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D
Savina
Intensive Care Ventilator
Instructions for Use
Software 2.n
mt78799
How to work with these
instructions for use
003 37261
program,
familiarise themselves with the operation of the machine by ¨Insp. hold˙ key for manually activated inspiration and
— Taste »
for extendingVerneb.« zum Einschalten/Ausschalten
the inspiration time. des
Medikamentenverneblers
hands-on activity. — Taste »O2 Y Absaug.« zum Starten/Beenden des Oxyge-
003 37261
nierungsprogramms
— Taste »Insp. hold« für eine manuell ausgelöste Inspiration
und eine Verlängerung der Inspiration.
Information window on screen
During setting of a ventilation parameter, the Savina calculates
the derived parameters and displays them in the information
The left-hand column... window on the main screen page.
Info-Fenster im Bildschirm
The information
Während window eines
der Einstellung disappears when the parameter
Beatmungsparameters
contains the text setting is Savina
errechnet confirmed.
die neuen abgeleiteten Parameter und zeigt
sie im Info-Fenster am Bildschirm in der Hauptseite an.
which provides explanations and guides the user with brief Das Info-Fenster verschwindet, wenn die Einstellung des
060 37388
Parameters bestätigt wurde.
and clear instructions in an ergonomic sequence for confusion
free use of the machine. Power switch
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Bullet points indicate the working steps. In many cases, 3 To switch the apparatus on/off.
Located on the back of the apparatus.
numbers are used to highlight the relation between the Netzschalter
To switch on:
3 Zum Ein / Ausschalten des Gerätes.
Turn power switch to ¨ ˙ = ON.
working step described, the associated illustration(s) and Auf der Rückseite des Gerätes.
3
the sequence of operations. Gerät einschalten:
Netzschalter auf » « schalten = EIN.
0
3
100 37261
contains the illustration(s)
100 37261
085 37 261
which directly relate to the text opposite and show the user 12
12
where to find the items concerned. The focus is on the
elements mentioned in the text. Non-essentials are omitted.
Screen dumps are also used to guide the user and confirm
the working steps.
2
Contents
Contents
Intended Use 7
Areas of use
Operating Concept 9
Controls, Parameter setting, Structure of the screen pages
Operation 17
Ventilation modes, Alarm limits and alarm priorities, Curves,
Measured values, Special functions
Configuration 47
Contrast, Volume, Measured values line, Language,
Apnoea ventilation ON/OFF
Care 67
Dismantling, Cleaning, Maintenance
Preparation 79
Assembly, Checking readiness for operation
Description 97
Description of ventilation modes, Bibliography
Index 128
3
4
For your safety and that of your patients
Accessories
Do not use accessory parts other than those in the order list.
5
For your safety and that of your patients
Do not use the equipment in hyperbaric chambers. Changes in these parameters may be caused by:
The apparatus may malfunction, causing danger — acute changes in the patient’s condition
to the patient. — incorrect settings and faulty handling
— equipment malfunctions
Avoid pollutants in the ambient air. — failure of power and gas supplies
Savina uses ambient air for ventilation.
Pollutants would enter the patient’s body. In the event of a problem with the integrated monitoring:
● separate monitors must be used.
Interference with operation of the apparatus may be
caused by the use of high-frequency electrical surgical
equipment, defibrillators or short-wave treatment
equipment, thereby putting the patient at risk.
Do not use mobile phones within a distance of 10 metres Back-up ventilation with an independent
from the equipment. manual ventilation device
Mobile phones can cause interference with electrical
and electronic medical apparatus, thereby putting patients If a fault is detected in the Savina so that its life-support
at risk!* functions are no longer assured:
● start ventilation using an independent ventilation device
without delay, if necessary with PEEP and/or increased
inspiratory O2 concentration (e.g. with the Dräger
Resutator 2000).
6
Intended Use
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
7
Intended Use
Intended Use
Savina®1 NIV – non-invasive ventilation (optional)
Long-term ventilator for intensive care. For patients requiring For ventilation with a nose or face mask to support non-
50 mL tidal volume upwards. invasive ventilation therapies.
Choice available between mask ventilation and ventilation of
With the following ventilation modes intubated patients.
IPPV
Intermittent Positive Pressure Ventilation
controlled and assisted constant-volume ventilation.
IPPVAssist Special modes:
Assisted constant-volume ventilation. Apnoea Ventilation
CPPV For switching over automatically to volume-controlled
Continuous Positive Pressure Ventilation mandatory ventilation, if breathing stops.
Ventilation with continuous positive airway pressure.
IRV
Inversed Ratio Ventilation
Ventilation with inversed inspiration/expiration ratio. With monitoring for
PLV airway pressure, Paw,
Pressure Limited Ventilation expiratory minute volume, MV,
AutoFlow®2 (optional) inspiratory O2 concentration, FiO2,
for the automatic optimization of inspiratory flow and inspiratory breathing gas temperature, T,
minimizing of the airway pressure and to permit spontaneous apnoea,
breathing throughout the breathing cycle. tachypnoea monitoring to detect rapid, shallow spontaneous
breathing.
SIMV
Synchronized Intermittent Mandatory Ventilation
Procedure for weaning patients off the ventilator after they Areas of Use
have started spontaneous breathing.
PLV In the Intensive Care ward or in the recovery room.
Pressure Limited Ventilation During secondary transport from one hospital to another.
AutoFlow® (optional) During transfer of ventilated patients within the hospital.
for the automatic optimization of inspiratory flow and During transfer flights4.
minimizing of the airway pressure and to permit spontaneous
breathing throughout the breathing cycle.
CPAP
Continuous Positive Airway Pressure
Spontaneous breathing with positive airway pressure.
SB
Spontaneous Breathing
Spontaneous breathing
ASB
Assisted Spontaneous Breathing
Pressure-assisted spontaneous breathing.
BIPAP3 (optional)
Biphasic Positive Airway Pressure
Pressure-controlled ventilation combined with free
spontaneous breathing during the complete breathing cycle,
and adjustable pressure assist on CPAP level.
8
Operating Concept
Ventilation Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Setting ventilation parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Selecting the ventilation mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Screen Operating Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Keys for routine and additional functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Information window on screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Power switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Screen Pages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Structure of the screen pages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Main page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
"Settings" screen page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
"Alarms" screen page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
"Values" screen page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
"Configuration" screen page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
»Standby« key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
9
Operating Concept
Operating Concept
Ventilation Controls
1 Keys for selecting the ventilation modes:
– IPPV
– SIMV
D 2 Savina
– CPAP/ASB
– BIPAP (optional)
2 Keys for selecting/setting ventilation parameters:
– Tidal volume V T
– Inspiration time Tinsp 1
– Frequency f
– O2-concentration O2 3
– Inspiratory pressure Pinsp
– Pressure support ∆ PASB
– Positive End-Expiratory Pressure PEEP
3 Central "turn and push" rotary knob for setting the
parameters and for selecting screen parameters.
To set = turn the rotary knob
To confirm setting = press the rotary knob.
001 37261
Setting ventilation parameters
2 To select a ventilation parameter = press the corresponding
parameter key.
The yellow LED in the key lights up.
3 To set the value of the ventilation parameter = turn the rotary
knob. The value is displayed next to the parameter key.
3 To confirm the value = press the rotary knob.
The yellow LED in the key goes out.
The new value of the parameter becomes effective on
confirmation.
10
Operating Concept
002 37261
page, for system settings such as alarm volume, screen
brightness.
11
Operating Concept
003 37261
— »Insp. hold« key for manually activated inspiration and
for extending the inspiration time.
060 37388
Power switch
3 To switch the apparatus on/off.
Located on the back of the apparatus.
To switch on:
Turn power switch to » « = ON.
0
100 37261
12
Operating Concept
Screen Pages
Structure of the screen pages
1 Ventilation mode display field
2 Alarm message display field 1 2
3 Curves and measured values display field
4 Measured values display field
5 Information bar
3
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5
Main page
Displays a pressure curve and displays three measured values.
To configure combination of measured values, see page 49.
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or:
Displays a flow curve and displays three measured values.
To configure combination of measured values, see page 49.
072 37388
13
Operating Concept
Settings 1/1:
Menu comprises a single page.
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● To select parameters = turn rotary knob.
The selected parameter is indicated by a bold frame.
● To activate parameter for setting = press rotary knob.
The active parameter appears light on a dark background.
