Savina 300
05
November

By Adem Lewis / in , , , , , , , , /


this video explains the most important
functions of Savina 300 it also explains how to prepare and to start operation of
the device and moreover how to use and clean it
this video is divided into different sections which allow you to easily
navigate further information of Savina 300 can be found in the interactive
Savina 300 product trainer and on the Dräger website you will see Savina 300
is a ventilator that is simple and intuitive to use
please note that this video does not replace an instruction by your Dräger
contact moreover the instructions for use of
Savina 300 should be read carefully in this chapter you will see how to
prepare Savina 300 for its use on the patient for the Savina 300 is connected to a
patient the device should be cleaned in accordance with the hospital hygiene
regulations and the corresponding instructions for use Savina 300 can be
used for the ventilation of intubated patients in the application mode tube
and for non-invasive ventilation in the application mode n IV prepare the expiratory valve check that
the diaphragm fits properly on to the edge of the expiratory valve housing and
that the flow sensor sleeve and the water trap container have been attached insert the expiratory valve
after that in the flow sensor and push it up to the
stop in the flow sensor sleeve of the expiratory valve if no breathing gas
humidifier is used we recommend the use of an inspiratory bacterial filter which
has to be fitted onto the inspiratory port or an hme which you can put onto
the wipies hang the hinged arm on the lateral standard rail of Savina 300 and
tighten the screws connect breathing hoses to the
inspiration report and to the expiratory port
sir the breathing hoses in the opening of the hinged arm then the hme on the
wipies test lung on the hme if no hme is used a breathing gas
humidifier should be installed on the humidifier holder for breathing gas
humidifier the option co2 offers the possibility of
a co2 mainstream measurement directly at the Y piece and delivers measuring data
in real time they are shown as a graphic and as numerical values on the screen of
the ventilator insert the cuvette into the patient connector of the Y piece so
that the cuvette windows are facing to the side
afterwards push the co2 sensor onto the cuvette the cable is facing towards the
device the connector of the co2 sensor into the
socket on the rear of Savina 300 Savina 300 is supplied with mains power or with
power from the internal or external battery the external battery also serves
as the power supply during patient transport insert the mains plug into the
mains power socket the LED lights up green for ventilation Savina 300 uses ambient
air which is supplied by an internal turbine in the high pressure oxygen mode
HP o-o to supply is provided by a central gas supply system or by
compressed gas cylinders in the low pressure oxygen mode Oh to supply is
provided by an external low-pressure oxygen source for example Oh –
concentrator for supplying from compressed gas cylinders Savina 300 can
be equipped with a transport supply unit or a cylinder holder
4:02 supply from a central gas supply system connect the o2 compressed gas
hose with the o2 connection of Savina 300 if a pneumatic nebulizer is used connect
the nebulizer to the inspiratory side of the wipies and connect the inspiratory
hose to the nebulizer place the nebulizer in the vertical
position run the nebulizer hose back to Savina
300 along the inspiratory hose and fitted on to the nebulizer port before using the device on a patient
readiness for operation of Savina 300 is checks during the device check and the
breathing circuit check only start ventilation once the device check has
been successfully completed the device check is quickly and easily performed
Savina 300 guides the user through the respective tests step in the form of a
question answer dialog turn on Savina 300 and subsequently press the start
standby key then touch the device check tab there
Savina 300 displays the individual test steps in a list touch the start button
and confirm with the rotary knob answer the questions in the instruction field
by touching the buttons yes or no you after the device check was successful
perform a breathing circuit check circa Czech Savina 300 has to be in
standby mode you already selected the breathing circuit and the humidification
type touch the breathing circuit check tab
Savina 300 displays the values of the last test touch the start button and
confirm with the rotary knob now follow the instructions displayed in the
instruction field if co2 monitoring is used check the co2 zero indication the
prerequisite for that is a clean co2 sensor placed on the cuvette use a clean
or anouk Evette at least a three-minute warm-up phase
for the co2 sensor must have elapsed select the cuvette type and display co2
measured values as a curve in the configuring curve field
remove the co2 sensor from the cuvette and hold in ambient air do not breathe
on or into the cuvette Savina 300 can be used for the ventilation of intubated
patients in application mode tube and for non-invasive ventilation in
application mode NIV open the start standby page while savviness 300 is in
standby mode and touched the tube or NIV button confirm with the rotary knob in
the NIV application mode an NIV symbol is displayed in the header bar in an
orange area to start ventilation press the start
standby key Savina 300 opens the start standby dialog window the start standby
