Maquet SERVO-i VENTILATOR

WARNINGS!
• The default setting of the high airway pressure alarm is 40 cmH2O. It is important to adjust this setting as
appropriate to avoid excessive airway pressures.

• A potential hazard can arise if different default alarm settings are used on ventilators or similar equipment which
are located within the same intensive care unit or cardiac operating theatres.

Alarm Output Connection Option

If your system is equipped with the alarm output connection option, high and medium priority alarms
can be transferred to an external signal system. The alarm output signal is active as long as the audio
alarm is active on the ventilator

WARNING!

Never leave the patient unattended; the external alarm is designed to alert those already in attendance

Visual Alarm Display

When an alarm is activated, the following information is supplied on the screen.

1. A text message explaining the cause of the alarm flashes in the alarm message area. The alarm with
highest priority is displayed first.

2. The corresponding measured value or set value box flashes and an arrow points at the exceeded limit.

Note: Two bells in the alarm message area indicate that more than one alarm is activated.

Handling Alarms

The system can signal four types of alarm:

• High Priority—red background

• Medium Priority—yellow background

• Low Priority—yellow background

• Technical—a numeric code

Viewing the Current Alarms Window

If more than one alarm is active, view the Current Alarms Window by:

1. Press the bell(s) in the alarm message touchpad. All alarms (up to 10 listed by priority) are shown in a
dynamic window that will be updated if more alarms occur while the window is open.

2. View the current alarms.

3. Press the History touchpad. The previous 16 alarm-dependent events are listed chronologically, with
the most recent event at the bottom.

Note: For viewing more than the latest 10 alarms, use the Event log to view all logged alarms.

Responding to Alarms

To respond to a High or Medium priority alarm: 1. If desired, press the Audio Pause fixed key for less
than two seconds to silence the alarm for two minutes. 2. Take action to resolve the alarm condition. 3.
Press the Audio Pause key to reset the latched high priority alarm and clear the message from the
screen. The Audio Pause key is identified by the symbol.

To respond to a Low priority alarm:

 1. If desired, press the Audio Pause key for less than two seconds to reset the alarm even if the alarm
condition remains.

2. Take action to resolve the alarm condition. The alarm is automatically reset once the alarm condition
ceases.

Note: The following alarms display an Audio off? message when activated:

• Air/HeO2 Supply Pressure: Low

• O2 Supply Pressure: Low

• Battery Operation For these alarms, you can silence the audio signal even if the alarm condition is not
resolved. However, the system will eventually reactivate the alarm.

Using the Audio Pause Key

Pressing the Audio Pause fixed key for less than two seconds has the following results:

• Active alarms are silenced for two minutes.

• A crossed bell symbol along with the time remaining in the silent period are displayed in the message area.

• Each press of the Audio Pause key restarts the two minute silent period from when the user last pressed the
key.

• Latched alarms are reset if the alarm condition has ceased.

Note: The No battery capacity alarm and technical alarms cannot be silenced.

Pre-silencing Alarms
To silence most alarms (active and inactive) for two minutes, press and hold the Audio Pause fixed key for more
than two seconds. This action has the following results:

• All alarms, active and inactive, are silenced for two minutes from the time the key was pressed.

• A double crossed bell symbol along with the time remaining in the silent period are displayed in the message
area.

• Pressing the Audio Pause key again for less than two seconds will now restart the silent period for two
additional minutes from when the user last pressed the key.

• Latched alarms are reset if the alarm condition has ceased.

When the alarms are pre-silenced, pressing and holding the Audio Pause key again for more than 2 seconds will
reactivate all audible alarms.

Resetting Latched Alarms

High Priority alarms are “latched”—the alarm message remains on the screen even if the alarm condition ceases.
Medium and Low Priority alarms are not latched. The fixed key Audio Pause resets latched alarms and clears the
alarm message from the screen.

Note: The NIV alarm Leakage out of range is not latched.