● To set parameter = turn rotary knob,
to confirm = press rotary knob.
For detailed instructions on setting the ventilation modes,
see pages 19 onwards.
063 37388
Values 1/2:
Page 1 of 2 available pages.
128 37388
14
Operating Concept
065 37388
Configuration 1/4:
Page 1 of 4 available pages of the Configuration menu.
»Standby« key
1 Positioned at bottom right of the front panel.
— to switch on ventilation.
1
To switch to standby:
1 Hold down » Standby« key for at least 3 seconds
and
2 to confirm = press »Alarm Reset« key.
004 37261
To switch on ventilation:
1 Press » Standby« key briefly.
15
16
Operation
Starting Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Setting Ventilation Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
IPPV, IPPVAssist, CPPV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
SIMV, SIMV/ASB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
BIPAP, BIPAP/ASB (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
CPAP, CPAP/ASB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Apnoea ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Setting Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
In the event of an Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Warning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Caution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Advisory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Suppressing the audible alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Displaying Curves and Measured Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Displaying measured values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
NIV – Non-invasive ventilation Mask ventilation (optional) . . . . . . . . . . . . . . . . . . . . . 34
Special functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Manual inspiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Medicament nebulization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Oxygen enrichment for bronchial suction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Calibrating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Calibrating O2 sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
At high ambient temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
In the event of a power supply failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
In the event of a gas failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
17
Operation
Operation
Run equipment check according to checklist, see page 96.
Starting Up
Switching on
1 Turn the main switch on the back of the apparatus to » «
The Savina now runs through a power-up self-test
procedure.
● Wait for the 12-second test phase to be completed.
101 37261
During the self-test the start-up page appears, showing the
software version.
066 37388
or
3
3 Press the » Standby« switch to set the Savina on
standby,
4 Confirm = press »Alarm Reset« key.
2 Change the ventilation parameters and
3 press the » Standby« switch to return to ventilation.
091 37276
18
Operation
118 37261
Extreme settings
Certain ventilation parameters are limited by Savina to a
threshold value. Extreme values can only be set after
confirmation by pressing the rotary knob.
19
Operation
or
1 3
The new ventilation mode selected is now operative.
Ventilation always starts with the last settings.
005 37261
2 In the block of parameter keys, the LEDs for the additional
parameters relevant to the new ventilation mode will start
flashing.
Constantly lit parameter keys indicate ventilation parameters
that are operative in the active ventilation mode. Any change
and confirmation of these parameters immediately affects the
active ventilation mode.
2 Press the relevant parameter key which has its LED
constantly lit.
20
Operation
045 37388
If PEEP is greater than 0 the airway pressure remains
constantly in the positive range (CPPV).
21
Operation
To set FlowAcc:
● Press »Settings ∆∆«key,
screen page »Settings 1/1« appears.
● Select line »FlowAcc« on screen = turn rotary knob,
to confirm = press rotary knob.
● To set value = turn rotary knob
Setting range: 5 to 200 mbar/sec
FlowAcc high: steep pressure and flow increase
● To confirm setting = press rotary knob.
103 37388
IPPV can be extended using the following ventilation
parameters:
— Trigger
— Sigh
— AutoFlow (optional)
Trigger (IPPVAssist)
To synchronize the mandatory ventilation strokes with the
patient’s efforts to breathe in. The actual frequency may be 1 Savina
22
Operation
1 2
The ventilation mode IPPVAssist is displayed on the screen.
092 37261
When changing over from IPPV to SIMV, BIPAP or CPAP/ASB,
the last active trigger value remains effective.
068 37388
Sigh
To prevent atelectasis.
Atelectasis can be prevented by activating the sigh function
and setting the sigh in the form of an intermittent PEEP.
When the sigh function is activated, the end-expiratory
pressure is increased by the set intermittent PEEP for
2 ventilation strokes every 3 minutes.
23
Operation
AutoFlow® (optional)
131 37388
Automatic optimization of the inspiration flow.
The inspiration flow is decelerated and regulated by
AutoFlow*, so that at the selected tidal volume V T, with the
current compliance a minimum airway pressure is reached and
pressure peaks are avoided.
Savina supplies additional inspiration flow when the patient
breathes in – restricted by the alarm limit V Ti >.
The patient can also breathe out during the inspiratory plateau
phase.
The inspiratory pressure is limited by the Paw > alarm limit.
121 37388
24
Operation
SIMV, SIMV/ASB
Synchronized Intermittent Mandatory Ventilation*
without ASB with ASB
Assisted Spontaneous Breathing** Paw pressure support pressure support
Fixed mandatory minute volume MV, set with the tidal volume V T
FlowAcc FlowAcc
and frequency f. The patient can breathe spontaneously high low
between the mandatory ventilation strokes. Spontaneous FlowAcc
PEEP
breathing can be assisted by ASB.
046 37388
— O2 concentration »O2«,
— positive end-expiratory pressure »PEEP«.
062 37388
To set the pressure limit Pmax:
● Set Pmax to ON, see page 51.
● Set pressure limit value by means of »Pinsp« key.
● When setting the pressure limit, ensure that the tidal
volume VT is still being applied, as otherwise Savina will
display a "!! Tidal Volume low". Then:
● Set pressure limit higher by means of »Pinsp«,
or
● Increase inspiration time »Tinsp«,
or
● Increase FlowAcc
Additional functions:
— Pressure support »∆ PASB above PEEP«
— Apnoea ventilation
● To set apnoea ventilation, see page 28.
25
Operation
027 37388
Set BIPAP by means of the ventilation parameter keys:
26
Operation
CPAP, CPAP/ASB
Continuous Positive Airway Pressure
Assisted Spontaneous Breathing
Trigger
By setting the trigger sensitivity, the assisting ventilator
support is synchronised with the patient’s own spontaneous
breathing attempts.
● To set the trigger, see page 23.
Apnoea ventilation
● To set apnoea ventilation, see page 28.
27
Operation
Apnoea ventilation
For automatic switchover to volume-controlled mandatory
ventilation if the patient stops breathing. Apnoea ventilation Paw
can be provided for all ventilation modes with spontaneous FlowAcc
breathing. If the patient stops breathing, Savina activates an
alarm after the set apnoea alarm time TApnoea and starts
volume-controlled mandatory ventilation with:
— inspiration /expiration ratio I:E = 1:2
and the set ventilation parameters: 1
Apnoea alarm time t= t
— Frequency »fApnoea« TApnoea > fApnoea
— Tidal volume »VTApnoea« Start of
The patient can breathe spontaneously during apnoea apnoea ventilation
ventilation. The frequency »fApnoea« remains constant.
Flow
009 37388
To set apnoea ventilation
● Press »Settings ∆∆« key. Screen page 1/1 appears.
If apnoea ventilation is activated, the »VTApnoea« and »fApnoea«
lines are visible.
In this case A = apnoea ventilation standby appears at the right
on the main screen page.
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● Select »Apn-Vent. OFF« line = turn rotary knob
Activate = press rotary knob.
● Set a value of at least 2 bpm = turn rotary knob.
The »VTApnoea« and »fApnoea« lines appear.
● To select lines = turn rotary knob,
activate = press rotary knob.
● To set value = turn rotary knob,
confirm = press rotary knob.
28
Operation
071 37388
To end apnoea ventilation:
● Press the »Alarm Reset« key.
Savina carries on ventilating in the original ventilation mode and
D Savina
associated ventilation parameters.
047 37261
During Savina settings, the status of switched on apnoea
ventilation is displayed for 6 seconds by a special information
page where, in principle, apnoea ventilation is possible.
— when changing over the ventilation mode,
— when switching on Savina,
— when reducing the frequency, if the cycle time is then
longer than TApnoea .
29
Operation
This page displays all the alarm limits that can be set.
< = lower alarm limit
> = upper alarm limit
MV > 2 to 41 L/min
063 37388
MV < 0.5 to 40 L/min
V Ti > 0.06 to 4 L
The lower alarm limit does not have to be set for the airway
pressure Paw, because it is automatically coupled to the
PEEP setting.
30
Operation
007 37261
Warning
Top priority message
Caution
Medium priority message
31
Operation
Advisory
Low priority message
008 37261
3 The message is erased from the screen.
If you wish to reactivate the audible alarm before the end of this
2-minute muting period:
4 Press the » « key again. The yellow LED will now go out.
The message remains on the screen.
