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• Page 1
  M E D I C A L Savina Intensive Care Ventilator Operating Instructions Software 1.n…
• Page 2
  T T T T r r r r a a a a d d d d e e e e m m m m a a a a r r r r k k k k s s s s The Draeger name and logo are registered trademarks of Dräger. Savina® is a registered trademark of Dräger. AutoFlow® is a registered trademark of Dräger.
• Page 3
  1 Turn main switch on the back of the ventilator to » «. contains the instructions for use Savina now performs a power-up self test procedure. Wait for the 12-second test phase to be completed. in a combination of text and illustrations. The information is…
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• Page 5: Table Of Contents

  Contents Important Safety Information READ THIS FIRST! Safety considerations Intended Use Areas of use, restrictions of use, appropriate monitoring, back-up ventilation Operating Concept Controls, parameter setting, screen structure Preparation Assembly, installation, checks of readiness for operation Operation Ventilation modes, alarm limits and alarm priorities, waveforms, measured values, special functions Configuration Contrast, volume, measured value bar, language, apnea ventilation ON/OFF…

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  Important Safety Information READ THIS FIRST! Important Safety Information READ THIS FIRST! Operator’s Responsibility for Patient Safety ……. . 8 Limitation of Liability .

• Page 8: Operator’s Responsibility For Patient Safety

  Important Safety Information Operator’s Responsibility for Patient Safety Important Safety Information Operator’s Responsibility for Patient Safety Limitation of Liability For correct and effective use of the product and in order to Draeger Medical, Inc.’s liability, whether arising out of or avoid hazards it is mandatory to carefully read and to related to manufacture and sale of the goods, their installation, observe all portions of this manual.

• Page 9: Warranty

  Important Safety Information Warranty Warranty Application of this warranty is subject to the following All Dräger products are guaranteed to be free of defects for a conditions: period of one year from date of delivery. The following are exceptions to this warranty: 1.

• Page 10: Definitions

  Important Safety Information Definitions Definitions WARNING ! A WARNING statement refers to conditions with a possibility of personal injury if disregarded. CAUTION ! A CAUTION statement designates the possibility of damage to equipment if disregarded. N N N N O O O O T T T T E E E E : : : : A NOTE provides additional information intended to avoid inconveniences during operation.

• Page 11: Summary Of Warnings And Cautions

  Back-up ventilation with an independent manual «hospital grade» receptacle. Always disconnect supply ventilation device before servicing. If a fault is detected in the Savina so that its life-support functions are no longer assured: WARNING ! start ventilation using an independent ventilation…

• Page 12
  Restriction of Distribution Draeger cannot warrant or endorse the safe performance of third party humidifiers for use with the Savina ventila- Federal Law and Regulations in the United States and tor. Specifically, the user has to assess the risks of deliv-…
• Page 13
  A fault within any component of the combination between the nurse call and the central alarm system of the Because of the charging feature of the Savina DC power hospital (e. g. inside the Savina nurse call electronics, the supply, connecting non-rechargeable batteries might lead…
• Page 14
  WARNING ! should then be removed from use and serviced by an authorized service technician. In the event of a failure of the turbine blower, Savina is not able to continue ventilation. Immediately continue WARNING ! ventilation using an independent manual ventilation device (resuscitation bag) in this case.
• Page 15
  In case the calibration procedure is based on a Always use ventilator that has been cleaned and disin- diluted oxygen source, Savina may deliver inaccurate oxy- fected and has been successfully tested to be ready for gen concentrations without further notification.
• Page 16
  When servicing the ventilator, always use replacement parts that are qualified to Draeger standards. Draeger cannot warrant or endorse the safe performance of third party replacement parts for use with the Savina ventilator. WARNING ! Both breathing and cooling air are drawn in through the filter cover.

• Page 17: Intended Use

  Intended Use Intended Use Intended Medical Applications ……… . 18 Intended Areas of Use .

• Page 18
  Continuous Positive Airway Pressure Spontaneous breathing with positive airway pressure. WARNING ! The Savina ventilator must only be used under the super- vision of qualified medical personnel in order to provide Spontaneous Breathing immediate corrective action in case of a malfunction.
• Page 19
  WARNING ! ventilation device Do not use the Savina ventilator in hyperbaric chambers. If a fault is detected in the Savina so that its life-support Equipment malfunction may result, with the risk of patient functions are no longer assured: injury.
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• Page 21: Operating Concept

  Operating Concept Operating Concept Ventilation Controls ……….. . 22 Setting Ventilation Parameters .