Non Invasive Ventilation

To permanently silence certain alarms in NIV mode:

1. Press the Alarm Profile fixed key.

2. Press the touchpad corresponding to one of the following alarms:

• Minute Volume

• Respiratory Rate

• End Exp. pressure

• End tidal CO2 (CO2 Analyzer - option)

• CPAP (Nasal CPAP - option) 3. Press the bell-symbol touchpad.

The symbol changes to a crossed bell indicating audio is off.

Note: If the system is set in Standby and used in an invasive mode, the NIV alarms will return to their default
states.

Low Minute Volume alarm - Audio off

For Infant invasive ventilation only, the Low Minute Volume alarm may be permanently silenced (Audio off)
when the Upper minute volume alarm is set to 1 l/min or less.

The function of muting the Low Minute Volume alarm is enabled or disabled via Menu>Biomed>Edit
configuration>Infant alarm limits window. The setting is called Low MV audio off and is disabled as the default.
When enabled the audio off (bell symbol) is displayed next to the Minute Volume Alarm in the Alarm profile
window

WARNING! Always use additional patient monitoring (e.g. SpO2, CO2) when the low expiratory minute volume
alarm is set to audio off.

Responding to Technical Alarms

in some cases, restarting the system may resolve a technical alarm. However, technical alarms often necessitate
taking the ventilator out of operation and having it serviced.

Turning off the apnea alarm in Nasal CPAP

To turn off the apnea alarm in Nasal CPAP mode:

1. Press the Alarm Profile fixed key.

2. Press the touchpad corresponding to the apnea alarm.

3. Turn the Main Rotary Dial until the time limit has reached its maximum.

4. Continue turning the Main Rotary Dial.

A message is displayed indicating the apnea alarm is turned off

Turning off the Leakage fraction too high alarm

The Leakage fraction too high alarm is an alarm in Infant configuration for NIV NAVA.

The alarm can be configured via the Menu>Biomed>Edit configuration>NIV infant alarms window.

To turn off the Leakage fraction too high alarm in NIV NAVA mode:

• Press the Alarm Profile fixed key.

• Press the symbol touchpad indicating the Leakage fraction too high alarm. When the symbol is crossed out,
the alarm is turned off.

If the leakage fraction is disabled in the Alarm Profile window the message Alarm (s) off is displayed.

Turning off NAVA apnea alarms

The apnea alarms No patient effort and No consistent patient effort can be turned off in NAVA and NIV NAVA.

If the No patient effort alarm is turned off, the ventilator will switch to backup ventilation when the time
between breaths exceeds the apnea time setting. This switch to backup ventilation is always active irrespective
of any changes in the alarm configuration. This is available in both NAVA and NIV NAVA.

If the No consistent patient effort alarm is turned off, the system will not lock in backup ventilation. This is only
available in NAVA.

To turn off the apnea alarms:

• Access the alarm configuration window. - NAVA infant: Menu>Biomed>Edit configuration>Infant alarm limits -
NIV NAVA infant: Menu>Biomed>Edit configuration>NIV Infant alarms

• Press the corresponding touchpad to have it switch from Disabled (default setting) to Enabled.

• Press Accept

Enabling NAVA Apnea off in the alarm configuration generates a touchpad in the alarm profile window.

NAVA apnea alarms can be toggled on and off by pressing the Alarm on or Alarm off symbol. Turning off these
alarms will cancel the possibility to set Apnea audio delay.

A notification, Alarm(s) off, is shown in the message area when these alarms are disabled.

Once set, the NAVA apnea alarms configuration settings remain valid until the system has been turned off.
Restarting the system restores default alarm configuration settings.
Alarm limits

19. If Paw rises 6 cmH2O above the set limit or if system pressure exceeds 117 ±7 cmH2O, the safety valves
opens.

20. If Paw rises 6 cmH2O above the set limit or if system pressure exceeds 117 ±7 cmH2O, the safety valves
opens.

21. The apnea alarm can be turned off in Nasal CPAP

22. Setting the alarm limit to 0 (zero) is equivalent to turning off the alarm.
23. Setting the alarm to 0 (zero) is equal to alarm off