The alarm tone sounds only once when a higher priority alarm
occurs during the period, when the audible alarm is muted.
32
Operation
072 37388
Displaying measured values
● Press »Values ∆∆« key. The screen page »Values1/2«
appears or, in »Mask/NIV« mode, »Values 1/3«.
The airway pressure is indicated by a bar display.
The other measured values are displayed numerically.
123 37388
33
Operation
125 37388
NIV – Non-invasive ventilation
Mask ventilation (optional)
Using NIV*
When masks are used, the dead space increases.
● Follow the mask manufacturer’s directions.
34
Operation
127 37388
Setting the ventilation parameters
● Proceed as in »Tube« mode.
35
Operation
Setting TDisconnect
A delay »TDisconnect« from 0 to 60 seconds can be set for the
»Airway pressure low« alarm in the »Mask/NIV« mode. In the
event of disconnection this delays the activation of the alarm by
the time set.
● Press the »Alarms ∆∆« key until the screen page
»Alarms 2/2« appears.
● Activate the »TDisconnect« line to set.
● Set TDisconnect = turn the rotary knob,
confirm = press the rotary knob.
129 37388
Selecting »Tube« mode
● Switch apparatus to standby = hold down » Standby«
key for about 3 seconds.
● Press »Alarm Reset« to switch off the audible alarm.
● To select, activate »Patient Connection« line =
press rotary knob,
● Select »Tube« = turn rotary knob,
● Confirm = press rotary knob.
● The advisory message appears briefly.
36
Operation
Special functions
Manual inspiration
This function may be used in all modes except CPAP
spontaneous breathing without ASB pressure support.
Regardless of the start time, an automatic ventilation stroke
can be prolonged by up to a maximum of 15 seconds.
Or:
Between two automatic ventilation strokes, a ventilation
stroke can be manually started and held for a maximum
of 15 seconds.
For BIPAP:
pressure-controlled ventilation stroke, defined by the »Pinsp«
and »Tinsp« settings.
For CPAP/ASB:
pressure-assisted ventilation stroke, defined by the
»∆ PASB above PEEP« setting.
1 Press and hold down the »Insp. hold« key for as long as
inspiration is required.
D Savina
010 37261
37
Operation
Medicament nebulization
Applicable in every ventilation mode.
04337261
in considerable discrepancies in the minute-volume
reading!
38
Operation
1 Hold down » Neb.« key, until the yellow lamp lights up.
D Savina
On-screen advisory message:
1
! Nebulizer on
On-screen information:
013 37261
Flow calibration
39
Operation
043 37261
Before suction
1 Hold down »O2 Y suction« key until the yellow lamp lights
up.
D Savina
In the set ventilation mode, Savina ventilates with
100 Vol.% O2.
In case PEEP has not been set higher than 4 mbar, an 1
automatic setting of 4 mbar will come into effect.
This PEEP will enable Savina to detect any subsequent
disconnection.
The other ventilation parameters remain unchanged.
40
Operation
After reconnection
After reconnection has taken place, Savina ventilates once
more in the set ventilation mode, however, for final O2
enrichment 120 seconds more with 100 Vol.% O2.
014 37261
41
Operation
Calibrating
The saved calibration/zeroing values remain stored even when
the machine is switched off.
Flow-calibration ok
104 37388
Then
● Exchange flow sensor.
42
Operation
Calibrating O2 sensors
Savina uses one O2 sensor for O2 control and display
(sensor 1) and a second, separate O2 sensor for O2 monitoring
(sensor 2).
43
Operation
* See Order List on page 126. Only use temperature sensors with
blue leads.
44
Operation
45
46
Configuration
Setting the screen contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Adjusting the volume of the audible alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Configuring the measured values line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Manual calibration for O2 sensor 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
FiO2- or flow monitoring ON/OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Pmax ON/OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Plateau ON/OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Selecting the language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Setting the date and time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Configuring the MEDIBUS protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Displaying the device values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
47
Configuration
Configuration
The following settings for use can be selected in
»Configuration« mode:
— Screen contrast
— Alarm volume
— Measured values line
— Manual calibration for O2 sensor 2
— FiO2 and flow monitoring ON/OFF
— Pmax ON/OFF
— Plateau ON/OFF
— Language, date and time
— MEDIBUS protocol.
48
Configuration
078 37388
The following combinations of measured values can
be selected:
1. VTe ftot MV
2. FiO2 VTe MV
3. Ppeak VTe MV
4. Pmean FiO2 MV
5. Pmean VTe MV
6. Ppeak Pmean V Te
49
Configuration
Thereafter appears:
O2 calibration ok
115 37388
Disconnection and change of O2 concentration would activate
the alarms. For this reason Savina turns the alarms off during
calibration.
If the patient is not reconnected within 30 seconds, Savina
continues ventilating and all the alarms are reactivated.
120 37388
FiO2- or flow monitoring ON/OFF
For instance, when a used O2 or flow sensor cannot be
replaced immediately.
● Use alternative monitoring, as otherwise there will be a
restricted monitoring function.
● Press »Config. ∆∆« key repeatedly until
»Configuration 2/4« appears.
● Select the desired line = turn the rotary knob,
confirm = press the rotary knob
● Set to »ON« = turn the rotary knob,
confirm = press the rotary knob.
The corresponding monitoring is activated.
● Set to »OFF« = turn the rotary knob,
confirm = press the rotary knob.
080 37388
50
Configuration
Pmax ON/OFF
To use the pressure limit Pmax in the IPPV, IPPVAssist and
SIMV, SIMV/ASB ventilation modes.
The pressure limit value is set by means of the »Pinsp« key.
Savina limits the airway pressure to that set value.
● Press »Config. ∆∆« key repeatedly until
»Configuration 2/4« appears.
● Select »Pmax« line = turn rotary knob,
to release for setting = press rotary knob.
● To set »ON« = turn rotary knob,
confirm = press rotary knob.
The pressure limit »Pmax« is activated.
● To set »OFF« = turn rotary knob,
confirm = press rotary knob.
The pressure limit »Pmax« is deactivated.
079 37388
51
Configuration
Plateau ON/OFF
To switch on and off the inspiratory pause.
When the plateau is deactivated, Savina switches to expiration
after application of the tidal volume V T. The inspiration time
setting Tinsp does not apply. Savina establishes a minimum
expiration time of 500 ms and limits the resulting I:E ratio to
max. 4:1.
● Press »Config. ∆∆« key repeatedly until
»Configuration 2/4« appears.
● Select »Plateau« line = turn rotary knob,
to release for setting = press rotary knob.
● To set »ON« = turn rotary knob,
116 37388
confirm = press rotary knob.
Plateau is activated.
● To set »OFF« = turn rotary knob,
confirm = press rotary knob.
Plateau is deactivated.
081 37388
— French – Romanian
— Italian – Polish
— Spanish
— Portuguese
— Chinese
52
Configuration
— Baudrate
— Parity check bits
— Number of stop bits
083 37388
● Set value = turn the rotary knob,
confirm = press the rotary knob.
106 37388
the number of working hours since the last inspection
and service by trained service personnel.
● Release code:
Numerical code for release of options
* MEDIBUS:
Dräger communications protocol for medical appliances.
53
54
Fault – Cause – Remedy
Fault – Cause – Remedy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
55
Fault – Cause – Remedy
Savina displays a message for your guidance in the information line when certain alarm messages occur.
The messages are listed in the table in alphabetical order.
In the event of an alarm, this table is designed to enable you to identify the cause and take rapid
corrective action.
!!! Airway pressure high The upper alarm limit for the airway Check patient condition.
pressure has been exceeded. The patient Check ventilation pattern.
is "fighting" the ventilator; cough. Correct alarm limit if necessary.
!!! Airway pressure low Leaking cuff. Inflate cuff and perform leak test.
!!! Ambient press. meas. inop. Internal absolute pressure sensor faulty. Due to a fault in the ambient pressure
measurement, Savina calculates the tidal
volume V T and minute volume MV values
on the basis of 1013 mbar, in the
absence of current measurements.
If the »Airway pressure high« alarm is
correctly set and the incorrect tidal
volume V T and minute volume MV values
are tolerable, Savina can continue to be
used.
Keep a check on the patient’s condition.
Call DrägerService.
Apnoea alarm time TApnoea is set Extend apnoea alarm time TApnoea .
less than time for one respiration phase
(TApnoea < 60/f).
Disconnection. Reconnect.