• Page 22: Ventilation Controls

  Setting Ventilation Parameters Selecting the Ventilation Mode Operating Concept Ventilation Controls 1 Keys for selecting the ventilation modes: –CMV A/C Savina –SIMV –CPAP/PS –PCV+ 2 Keys for selecting / setting ventilation parameters: – Tidal volume V – Inspiration time Tinsp –…

• Page 23: Screen Operating Controls

  Operating Concept Screen Operating Controls Screen Operating Controls 1 Screen operating keys: Savina — » « key for setting screen and display brightness (bright or dim), — »Waveforms « key for selecting the main screen page to display pressure and flow waveforms, ∆∆…

• Page 24: Keys For Routine And Auxiliary Functions

  — »Insp. hold« key for manually activated inspirations and for manually extending inspiratory time. On Screen Information Window During setting of a ventilation parameter, Savina re-calculates derivative parameters (marked with an asterisk) and displays them in the information window on the main screen page.

• Page 25: Screen Pages

  Operating Concept Screen Pages Screen Pages Structure of the screen pages 1 Ventilation mode display field 2 Alarm message display field 3 Waveforms and measured values display field 4 Measured values display field 5 Information bar Main page Displays a pressure curve as well as three measured values. To configure the combination of measured values to be displayed, see page 79.

• Page 26
  Operating Concept «Settings» screen page «Alarms» Screen Page «Values» Screen Page «Settings» screen page — Analog bar display of the airway pressure Paw. — Setting menu for setting the supplementary ventilation parameters »Trigger«, »FlowAcc«, »AutoFlow«, — Setting menu for setting apnea ventilation, with the parameters »VT «, »f «,…

• Page 27: Standby» Key

  For detailed instructions for use, see «Configuration», beginning on page 78. »Standby« Key 1 Positioned at bottom right of the front panel. Savina — To keep the ventilator ready for operation, — e.g. after pre-setting. — to switch on ventilation.

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• Page 29: Preparation

  Preparation Preparation Assembly of Components ……….30 Assembling the expiratory valve .

• Page 30: Assembly Of Components

  Installing the expiratory valve Preparation WARNING! Do not place containers of liquids (such as infusion bottles) on top of or above the Savina ventilator. Liquids getting into the ventilator can cause equipment malfunction with the risk of patient injury. Assembly of Components…

• Page 31: Installing The Flow Sensor

  Preparation Installing the flow sensor Istalling a bacteria filter Installing the flow sensor 1 Slide flow sensor receptacle all the way to the left 2 Insert flow sensor into its receptacle (plug facing the ventilator) and push into its socket as far as it will go. Then: 3 Slide flow sensor fully to the right into the rubber grommet of the expiratory valve.

• Page 32: Precautions When Using Expiratory Bacteria Filters

  Preparation Precautions When Using Expiratory Bacteria Filters Precautions When Using Expiratory Bacteria Filters Expiratory bacteria filters may be used. Use of bacteria fiters in the expiratory side of the patient circuit can cause an undesirable increase in breathing resistance. Particularly when nebulizing aerosols or humidifying the breathing gas, resistance caused by a bacteria filter may slowly increase, leading to increased work of breathing and to intrinsic PEEP.

• Page 33: Precautions When Using Heat/Moisture Exchangers

  (HME)! WARNING! Draeger cannot warrant or endorse the safe performance of heat/moisture exchangers with the Savina ventilator. The user has to verify that the heat/moisture exchanger is covered by a technical safety certificate which guaran- tees its complete suitability for its intended use.

• Page 34: Installing A Heated Humidifier

  Installing a Heated Humidifier WARNING! Draeger cannot warrant or endorse the safe performance of third party humidifiers for use with the Savina ventila- tor. Specifically, the user has to assess the risks of delivery of breathing gas not maintained at a proper temperature associated with different humidifier designs.

• Page 35
  Preparation Installing a Heated Humidifier For pediatric ventilation Always use a humidifier suitable for ventilating small patients Always use appropriately sized patient circuits. Connecting the patient circuit. WARNING! In order to avoid any risk of electric shock in the event of faulty grounding of patient monitoring equipment, do not use antistatic or electrically conductive patient circuits* 1 Attach circuit support arm to the rail on the left-hand side of…

• Page 36: Supplies And Connections

  Supplies and Connections Electrical Power Supply Connect to line voltage of: 100 V to 240 V AC, 50/60 Hz Savina is equipped with an auto-switching power supply that adapts to the local line voltage. Insert plug into the power outlet.