page appears by default confirm start of ventilation with the rotary knob Savina
300 starts the therapy with the set ventilation parameters the main screen
for ventilation is displayed this chapter described
ventilation modes and additional settings and how to set ventilation
parameters and alarm limits you have three options to open the ventilation
settings dialog window to adapt the ventilation settings touch the
ventilation settings button in the main menu bar touch the button in the therapy
bar or touch the displayed ventilation mode in the header bar to select a ventilation mode touch the
tab for the corresponding ventilation mode the color of the tab turns yellow
preset the ventilation parameters if necessary if the therapy control is
displayed in dark green following confirmation with the rotary knob the
ventilation parameter setting is effective immediately even if the new
ventilation mode was not yet activated to optimize ventilation the ventilation
modes can be combined with additional settings to set additional settings of
the active ventilation mode touch the additional settings tab you not all ventilation modes are selectable
for the use of non-invasive ventilation in the NIV application mode leakages are
greater with non-invasive ventilation than with invasive ventilation Savina
300 takes into account the leakages in the NIV application mode accordingly the
inspiratory trigger is automatically adapted to the measured leakage the
measured values for title volume a leakage corrected and indicate the
patient’s actual tidal volume hypoxia during endotracheal suction
Savino 300 offers a program for oxygen enrichment during suction and for two
minutes afterwards the lower alarm limit for the minute volume is switched off
press the O to suction key Savina 300 continues ventilating in the set
ventilation mode at a hundred percent o2 within 180 seconds Savina 300 expects a
disconnection for suction in the header bar the initial oxygen enrichment phase
is displayed with the remaining time disconnect the patient and perform the
suction manoeuvre 120 seconds are available for suctioning in the header
bar the disconnection phase is displayed with the remaining time afterwards
reconnect the patient Savina 300 continues ventilating in the set
ventilation mode except that for 120 seconds 100% o2 is delivered for final
oxygen enrichment press the nebulization on/off key and Savina 300 starts
nebulization the nebulization time is 30 minutes the symbol and the remaining
time are displayed in the header bar the inspiration hold maneuver can be
activated in all ventilation modes between to automatically delivered
breaths a breath can be manually started and held or regardless of the start time
and automatically delivered breath can be prolonged the trigger manual inspiration briefly
press the inspiration hold key to extend manual inspiration press the
inspiration hold key and hold for the desired inspiratory time Savina 300 display
the following visual and acoustic alarm signals first the system displays the
relevant alarm message in the alarm message field of the header bar second
the parameter field of the parameter triggering the alarm flashes third in
the alarms dialog window the corresponding measured value flashes
forth the high priority or medium priority alarm messages the
corresponding LED flashes on the control panel the background color if the alarm
message field indicates the priority of the active alarm is several alarms occur
simultaneously the alarm with the highest priority is displayed first
high-priority alarm messages that are no longer active are displayed in the
background color of the alarm message field the parameter box of the parameter
triggering the alarm flashes in the color of the alarm priority red means
warning and is an alarm with high priority yellow means caution and is an
alarm with medium priority cyan means note and is an alarm with low priority
on the log book page the priority of the alarm messages is also indicated by
exclamation marks the alarm tone can be suppressed for a
maximum of two minutes if during this time a high priority alarm arises the
tone sequence sounds once if the fold triggering the alarm is not eliminated
after two minutes the alarm tone sounds again press the audio pause two minutes
key to suppress the alarm turn after the fault has been eliminated the alarm tone
is silenced our clr messages continued to be
displayed and need to be acknowledged therefore press the alarm reset key there are two options to open the alarms
dialog window to set the alarm limit touched the
alarms button in the main menu bar or touch directly into the alarms dialog
window touch the corresponding button for the alarm limit set the value by
turning the rotary knob and press to confirm touch the buttons system setup in the
main menu bar to change the configuration the settings alarm volume
and brightness can be configured on the general settings page touch for example
the button for adjusting the volume of the alarm tone or the brightness of the
screen set the value by turning the rotary knob and push to confirm
on the ventilation page the ventilation functions pressure limitation
inspiratory pause time plateau inspiratory termination and if available
low pressure oxygen LPO can be activated or deactivated touch
the on or off button and confirm with the rotary knob
you can configure a language the date and time and the units on the country
page data exchanged