56
Fault – Cause – Remedy
! Apnoea Alarm off Apnoea monitoring has been switched Reset the apnoea alarm time TApnoe
Only in »Mask/NIV« mode (optional) off. to the desired monitoring value if
necessary.
!! Apnoea ventilation Due to detected apnoea, Savina auto- Check the ventilation process.
matically switched over to mandatory To return to the original ventilation mode:
ventilation. Press the »Alarm Reset« key.
!!! ASB > 4 s The ASB cycle has been switched off Test ventilation system for leaks.
Not displayed in »Mask/NIV« mode. 3 times due to exceeding time limit.
! ASB > 4 s The ASB cycle has been switched off due Test ventilation system for leaks.
Not displayed in »Mask/NIV« mode. to exceeding time limit.
! Atmospheric pressure high The device is being used at too high Use Savina inside of the given
atmospheric pressure. atmospheric pressure range,
see Technical data, page 118.
One of the pressure sensors is defective. Due to a fault in the ambient pressure
measurement, Savina calculates the tidal
volume V T and minute volume MV values
on the basis of 1013 mbar, in the
absence of current measurements.
If the »Airway pressure high« alarm is
correctly set and the incorrect tidal
volume V T and minute volume MV values
are tolerable, Savina can continue to be
used.
Keep a check on the patient’s condition.
Call DrägerService.
! Atmospheric pressure low The device is being used at too low Use Savina inside of the given
atmospheric pressure. atmospheric pressure range,
see Technical data, page 118.
One of the pressure sensors is defective. Due to a fault in the ambient pressure
measurement, Savina calculates the tidal
volume V T and minute volume MV values
on the basis of 1013 mbar, in the absence
of current measurements.
If the »Airway pressure high« alarm is
correctly set and the incorrect tidal
volume V T and minute volume MV values
are tolerable, Savina can continue to be
used.
Keep a check on the patient’s condition.
Call DrägerService.
!!! Breathing gas temp. high Breathing gas temperature is over 40 oC. Switch off humidifier. Use longer
inspiration hoses.
!! Check settings Due to an internal data loss, Savina is Check settings and adjust.
operating with factory settings.
57
Fault – Cause – Remedy
!!! Device failure XX.YYYY Device faulty. If the alarm message disappears on
pressing the »Alarm Reset« key,
ventilation with Savina can be continued.
If the alarm message does not disappear
on pressing the »Alarm Reset« key,
disconnect the patient from Savina and
continue ventilation without delay, using
another independent ventilator. Use
PEEP and/or an increased O2
concentration if necessary.
Call DrägerService.
!! Device over temperature Temperature inside the device is too high. Check condition of the dust filter and
replace if necessary, page 76.
!!! Exp. valve inop. Expiration valve not properly connected to Fit expiration valve correctly.
socket.
!!! Ext. DC ? External battery defective or not Disconnect Savina from the external
sufficiently charged. battery and connect to another charged
battery.
! Ext. DC supply active Device operating with external battery. Note capacity of external power source.
!!! Ext. DC high External battery voltage is too high. Disconnect Savina from the external
battery and connect to a battery with the
permissible voltage.
!!! FiO2 high Due to a low minute volume MV, the mixer Message disappears after a short time.
is not yet completely steady.
!!! FiO2 low Due to a low minute volume MV, the mixer Message disappears after a short time.
is not yet completely steady.
58
Fault – Cause – Remedy
!!! Flow measurement inop. Water in flow sensor. Dry flow sensor.
! Flow monitoring off Flow monitoring is switched off. Switch flow monitoring on again, see
page 50, or immediately provide
adequate external monitoring.
!!! Flow sensor? Flow sensor not fully inserted in Insert flow sensor correctly.
rubber lip of expiration valve.
!!! Insp / Exp cycle failure The device does not deliver any gas. Set an IPPV frequency of at least 4/min.
Apnoea alarm time TApnoea is set Extend apnoea alarm time TApnoea .
less than time for one respiration phase
(TApnoea < 60/f).
Disconnection. Reconnect.
! Insp. hold interrupted The »Insp. hold« key was held down Release »Insp. hold« key.
longer than 15 seconds.
!!! Int. batt. almost discharged Working time when running on the Immediately connect supply via mains,
internal battery has almost expired, external battery or a vehicle DC
mains power or external DC power supply on-board network.
not connected.
! Int. batt. almost discharged Mains power connected; internal Do not switch over Savina to operation via
battery almost discharged. internal battery.
!! Int. battery activated Savina is being supplied via the internal Restore mains power or supply from
battery as there is no mains supply or charged external battery or DC on-board
external battery and no DC on-board network within 60 minutes.
voltage. This alarm can be acknowledged by
The typical working time using a supply pressing »Alarm Reset«. It will then
from the internal battery (new and fully appear as an advisory message (!).
charged) is 60 minutes.
! Int. battery activated Savina is being supplied via the internal Restore mains power or supply from
battery as there is no mains supply or charged external battery or DC on-board
external battery and no DC on-board network within 60 minutes.
voltage.
The typical working time using a supply
from the internal battery (new and fully
charged) is 60 minutes.
59
Fault – Cause – Remedy
!!! Int. battery failed Internal battery has failed. If there is a reliable mains or external
DC supply, ventilation with Savina can
be continued. This alarm can be
acknowledged by pressing the »Alarm
Reset« key; it will then appear as an
advisory message (!).
Call DrägerService.
! Int. battery failed Internal battery has failed. If there is a reliable mains or external
DC supply, ventilation with Savina can
be continued.
Call DrägerService.
!! Int. battery low Savina is being supplied via the internal Restore mains power or supply from
battery as there is no mains supply or charged external battery or DC on-board
external battery and no DC on-board network immediately.
voltage. There are only a few minutes’
working time left.
! Int. battery low Mains power connected. The remaining Do not switch over Savina to operation via
operating time is only a few minutes. internal battery.
!! Key xx failed xx key (e.g. » 2 min«) can no longer Disconnect patient from Savina and
be pressed. continue ventilation without delay, using
another independent ventilator. Use
PEEP and/or an increased O2
concentration if necessary.
Call DrägerService.
!! Key xx overused Keys pressed very frequently within Acknowledge message by pressing
a short time (e.g. » 2 min« key). »Alarm Reset«.
If this message appears again:
Disconnect patient from Savina and
continue ventilation without delay, using
another independent ventilator. Use
PEEP and/or an increased O2
concentration if necessary.
Call DrägerService.
60
Fault – Cause – Remedy
!! Main switch overused Savina has detected very frequent Acknowledge message by pressing
operation of the switch within a short time. »Alarm Reset«.
If message appears again:
Ventilation with Savina can be continued.
If Savina cannot be switched off after
ventilation:
Turn the power switch to » « and press
the » Standby« key to switch Savina
off.
Call DrägerService.
!!! Malfunction fan Fan failure. Savina uses the fan to cool the interior of
the device and to avoid increased fire risk
in the event of an O2 leak.
If the »!!! Malfunction fan« alarm message
occurs:
Disconnect patient from Savina and
continue ventilation without delay, using
another independent ventilator. Use
PEEP and/or an increased O2
concentration if necessary.
Call DrägerService.
! MEDIBUS COM. inop. The connector of the MEDIBUS cable has Reconnect the connector and secure
been unplugged during operation. against disconnection with the two screws.
!!! Microfilter missing Microfilter is missing or is not Fit microfilter, see page 75.
correctly fitted.
!!! MV high The minute volume has exceeded the Check condition of patient.
upper alarm limit. Check pattern of ventilation.
Correct alarm limit if necessary.
61
Fault – Cause – Remedy
!!! MV low The minute volume has fallen below Check condition of patient.
the lower alarm limit. Check pattern of ventilation.
Correct alarm limit if necessary.
! MV low Alarm off The minute volume lower alarm limit Reset MV alarm limit to the desired
Only in »Mask/NIV« mode (optional) MV has been switched off. monitoring value if necessary.
!!! No battery charging Battery not charging. If there is a reliable mains supply,
ventilation with Savina can be continued.
Call DrägerService.
!!! No int. battery Internal battery is missing, defective or not Call DrägerService.
connected or fuse has failed. This alarm can be acknowledged by the
»Alarm reset« key. Then it appears as
advisory message (!).
! No int. battery Internal battery is missing, defective or not If there is a reliable mains supply,
connected or fuse has failed. ventilation with Savina can be continued.