• Page 37
  Please refer to «Technical Data», page 124 for external battery specifications) WARNING ! Use rechargeable batteries ONLY. Because of the charging feature of the Savina DC power supply, connecting non-rechargeable batteries might lead to a risk of explosion when operating the ventilator from line power.
• Page 38
  Savina automatically switches to AC line power when available and charges the internal and external batteries. WARNING ! Leave Savina connected to AC line power only in well ventilated rooms (air circulation: minimal 1.2 m /h). Charging batteries generates hydrogen that, with suffi- cient concentration, could cause an explosion with the risk of personal injury.
• Page 39
  Savina recognizes when the external battery has been discharged and switches to the internal battery. After the return of AC line power, Savina will first recharge the internal battery and subsequently the external battery. NOTE: The internal battery is not charged beyond the level of a trickle charge when ventilator power is supplied by an external battery.
• Page 40
  Supplies and Connections Operation from the internal battery If the ventilator is not connected to an external DC source or the external battery is discharged, Savina will switch, without interruption, to its internal battery in case of AC line power failure.
• Page 41
  Preparation Supplies and Connections After using Savina with power from its internal battery: Supply AC power in order to recharge the internal battery (and the external battery where applicable) right away. NOTE: The internal battery is not charged beyond the level of a trickle charge when ventilator power is supplied by an external battery.

• Page 42: Connecting The O 2 Supply

  Preparation Connecting the O2 Supply Before Using Ventilator on a New Patient Connecting the O Supply WARNING ! Always use medical grade oxygen that is dry and free from contaminations. Contaminated gas may cause ventilator malfunction. Supply pressure must be between 39 and 87 psi (2.7 to 6 bar) Screw high pressure oxygen hoses to socket on the side of the ventilator and supply oxygen from a wall terminal or…

• Page 43: Nurse Call System (Available Option)

  Nurse Call System (Available Option) Before Using Ventilator on a New Patient Nurse Call System (Available Option) Connection on the rear panel of Savina intended for the transmission of alarm signals to a central hospital alarm system . WARNING !

• Page 44: Checking Readiness For Operation

  Savina now performs a power-on self test Wait for the 12 second test to complete. Savina automatically adapts its blower speed to the gas requirements of the patient. When starting a ventilation or adjusting ventilation parameters, a slight whine may be heard temporarily.

• Page 45
  4 »Rate« 10 bpm 5 »O « 60 Vol.% 6 »PEEP« 5 cmH 7 »Trigger« 5 L/min set on screen page »Settings 1/1« Savina now ventilates the test lung with the set ventilation pattern. ∆∆ 8 Select »Values 1/2« with »Values « key.
• Page 46
  Pull quick connect of O2 supply hose from gas outlet: Intermittent audible alarm and display message: !!! O supply down Savina will ventilate with Air only. Reconnect quick connect to the O source. A warning message !!! FiO may appear briefly.

• Page 47: Checklist

  Preparation Checklist Checklist Perform checks before each use. Ventilator is completely assembled and ready for operation, test lung is connected What Target Function of lights/LEDs Switch ventilator on: All lights and LED digits light up, the audible and audible alarm alarm starts sounding.

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• Page 49: Operation

  Operation Operation Precautions During Operation ……… . 50 Starting Up .

• Page 50: Precautions During Operation

  WARNING! WARNING ! Do not place containers of liquids (such as infusion bottles) on top of or above the Savina ventilator. Always use ventilator that has been cleaned and disin- Liquids getting into the ventilator can cause equipment fected and has been successfully tested to be ready for malfunction with the risk of patient injury.

• Page 51: Starting Up

  Savina 2 Change ventilation parameters after Savina has started ventilation 3 Press »Stand by« key to set Savina to standby. 4 Press »Alarm Reset« key to confirm. 2 Change ventilation parameters and 3 Press »Stand by« key to return to ventilation.

• Page 52: Setting Ventilation Modes

  Settings outside the standard range Certain ventilation parameter settings are initially limited by Savina to not exceed a threshold value. Values exceeding the threshold can only be set after confirmation by pressing the dial knob (see above).

• Page 53
  Pre-setting parameters for another ventilation mode 1 Press key for the new ventilation mode briefly. The yellow LED will start blinking. Savina 2 In the block of parameter keys, the LEDs for any additional parameters required for the new ventilation mode will start blinking.

• Page 54: Cmv, Cmv Assist

  Set pressure limit with »Pinsp« key. When setting the pressure limit, take care that the required tidal volume V is still delivered. Otherwise Savina will display the message «VT low». If this happens: Increase pressure limit increase inspiratory time »Tinsp.«…

• Page 55
  To start ventilator breaths in synchrony with a patient’s spontaneous breathing efforts. The actual breath rate may be higher than the set ventilator rate. 1 The green LED will light up whenever Savina has detected a spontaneous breathing effort. Savina The trigger may be switched off if no spontaneous breathing by the patient is expected or desired.
• Page 56
  On screen, the ventilation mode CMV is now displayed. Assist 3 The green LED will light up whenever Savina has detected a spontaneous breathing effort. NOTE: When switching from CMV (no assist) to SIMV, PCV+ or CPAP/PS, the last trigger sensitivity setting used will be in effect.
• Page 57
  Savina supplies additional inspiratory flow during spontaneous > inspirations – limited by the alarm threshold V The patient can also exhale during the inspiratory plateau phase.

