungspatient´s lungs

or the ventilator.

• The nebulizer must not be left unattendedmust not be left unattended

when connected to a patient.

• Continuously check that the buffer liquidquid

level is between MIN. and MAX. duringAX. during

nebulization (page 187).page 187).

• During nebulization: Continuously checkon: Continuously check

that moisture is generated in thed in the

medication cup (page 187).7).

• When the ventilator is running on batteriesbatteries

the nebulizer module is inoperative, to

reduce the power consumptionce the power consumption

(page 187).87).

• For information about the stand alonestand alone

Aeroneb Professional Nebulizer System,System,

refer to separate manual.

Cleaningleaningeaninganingningingngg

• All personnel should be aware of the riskhould be aware of the risk

of parts being infected wheng infected when

disassembling and cleaning the ventilatorr

(page 191).

• After removing the Expiratory cassette, dong the Expiratory cassette, do

not pour any fluid into the Expiratoryur any fluid into the Expiratory

cassette compartment (page 196).mpartment (page 196).

Replacement of Oeplacement of Oplacement of Olacement of Oacement of Ocement of Oement of Oment of Oent of Ont of Ot of Oof Oof Of OOO2cellcellelllll

The sealed unit of the O2 cell, contains aled unit of the O2 cell, contains a

caustic liquid which may cause severe burnswhich may cause severe burns

to the skin and eyes. In case of contact,kin and eyes. In case of contact,

immediately flush continuously with water forwith water for

at least 15 minutes and seek medicalcal

attention especially if the eyes are affected

(page 214)14)

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Infant Adult Universal Option

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

Notesotestesess

Contentsontentsntentstentsentsntstss

Servo… User´s manual

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Order No: 66 00 261 Infant Adult Universal Options

2.. Ventilationentilationntilationtilationilationlationationtioniononn

Modes of ventilationodes of ventilationdes of ventilationes of ventilations of ventilationof ventilationof ventilationf ventilationventilationventilationentilationntilationtilationilationlationationtioniononn. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 16166

Important definitionsmportant definitionsportant definitionsortant definitionsrtant definitionstant definitionsant definitionsnt definitionst definitionsdefinitionsdefinitionsefinitionsfinitionsinitionsnitionsitionstionsionsonsnss . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 21211

Trigger sensitivityrigger sensitivityigger sensitivitygger sensitivityger sensitivityer sensitivityr sensitivitysensitivitysensitivityensitivitynsitivitysitivityitivitytivityivityvityitytyy . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 23233

Settingsettingsttingstingsingsngsgss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 25255

Special functionspecial functionsecial functionscial functionsial functionsal functionsl functionsfunctionsfunctionsunctionsnctionsctionstionsionsonsnss . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 29299

Controlled ventilation - PRVControlled ventilation - PRVCntrolled ventilation - PRVCtrolled ventilation - PRVCrolled ventilation - PRVColled ventilation - PRVClled ventilation - PRVCled ventilation - PRVCed ventilation - PRVCd ventilation - PRVCventilation - PRVCventilation - PRVCentilation - PRVCntilation - PRVCtilation - PRVCilation - PRVClation - PRVCation - PRVCtion - PRVCion - PRVCon - PRVCn - PRVC- PRVC- PRVCPRVCPRVCRVCVCC . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 32322

Controlled ventilation - Volume Controlontrolled ventilation - Volume Controlntrolled ventilation - Volume Controltrolled ventilation - Volume Controlrolled ventilation - Volume Contrololled ventilation - Volume Controllled ventilation - Volume Controlled ventilation - Volume Controled ventilation - Volume Controld ventilation - Volume Controlventilation - Volume Controlventilation - Volume Controlentilation - Volume Controlntilation - Volume Controltilation - Volume Controlilation - Volume Controllation - Volume Controlation - Volume Controltion - Volume Controlion - Volume Controlon - Volume Controln - Volume Control- Volume Control- Volume ControlVolume ControlVolume Contrololume Controllume Controlume Controlme Controle ControlControlControlontrolntroltrolrololl . . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 35355

Controlled ventilation - Pressure Controlontrolled ventilation - Pressure Controlntrolled ventilation - Pressure Controltrolled ventilation - Pressure Controlrolled ventilation - Pressure Contrololled ventilation - Pressure Controllled ventilation - Pressure Controlled ventilation - Pressure Controled ventilation - Pressure Controld ventilation - Pressure Controlventilation - Pressure Controlventilation - Pressure Controlentilation - Pressure Controlntilation - Pressure Controltilation - Pressure Controlilation - Pressure Controllation - Pressure Controlation - Pressure Controltion - Pressure Controlion - Pressure Controlon - Pressure Controln - Pressure Control- Pressure Control- Pressure ControlPressure ControlPressure Controlressure Controlessure Controlssure Controlsure Controlure Controlre Controle ControlControlControlontrolntroltrolrololl . . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 38388