Call DrägerService.
!!! O2 measurement inop. O2 sensor provides invalid measured Calibrate O2 sensor, see page 49.
values. Replace if necessary, page 77.
O2 sensor consumed or not fitted. Fit new O2 sensor, see page 77.
Calibrate, see page 49.
!! O2 monitoring off On switching on, Savina notifies that O2 Reactivate O2 monitoring, see
monitoring is switched off. page 50 or immediately connect
adequate external monitor function.
This alarm can be acknowledged by
pressing »Alarm Reset«. It will then
appear as an advisory message (!).
62
Fault – Cause – Remedy
!!! O2 supply down O2 supply pressure too low. Ensure pressure is greater than 2.7 bar.
! O2 supply down O2 supply pressure too low. Ensure pressure is greater than 2.7 bar.
O2 supply pressure is not required
when FiO2 = 21 Vol.%.
!! O2 supply pressure high O2 supply pressure too high. Make sure pressure is less than 6 bar.
! O2 supply pressure high O2 supply pressure too high. Make sure pressure is less than 6 bar.
O2 supply pressure is not required
when FiO2 = 21 Vol.%.
!!! PEEP high Expiration tract incorrectly positioned. Check hose system and expiration valve.
!!! PEEP inop. PEEP set not reached. Check system for leaks.
!!! Pressure meas. inop. Fluid in expiration valve. Replace expiration valve,
then disinfect/clean and dry,
see page 71.
!! Rotary knob failed Rotary knob cannot be turned or pressed. Disconnect patient from Savina and
continue ventilation without delay, using
another independent ventilator. Use
PEEP and/or an increased O2
concentration if necessary.
Call DrägerService.
!! Rotary knob overused Rotary knob has been pressed very Press »Alarm Reset« to acknowledge
frequently within a short time. message.
If this message appears again:
Disconnect patient from Savina and
continue ventilation without delay, using
another independent ventilator. Use
PEEP and/or an increased O2
concentration if necessary.
Call DrägerService.
63
Fault – Cause – Remedy
!!! Standby activated Savina has been switched to standby. Confirm standby by pressing
»Alarm Reset«.
!!! Temperature high Breathing gas temperature in Savina Reduce ambient temperature. Switch off
higher than 40 oC. humidifier to protect the patient and use
longer inspiration hoses.
! Temperature high Due to high ambient temperatures Lower the ambient temperature.
(35 to 40 oC), the device has reached its
peak pressure, but not its peak flow.
!!! Temperature meas. inop. Temperature sensor faulty. Fit new temperature sensor.
!!! Temperature sensor ? Temperature sensor probe has been Reconnect probe.
disconnected during operation.
!!! Tidal volume high After third breathing stroke: Check the condition of the patient.
The upper alarm limit of the applied Check the ventilation pattern.
inspiratory tidal volume V T has been If necessary, correct the alarm limit.
exceeded during three consecutive
ventilation strokes.
! Tidal volume high After first breathing stroke: Check the condition of the patient.
The upper alarm limit of the applied Check the ventilation pattern.
inspiratory tidal volume V T has been If necessary, correct the alarm limit.
exceeded during three consecutive
ventilation strokes.
!! Tidal volume low After fourth breathing stroke: Extend inspiration time »Tinsp«,
Because of pressure and time limitations raise »FlowAcc«,
the set tidal volume V T will not be raise pressure limitation using »Pinsp«
applied. key.
This alarm can be acknowledged by the
»Alarm reset« key. Then it appears as
advisory message (!).
64
Fault – Cause – Remedy
! Tidal volume low After second breathing stroke: Extend inspiration time »Tinsp«,
Because of pressure and time limitations raise »FlowAcc«,
the set tidal volume V T will not be raise pressure limitation using »Pinsp«
applied. key.
! VTi high Alarm off The inspiratory tidal volume Reset alarm limit V Ti to desired
Only in »Mask/NIV« mode (optional) upper alarm limit V Ti has been monitoring value if necessary.
switched off.
65
66
Care
Dismantling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Removing parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Disinfecting/Cleaning/Sterilising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Disinfecting/cleaning/sterilising schedule for Savina Intensive Care Ventilator . . 73
Maintenance Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Replacing the microfilter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Replacing the dust filter set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Replacing the O2 sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Using an external battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Correct disposal of batteries and O2 sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Correct disposal of internal battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Important when storing Savina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Correct disposal of apparatus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
67
Care
Care
● Observe the hospital hygiene regulations.
● Clean and prepare the machine after each patient.
Recommendation:
● Change the hose system and expiration valve every week.
Keep the replacement systems ready.
Dismantling
Removing parts
● Switch off the ventilator and breathing gas humidifier,
and remove their power plugs.
1 Drain condensate from water traps and ventilation hoses.
Drain the water trap on the expiration valve.
2 Drain the water container of the humidifier.
1
1
2
1
109 29 170
Ventilation hoses
● Remove ventilation hoses from the device ports.
● Remove the water traps from the ventilation hoses. 3
Remove the water containers from the water traps and
the expiration valve.
● Prepare the ventilation hoses, water traps and associated
water jars, and the Y-piece for disinfection and cleaning
by autoclaving.
3 Remove the bacterial filter and treat it in accordance with
the accompanying instructions for use.
110 29 170
68
Care
093 29 170
Medicament nebulizer (optional)
1 Remove nebulizer hose from the medicament nebulizer and
from the spigot on the device.
2 Pull medicament nebulizer out of the adult hose set, or
2 1
016 29 170
2 dismantle medicament nebulizer from the paediatric hose
set.
3 Pull catheter connector (ISO cone ø15/ø11) out of the 5 4 3
input.
4 Pull spigot (ISO cone ø22/ø11) out of the output.
5 Pull corrugated hose out of the spigot. 2 1
● Dismantle and prepare medicament nebulizer in
accordance with the accompanying instructions for use.
021 29 170
69
Care
Flow sensor
1 Push the flow sensor to the left as far as it will go and
2 pull out.
D Savina
058 29 170
Expiration valve
3 Remove collecting jar from water trap.
4 Turn knurled sleeve to the left and 4
5 remove expiration valve.
059 29 170
3
6 Remove diaphragm.
7 Remove rubber bushing.
● Do not disassemble the expiration valve any further.
● The expiration valve together with the diaphragm, rubber
bushing and dismantled water trap collecting jar are
suitable for disinfection and cleaning by autoclaving or
sterilising.
6
048 29 170
70
Care
Disinfecting/Cleaning/Sterilising
Use surface disinfectants. For surface compatibility, use
disinfectants based on:
— aldehydes,
— quaternary ammonium compounds.
— Ventilation hoses
— Y-piece
— Water traps and collecting jars
— Expiration valve casing
— Expiration valve diaphragm
— Containers for water traps
● Hot-steam disinfect in the autoclave (93 oC/10 minutes)
using detergent only.
71
Care
— Ventilation hoses
— Y-piece
— Water traps and collecting jars
— Expiration valve casing
— Expiration valve diaphragm
— Containers for water traps
— Temperature sensor
● are thermo-stable and can be steam-sterilised at 134 oC.
72
Care
73
Care
Maintenance Intervals
Clean and disinfect equipment and/or components
before any maintenance procedures – and before returning
for repair!
Equipment inspection Should be carried out for the first time after 2 years or
and service 6,000 hours’ operation, whichever is earlier.
Thereafter annually or after 6,000 hours’ operation, whichever
is earlier.
For other servicing (e.g. six-monthly inspection, etc.), contact
DrägerService.
Only original Dräger parts should be used.
74
Care
1 1
097 29 170
3 Remove used microfilter from its housing.
● Slide new microfilter into housing as far as it will go.
099 29 170
4 Insert filter cover with two lugs into rear panel.
5 Position power cable under filter cover. 4 4
6 Push latches into housing until they engage.
6 6
114 29 170
75
Care
1 1
097 29 170
3 Remove used dust filter from filter cover.
● Fit new dust filter.
098 29 170
5
Breathing air and cooling air are drawn in through the
filter cover.
● Do not cover, do not place up against a wall –
risk of device overheating.
6 6
114 29 170
76
Care
Sensor 1
is automatically calibrated after fitting.
1
Sensor 2:
● Allow not more than 20 minutes warm-up time to elapse,
then
● calibrate manually, see page 49.
054 29 170
supply valid O2 measured values as soon as it is switched on.
