Maquet SERVO-i User manual V3.0

User’s manual (US Version)Version)

VENTILATOR SYSTEMOR SYSTEMM SERVO-i V3.03.0

Contentsontentsntentstentsentsntstss

1 Before use Before use Before useBefore useefore usefore useore usere usee use useusesee ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................3

2 Ventilation Ventilation VentilationVentilationentilationntilationtilationilationlationationtioniononn.................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................155

3 Patient safety Patient safety Patient safetyPatient safetyatient safetytient safetyient safetyent safetynt safetyt safety safetysafetyafetyfetyetytyy.....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................711

4 Device description Device description Device descriptionDevice descriptionevice descriptionvice descriptionice descriptionce descriptione description descriptiondescriptionescriptionscriptioncriptionriptioniptionptiontioniononn.........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................811

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

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

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

8 Routine cleaning Routine cleaning Routine cleaningRoutine cleaningoutine cleaningutine cleaningtine cleaningine cleaningne cleaninge cleaning cleaningcleaningleaningeaninganingningingngg...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................191911

9 Maintenance Maintenance MaintenanceMaintenanceaintenanceintenancentenancetenanceenancenanceancencecee............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................211111

10 Troubleshooting0 Troubleshooting Troubleshooting TroubleshootingTroubleshootingroubleshootingoubleshootingubleshootingbleshootingleshootingeshootingshootinghootingootingotingtingingngg.........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................225255

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

12 Abbreviations and definitions2 Abbreviations and definitions Abbreviations and definitions Abbreviations 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 definitions and definitionsand definitionsnd definitionsd definitions definitionsdefinitionsefinitionsfinitionsinitionsnitionsitionstionsionsonsnss ......................................................................................................................................................................................................................................................................................................................................................................................................................255555

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

14 Index4 Index Index IndexIndexndexdexexx...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................273733

Servo… User´s manual US edition Order No: 66 00 261

Infant Adult Universal Options

Servo… User´s manual

Infant Adult Universal Option

US edition Order No: 66 00 261

1.. Before useefore usefore useore usere usee use useusesee

Contentsontentsntentstentsentsntstss

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

Intended usentended usetended useended usended useded useed used use useusesee . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 44

Intended userntended usertended userended usernded userded usered userd user userusersererr . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 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 manual Cautions 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 manual and Important in this manualand Important in this manualnd Important in this manuald Important in this manual Important 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 manual in this manualin this manualn this manual this manualthis manualhis manualis manuals manual manualmanualanualnualualall . 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 Servo material 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 Servo related to the Servorelated to the Servoelated to the Servolated to the Servoated to the Servoted to the Servoed to the Servod to the Servo to the Servoto the Servoo the Servo the Servothe Servohe Servoe Servo ServoServoervorvovoo-ii systemsystemystemstemtememm. . . . .. . .. 77

General warningseneral warningsneral warningseral warningsral warningsal warningsl warnings warningswarningsarningsrningsningsingsngsgss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 99

General cautionseneral cautionsneral cautionseral cautionsral cautionsal cautionsl cautions cautionscautionsautionsutionstionsionsonsnss . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 10100

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

Servo… User´s manual US edition Order No: 66 00 261

Infant Adult Universal Options

Before useefore usefore useore usere usee use useusesee

Welcome as a user of the Servo-i Ventilator he Servo-i Ventilator system! We hope that you will be very We hope that you will be very satisfied with your new system. For the latest fied with your new system. For the latest information about it, call your local MAQUET bout it, call your local MAQUET ET representative. Before use, please read the he general information below.

User Interface

Patient Patient breathing system

SVX-128_EN

The Servo-i Ventilator System consists of a vo-i Ventilator System consists of a Patient Unit where gases are mixed and Unit where gases are mixed and administered, and a User Interface where the settings are made and ventilation is ventilation is monitored.

The ventilator delivers controlled or supported breaths to the patient, with either breaths to the patient, with either constant flow or constant pressure, using a set oxygen concentration. The entire Servo-i ygen concentration. The entire Servo-i system includes a wide range of optional ludes a wide range of optional accessories, e.g. Mobile Cart, breathing bile Cart, breathing systems, compressors, Battery modules, pressors, Battery modules, humidifiers and equipment for nebulization, quipment for nebulization,

measurement and Y-piece

COO

measurement.

Unit

Intended userntended usertended userended usernded userded usered userd user userusersererr

Servo-i is a ventilator system with advanced dvanced functionality. It may be used only by professional health care providers who have rofessional health care providers who have sufficient experience in ventilator treatment.ment.

Intended populationntended populationtended populationended populationnded populationded populationed populationd population populationpopulationopulationpulationulationlationationtioniononn

The Servo-i Ventilator System can be can 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 Adult lt 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 Basic both Basic and Extended edition.

Warnings, Cautions and arnings, Cautions and rnings, Cautions and nings, Cautions and ings, Cautions and ngs, Cautions and gs, Cautions and s, Cautions and , Cautions and Cautions and Cautions and autions and utions and tions and ions and ons and ns and s and and and nd d 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 manual in this manualin this manualn this manual this manualthis manualhis manualis manuals manual manualmanualanualnualualall

WARNING! ARNING! Indicates critical information

about a potential serious outcome to the potential serious outcome to the patient or the user.

Caution: Indicates instructions that must be must 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.

Intended usentended usetended useended usended useded useed used use useusesee

The Servo-i Ventilator System is intended for he Servo-i Ventilator System is intended for treatment and monitoring of patients in the g of patients in the range of neonates, infants and adults with respiratory failure or respiratory insufficiency. ciency. Servo-i is a ventilator system to be used only by health care providers in hospitals or health health care providers in hospitals or health care facilities and for in-hospital transport.

Note: The Servo-i Ventilator System is not intended to be used with any anesthetic with any anesthetic agents.

Infant Adult Universal Option

Servo… User´s manual US edition Order No: 66 00 261

Before useefore usefore useore usere usee use useusesee

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 copy py screen.

Attention Consult accompanying documents.

Standby/Start ventilation Set standby mode or start ventilation.

Yellow lamp indicating Standby g Standby mode.

Mains indicatorcator Green lampp indicating mains

connected.