• Page 58: Simv, Simv / Ps

  Operation SIMV, SIMV / PS SIMV, SIMV / PS Synchronized Intermittent Mandatory Ventilation Pressure Support Fixed mandatory minute volume MV set with tidal volume V without with and ventilator rate f. Between mandatory ventilator breaths, the pressure support pressure support patient can breathe spontaneously, thereby contributing to the minute volume.

• Page 59
  Turn pressure limit ON, see page 82. Set the pressue limit with »Pinsp« key. When setting the pressure limit, ensure that the tidal volume is still delivered, otherwise Savina will generate the message «V low». In this case: Set a higher pressure limit with »Pinsp« key, increase inspiratory time »Tinsp.«,…

• Page 60: Pcv+ (Bipap), Pcv+ / Ps (Bipap/Ps)

  Operation PCV+ (BIPAP), PCV+ / PS (BIPAP/PS) PCV+ (BIPAP), PCV+ / PS (BIPAP/PS) (Available Option) Biphasic Positive Airway Pressure Pressure Support Pressure-controlled ventilation combined with free with spontaneous breathing without spontaneous spontaneous breathing during the complete breathing cycle, breathing supported by adjustable additional pressure at CPAP level. pressure support FlowAcc FlowAcc…

• Page 61: Cpap, Cpap / Ps

  Operation CPAP, CPAP / PS CPAP, CPAP / PS Continuous Positive Airway Pressure Pressure Support Used for patients with adequate spontaneous breathing. Spontaneous breathing at an elevated pressure level, to increase a patient’s functional residual capacity FRC. Spontaneous breathing can be assisted with additional pressure support.

• Page 62: Apnea Ventilation

  Apnea FlowAcc ventilation may be used with all ventilation modes that work with spontaneous breathing. If the patient stops breathing sponateously, Savina activates an alarm after the set alarm time (T ) and starts volume controlled ventilation with Apnea —…

• Page 63
  6 seconds in all those cases where apnea ventilation would be possible in principle: — when switching between ventilation modes, — when switching Savina on, — when, by reducing the ventilator frequency, the cycle time becomes longer than the current value of T…

• Page 64: Setting Alarm Limits

  Operation Setting Alarm Limits Setting Alarm Limits ∆∆ Press »Alarms « key. Example display: screen page »Alarms1/1« This page displays all alarm limits that can be set. < = lower alarm limit > = upper alarm limit Alarm Setting Range >…

• Page 65: Operation At High Ambient Temperature

  flows like e. g. 180 L/min can not be reached. However, depending on the set ventilation parameters, the blower built into Savina still increases the breathing gas temperature to some extent. To avoid dangerous temperatures, a minimal inspiratory tube length of 1.1 m is required. This…

• Page 66: Alarm Categories

  1 Yellow LED flashes. Caution messages are marked with two (2) exclamation marks. Example: !! Check settings Savina generates is a 3-tone sequence that is repeated every 20 seconds as the caution-level audible alarm. Advisory Low priority message 1 Yellow LED lights up and remains lit.

• Page 67: Silencing Audible Alarms

  Operation Silencing Audible Alarms Silencing Audible Alarms for a maximum of 2 minutes: 1 Press »Alarm Silence« key. Its yellow indicator LED will light up and the alarm tone will be muted for about 2 min- utes. If the fault that triggered the alarm persists, the audi- ble alarm will start again after that time.

• Page 68: In The Event Of A Gas Supply Failure

  In the event of a blower failure WARNING ! In the event of a failure of the turbine blower, Savina is not able to continue ventilation. Immediately continue ventilation using an independent manual ventilation device (resuscitation bag) in this case.

• Page 69: Displaying Waveforms And Measured Values

  Operation Displaying Waveforms and Measured Values Displaying Measured Values Displaying Waveforms and Measured Values On the main page airway pressure waveform or flow waveform and three relevant measured values are displayed To change the waveform display Press »Waveforms « key. Example: flow waveform The combination of measured values to be displayed in the measured values screen field is configurable, see page 79.

• Page 70: Special Functions

  »∆ Psupp. above PEEP« setting. 1 Press and hold down »Insp. hold« key for as long as inspiration is desired. Savina Either an automatic ventilator breath that has just begun will be prolonged as long as the key is held down, or a new…

• Page 71: Nebulizing Medicated Aerosols

  Since Savina uses pure oxygen for nebulizing medicated aerosols, an increase of the set inspiratory O concentra- tion may be caused Due to the inability of Savina to measure this increase in the concentration, an incorrect O reading will be displayed. Connect your O supply of 39 to 87 psi (2.7 to 6 bar) –…
• Page 72
  If nebulization needs to be stopped prematurely: 2 Press » Nebul. « key again. The yellow light goes out, the nebulizer is switched off. Savina will automatically heat-clean and calibrate the flow sensor. On-screen information: Flow calibration Remove any leftover medication from the nebulizer.