If the internal battery is discharged, Savina does not supply any
O2 measured values for the first 20 minutes after switching on.
The O2 dosage operates at reduced accuracy during this time.
77
Care
O2 sensors:
● can be returned to Dräger Medical AG & Co. KGaA.
78
Preparation
Assembling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Mounting the expiration valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Inserting the expiration valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Fitting the flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Fitting the bacterial filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Note on the use of expiratory bacterial filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Note on the use of heat and moisture exchangers . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Positioning the humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
For ventilating infants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Fitting the Aquapor humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Fitting the Fisher & Paykel humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Electrical power supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
O2 supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Expected operating time when using an O2 cylinder supply . . . . . . . . . . . . . . . . . . 91
Nurse call system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Checking readiness for operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
79
Preparation
Preparation
Assembling
Only use the duly prepared components!
052 37261
Inserting the expiration valve
3 Turn knurled sleeve to left as far as it will go.
4 Insert expiration valve. 3
3 Turn knurled sleeve to right.
5 Fit container for water trap.
4
5
028 37261
80
Preparation
2 Insert the flow sensor, with the probe facing towards the 2
ventilator, into the mounting and push it into the socket
as far as it will go.
Then:
029 37261
Fitting the bacterial filter
An inspiratory bacterial filter is necessary to protect the patient
from contamination from the ambient air drawn in.
● Push bacterial filter on to inspiration port.
034 37261
81
Preparation
04037388
The current PEEP is then approximately 8 mbar higher than
the PEEP set.
82
Preparation
83
Preparation
1 Hang the hinged arm from the rail on the left-hand side
and tighten screws.
● Connect ventilation hoses, and note length of hoses
(in metres).
● The total length of the inspiratory hoses between
Aquapor and the Y-piece must be not less than 1.1 m,
to avoid the risk of overheating the breathing gas.
0,6m 3
0,6m 0,6m
113 37261
Fitting the Fisher & Paykel humidifier
● Prepare the humidifier in accordance with the separate
instructions for use.
1 Hang the humidifier with bracket to the humidifier holder
rail and tighten the screws.
1
111 37261
84
Preparation
0,4m
1,1m
1,2m
036 37261
Electrical power supply
The ventilator is designed for a mains voltage of:
100 V to 240 V, 50/60 Hz
102 37261
85
Preparation
025 37261
● Do not connect DC power supplies to the DC socket.
86
Preparation
Internal batteries
In the event of a mains power failure and if the external battery
is discharged or not connected or in the event of failure of the
DC on-board network, Savina automatically switches over to
power from its own internal batteries.
094 37261
green: power source is available
Mains supply:
If a mains supply is available, Savina automatically switches to
mains voltage and charges the internal and external batteries.
Internal battery:
If neither a mains power supply, an external battery nor
the DC on-board network is available.
87
Preparation
055 37261
is automatically charged first. Once this has been charged
(lamp shows green), the external battery is automatically
charged.
Display (example):
N
No mains voltage:
top lamp »N« out. ext. J 4
int. J
Supply from external battery:
middle lamp »ext. J« shows green.
88
Preparation
Display:
89
Preparation
90
Preparation
O2 supply
Compressed O2 must be free of dust and oil and must
be dry. Gas pressure must be 2.7 to 6 bar.
053 37261
O2 concentration set has not been reached within
this time.
For example:
Cylinder pressure measured at the pressure regulator on the
O2 cylinder: 200 bar
O2 cylinder capacity: 3 L
O2 reserve: 200 bar x 3 L = 600 L
91
Preparation
92
Preparation
● Push the plug into the » « socket at the back and screw
in tightly.
Only alarm signals will be transferred through the nurse
call system.
1 5
023 37261
Technical data
Potential-free DC contact
Input voltage max. 40 V =
Input current max. 500 mA
Switching power max. 15 W
93
Preparation
Switching on
● To switch on = power switch on the back panel of the
device to » «.
Savina runs through its self-test procedure.
035 37261
● Wait until the 12-second test phase has been completed.
The lamp indicating the power source in use at any given time
is lit continuously.
Savina ventilates the test lung using the ventilation pattern set.
94
Preparation
PEEP display:
PEEP 10 mbar
± 2 mbar tolerance
073 37388
O2 concentration display:
FiO2 60 %
± 3 vol.% tolerance
● Do not use device unless all the test steps have been
completed.
95
Preparation
Checklist
● To be carried out every time before using the device.
Device is complete and ready for operation.
The test lung is connected.
● Do not use device unless all the test steps have been
completed.
● Adapt all settings and alarm limits to current patient
situation.
96
Description
Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Volume-controlled ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
IPPV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Flow Acceleration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Pressure limiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
IPPVAssist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Sigh (intermittent PEEP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
AutoFlow® (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
SIMV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
ASB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
BIPAP (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Automatic leakage compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
NIV – Non-invasive ventilation (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
97
Description
Description
Ventilation modes
Volume-controlled ventilation
IPPV
Volume-constant mandatory ventilation stroke
Paw
The ventilation pattern is specified by the settings for tidal with plateau without plateau
volume V T, frequency f, inspiration time Tinsp, PEEP, and Tplat
FlowAcc.
FlowAcc FlowAcc
Pplat
At the end of the flow phase, the expiration valve remains PEEP
closed until the end of the inspiration time Tinsp. This phase,
the inspiratory pause, can be identified as the plateau Pplat t
in the curve Paw (t). The values for plateau pressure Pplat and
Tinsp Te Tinsp
plateau time Tplat are shown on Values screens 1/2 and 2/2.
045 37388
resulting I:E ratio to max. 4:1.
Flow Acceleration
With the parameter »FlowAcc« the pressure and flow increase
can be influenced. A greater Flow acceleration produces a
steeper pressure and flow increase. Flow acceleration (and
the inspiration time) can be used to adapt the pressure and
flow curve to suit the individual patient’s needs.
Pressure limiting
Pressure Limited Ventilation (PLV)
Paw
Savina can limit the peak pressure in IPPV, IPPVAssist and
SIMV and SIMV/ASB modes. The »Pinsp« ventilation
parameter is used to set the limit.
The value of Pinsp remains effective until Savina has applied
Pinsp
the set tidal volume V T or until the inspiration time has elapsed.
If the set tidal volume V T cannot be delivered with the set
values, a »! Tidal volume low« alarm will be displayed.
t
117 37261
Tinsp Te
98
Description
IPPVAssist
Assisted ventilation with continuous positive airway pressure.
The mandatory ventilation stroke begins when the patient
reaches an inspiratory flow corresponding at least to the flow
trigger set.
The current ventilation frequency may be greater than the
set frequency for the same trigger.
038 37388
t
In many cases, the sigh function is achieved by increasing
the ventilation stroke; however, due to the short time available,
this form of sigh only marginally improves the filling of the
"slow" alveoli.
In Savina, the sigh operates during expiration with an
intermittent PEEP. It is set relative to PEEP (∆ sigh).
The average airway pressure is higher, and a longer filling
time is normally available.
When the sigh is activated, the end-expiratory pressure
increases every 3 minutes by the intermittent PEEP set
for 2 ventilation strokes.
99
Description
AutoFlow® (optional)
The AutoFlow function can be activated in the »Settings«
Paw
menu. FlowAcc FlowAcc Paw >
high low Pmax
With AutoFlow, the inspiration flow is automatically adjusted to FlowAcc FlowAcc
PPLAT
changes in lung conditions (C, R) and to the spontaneous
breathing demand of the patient. PEEP
t
t
Typically, the selected inspiration time Tinsp is noticeably
longer than the filling time of the lungs. The inspiration
pressure Pinsp corresponds to the minimum value resulting
024 37388
from both tidal volume V T and compliance C of the lungs. without spontaneous breathing with spontaneous breathing
A set inspiration time Tinsp which is shorter than the filling Tinsp Te
time of the lungs can be recognized from the flow curve: the 1
f
flow at the end of the inspiration time has not yet returned to Flow
VT
zero. The »! Tidal volume low« or »!! Tidal volume low« alarms
indicate that the settings selected do not permit full delivery of
t
the tidal volume V T. It must now be decided whether the
current condition of the patient permits prolongation of the
inspiration time Tinsp or an increase of the flow acceleration,
033 37388
in order to apply the set tidal volume V T. without spontaneous breathing with spontaneous breathing
100
Description
101
Description
SIMV
Synchronised Intermittent Mandatory Ventilation
Combination of mandatory ventilation and spontaneous
breathing. unsynchronised synchronised
Paw mandatory mandatory
ventilation stroke ventilation stroke
SIMV enables the patient to breathe spontaneously in regular
prescribed intervals between mandatory ventilation strokes FlowAcc FlowAcc
that ensure a minimum ventilation.