Battery Symbol indicating battery ry power supply.The estimated remaining time with current power ning time with current power consumption is indicated in minutes.

ON/OFF switch

Patient Unit

CE label The device complies with he device complies with

the requirements of the Medical f the Medical Device Directive 93/42/EEC.42/EEC.

CSA label The device complies plies with the Canadian standards.

C US

Class I equipment, Type Buipment, Type B The device classification according to on 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 different different

labels depending on panel version.

User Interface connector / Panelser Interface connector / Panel Note: The symbol has two different ymbol 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.

Trigger indicationgger indication The indication The indication appears in the message/alarm field field when the patient triggers a breath.

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

Servo… User´s manual US edition Order No: 66 00 261

NIV symbolmbol

10A0A

fuse for external DC power supply.C power supply.

Infant Adult Universal Options

Before useefore usefore useore usere usee use useusesee

12V DC / Ext. bat 12Vat 12V

external +12V DC inlet.12V DC inlet. Note: The symbol has two different bol has two different labels depending on panel version.

Caution: When external +12 V DC When external +12 V DC C 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 a d not be connected to a spirometer, as the volume through gh

the exhaust port is not equal to the expired volume from the patient.me from the patient.

Single use

Special waste

This product contains electronic product contains electronic and electrical components. Discard disposable, replaced and left-over parts in accordance with ver parts in accordance with appropriate industrial and environmental standards.

Recycling

Worn-out batteries must be recycled or disposed of properly posed of properly in accordance with appropriate industrial and environmental mental standards.

Hazardous wastes waste (infectious) The device contains parts which must vice contains parts which must not be disposed of with ordinary disposed of with ordinary waste.

Alarm output connection nnection

option

External alarm output communication.

In this manualmanual

Adult Information valid for the Adult d for the Adult

configuration

Infant Information valid for the Infant configuration

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

Universal configuration.

Options

Infant Adult Universal Option

Servo… User´s manual US edition Order No: 66 00 261

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 important cautions and importantcautions and importantautions and importantutions and importanttions and importantions and importantons and importantns and importants and important and importantand importantnd importantd important importantimportantmportantportantortantrtanttantantntt

Support material related to upport material related to pport material related to port material related to ort material related to rt material related to t material related to material related to material related to aterial related to terial related to erial related to rial related to ial related to al related to l related to related to related to elated to lated to ated to ted to ed to d to to to o the Servohe Servoe Servo ServoServoervorvovoo-i systemsystemystemstemtememm

Wall cleaning diagram

Configuration Card

User‘s manual

This concept comprises components concept comprises components intended to cover the needs of a clinical user. It is divided into different components according to use to facilitate accessibility of g to use to facilitate accessibility of information. If you have any comments or ve any comments or suggestions regarding this information material, please let us know.please let us know.

This User´s manual covers functionality and manual covers functionality and use but should not be regarded as all garded as all inclusive within the very complex field of mplex field of ventilatory treatment. Clinical judgements or judgements or settings are therefore not described in this manual. Authorized, medically competent Authorized, medically competent health care providers with good knowledge viders with good knowledge of Servo-i Ventilator System have the Ventilator System have the responsibility to determine the clinical bility to determine the clinical judgement and settings based on the needs settings 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

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Infant Adult Universal Options

This User´s manualer´s manual

The information in this User´s manual is valid valid for Servo-i Ventilator System 3.0 unless 3.0 unless stated otherwise.

Here you will find the information needed to find the information needed to use the Servo-i system safely.

It is divided into five main sections: ctions:

• Before use (mandatory information)

• Description

• Operation

• Maintenance

• Miscellaneous

Recommended use

The main document, for every-day use.

Text shown on the User Interface is presented xt shown on the User Interface is presented in these instructions in a uctions in a special typefacel typeface.

Brief instructionsctions

Overviews and step-by-step instructions for y-step instructions for the set-ups. These instructions you will find in the drawer above the ventilator, when awer 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 for verviews 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 - Information entilator - Information ntilator - Information tilator - Information ilator - Information lator - Information ator - Information tor - Information or - Information r - Information - Information - Information Information Information nformation formation ormation rmation mation ation tion ion on n materialaterialterialerialrialialall

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

have different software versions. ware versions. Before use, make sure the software version shown on the screen under the der the Status / General General 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.

Infant Adult Universal Option

Servo… User´s manual US edition Order No: 66 00 261

General warningseneral warningsneral warningseral warningsral warningsal warningsl warnings warningswarningsarningsrningsningsingsngsgss

• The Servo-i Ventilator System must be ust be operated only by authorized personnel who are well trained in its use. It must be must be operated according to the instructions in this User´s manual.User´s manual.

• After unpacking, perform a Routine g, perform a Routine cleaning and a Pre-use check.se check.

• To provide adequate patient safety, set the nt safety, set the alarm limits to relevant values.

• To avoid electrical shock hazard, connect ctrical shock hazard, connect the power cord to a mains outlet equipped utlet equipped with a protective ground.

• Should any unfamiliar events occur, such ccur, such as irrelevant pop-up windows on the screen, unfamiliar sounds, alarms from the miliar sounds, alarms from the Patient Unit or technical high priority gh priority alarms, the ventilator should immediately be checked and, if applicable, replaced.

• Only accessories and auxiliary equipment ories and auxiliary equipment that meet current IEC standards (e.g. IEC current IEC standards (e.g. IEC 60601-1-1) may be connected to the 1-1-1) may be connected to the Servo-i Ventilator System. If external vo-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 60601-606011-1.

• The ventilator must only be used in an y be used in an upright position.

• When a Servo Ultra Nebulizer is used, ulizer is used, always consult the drug manufacturer manufacturer regarding the appropriateness of ultrasonic nebulization for certain bulization for certain medication.

• All personnel should be aware of the risk sonnel should be aware of the risk of parts being infected when g infected when disassembling and cleaning the ventilator.r.

• Service mode may only be used when no when no patient is connected to the ventilator.

• Positive pressure ventilation can be be associated with the following adverse events: barotrauma, hypoventilation, ma, hypoventilation, hyperventilation or circulatory impairment.