• Page 73: Pre-/Post-Oxygenation For Bronchial Suction

  To prevent hypoxia during bronchial suction, Savina is provided with an oxygenation program to be used during removal of secretions. After the program has started, Savina ventilates in the selected ventilation mode for up to 180 seconds with 100 Vol.% oxygen as a pre-oxygenation phase.

• Page 74
  Operation Pre-/Post-Oxygenation for Bronchial Suction After disconnecting patient for suction During the period of disconnection, Savina supplies a minimal flow of 100 Vol.% O in order to automatically detect the end of the disconnection phase. The time available for suction is…

• Page 75: Calibrations

  — after using the pneumatic nebulizer — after bronchial suction — after changing the O concentration NOTE: Savina uses a full inspiratory phase for calibration. Short inspiratory times are extended to approximately one second. Message in the information line on the screen:…

• Page 76: Calibrating O 2 Sensors

  (sensor 2) is used to verify the measurement of sensor 1. The O sensor for O control and display (sensor 1) is automatically calibrated by Savina: — after 8 hours of operation — when sensor 2 ist calibrated — when the O sensor is replaced —…

• Page 77: Configuration

  Configuration Configuration Setting the Screen Contrast ……….78 Adjusting the Volume of the Audible Alarm .

• Page 78: Setting The Screen Contrast

  Configuration Setting the Screen Contrast Configuration The following user preferences can be selected in »Configuration« mode: — Screen contrast — Audible alarm volume — Measured values field — Manual calibration for O sensor 2 — FiO and flow monitoring ON / OFF —…

• Page 79: Adjusting The Volume Of The Audible Alarm

  Configuration Adjusting the Volume of the Audible Alarm Configuring the Measured Values Field Adjusting the Volume of the Audible Alarm Display (example): ∆∆ Press »Config. « key repeatedly until »Configuration 1/4« appears. Turn dial knob to select item »Volume«. Press dial knob to activate. Turn dial knob to adjust volume.

• Page 80: Manual Calibration For O2 Sensor 2

  Savina ventilates again using the original settings. NOTE: Disconnection during the calibration procedure would activate a number of alarms. For this reason, Savina turns the respective alarms off during calibration. If the patient is not reconnected, all alarms become active again.

• Page 81: Fio2- Or Flow Monitoring On / Off

  Configuration FiO2- or Flow Monitoring ON / OFF If the following alarm appears after calibration: !!! O measurement failure Replace O sensor, see page 98. If the following alarm appears after calibration: !!! FiO Make sure, that the O source in use contains 100 % O — or Flow Monitoring ON / OFF For instance, when a used up O or flow sensor cannot be…

• Page 82: Pmax On/Off

  Pressure Plateau ON / OFF To switch inspiratory pause ON or OFF. When the pressure plateau setting is deactivated, Savina will switch to expiration as soon as the tidal volume is applied. A setting of inspiratory time Tinsp will not be applied.

• Page 83: Selecting The Language

  Configuration Selecting the Language Setting Date and Time Turn dial knob to select »ON«. Press dial knob to confirm. Plateau is now switched on. Turn dial knob to select »OFF«. Press dial knob to confirm. Plateau is now switched off. Selecting the Language Display (example): ∆∆…

• Page 84: Configuring The Medibus Protocol

  Press dial knob to confirm. Displaying Ventilator Data ∆∆ Press »Config. « key repeatedly until »Configuration 4/4« appears. Savina displays: — SW-Version Software version of the ventilator — Device-ID device-specific identification number of the ventilator — Operation hours the total number of hours the device has been operating —…

• Page 85: Care

  Savina Intensive Care Ventilator ……..

• Page 86: Dismantling Components

  Care Dismantling Components Care Clean and prepare the ventilator after each patient. WARNING ! Always use ventilator that has been cleaned and disin- fected and has been successfully tested to be ready for operation. Always observe accepted hospital hygiene protocols regarding the frequency of patient circuit and expiratory valve changes.

• Page 87
  Care Dismantling Components CAUTION ! When removing a reusable patient circuit, always grasp hoses by their sleeve, never by the hose itself, to avoid possibly tearing the hose at the sleeve or ripping it out of the sleeve. Nebulizer (available option) 1 Remove nebulizer hose from the nebulizer and from the ne- bulizer port on the ventilator.
• Page 88
  Care Dismantling Components Flow sensor 1 Push flow sensor to the left as far as it will go Savina 2 pull out. CAUTION ! Flow sensor is not compatible with parts washer equipment and may not be autoclaved or steam-sterilized.