Supported ventilation - Volume Supportupported ventilation - Volume Supportpported ventilation - Volume Supportported ventilation - Volume Supportorted ventilation - Volume Supportrted ventilation - Volume Supportted ventilation - Volume Supported ventilation - Volume Supportd ventilation - Volume Supportventilation - Volume Supportventilation - Volume Supportentilation - Volume Supportntilation - Volume Supporttilation - Volume Supportilation - Volume Supportlation - Volume Supportation - Volume Supporttion - Volume Supportion - Volume Supporton - Volume Supportn - Volume Support- Volume Support- Volume SupportVolume SupportVolume Supportolume Supportlume Supportume Supportme Supporte SupportSupportSupportupportpportportortrtt . . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 40400

Supported ventilation - Pressure Supportupported ventilation - Pressure Supportpported ventilation - Pressure Supportported ventilation - Pressure Supportorted ventilation - Pressure Supportrted ventilation - Pressure Supportted ventilation - Pressure Supported ventilation - Pressure Supportd ventilation - Pressure Supportventilation - Pressure Supportventilation - Pressure Supportentilation - Pressure Supportntilation - Pressure Supporttilation - Pressure Supportilation - Pressure Supportlation - Pressure Supportation - Pressure Supporttion - Pressure Supportion - Pressure Supporton - Pressure Supportn - Pressure Support- Pressure Support- Pressure SupportPressure SupportPressure Supportressure Supportessure Supportssure Supportsure Supporture Supportre Supporte SupportSupportSupportupportpportportortrtt . . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 43433

Spontaneous/CPAPpontaneous/CPAPontaneous/CPAPntaneous/CPAPtaneous/CPAPaneous/CPAPneous/CPAPeous/CPAPous/CPAPus/CPAPs/CPAP/CPAPCPAPPAPAPP . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 46466

Automodeutomodetomodeomodemodeodedee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 48488

SIMVIMVMVV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 52522

Bi-Venti-Vent-VentVententntt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 59599

Non Invasive Ventilation (NIV)on Invasive Ventilation (NIV)n Invasive Ventilation (NIV)Invasive Ventilation (NIV)Invasive Ventilation (NIV)nvasive Ventilation (NIV)vasive Ventilation (NIV)asive Ventilation (NIV)sive Ventilation (NIV)ive Ventilation (NIV)ve Ventilation (NIV)e Ventilation (NIV)Ventilation (NIV)Ventilation (NIV)entilation (NIV)ntilation (NIV)tilation (NIV)ilation (NIV)lation (NIV)ation (NIV)tion (NIV)ion (NIV)on (NIV)n (NIV)(NIV)(NIV)NIV)IV)V)) . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 61611

NIV - Pressure ControlIV - Pressure ControlV - Pressure Control- Pressure Control- Pressure ControlPressure ControlPressure Controlressure Controlessure Controlssure Controlsure Controlure Controlre Controle ControlControlControlontrolntroltrolrololl . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 62622

NIV - Pressure SupportIV - Pressure SupportV - Pressure Support- Pressure Support- Pressure SupportPressure SupportPressure Supportressure Supportessure Supportssure Supportsure Supporture Supportre Supporte SupportSupportSupportupportpportportortrtt . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 63633

NIV - Nasal CPAPIV - Nasal CPAPV - Nasal CPAP- Nasal CPAP- Nasal CPAPNasal CPAPNasal CPAPasal CPAPsal CPAPal CPAPl CPAPCPAPCPAPPAPAPP. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 64644

Open Lung Toolpen Lung Toolen Lung Tooln Lung ToolLung ToolLung Toolung Toolng Toolg ToolToolTooloololl . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 65655

Ventilatory parameters, overviewentilatory parameters, overviewntilatory parameters, overviewtilatory parameters, overviewilatory parameters, overviewlatory parameters, overviewatory parameters, overviewtory parameters, overviewory parameters, overviewry parameters, overviewy parameters, overviewparameters, overviewparameters, overviewarameters, overviewrameters, overviewameters, overviewmeters, overvieweters, overviewters, overviewers, overviewrs, overviews, overview, overviewoverviewoverviewverviewerviewrviewviewieweww . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . .. . . . . . . . . .. . . . . . . . .. . . . . . . . .. . . . . . . .. . . . . . . .. . . . . . .. . . . . . .. . . . . .. . . . . .. . . . .. . . . .. . . .. . . .. . .. . .. .. ... 66666