• The Servo-i Ventilator System is verified Servo-i Ventilator System is verified against and complies with IEC 60601-1-2 gainst and complies with IEC 60601-1-2 C 60601-1-2 regarding electromagnetic compatibility. It magnetic compatibility. It is the responsibility of the user to take user to take necessary measures to ensure that the clinical environment is compatible with the ble with the limits specified in IEC 60601-1-2. C 60601-1-2. Exceeding of these limits may impair the these limits may impair the performance and safety of the system. Such measures should include, but are not uch measures should include, but are not limited to:

– Normal precautions with regard to precautions with regard to

relative humidity and conductive midity and conductive characteristics of clothing in order to minimize the build-up of electrostatic ze the build-up of electrostatic charges.

– Avoiding the use of radio-emitting

devices, such as cellular phones and ces, such as cellular phones and high-frequency apparatus in close tus in close proximity to the system.

• The Servo-i Ventilator System is not Servo-i Ventilator System is not intended to be used in MR environment used in MR environment during MR examinations. This may cause This may cause deactivation of the system functions and may result in permanent damage to the permanent damage to the Servo-i Ventilator System.ystem.

• The Servo-i Ventilator System is not intended to be used with any anesthetic ded to be used with any anesthetic agent. To avoid risk of fire, flammable To avoid risk of fire, flammable agents such as ether and cyclopropane uch as ether and cyclopropane must not under any circumstances be used with this device.with this device.

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• To avoid fire hazard, keep all sources of zard, keep all sources of ignition away from the y from the Servo-i Ventilator System and oxygen hoses. Do not use xygen hoses. Do not use oxygen hoses that are worn, frayed, or d, or contaminated by combustible materials such as grease or oils. Textiles, oils, and Textiles, oils, and other combustibles are easily ignited and y ignited and burn with great intensity in air enriched with oxygen. Immediately disconnect the xygen. Immediately disconnect the ventilator from the oxygen supply, facility from the oxygen supply, facility power, and backup sources if there is a wer, and backup sources if there is a smell of burning.mell of burning.

General cautionseneral cautionsneral cautionseral cautionsral cautionsal cautionsl cautions cautionscautionsautionsutionstionsionsonsnss

• As a general rule always avoid contact void contact with external electrical connector pins. It is recommended to have the module ule compartment filled up with empty modules s to protect from spillage and dust.

• Federal law in the USA restricts this device w in the USA restricts this device to sale by or on the order of a physician (or ale by or on the order of a physician (or a properly licensed practitioner).

• The Servo-i Ventilator System must be ust be serviced at regular intervals by specially trained personnel. The intervals are stated The intervals are stated in the chapter Regular maintenance. Any maintenance. Any maintenance must be noted in a log book k for that purpose in accordance with national regulations.gulations.

• MAQUET has no responsibility for the safe T has no responsibility for the safe operation of the equipment if service or ment if service or repair is done by a non-professional or by persons who are not employed by or who are not employed by or authorized by MAQUET. We recommend MAQUET. We recommend mmend that service is done as part of a service contract with MAQUET.MAQUET.

• MAQUET has no responsibility for the safe esponsibility for the safe operation of the equipment if the equipment is used for anything other than d for anything other than its intended use, as specified in this User´s User´s manual.

• A resuscitator should always be readily ways be readily accessible for extra safety.

• When connected to a patient, the system hen connected to a patient, the system must never be left unattended. be left unattended.

• The nebulizer module is inoperative when perative when the ventilator is running on batteries, to reduce the power consumption.ce the power consumption.

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

• Always use heat and moisture exchanger lways use heat and moisture exchanger ger (HME) or equipment to prevent t to prevent dehydration of lung tissue.

• Refer to the Installation instructions to assemble the system or options to obtain ptions to obtain a proper mechanical assembly.

• When lifting or moving the ventilator system or parts of the system, follow parts of the system, follow established ergonomic guidelines, ask for gonomic guidelines, ask for assistance, and take appropriate safety y 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 ISO8835-3 onnected must comply to ISO8835-3 8835-3 with regard to subatmospheric pressure mospheric pressure and induced flow. Otherwise ventilator Otherwise ventilator functions and patient safety may be patient safety may be degraded.

• It is not recommended to use the Servo commended to use the Servo Evac 180 in the Nasal CPAP mode.80 in the Nasal CPAP mode.ode.

• Values measured at the signal outputs of f the Servo-i Ventilator System and which which have been processed in auxiliary y equipment must not be used as a substitute for therapeutic or diagnostic herapeutic or diagnostic decisions. Such decisions can be made made only by staff with medical expertise, pertise, according to established and accepted practice. If auxiliary equipment that has xiliary equipment that has not been delivered by MAQUET with the delivered by MAQUET with the T with the system is used, MAQUET denies all QUET denies all responsibility for the accuracy of signal ty for the accuracy of signal processing.

Servo… User´s manual

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US edition Order No: 66 00 261

• If there should be any deviation between d be any deviation between information shown on the User Interface of User Interface of the ventilator and that shown by the y the auxiliary equipment, the ventilator parameters shown on the User Interface wn on the User Interface shall be considered the primary source for mary source for information. When combining the g the Servo-i Ventilator System with accessories and with accessories and auxiliary equipment other than those pment other than those recommended by MAQUET, it is the AQUET, it is the responsibility of the user to ensure the bility of the user to ensure the integrity of system performance and ce and safety. In order to maintain electrical system safety, i.e. such that compliance with IEC 60601-1-1 is fulfilled, only nly accessories and auxiliary equipment that hat meet current IEC standards (e.g. IEC 60601-1, IEC 950) may be connected to connected to signal inputs and outputs of the Servo-i -i Ventilator System.

• Only original parts from MAQUET must be parts from MAQUET must be T must be used in the system.

• Only accessories, supplies or auxiliary ccessories, supplies or auxiliary equipment recommended by MAQUET by MAQUET should be used with the ventilator system ld 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 system quipment may cause degraded system performance and safety. ormance and safety.

• The displayed information about set and layed information about set and corresponding measured parameters, g measured parameters, shall continously be compared by the be compared by the operator.

Important:

• This symbol on the unit means n the unit means Attention, consult accompanying documents.