• Page 89: Disinfecting / Cleaning / Sterilizing

  Follow all accepted hospital procedures for disinfecting parts contaminated by body fluids (protective clothing, eyewear, etc.). — Savina ventilator with mobile stand, — hinged circuit support arm, — gas supply hoses Wipe disinfect with a disinfectant based on the suggested active ingredients.

• Page 90
  Care Disinfecting / Cleaning / Sterilizing — Reusable patient circuit, — reusable patient wye, — water traps and collecting jars — expiratory valve body — expiratory valve diaphragm — expiratory valve collecting jar May be desinfected in a moisture saturated environment at 93 °C (200 °F) for 10 minutes.

• Page 91: Disinfecting / Cleaning / Sterilizing Schedule For The

  Care Disinfecting / Cleaning / Sterilizing Schedule for the Savina Intensive Care Ventilator Re-assembly Disinfecting / Cleaning / Sterilizing Schedule for the Savina Intensive Care Ventilator Applicable for use with non-infectious patients. For infectious patients, all parts that conduct breathing gas must be additionally sterilized after disinfecting and cleaning.

• Page 92
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• Page 93: Maintenance

  Maintenance Maintenance Maintenance Intervals ……….95 User Replaceable Parts .

• Page 94
  When servicing the ventilator, always use replacement parts that are qualified to Dräger standards. Dräger cannot warrant or endorse the safe performance of third party replacement parts for use with the Savina ventilator CAUTION ! Never operate the ventilator without a microfilter at the air intake.

• Page 95: Maintenance Intervals

  Maintenance Maintenance Intervals Maintenance Intervals sensors Replace when the following message is displayed: !!! O measurement inop. when calibration is no longer possible. For disposal of spent sensor capsules, see page 99. Microfilter Replace after 1 year, see page 96. Disposal with normal domestic waste.

• Page 96: User Replaceable Parts

  Maintenance User Replaceable Parts User Replaceable Parts Replacing the microfilter — Filter should be replaced every year. 1 Hold down both latches, 2 Lift filter cover and remove. 3 Remove used microfilter from its housing. Slide new microfilter into housing as far as it will go. Dispose of used microfilter together with domestic waste.

• Page 97
  Maintenance User Replaceable Parts Replacing the dust filter set — Inspect for soiling every 4 weeks, clean or replace as necessary. 1 Hold down both latches. 2 Lift filter cover and remove. 3 Remove used dust filters from filter cover. Install new dust filters.

• Page 98: Using An External Battery

  Savina is switched off. This enables Savina to measure valid O values as soon as it is switched on. If the internal battery is discharged, Savina does not supply any O values for the first 20 minutes after switching on.

• Page 99: Disposal Of Batteries And O2 Sensors

  Considerations for Extended Storage If Savina is stored for more than a month without power: Remove fuse for internal battery. This will prevent an unde- sirable deep discharge of the internal battery, which other- wise would continue to supply current to the O sensors.
• Page 100
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• Page 101: Troubleshooting

  Troubleshooting Troubleshooting Troubleshooting ……….. . . 104…

• Page 102
  MV is calculated with an ambient pressure of 1013 mbar which may lead to incorrect values for V and MV. It is possible to use Savina further on when PAW-high-alarm is set correct and incorrect values for V MV are tolerable, evaluation of the patient is required.
• Page 103
  MV is calculated with an ambient pressure of 1013 mbar which may lead to incorrect values for V and MV. It is possible to use Savina furtheron when PAW-high-alarm is set correct and incorrect values for V MV are tolerable, evaluation of the patient is required.
• Page 104
  Remedy !!! Device failure XX.YYYY Ventilator fault. If the warning is resettable by pressing the key »Alarm Reset« Savina can be used for further ventilation. If Savina is not resettable by pressing the »Alarm Reset« key, remove from service and…
• Page 105
  AC line power or external DC power are system. not connected. Int. batt. almost discharged AC line power connected; internal Do not switch Savina over to operate battery almost discharged. from its internal battery. Int. battery activated Savina is being supplied via the internal…
• Page 106
  Troubleshooting Message Cause Remedy Int. battery activated Savina is being supplied via the internal Restore AC line power or supply from a battery because no AC, external battery, charged external battery or an on-board or on-board DC supply is available.
• Page 107
  Flow sensor faulty. Replace flow sensor. Water in flow sensor. Drain water trap, dry flow sensor. Ventilator fault. Remove Savina from service and start ventilation using an independent ventilation device without delay, if necessary with PEEP and / or increased inspiratory O concentration.
• Page 108
  -monitoring (see page 81 in Operating Instructions) in order to suppress alarms. Continue ventilation with Savina. Call DraegerService. monitoring off Upon switching on, Savina detected Reactivate O monitoring, see page 81 that O monitoring is switched off. or immediately provide adequate external monitoring.
• Page 109
  Fluid in expiratory valve. Replace expiratory valve, then disinfect/ clean and dry, see page 89. Pressure measurement fault. Remove Savina from service and start ventilation using an independent ventilation device without delay, if necessary with PEEP and / or increased inspiratory O concentration.
• Page 110
  Troubleshooting Message Cause Remedy !!! Tidal volume high The upper alarm limit of the applied Check patient condition. inspiratory tidal volume V has been Check ventilation pattern. exceeded during three consecutive Correct alarm limits, if necessary. ventilator breaths. Leak or disconnection. Check that all connections of the patient circuit system are leakproof.