16 Servo… User´s manual

US edition

Order No: 66 00 261

Infant Adult Universal Option

Ventilatory managemententilatory managementntilatory managementtilatory managementilatory managementlatory managementatory managementtory managementory managementry managementy managementmanagementmanagementanagementnagementagementgementementmententntt

The Servo-i Ventilator System is designed forlator System is designed for

safe and effective treatment. It can be set forbe set for

continuous adaptation to the patient´s

prevailing condition or for manuallymanually

controlled operations. The servo systems forvo systems for

pressure, flow and timing operate in allg operate in all

modes of ventilation (set time in control

modes and patient-related timing in support

modes).).

Important:

• To show all available installed ventilation

modes, please refer to "Setting ventilationplease refer to "Setting ventilation

mode" on page 164 in this manual.64 in this manual.

• In all pressure controlled modes, it isd modes, it is

important to set alarm limits to adequate

levels.

• For information about default values andbout default values and

parameter settings refer to page 249.249.

Applicationon

The Servo-i ventilator system also containsystem also contains

tools to assist the user in application of lung

recruitment methodologies.dologies.

Scope - ventilatory needscope - ventilatory needsope - ventilatory needspe - ventilatory needse - ventilatory needs- ventilatory needs- ventilatory needsventilatory needsventilatory needsentilatory needsntilatory needstilatory needsilatory needslatory needsatory needstory needsory needsry needsy needsneedsneedseedsedsdss

The ventilator can be used for true::

1. controlled ventilation

2. supported ventilation, or

3. spontaneous breathing/CPAPbreathing/CPAP

4-7. It also allows for combined ventilatoryIt also allows for combined ventilatory

control or support. Spontaneous breathingupport. Spontaneous breathing

efforts are sensed during controlledcontrolled

ventilation, e.g. Volume Control. MandatoryMandatory

ventilation can be used during supported/pported/

spontaneous breathing, e.g. the enhanced

SIMV functionality.

8. The Automode functionality continuouslyhe Automode functionality continuously

adapts to the patient´s breathing capability.pts to the patient´s breathing capability.

When required, all ventilation is provided forquired, all ventilation is provided for

mandatorily. When the patient is able toWhen the patient is able to

initiate a breath, the ventilator supports and

monitors the patient´s breathing capability

and controls ventilation only if required.d controls ventilation only if required.

Servo… User´s manual

US edition

Order No: 66 00 261 Infant Adult Universal Options

Implementationmplementationplementationlementationementationmentationentationntationtationationtioniononn

Ventilation can be managed and

administered with a focus on:h a focus on:

A. pressure and volume

B. pressure

C. flow/volume.

Pressure and volume in focusd volume in focus

In the pressure-he pressure- and flow- oriented modes, a

constant inspiratory Tidal Volume isy Tidal Volume is

maintained. The inspiratory pressure level isratory pressure level is

constant during each breath. (PRVC, Volumebreath. (PRVC, Volume

Support.)

Pressure in focus

In the pressure-oriented modes, a constant

preset pressure level is maintained duringvel is maintained during

inspiration. (Pressure Control, PressureControl, Pressure

Support)

Flow/volume in focusw/volume in focus

In the flow/volume oriented modes aw/volume oriented modes a

constant inspiratory volume is maintained.y volume is maintained.

The inspiratory flow is constant during eachflow is constant during each

breath (Volume Control).Volume Control).

Extra flow and extra breathsra flow and extra breaths

In flow/volume- oriented modes ofd modes of

ventilation, additional on-demand flow can

be triggered during inspiration. Additionaluring inspiration. Additional

breaths can always be triggered between theways be triggered between the

ordinary breaths if the set trigger criteria are

met.

Timingming

In controlled ventilation modes, timing is

related to preset values. In supported

ventilation modes, timing is related to patient

triggering and Inspiratory cycle-off setting.ff setting.

18 Servo… User´s manual

US edition

Order No: 66 00 261

Infant Adult Universal Option

Basic functionality - An overviewasic functionality - An overviewsic functionality - An overviewic functionality - An overviewc functionality - An overviewfunctionality - An overviewfunctionality - An overviewunctionality - An overviewnctionality - An overviewctionality - An overviewtionality - An overviewionality - An overviewonality - An overviewnality - An overviewality - An overviewlity - An overviewity - An overviewty - An overviewy - An overview- An overview- An overviewAn overviewAn overviewn overviewoverviewoverviewverviewerviewrviewviewieweww