Note: The are two versions of this symbol ymbol depending on System version.

• The gases supplied must be free from water, oil and particles:

Air ................... H

O < 7 g/m

........................ Oil < 0.5 mg/m

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

• The environmental declaration is part of declaration is part of the service manual.

• The Servo-i Ventilator system does not does not contain any latex.

• Data on pressures can be given in cmHgiven in cmH where: 1 kPa ~ 10 cmHPa ~ 10 cmH 100 kPa = 1bar ~1atm ~1kgf/cm/cm

(kp/cm2)

100 kPa ~15 psi.

• All disposable parts must be discarded according to hospital routine and in an hospital routine and in an environmentally safe way.way.

• Do not expose the Expiratory cassette cassette compartment to excessive amounts of fluid, e.g. during cleaning and disinfection, as this may influence ventilator his 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 for ys is used in the ventilator for backup.p.

• It is recommended that at least two batteries are used for ventilation during used for ventilation during transport.

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• Documentation for Servo-i Ventilator System stem consists of:

–User´s manual – Brief instructions – Wall diagramdiagram – Installation instructions – Service manual – Products and accessories, catalog, catalog – Spare parts list

Note: General warnings are not listed here here

even though they are repeated inside the manual.

Note: Context-related Cautions and "Important" are not listed here, but are but are written in the relevant context inside the manual.

Operationperationerationrationationtioniononn

• Always disconnect the ventilator if any ventilator if any operation which may involve risk for the k for the patient will be done, e.g. replacement of ment of

cell, dismantling etc. (page 211, 211,

page 225).

• If the trigger sensitivity is set too high, a y is set too high, a self-triggering (auto-triggering) condition may be reached. This condition can also be reached if there is leakage in the kage in the breathing system, e.g. if an uncuffed d endotracheal tube is used. Triggering will then be initiated by the system and not by y the system and not by the patient.This should always be avoided ways be avoided by decreasing the trigger sensitivity (page 23). This is also important during page 23). This is also important during during transport as the movement of the body y and the breathing system may lead to false triggering.

• When you turn a Direct Access Knob, Knob, ventilation will change accordingly from y from the next breath without additional confirmation (For further information see page 166).166).

• If any malfunctions are detected during the detected during the start-up procedure, please refer to Chapter, Troubleshooting (page 225).Troubleshooting (page 225).5).

• If a malfunction persists, the ventilator ventilator may not be connected to the patient.

• A Pre-use check must always be done be done before connecting the ventilator to a patient (page 145).45).

• To protect the patient against high airway way pressures, the upper pressure limit must always be set to the relevant value so as to provide adequate patient safety (page de adequate patient safety (page

165). 5). Caution: If airway pressure rises 6 cmHH

above the set upper pressure limit the safety valve opens. The safety valve also fety valve opens. The safety valve also opens if system pressure exceeds 117 xceeds 117 cmH

• To provide adequate patient safety, always rovide adequate patient safety, always set the alarm limits at relevant values he alarm limits at relevant values (page 165).).

± 7

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Infant Adult Universal Option

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Nebulizationebulizationbulizationulizationlizationizationzationationtioniononn

• Servo Humidifier/HME must be ME must be disconnected during nebulization ation otherwise the humidifier may be blocked cked (page 128).

• The heated humidifier must be switched ted humidifier must be switched off during nebulization. Otherwise the zation. 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 the d to the expiratory inlet of the ventilator. Always carefully monitor the s carefully monitor the airway pressure during nebulization. during nebulization. Increased airway pressure could be pressure could be caused by a clogged filter. The filter should he filter should be replaced if the expiratory resistance increases or every 24 hours when the very 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 manufacturer onsult the drug manufacturer regarding the appropriateness of ultrasonic nebulization for certain bulization for certain medications (page 128, 187).ge 128, 187).

• The nebulizer must not be used without must not be used without buffer liquid (sterile water). Otherwise the ater). Otherwise the ultrasonic generator crystal may break may break (page 129, 187).7).

• To avoid explosion hazards, flammable flammable agents such as ether and cyclopropane propane must not be used with this device. Only ce. Only agents which comply with the ply with the requirements on non-flammable agents in ble agents in the IEC standard “Particular requirements ular 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 the ver fill the medication cup with more than 4 ml 4 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 lungs patient´s lungs or the ventilator.

• The nebulizer must not be left unattended must not be left unattended when connected to a patient.

• Continuously check that the buffer liquid quid level is between MIN. and MAX. during AX. during nebulization (page 187).page 187).

• During nebulization: Continuously check on: Continuously check that moisture is generated in the d in the medication cup (page 187).7).

• When the ventilator is running on batteries batteries the nebulizer module is inoperative, to reduce the power consumption ce the power consumption (page 187).87).

• For information about the stand alone stand alone Aeroneb Professional Nebulizer System, System, refer to separate manual.

Cleaningleaningeaninganingningingngg

• All personnel should be aware of the risk hould be aware of the risk of parts being infected when g infected when disassembling and cleaning the ventilator r (page 191).

• After removing the Expiratory cassette, do ng the Expiratory cassette, do not pour any fluid into the Expiratory ur 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 O of Oof Of O OO2 cellcellelllll

The sealed unit of the O2 cell, contains a led unit of the O2 cell, contains a caustic liquid which may cause severe burns which 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 for with water for at least 15 minutes and seek medical cal attention especially if the eyes are affected (page 214)14)

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Notesotestesess

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Infant Adult Universal Option

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Servo… User´s manual US edition Order No: 66 00 261

2.. Ventilationentilationntilationtilationilationlationationtioniononn

Contentsontentsntentstentsentsntstss

Modes of ventilationodes of ventilationdes of ventilationes of ventilations of ventilation of ventilationof ventilationf ventilation ventilationventilationentilationntilationtilationilationlationationtioniononn. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 16166

Important definitionsmportant definitionsportant definitionsortant definitionsrtant definitionstant definitionsant definitionsnt definitionst definitions definitionsdefinitionsefinitionsfinitionsinitionsnitionsitionstionsionsonsnss . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 21211