• Page 111: What’s What

  What’s What What’s What Control Unit …………112 Front Connection Block .

• Page 112: Control Unit

  What’s What Control Unit What’s What Control Unit Savina Trigger Alarm Nebul. insp Silence mL L ∆P insp. Alarm Suction Supp Reset above PEEP Insp. Rate PEEP hold Lock Vol.% Waveforms Settings Alarms Values Config. ext. ∆∆ ∆∆ ∆∆ ∆∆…

• Page 113: Front Connection Block

  What’s What Front Connection Block Front Connection Block 1 Flow sensor 2 Expiratory valve with expiratory connector port 3 Socket for breathing gas temperature sensor plug 4 Inspiratory connector port 5 Nebulizer gas supply port 6 Protective cover for O sensors…

• Page 114: Rear Panel

  What’s What Rear Panel Rear Panel 1 RS232 serial interface 2 Nurse call socket (optional) 3 Power switch 4 Fuse for internal battery 5 AC input receptacle 6 DC inlet (external battery or on-board DC system) 7 Equipotential bonding connection (grounding pin) 8 Filter cover 9 Low pressure O inlet (optional)

• Page 115: Labels

  23542 Lübeck, Germany 4 WARNING label to assure accurate O calibration WARNING ! ALWAYS USE A RELIABLE INDEPENDENT SUPPLY DURING CALIBRATION. IN CASE THE CALIBRATION PROCEDURE IS BASED ON A DILUTED OXYGEN SOURCE, SAVINA MAY DELIVER INACCURATE OXYGEN CONCENTRATIONS WITHOUT FURTHER NOTIFICATION.

• Page 116: Abbreviations

  What’s What Abbreviations Abbreviations Abbreviation Definition Assist Control, Assisted Mandatory Ventilation Body Temperature, Pressure, Saturated BTPS Measured values based on the conditions of the patient’s lungs, with body temperature 37 C, atmospheric pressure, steam- saturated gas Compliance Continuous Mandatory Ventilation Assisted Continuous Mandatory Ventilation Assist CPAP…

• Page 117
  What’s What Abbreviations Abbreviation Definition Peak pressure Peak End-inspiratory airway pressure Plat ∆P Set value of pressure support supp. Pressure support Resistance Synchronized Intermittent Mandatory Ventilation SIMV Inspiratory breathing gas temperature Expiratory time Setting for inspiratory time insp Plateau time plat Setting for tidal volume Setting for tidal volume of apnea ventilation…

• Page 118: Symbols

  What’s What Symbols Symbols Symbol Explanation Switch nebulizer on / off Nebul. Activate/deactivate oxygenation program for bronchial suction Suction Insp. Start manual inspiration and hold hold Settings Select settings page ∆∆ Config. Configure system settings ∆∆ Alarms Display alarm limits ∆∆…

• Page 119: Technical Data

  Technical Data Technical Data Environmental Conditions ……….120 Settings .

• Page 120: Environmental Conditions

  21 to 100 vol. % Accuracy ±3 vol.% The accuracy of the inspiratory O concentration is noticeably reduced when operating Savina without O sensors. Positive end-expiratory pressure PEEP or interm. PEEP 0 to 35 cmH Trigger sensitivity 1 to 15 L/min…

• Page 121: Performance Data

  30 minutes, in the inspiratory flow phase, (with O supply only) 2 bar (29 psi), max. 10 L/min., Savina takes the nebulizer flow into account to keep the minute-ventilation constant. Oxygenation program for bronchial suction (with O supply only)

• Page 122: Monitoring

  Technical Data Monitoring Flow measurement Minute ventilation MV Spontaneously breathed minute ventilation MV spon Range 0 to 99 L/min, BTPS Resolution 0.1 L/min Accuracy ±8 % of measured value approx. 35 s 0…90 Measured expiratory tidal volume V Range 0 to 3999 mL, BTPS Resolution 1 mL Accuracy…

• Page 123: Operating Data

  Technical Data Operating Data Insp. O concentration FiO Alarm at upper limit if FiO exceeds the upper alarm limit for at least 20 seconds. Lower alarm limit alarm if FiO falls below the lower alarm limit for at least 20 seconds. Range both alarm limits are automatically linked to the setpoint –…

• Page 124
  LCL 12 V 17P (2 batteries) LCL 12 V 33AP (1 or 2 batteries) LCL 12 V 38P (1 or 2 batteries) Battery charging Savina automatically detects the voltage of the external battery connected. Charge current: 12 V battery approx. 4 A 24 V battery approx.