PEEP
This minimum ventilation is defined by two set values, tidal
volume (V T) and ventilation frequency (f). The minimum t
Trigger
ventilation is the product of V T x f. window Tinsp spontaneous
breathing time
spontaneous
breathing time
The ventilation pattern is set by the ventilation parameters + T
tidal volume V T, frequency f, inspiration time Tinsp and flow 1
set IMV time
f
acceleration FlowAcc. set IMV time 1
041 37388
f
To prevent the mandatory ventilation stroke being applied
during spontaneous expiration, the Flowtrigger of the machine
ensures that the ventilation stroke is triggered within a "trigger
window" and synchronised with the patient's spontaneous
inspiration.
The "trigger window" is no longer than 5 seconds. If the
expiration times are less than 5 seconds, the trigger window
covers the entire expiration time, less a minimum expiration
time of 500 ms.
102
Description
ASB
Assisted Spontaneous Breathing
042 37388
The machine then produces an increase in pressure up to t
the preselected ASB pressure ∆ PASB above PEEP, which
is adjustable to the breathing requirement of the patient.
The flow supply can be adjusted using »FlowAcc« to meet the
individual needs of the patient.
— In case of high flow acceleration
Savina supports the insufficient spontaneous breathing
of the patient with a high peak flow.
— In case of low flow acceleration
Savina begins smoothly with even inspiratory flow.
ASB is terminated:
— when the inspiration flow returns to zero during phase I,
i.e. when the patient exhales or fights the ventilator,
or
— when the inspiration flow in phase II falls below 25 % of
the last inspiration flow supplied (∆ PASB above PEEP is
thus reached)
or
— at the latest after 4 seconds if the two other criteria have
not come into operation.
If this time criterion occurs, the advisory message
"! ASB > 4 s" is displayed.
If this time criterion occurs three times in succession,
Savina displays a warning message "!!! ASB > 4 s" and
warns of a possible leak in the ventilation system.
In »Mask/NIV« mode the »Tinsp« key is used to set the
maximum duration of the ABS stroke.
103
Description
BIPAP (optional)
Biphasic Positive Airway Pressure
With the knowledge that the tidal volume, and therefore the
minute volume, are not constant, the alarm limits for minute
volume must be adjusted with care.
104
Description
Using BIPAP
As with SIMV, the time pattern is set using the basic setting
mandatory synchronised
parameters of frequency f and inspiration time Tinsp. The Paw BIPAP stroke spontaneous breathing BIPAP stroke
lower pressure level is set with the PEEP parameter, while
the upper level is set with Pinsp.
FlowAcc
When switching over from volume controlled ventilation to
BIPAP mode – while retaining the time pattern – only the Pinsp
PEEP
setting needs to be changed.
026 37388
1
The steepness of the pressure increase to ASB pressure f
∆ PASB above PEEP is also controlled by the »FlowAcc«
setting.
The transition from controlled ventilation via the weaning
phase to fully spontaneous breathing is achieved by a
gradual reduction of the inspiratory pressure Pinsp and/
or frequency f.
Monitoring leakage
In »Tube« mode if Savina detects a major leak in the system,
the message »! Leakage« appears. In this case the tube and
patient hose system connections should be checked for
tightness.
105
Description
Alarms
During non-invasive ventilation in »Mask/NIV« mode, some
alarm limits are not needed in certain circumstances or cannot
be monitored due to big artefacts. For example, in the case of
very big leaks it is often not possible to measure any expiratory
minute volume. If this alarm were not switched off, the device
would generate alarms all the time. The following alarms can
therefore be deactivated in »Mask/NIV« mode:
— Minute volume low
— Tidal volume high
— Apnoea detection.
Non-invasive ventilation with the alarms switched off is only
permissible if the patient’s safety is not put at risk.
The »!!! Airway pressure low« alarm can be delayed by up to
60 seconds. This is done by setting a delay time TDisconnect
from 0 to 60 seconds on an additional screen page
»Alarms 2/2«. For example, with a setting of 10 seconds the
patient can remove the mask for up to 10 seconds before
Savina activates an »!!! Airway pressure low« alarm.
Because leaks are normal in non-invasive ventilation, the
messages "! Leakage", "! ASB >4s" and "!!! ASB > 4s" are not
displayed in this mode.
Monitoring
Savina provides an additional Values page in »Mask/NIV«
mode. Among other things, this shows the leak minute volume
MVleak as a percentage of the measured minute volume.
The tidal volume VTpat indicates the volume actually reaching
the patient. VTpat is the delivered tidal volume less the volume
lost due to leakage during inspiration.
106
Description
107
Description
Bibliography
(1) Baum, M., Benzer, H., Putensen, Ch., Koller, W., Putz,G.:
Biphasic Positive Airway Pressure (BIPAP) – eine neue
Form der augmentierenden Beatmung
Anaesthesist 38 (1989), 452-458
108
What‘s what
Control unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Front connection block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Back panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
109
What's what
What's what
Control unit
20 1 2
D Savina
Trigger
3
19 VT Pinsp g
2g
Verneb.
Neb.
mL L mbar min 4
O2 Y
18 Absaug.
Suction Tinsp. ∆PASB Alarm
Insp.
s über PEEP
above PEEP Reset 5
17 hold f PEEP
bpm mbar
Lock 6
O2
Vol.% N
16
Curves
Kurven Settings
Einstell. Alarms
Alarme Values
Werte Config.
Konfig. ext. J 7
int. J
IPPV SIMV
CPAP
ASB
BIPAP O
Standby 8
15 14 13 12 11 10 9
084 37388
1 Screen for displaying application-specific screen pages. 13 »Alarms ∆∆« key for setting and displaying alarm limits.
2 Parameter keys for setting the ventilation parameters and 14 »Settings ∆∆« key for setting other ventilation parameters
displaying the settings. on the screen.
3 Red and yellow lamps for alarms and advisory messages. 15 »Curves « key for changing to the main page
4 » 2 min« key for suppressing the audible alarm tone and for switching the curve displayed (Flow or Paw)
for 2 minutes. 16 » « key for switching the screen brightness between
5 »Alarm Reset« key for acknowledging alarm messages. bright/dark.
6 » Lock« key for protecting against unauthorised 17 »Insp. hold« key for manual inspiration.
modification. 18 »O2 Y Suction« key for bronchial suction.
7 Power supply indicators 19 » Nebul.« key for switching the pneumatic
medicament nebuliser on/off.
N Mains power 20 Trigger indicator.
110
What's what
2
3
1 4
5
088 37261
1 Flow sensor
2 Expiration valve with expiration port
3 Socket for breathing gas temperature sensor plug
4 Inspiration port
5 Gas supply port for the medicament nebuliser
6 Protective cover for O2 sensors
111
What's what
Back panel
6 7
4
8
3
9
10
089 37261
1 RS 232 serial interface
2 Nurse call socket (optional)
3 Power switch
4 Fuse for internal battery
5 Power unit socket
6 DC inlet (external battery or DC on-board network)
7 Potential equilisation connector
8 Filter cover
9 Low pressure O2 inlet
10 In side panel: connection for O2 pressure hose
112
What's what
Abbreviations
Abbreviation Definition
113
What's what
Abbreviation Definition
114
What's what
Symbols
Symbol Explanation
O2 Y
Suction Activate/deactivate oxygen enrichment for bronchial suction
Insp.
hold Start manual inspiration and hold
Settings
∆∆ Select settings page
Config.
∆∆ Configure system settings
Alarms
∆∆ Display alarm limits
Values
∆∆ Display measured values
Curves
Switch between flow / pressure curve
Standby
115
116
Technical data
Technical data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
117
Technical data
Technical data
Environmental conditions
In operation
Temperature 5 to 40°C
Atmospheric pressure 700 to 1060 hPa
Rel. humidity 5 to 95 %, no dew
Settings
Ventilation modes IPPV/IPPVAssist,
SIMV, SIMV/ASB
BIPAP, BIPAP/ASB
CPAP/ASB
* BTPS
Body Temperature, Pressure, Saturated.