Trigger sensitivityrigger sensitivityigger sensitivitygger sensitivityger sensitivityer sensitivityr sensitivity sensitivitysensitivityensitivitynsitivitysitivityitivitytivityivityvityitytyy . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 23233

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

Special functionspecial functionsecial functionscial functionsial functionsal functionsl functions functionsfunctionsunctionsnctionsctionstionsionsonsnss . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 29299

Controlled ventilation - PRVControlled ventilation - PRVCntrolled ventilation - PRVCtrolled ventilation - PRVCrolled ventilation - PRVColled ventilation - PRVClled ventilation - PRVCled ventilation - PRVCed ventilation - PRVCd ventilation - PRVC ventilation - PRVCventilation - PRVCentilation - PRVCntilation - PRVCtilation - PRVCilation - PRVClation - PRVCation - PRVCtion - PRVCion - PRVCon - PRVCn - PRVC - PRVC- PRVC PRVCPRVCRVCVCC . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 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 Control ventilation - 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 Control Volume ControlVolume Contrololume Controllume Controlume Controlme Controle Control ControlControlontrolntroltrolrololl . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 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 Control ventilation - 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 Control Pressure ControlPressure Controlressure Controlessure Controlssure Controlsure Controlure Controlre Controle Control ControlControlontrolntroltrolrololl . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 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 Support ventilation - 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 Support Volume SupportVolume Supportolume Supportlume Supportume Supportme Supporte Support SupportSupportupportpportportortrtt . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 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 Support ventilation - 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 Support Pressure SupportPressure Supportressure Supportessure Supportssure Supportsure Supporture Supportre Supporte Support SupportSupportupportpportportortrtt . . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 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 Control Pressure ControlPressure Controlressure Controlessure Controlssure Controlsure Controlure Controlre Controle Control ControlControlontrolntroltrolrololl . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 62622

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

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

Open Lung Toolpen Lung Toolen Lung Tooln Lung Tool Lung ToolLung Toolung Toolng Toolg Tool ToolTooloololl . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . .. . . . . . .. . . . .. . .. 65655

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

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Ventilatory managemententilatory managementntilatory managementtilatory managementilatory managementlatory managementatory managementtory managementory managementry managementy management managementmanagementanagementnagementagementgementementmententntt

The Servo-i Ventilator System is designed for lator System is designed for safe and effective treatment. It can be set for be set for continuous adaptation to the patient´s prevailing condition or for manually manually controlled operations. The servo systems for vo systems for pressure, flow and timing operate in all g operate in all modes of ventilation (set time in control modes and patient-related timing in support modes).).

Important:

• To show all available installed ventilation modes, please refer to "Setting ventilation please refer to "Setting ventilation mode" on page 164 in this manual.64 in this manual.

• In all pressure controlled modes, it is d modes, it is important to set alarm limits to adequate levels.

• For information about default values and bout default values and parameter settings refer to page 249.249.

Applicationon

The Servo-i ventilator system also contains ystem also contains tools to assist the user in application of lung recruitment methodologies.dologies.

Scope - ventilatory needs cope - ventilatory needs ope - ventilatory needs pe - ventilatory needs e - ventilatory needs - ventilatory needs - ventilatory needs ventilatory needs ventilatory needs entilatory needs ntilatory needs tilatory needs ilatory needs latory needs atory needs tory needs ory needs ry needs y needs needs needs eeds eds ds s

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 ventilatory It also allows for combined ventilatory

control or support. Spontaneous breathing upport. Spontaneous breathing efforts are sensed during controlled controlled ventilation, e.g. Volume Control. Mandatory Mandatory ventilation can be used during supported/pported/ spontaneous breathing, e.g. the enhanced SIMV functionality.

8. The Automode functionality continuously he Automode functionality continuously adapts to the patient´s breathing capability. pts to the patient´s breathing capability.

When required, all ventilation is provided for quired, all ventilation is provided for mandatorily. When the patient is able to When 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.

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Implementationmplementationplementationlementationementationmentationentationntationtationationtioniononn

Ventilation can be managed and administered with a focus on:h a focus on:

A. pressure and volume B. pressure C. flow/volume.

Extra flow and extra breathsra flow and extra breaths

In flow/volume- oriented modes of d modes of ventilation, additional on-demand flow can be triggered during inspiration. Additional uring inspiration. Additional breaths can always be triggered between the ways 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.

Pressure and volume in focusd volume in focus

In the pressure- he pressure- and flow- oriented modes, a constant inspiratory Tidal Volume is y Tidal Volume is maintained. The inspiratory pressure level is ratory pressure level is constant during each breath. (PRVC, Volume breath. (PRVC, Volume Support.)

Pressure in focus

In the pressure-oriented modes, a constant preset pressure level is maintained during vel is maintained during inspiration. (Pressure Control, Pressure Control, Pressure Support)

Flow/volume in focusw/volume in focus

In the flow/volume oriented modes a w/volume oriented modes a constant inspiratory volume is maintained. y volume is maintained. The inspiratory flow is constant during each flow is constant during each breath (Volume Control).Volume Control).

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Basic functionality - An overview asic functionality - An overview sic functionality - An overview ic functionality - An overview c functionality - An overview functionality - An overview functionality - An overview unctionality - An overview nctionality - An overview ctionality - An overview tionality - An overview ionality - An overview onality - An overview nality - An overview ality - An overview lity - An overview ity - An overview ty - An overview y - An overview - An overview - An overview An overview An overview n overview overview overview verview erview rview view iew ew w

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1.(PRVC) Pressure Regulated ressure Regulated Volume Control

Breaths are delivered mandatorily to assure mandatorily to assure preset volumes, with a constant inspiratory constant inspiratory pressure continuously adapting to the patient´s condition. The flow pattern is flow pattern is decelerating.

2. Volume Control trol

Breaths are delivered mandatorily with a vered mandatorily with a constant flow to assure preset volumes. preset volumes.

3. Volume Support pport

A patient-adapted constant inspiratory support is supplied when activated by when activated by patient effort. The resulting volume is The resulting volume is continuously monitored and the constant and the constant inspiratory pressure automatically adjusts to the required level. The patient determines quired level. The patient determines frequency and duration of the breaths which cy and duration of the breaths which show a decelerating flow pattern.g flow pattern.