• Page 125: Classifications

  Technical Data Classifications Gas supply gauge pressure 3 bar –10 % to 6 bar (43.5 to 87 psi) connection thread DISS The gas must be dry and free from oil and dust. Output for pneumatic nebulizer , max. 2 bar (29 psi), max. 10 L/min Sound pressure level 45 dB (A) for typical ventilation at 1 m (3.3 feet) distance (for free-field measurement over…

• Page 126: Materials Used

  Technical Data Materials Used Materials Used Part Appearance Material Ventilation circuit (reusable) milky, transparent silicone rubber Water traps yellow, transparent polysulphone Y-piece yellow, transparent polysulphone with connector for temperature milky, transparent silicone rubber measurement Expiratory valve housing, closure white polyamide Diaphragm whitish and grey silicone rubber and stainless steel…

• Page 127: Theory Of Operation

  Theory of Operation Theory of Operation Ventilation Modes — Volume Controlled Ventilation ……128 PCV+ (BIPAP) …………134…

• Page 128
  , as well as SIMV, SIMV/PS Assist The »Pinsp« ventilation parameter is used to set the limit. The value of Pinsp remains in effect until Savina has applied the insp set tidal volume V or until the set inspiratory time has elapsed.
• Page 129
  filling of the »slow« alveoli only marginally due to the short time available. In the Savina ventilator, the sigh operates during expiration with an intermittent PEEP. It is set as a pressure relative to PEEP (∆ sigh).
• Page 130
  «. If the set alarm limit is exceeded just once, Savina displays an advisory message (!); if, however, the alarm limit is exceeded three times, Savina issues a warning message (!!!). The volume is actively limited to the value of the alarm threshold »V «…
• Page 131
  T insp Paw > Start-up behavior of AutoFlow Plat Upon switching AutoFlow on, Savina applies the set tidal volume V using a volume-controlled ventilator breath. PEEP The plateau pressure Pplat derived from this ventilator breath…
• Page 132
  Synchronization of mandatory ventilator breaths by itself effectively reduces SIMV time, which would result in an undesirable increase in the effective IMV rate. Savina therefore extends the subsequent time allowed for spontaneous breathing by the missing time difference ∆T – thus preventing an increase in SIMV rate.
• Page 133
  Savina supports the insufficient spontaneous breathing of the patient with a high peak flow. — In case of low flow acceleration: Savina begins gently with an even inspiratory flow. Pressure support is terminated: — when the inspiratory flow returns to zero during phase I, i.e.
• Page 134
  Theory of Operation PCV+ (BIPAP) PCV+ (BIPAP) Pressure Controlled Ventilation plus Biphasic Positive Airway Pressure PCV+ is a pressure controlled/time cycled ventilation mode which allows the patient to breathe spontaneously at any time. PCV+ is therefore often described as a time cycled alternation between two CPAP levels.
• Page 135
  Theory of Operation PCV+ (BIPAP) Using PCV+ As in CMV, the time pattern is set using the basic parameters mandatory synchronised of ventilator rate f and inspiratory time T p. The lower PCV+ stroke PCV+ stroke spontaneous breathing pressure level is set with parameter PEEP, while the upper level is set with P insp FlowAcc…
• Page 136
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• Page 137: Ordering Information

  Ordering Information Ordering Information Ordering Information ……….138…

• Page 138
  Ordering Information Ordering Information Name/Description Order No. Basic ventilator Savina 84 13 600 Options ® Option AutoFlow 84 14 069 Option PCV+ 84 14 060 Nurse call system 84 14 476 Plug for the connection of nurse call system 18 46 248…
• Page 139
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• Page 140: Index

  Index Index Components removing ……..86 Abbreviations .

• Page 141
  Index Flow monitoring ……..81 Nurse call system ……..43 Flow sensor installing .
• Page 142
  Index Release code ……..84 Troubleshooting .
• Page 143
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• Page 144
  These Instructions for Use apply only to Savina with Serial No.: If no Serial No. has been filled in by Draeger these Instructions for Use are provided for general information only and are not intended for use with any specific machine or device.