Measured values with reference to the conditions of the patient’s lung,
body temperature 37 oC, ambient pressure, steam-saturated gas.
** 1 mbar = 100 Pa
118
Technical data
Performance data
Control principle Time-cycled, volume-constant, pressure-controlled
Intermittent PEEP frequency 2 cycles every 3 minutes
Supply system for spontaneous breathing and ASB Blower with quick-action pressure control valve
max. inspiratory flow 180 L/min, BTPS*
Equipment compliance
(with Fisher & Paykel MR 730 humidifier
and adult patient hose system) ≤2 mL/mbar
Inspiration resistance ≤2.3 mbar/60 L/min
Expiratory resistance ≤3.8 mbar/60 L/min
Equipment compliance
(with Fisher & Paykel MR 730 humidifier
and tubing system for paediatric use) ≤1 mL/mbar
Inspiratory O2 measurement:
(maintenance-free electrochemical sensor)
119
Technical data
Flow measurement
(hot-wire sensor)
Minute volume MV
Spontaneous breathed minute volume MVspon
Range 0 to 99 L/min, BTPS*
Resolution 0.1 L/min
Accuracy ±8 % of measured value
T0...90 approx. 35 s
Frequency Measurement
Spontaneous breathing frequency fspn
Total frequency ftot
Range 0 to 150 /min
Resolution 1 /min
Accuracy ±1 /min
T0...90 approx. 35 s
* BTPS
Body Temperature, Pressure, Saturated.
Measured values with reference to the conditions of the patient’s lung,
body temperature 37 oC, ambient pressure, steam-saturated gas.
120
Technical data
Resistance R
Range 3 to 100 mbar/L/s
Resolution 1mbar/L/s
Accuracy ±2.5 mbar/L/s or 20 %, whichever is greater
Compliance C
Range 3 to 200 mL/mbar
Resolution 1 mL/mbar
Accuracy ±2 mL/mbar or 20 %, whichever is greater
Monitoring
Expiratory minute volume MV
Upper alarm limit alarm when MV exceeds the upper alarm limit.
Setting range 41 to 2 L/min, in 0.1 L/min steps
Lower alarm limit alarm when MV falls below the lower alarm limit.
Setting range 0.5 to 40 L/min, in 0.1 L/min steps
Lower alarm limit alarm if FiO2 falls below the lower alarm limit for at least 20 seconds.
Range both alarm limits are automatically allocated to the set value:
below 60 vol. % with ± 4 vol. %
above 60 vol. % with ± 6 vol. %
121
Technical data
Tachypnoea monitoring
Alarm if the total frequency is exceeded during spontaneous breathing.
Adjustment range 10 to 120/min
Insp. tidalvolume
Alarm if the delivered tidal volume V T exceeds the alarm limit
Setting range 0.06 to 4 L
Operating data
examples
12 V battery 36 Ah approx. 4 hours (e.g. with 1 lead-gel battery 12V/36 Ah)
24 V battery 17 Ah approx. 7 hours (e.g. with 2 lead-gel batteries 12V/17 Ah)
Bridging time if mains supply is down and no approx. 60 minutes with typical ventilation
external DC supply is available (new, charged
batteries)
External battery
Sourcing information:
Standard rechargeable lead or lead-gel batteries
can be used, e.g.
Sonnenschein A212/36 A (1 or 2 batteries)
Panasonic LCL 12 V 17P (2 batteries)
LCL 12 V 33AP (1 or 2 batteries)
LCL 12 V 38P (1 or 2 batteries)
122
Technical data
Battery charging
Savina automatically detects the voltage of the
external battery connected.
Charge current: 12 V battery approx. 4 A
24 V battery approx. 2 A
Charging times
The charging times indicated refer to immediate
charging of the battery after discharge.
Internal battery
Type Lead-gel battery, maintenance-free, sealed.
Charging time < 5 hours, including from external DC on-board
network
(about 1.5 hours at 80 % charge)
Protection class
Machine Class I
Output for pneumatic medicament nebuliser O2, max. 2 bar, max. 10 L/min
123
Technical data
Weight
Basic machine approx. 22 kg
Machine outputs
Digital output Output and reception via an RS 232 C interface
for MEDIBUS protocol
UMDNS-Code 17 – 429
Universal Medical Device
Nomenclature System –
nomenclature for medical products
Relevant standards
EN 794-1, Lung ventilators –
Part 1: Special requirements for intensive care
ventilators
124
Order List
Order List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
125
Order List
Order List
Designation/Description Part No. Designation/Description Part No.
Basic machine Special accessories
Savina 84 13 600 Pneumatic medicament nebulizer 84 12 935
Articulated bracket 84 09 609
Accessories required for operation or
Quick-fit articulated bracket 2 2M 85 706
O2 connecting hose 3 m (NIST) M 34 402
SavinaMobil trolley 84 14 335
non-colour coded or
O2 connecting hose 5 m (NIST) M 34 403
For manual ventilation:
non-colour coded
Resutator 2000 21 20 046
Paediatric Resutator 2000 21 20 984
For adult ventilation
Resutator hook M 26 349
Temperature sensor 84 05 371
Aquapor humidifier 84 05 020
Adult test lung 84 03 201
Bracket set 84 03 345
Hose set adult 84 13 146
comprising: MEDIBUS cable 83 06 488
Patient hoses, water traps, Y-piece, DC battery cable (ext. battery) 84 14 092
catheter connector Ext. lead-gel battery 12 V/17 Ah 18 43 303
HME hose set (adult) 84 12 860 (2 batteries needed)
Humidifier basic unit MR 730 84 11 046 DC on-board network cable S 84 14 048
(Fisher & Paykel) o
90 O2 connector 84 13 641
Fastening set (rail bracket) 84 11 074 Set of side rails 84 14 358
Humidifier chamber MR 370 (adult) 84 12 217
Hose set (adult), Fisher & Paykel 84 12 108 Options
Bacterial filter SecuRed Big, Stl. MX 02 650 AutoFlow kit 84 14 069
BIPAP kit 84 14 060
For paediatric ventilation with MR 730 NIV kit 84 14 115
Humidifier chamber MR 340 (paediatric) 84 11 047 Nurse call kit 84 14 476
including humidifier chamber filter paper
(set of 100) Plug to connect nurse call system to 18 46 248
ventilator
Double temperature sensor 84 11 048
Single-strand wire 1.5 m 84 11 050
For adult ventilation:
Bacterial filter SecuRed L, Stl. MX 02 652
Aquapor patient connection 84 05 029
Hose set paediatric (Fisher & Paykel) 84 12 081
comprising:
Hose heater 23 47 020, Replacement parts
patient hoses, water traps, Y-piece,
For Savina:
catheter connector
O2 sensor (Oxytrace VE) MX 01 049
Bacterial filter (disposable) 84 09 716
Expiration valve 84 13 660
126
Order List
127
Index
Index
128
Index
Nebulization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 TDisconnect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Nebulizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Technical data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
NIV – Non-invasive ventilation . . . . . . . . . . . . . . . . . . . . . . . . 34 Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Nurse calling system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92 Trigger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22, 23
O2 monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
O2 reserve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 Ventilating infants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
O2 sensor Ventilation hoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Calibrating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Ventilation Modes . . . . . . . . . . . . . . . . . . . . . . . . 19, 21, 98
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Fitting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77 Volume-controlled ventilation . . . . . . . . . . . . . . . . . . . . . . . . . 98
O2 sensor 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
O2 supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Operating concept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 What's what . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110
Operating time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91 Working hours . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50, 53
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Order List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126
Oxygen enrichment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Screen pages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Selecting the ventilation mode . . . . . . . . . . . . . . . . . . . . . . . 10
Setting new parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Setting ventilation parameters . . . . . . . . . . . . . . . . . . . . . . . . 10
Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Sigh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23, 24, 99
SIMV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25, 102
SIMV/ASB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Special functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Sterilising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Storing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Suction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
SW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Switching on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
129
130
131
These Instructions for Use apply only to
Savina
with Serial No.:
If no Serial No. has been filled in by
Dräger, these Instructions for Use are
provided for general information only
and are not intended for use with any
specific machine or device.
ç
Directive 93/42/EEC
concerning Medical Devices
90 37 388 - GA 5664.915 en
© Dräger Medical AG & Co. KGaA
1st edition – March 2001
Subject to alteration