4. Spontaneous breathing (CPAP)s breathing (CPAP)CPAP)

When sufficient inspiratory volumes are y volumes are achieved, spontaneous breathing without breathing without ventilator support is allowed for in Volume for in Volume Support.

5. Pressure Control ontrol

Breaths are delivered mandatorily at a preset s are delivered mandatorily at a preset pressure level, causing a decelerating flow flow pattern.

6. Pressure Support Support

Inspiration is supported by a constant preset pressure when activated by patient effort. hen activated by patient effort. The patient determines frequency and mines frequency and duration of the breaths, which show a , which show a decelerating flow pattern. Inspiratory breath breath duration can be influenced by adjusting the Inspiratory cycle-off criteria.piratory cycle-off criteria.

7. Spontaneous breathing/CPAPs breathing/CPAPCPAP

True spontaneous breathing (CPAP) occurs g (CPAP) occurs when the inspiratory pressure level is set to the inspiratory pressure level is set to zero in Pressure Support.

8. Nasal CPAP

Spontaneous breathing on a set pressure breathing on a set pressure level.

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Combined modes - An ombined modes - An mbined modes - An bined modes - An ined modes - An ned modes - An ed modes - An d modes - An modes - An modes - An odes - An des - An es - An s - An - An - An An An n overviewverviewerviewrviewviewieweww

Automodeutomode

The ventilator continuously adapts to the patient's breathing capability and allows the breathing capability and allows the patient to better interact with the ventilator. ventilator. The ventilator automatically shifts between between controlled ventilation, supported ventilation and spontaneous ventilation. Each h controlled ventilation mode has a corresponding support mode.

Volume Control <----> Volume Support PRVCRVC <----> Volume Support Pressure Control <----> Pressure Support

When the patient is making a breathing effort, the ventilator immediately switches to ort, the ventilator immediately switches to a support mode of ventilation. If the patient is pport mode of ventilation. If the patient is not making any breathing effort, the y breathing effort, the ventilator will return to the controlled mode d mode and deliver controlled breaths.

Synchronized intermittent chronized intermittent Mandatory ventilation (SIMV)ilation (SIMV))

The ventilator provides mandatory breaths y breaths which are synchronized with the patient´s spontaneous efforts at a preset rate. The us efforts at a preset rate. The mandatory breaths can be Volume Control, breaths can be Volume Control, Pressure Control or PRVC breaths.

Bi-Vent

Bi-Vent is pressure controlled breathing, g, giving the patient the opportunity of unrestricted spontaneous breathing. Two breathing. Two pressure levels are set together with the individually set duration of each level. dividually set duration of each level. Spontaneous efforts can be assisted by pontaneous efforts can be assisted by pressure support.

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Order No: 66 00 261

ServoS-0046_XX

I:E

The graphic display of flow, pressure and ure and volume is visualized in wave forms. Modes of ventilation directly affect flow, pressure and ctly affect flow, pressure and volume patterns.

Volume Contrololume Controllume Controlume Controlme Controle Control ControlControlontrolntroltrolrololl

Pressure-Time waveform. Points ure-Time waveform. Points orm. Points and regions of interestegions of interest

X. Inspiration time Y. Pause time Z. Expiration timeExpiration time

1. Start of Inspiration

2. Peak inspiratory pressure

3. Early inspiratory pause pressure

4. End inspiratory pause pressured inspiratory pause pressure

5. Early expiratory pressure

6. End expiratory pressure

Flow-Time waveform. Points and w-Time waveform. Points and Points and regions of interestf interest

X. Inspiration timeX. Inspiration time Y. Pause time Z: Expiration timeExpiration time

7. Peak inspiratory flowflow

8. Zero flow phase

9. Peak expiratory flowxpiratory flow

10. Slope decelerating expiratory limbng expiratory limb

11. End expiratory flowflow

Volume-Time waveform. Points me-Time waveform. Points Points and regions of interestf interest

X. Inspiration time Y. Pause timeuse time Z. Expiration time

12. Start of inspiration

13. The slope represents current delivery of urrent delivery of inspiratory tidal volume

14. End inspiration

15. The slope represents current patient urrent patient delivery of expiratory tidal volume

16. End expiration

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ServoS-0047_XX

I:E

Pressure Controlressure Controlessure Controlssure Controlsure Controlure Controlre Controle Control ControlControlontrolntroltrolrololl

Pressure-Time waveform. Points waveform. Points nts and regions of interest

X. Inspiration time Z. Expiration time

1. Start of Inspiration

2. Peak inspiratory pressure

3. End expiratory pressured expiratory pressure

Volume-Time waveform. Points me-Time waveform. Points Points and regions of interestf interest

X. Inspiration timeme Z.: Expiration time

8. Start of inspiration

9. End inspiration

10. End expiration

Flow-Time waveform. Points and form. Points and regions of interestegions of interest

X. Inspiration time Z. Expiration time

4. Peak inspiratory flowy flow

5. End inspiratory flow

6. Peak expiratory flow

7. End expiratory flowd expiratory flow

Infant Adult Universal Option

Servo… User´s manual US edition Order No: 66 00 261

Trigger functionalityigger functionalitygger functionalityger functionalityer functionalityr functionality functionalityfunctionalityunctionalitynctionalityctionalitytionalityionalityonalitynalityalitylityitytyy

Trigg. Flow

Trigg. Pressure

-2

Trigger sensitivityTrigger sensitivityrigger sensitivityigger sensitivitygger sensitivityger sensitivityer sensitivityr sensitivity sensitivitysensitivityensitivitynsitivitysitivityitivitytivityivityvityitytyy

SVX-638_EN

This determines the level of patient effort to trigger the ventilator to inspiration.gger the ventilator to inspiration.

Trigger sensitivity can be set in flow flow triggering (Trigg. Flow) or pressure triggering (Trigg. PressurePressure). Normally flow triggering is y flow triggering is preferable as this enables the patient to breath with less effort.

The sensitivity is set as high as possible vity is set as high as possible without self-triggering. This ensures that ng. This ensures that triggering is patient initiated and avoids autocycling by the ventilator.ycling by the ventilator.