place via MIDI bus or nurse call Savina 300 can be supplemented with a set of
additional options the additional ventilation modes PC
BiPAP PC aprv PC AC + v CM mV autoflow pediatric plus non-invasive
ventilation LPO for a low pressure oxygen supply
capnography monitoring plus and special maneuver you the transport supply unit has been
designed for a fast coupling to the trolley of the ventilator the transport
supply unit supplies the Savina 300 with gas from one or two compressed gas
cylinders to couple the transport supply unit with the ventilator
lock all brakes on the trolley of the ventilator
move the transport supply unit under the trolley the guide pin must be pushed
into the fixing plate the transport supply unit until the
coupling element of the transport supply unit audibly clicks into the coupling
element of the trolley pull on the transport supply units to check correct
coupling the locking button can no longer be operated when locked correctly
release all locking brakes and move the ventilator by the handle
caution only start transporting patients when the batteries are sufficiently
charged if the batteries are not charged Savina 300 cannot ventilate immediately
connect the device to the mains power supply again following patient transport
to ensure that the batteries are being charged the transporting patients the
trolley of Savina 300 can be coupled on a bed it is a prerequisite that the
device side coupling part is attached to the trolley
attach the bedside coupling part to the rail or to the bar at the head end of
the bed and align the coupling connector horizontally then coupled the device in
the bed for that lock the Castor’s on the bed bring the device side coupling
part and the bed side coupling part to the same height adjust the height of the
bed or reposition the device side coupling part on the trolley column for
this purpose adjust the distance between the device and the bed press the release
button for this purpose push the device towards the bed until the coupling
connector engages audibly in the coupling head of the device side
coupling part to uncouple the device in the bed press and hold the release
button on the device side coupling part detach the device from the bed
simultaneously to decouple the transport supply unit
lock all brakes on the trolley of the ventilator
hold the transport supply unit by the handle and move the locking lever to the
left while pressing the locking button move the transport supply unit from
under the trolley and park this chapter describes how to
the ventilation accessories dismantled them for reprocessing and which
reprocessing methods can be used before you disconnect and dismantle the
ventilation accessories switch off the device and breathing gas humidifier and
remove their power plugs drain the water traps and breathing hoses and the water
container of the breathing gas humidifier observe the hospital hygiene
regulations now remove the co2 sensor please note that only reusable cuvettes
and sensors can be reprocessed the breathing hoses the bacterial filter the flow sensor the expiratory valve
from the expiratory valve and removed the diaphragm remove and empty the water
trap container nebuliser was used dismantle it in
accordance with the corresponding instructions for use and reprocess the
components in accordance with the reprocessing list for semi critical
medical devices reprocess the breathing gas temperature sensor the reusable co2
sensor the breathing hoses the flow sensor and the components of the
expiratory valve in accordance with the reprocessing list for semi critical
medical devices after cleaning and disinfecting always
drive the expiratory valve by means of hot steam sterilization at 134 degrees
Celsius or 273 point 2 degrees Fahrenheit to ensure that all remaining
liquid is dried completely in the interior areas now wipe the surfaces
with a clean damp lint-free cloth without using corrosive detergents wipe
surfaces until they are free of all spots and try them
manual disinfection should preferably be carried out with disinfectants based on
aldehydes or quaternary ammonia compounds please note that the
concentration temperature and exposure times are different with every different
disinfectant please consult the individual manufacturer’s instructions
for use make sure that only cleaned and disinfected reusable components are
sterilized the hot stream sterilization can be performed at 134 degrees Celsius
or 273 point 2 degrees Fahrenheit observe instructions for use of device
to ensure the effectiveness of sterilization a minimum sterilization
time of 5 minutes is required you should thoroughly inspect all items for damage
and where for example cracking embrittlement or pronounced hardening
and residual soiling device malfunctions are possible due to wear a material
fatigue of the components to maintain the proper operation of all components
this device must undergo inspection and preventive maintenance at specified
intervals please find the preventive maintenance intervals in the maintenance
table after completing all steps Savina 300 is ready to be used on the next
patient it can be assembled and put in operation according to the chapters
preparation and getting started we hope we’ve given you an interesting
insight into the ingenious world of the Savina 300 you’ll find more information
in our instructions for use and on our website please feel free to contact us
directly


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