Pressure triggering can be set in the range

-20 to 0 cmH20 to 0 cmH level, white area on the bar).

O (in reference to set PEEP EEP

When the trigger sensitivity is set above 0 gger sensitivity is set above 0 (green and red area on the bar), flow flow triggering is set, i.e. the amount of the bias flow that the patient has to inhale to trigg a new breath. The sensitivity can be set from The sensitivity can be set from 100% of the bias flow (left), to 0% of the bias 00% of the bias flow (left), to 0% of the bias flow (right). For information about the ght). For information about the different colors of the bar refer to page 167.lors of the bar refer to page 167.

Important: In

NIV it is not possible to set

trigger sensitivity.

The ventilator continuously delivers a gas he ventilator continuously delivers a gas flow during expiration, which is measured in xpiration, which is measured in the expiratory channel.y channel.

1. Inspiration.

Bias flow during expiration.during expiration.

2. Bias flow Infant 0.5 l/min.w Infant 0.5 l/min. Bias flow: Adult 2 l/min.dult 2 l/min.

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233

Trigger sensitivityrigger sensitivityigger sensitivitygger sensitivityger sensitivityer sensitivityr sensitivity sensitivitysensitivityensitivitynsitivitysitivityitivitytivityivityvityitytyy

Weak patient effort k patient effort

Trigg. Flow

SVX-141_EN

1. At a Trigger sensitivityer sensitivity level above zero

(0), the ventilator senses deviations in the bias flow caused by inspiratory flow caused by inspiratory efforts of the patient. The more to the he patient. The more to the right on the scale, the more sensitive is the trigger function.unction.

2. Weak inspiratory effort.

3. Very weak inspiratory effort. For further information see page 167.urther information see page 167.

WARNING! NING! If the trigger sensitivity is set too vity is set too high, a self triggering (auto-triggering) condition may be reached. This condition dition may be reached. This condition can also be reached if there is leakage in the kage in the breathing system, e.g. if an uncuffed d endotracheal tube is used. Triggering will then be initiated by the system and not by the y the system and not by the patient.This should always be avoided by ways be avoided by decreasing the trigger sensitivity.

Stronger patient effortger patient effort

Trigg. Pressure

-2

SVX-142_EN

1. At a Trigger sensitivity level below zero zero (0), the ventilator senses negative pressures created by the patient. created by the patient. Required preset negative pressure to gative pressure to initiate a breath is shown numerically. cally. The more to the left on the scale, the more effort is required to trigger.d to trigger.

2. Stronger patient effort.

For further information see page 167.mation see page 167.

WARNING! The trigger sensitivity bar has vity bar has different colors based on the setting. A green A green bar indicates a normal setting for the flow w triggering. The risk of self-triggering increases when the bar is red. A white bar d. A white bar indicates that pressure triggering is required.quired.

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Order No: 66 00 261

Settingsettingsttingstingsingsngsgss

Inspiratory rise timenspiratory rise timespiratory rise timepiratory rise timeiratory rise timeratory rise timeatory rise timetory rise timeory rise timery rise timey rise time rise timerise timeise timese timee time timetimeimemee

Insp rise time

100 %

SVX-644_EN

Time to peak inspiratory flow or pressure at nspiratory flow or pressure at the start of each breath as a percentage of ge of the respiratory cycle time or in seconds. Increased rise time will affect the rate of flow/will affect the rate of flow/ pressure increase and can be evaluated by valuated by the shape of the flow and pressure waveforms.ms.

Inspiratory rise time (%) is applicable in ble in Pressure Control, Volume Control, PRVC, SIMV-Volume Control, SIMV-Pressure Control, SIMV-PRVC. Setting can be in the RVC. Setting can be in the range 0-20% of the respiratory cycle time.0-20% of the respiratory cycle time.me.

Inspiratory rise time set in seconds is applicable in Pressure Support, Volume ure Support, Volume Support and Bi-Vent. For adults the range is For adults the range is 0-0.4 seconds and for infants the range is 0-for infants the range is 0-

0.2 seconds. Note: When the ventilator is configured for setting of Inspiration time, the unit for piration time, the unit for

Inspiratory rise time then automatically switches to seconds for all ventilation ds for all ventilation modes.

Inspiratory cycle-offnspiratory cycle-offspiratory cycle-offpiratory cycle-offiratory cycle-offratory cycle-offatory cycle-offtory cycle-offory cycle-offry cycle-offy cycle-off cycle-offcycle-offycle-offcle-offle-offe-off-offofffff

SVX-205_XX

Inspiratory Cycle-off is the point at which inspiration changes to expiration in ges to expiration in spontaneous and supported modes of ventilation. A decrease of the inspiratory flow A decrease of the inspiratory flow to a preset level causes the ventilator to vel causes the ventilator to switch to expiration. This preset level is measured as a percentage of the maximum flow during inspiration. The range of w during inspiration. The range of Inspiratory cycle-off is 1 - 70%. - 70%.

Note: In NIV the range is 10-70%.

Normally in supported modes the Inspiratory he Inspiratory rise time should be increased from the from the default setting and so give more comfort to the patient.

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Infant Adult Universal Options

Settingsettingsttingstingsingsngsgss

Breath cycle timereath cycle timeeath cycle timeath cycle timeth cycle timeh cycle time cycle timecycle timeycle timecle timele timee time timetimeimemee

This is the length of the breath i.e. the total cycle time of the mandatory breath in SIMV ycle time of the mandatory breath in SIMV MV (inspiration, pause plus expiration). This is his is set in seconds within the range:

Infants: 0,5 -15 seconds in half second steps.15 seconds in half second steps. Adults: 1-15 seconds in one second steps. Note: The soft key Breath cycle time is not shown when an SIMV mode is selected and wn when an SIMV mode is selected and cted and

inspiration time is configured. Refer to heading I:E ratio / Inspiration times.

Trigger timeoutrigger timeoutigger timeoutgger timeoutger timeouter timeoutr timeout timeouttimeoutimeoutmeouteoutoututt

Trigger Timeout is the maximum allowed apnea time in Automode before controlled pnea time in Automode before controlled ventilation is activated. It is applicable in:s activated. It is applicable in:

Automode: Volume Control PRVC Pressure Controlssure Control The settings are within the ranges:are within the ranges:

• Infant: 3-7 seconds

• Adult: 7-12 seconds

Initially the ventilator adapts with a dynamic he ventilator adapts with a dynamic Trigger Timeout limit. This means that for the spontaneously triggering patient the timeout increases successively during the first ten creases successively during the first ten breaths.

<--->Volume Support <--->Volume Support <--->Pressure Support

PEEPEEPEPP

PEEP

SVX-646_EN

Positive End Expiratory Pressure (PEEP) can ) can be set in the range of 0 - 50 cmHH Positive End Expiratory Pressure is piratory Pressure is maintained in the alveoli and may prevent the collapse of the airways.

Note: In NIV the range is 2-20 V the range is 2-20 cmH

O. A

Servo… User´s manual US edition

Infant Adult Universal Option

Order No: 66 00 261

Settingsettingsttingstingsingsngsgss

I:E ratio / Inspiration time:E ratio / Inspiration timeE ratio / Inspiration time ratio / Inspiration timeratio / Inspiration timeatio / Inspiration timetio / Inspiration timeio / Inspiration timeo / Inspiration time / Inspiration time/ Inspiration time Inspiration timeInspiration timenspiration timespiration timepiration timeiration timeration timeation timetion timeion timeon timen time timetimeimemee

The setting of breathing parameters in parameters in Servo-i can be configured in two different ured in two different ways, based on:

• I:E ratio (independent of changes of e.g. pendent of changes of e.g. the breathing frequency) or,y) or,

• Inspiration time in seconds (independent of changes of e.g. the breathing hanges of e.g. the breathing frequency), to better meet the meet the requirements for infant care.

When the ventilator is configured for setting gured for setting of Inspiration time, the unit for Pause time and Insp. rise time then automatically cally switches to seconds. The resulting I:E ratio :E ratio for each setting is shown in the upper right information area of the ventilation mode mation area of the ventilation mode window.

As the inspiration time is explicitly set, a xplicitly set, a change of for example the Respiratory Rate Respiratory Rate will affect the I:E ratio. As a safety precaution, As a safety precaution, it will therefore be indicated when the be indicated when the resulting I:E ratio passes 1:1 in either passes 1:1 in either direction.

Note: The soft key Breath cycle time is not y Breath cycle time is not shown when an SIMV mode is selected, MV mode is selected, since there is no need to set Breath cycle ycle time when Inspiration time is directly set.

Note: The configuration is done by a service y a service technician with a service card.

Volume settingolume settinglume settingume settingme settinge setting settingsettingettingttingtingingngg

Depending on the ventilator configuration the on the ventilator configuration the inspiratory volume can be set as:be set as:

– Minute Volume or, – Tidal Volumedal Volume

Note: The configuration is done by a service s done by a service technician with a service card.

Controlled / supported ontrolled / supported ntrolled / supported trolled / supported rolled / supported olled / supported lled / supported led / supported ed / supported d / supported / supported / supported supported supported upported pported ported orted rted ted ed d pressure levelressure levelessure levelssure levelsure levelure levelre levele level levellevelevelvelell

PC (Pressure Control level) above PEEP is C (Pressure Control level) above PEEP is the set inspiratory pressure level for each he set inspiratory pressure level for each mandatory breath in Pressure Control and breath in Pressure Control and SIMV (PC) + PS, and also for Apnea back-up MV (PC) + PS, and also for Apnea back-up for Apnea back-up in Pressure Support.Support.

PS (Pressure Support level) above PEEP is the set inspiratory pressure support level for he set inspiratory pressure support level for triggered breaths in Pressure Support, SIMV breaths in Pressure Support, SIMV V modes and Bi-Vent.

O2 concentrationconcentrationoncentrationncentrationcentrationentrationntrationtrationrationationtioniononn

The setting range for the gas mixer is 21% Ofor the gas mixer is 21% OO2 to 100% O automatically set at approximately 6% Outomatically set at approximately 6% OO above or below the set concentration value. There is also an absolute minimum alarm minimum alarm limit of 18% O operating settings.

. The alarm limits are

which is independent of ch is independent of

Respiratory rate / SIMV espiratory rate / SIMV spiratory rate / SIMV piratory rate / SIMV iratory rate / SIMV ratory rate / SIMV atory rate / SIMV tory rate / SIMV ory rate / SIMV ry rate / SIMV y rate / SIMV rate / SIMV rate / SIMV ate / SIMV te / SIMV e / SIMV / SIMV / SIMV SIMV SIMV IMV MV V frequencyrequencyequencyquencyuencyencyncycyy

Respiratory rate is the number of controlled umber of controlled mandatory breaths per minute in controlled inute in controlled modes excluding SIMV. The respiratory rate V. The respiratory rate is also used for calculation of tidal volume if n of tidal volume if the ventilator is configured for Minute volume Minute volume setting. SIMV rate is the number of controlled he number of controlled mandatory breaths in SIMV modes.SIMV modes.

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Infant Adult Universal Options

Settingsettingsttingstingsingsngsgss

Previous ventilation moderevious ventilation modeevious ventilation modevious ventilation modeious ventilation modeous ventilation modeus ventilation modes ventilation mode ventilation modeventilation modeentilation modentilation modetilation modeilation modelation modeation modetion modeion modeon moden mode modemodeodedee

1. Time when previous mode was when previous mode was inactivated.

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

3. Activate the previous used ventilation ntilation mode settings by pressing the Accept pad.

Note:

• The previous ventilation mode function is

not available after a Pre-use check, ble after a Pre-use check, changing of patient category, admitting a patient category, admitting a new patient, use of the same ventilation f the same ventilation mode for more than 24 hours or after startup (cold start) of the system.p (cold start) of the system.

• In backup ventilation, the ventilator shows n backup ventilation, the ventilator shows

the settings for the supported mode when gs for the supported mode when previous mode is activated.ctivated.

• A recall of previous settings is only y

possible after a change of ventilation mode.

Infant Adult Universal Option

Servo… User´s manual US edition Order No: 66 00 261

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Specifications and Main Features

Frequently Asked Questions

User Manual