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Servo-u Ventilator

Servo-u Ventilator

The next step forward in making protective ventilation more accessible, understandable and easy to implement.

“The Servo-u…It looks like a fish in water. If you can find things quickly, it makes the patient safe.”

- Respiratory therapist, USA

"It is really easy to find the settings of what you want to do and it is clearly displayed – that is an advantage."

- Intensive care physician, Canada

"For me, this is a secure investment – a solid product to build on, based on a solid foundation."

- Intensive care physician and researcher, Brazil

Overview

Ventilation can be complicated. But the ventilator doesn't have to be.

Servo-u delivers many effective options for protective ventilation. All of them more accessible, understandable and easy to implement. [1]  Which means more patients in all phases of ventilation – controlled, supported, non-invasive and during spontaneous breathing trials – can benefit from advanced lung protective strategies.

Protective ventilation

Multiple options for protective ventilation

Servo-u is the next step forward in making protective ventilation more accessible, understandable and easy to implement. It supports your ability to identify the patient's needs and to act accordingly. It makes clinically documented values, such as VT/PBW and the Edi respiratory vital sign, available on screen and easily trended.

Automatic calculation of VT/PBW

The significance of protective tidal volumes is well documented.1,2,3 SERVO-U automatically calculates tidal volume per kilogram of predicted body weight (VT/PBW), a value which is continuously measured and trended, supporting adjustment of ventilation parameters.

Decision support with the help of Edi

The Edi respiratory vital sign (electrical activity of the diaphragm), displayed on screen, helps clinicians track spontaneous breathing efforts. It also supports sedation management in all ventilation modes as well as in standby. This accurate onscreen information allows appropriate and timely response to changing breathing conditions.4,5

Ventilation support synchronized by the patient's brain

Neurally Adjusted Ventilatory Assist (NAVA®) is the ventilation mode that utilizes the Edi signal to provide ventilation support synchronized by the patient’s brain. The NAVA therapeutic workflow provides a resource for the clinician during all stages of NAVA therapy. Support tools are available for: Edi catheter selection, calculation of the insertion length, catheter positioning, and NAVA preview to facilitate adjustment of NAVA mode settings.

Read more about NAVA...

Inspiring confidence at bedside

The Servo-u ventilator is designed to support tailoring of treatments to the individual patient condition every step of the way. The menu takes you directly to what you need, while the interface provides a clear visual of what you are doing. On-screen, context-based guidance tools like Safety Scale®, tutorials, and prompts help you make informed decisions.

Informed decisions at bedside

Guidance and other context-based information help you understand how the changes you make affect the patient’s breath. The Safety Scale® tool allows for quick changes while providing clear feedback that helps you avoid unusual ranges for the category of patient that is being treated.

On screen tutorials

Easy to find, on-screen tutorials are available to support you when applying settings and selecting ventilation modes.

Tools to help you evaluate the patient´s condition

Servo-u gives you the opportunity to review patient information for research and education. You can access 72 hours of trend data or use the built-in recording feature to capture what just happened, as well as 15 seconds before and after recording was enabled.

Optimized alarm management

The alarm management system includes short texts that help you respond to alarms. Highlights let you know what values are affected and shortcuts take you directly to what needs change. Managing alarms in a Servo® ventilator has never been easier.

Securing your investment for the future

Purchasing a ventilator is a significant investment, and you want to be confident with your choice. That is why Servo-u is also designed to grow with you.  You can configure according to your current needs, and upgrade cost-effectively when those needs change, or when new features become available.

Performance from day one with scalable services

Getinge Care Services add value from day one and ensure that your system operates at peak performance throughout its lifecycle, so that your staff can take advantage of all its features. Furthermore, genuine Getinge consumables help guarantee performance.

Ergonomic design provides flexibility

The ergonomic design means the system can be placed to the left or right of the bed. It can also be mounted on a ceiling boom, trolley, or on the bed itself.

Interchangeable product modules

Interchangeable hardware modules and components provide the flexibility to be used on your entire Servo ventilator fleet as needed.

Part of a groundbreaking ventilator family

Servo ventilators have a history of being groundbreaking. Servo-u is no different. Physicians, respiratory therapists, nurses, and biomed technicians from all over the world helped us build it. We believe that it will forever change the way you look at respiratory life support devices.

Ease of use

True ease of use makes you feel confident, reduces workload and positively impacts patient safety.

On screen tutorials

Servo-u provides informative text guidance for everything from pre-use check to initial parameter setting and throughout the entire treatment.

Safety scale

The Safety Scale tool makes changes quick and intuitive, and helps you avoid unusually high ranges. Furthermore, dynamic images illustrates how those changes effect patient breathing.

Alarm management

The alarm management system includes short descriptions to help you respond to, and further avoid, undesired alarms. On-screen highlights let you know which values are affected, while shortcuts take you directly to what needs to be changed.

Integrated nebulization

Aerogen nebulization is integrated into Servo-u, removing the need for a separate device. Aerogen delivers medicine to the patient’s lungs efficiently  without heating or degrading. [16]

Secure investment

It's time to take the stress out of ownership with a modular platform that grows with your changing needs

A modular platform

A range of software options and inter-changeable hardware modules allows you to configure to your current needs and upgrade as those needs change. It also means modules can be moved between ventilators, lowering overall costs.

High quality consumables

We offer an extensive range of readily available consumables designed with patient safety and ease of use in mind - all to help secure your everyday operations.

Connected to your data

MSync helps you to connect your Servo fleet to your patient monitor, HIS or patient data management system (PDMS). Clinical and patient data is transferred in real time to support clinical decision-making.

Maximum uptime

Optimizing your equipment's services is often an untapped opportunity to maximize productivity and reduce costs. Our Getinge Care service offering  allows you to focus on what’s important - saving lives.

Training

Improve your knowledge with our eLearning courses

Servo-u start up guide (20 min)

  • Preparing for patient
  • Ventilating and responding to alarms
  • Maneuvers and interventions

English (voice over) | French | German | Italian | Spanish | Swedish | Dutch

Servo Compass (10 min)

  • VT/PBW
  • Driving Pressure
  • Target ventilation

English (voice over)

The basic concept of NAVA and Edi
NAVA module 1 (10 min)

  • Breathing regulation
  • Conventional ventilatory treatment
  • Edi and NAVA treatment

English (voice over)

How to use NAVA and Edi
NAVA module 2 (10 min)

  • Insertion and position of Edi catheter
  • NAVA set-up
  • Starting NAVA ventilation

English (voice over)

Servo-u NAVA (10 min)

  • Servo-u NAVA screen layout
  • NAVA workflow

English (voice over) | French | German | Italian | Spanish | Swedish | Dutch

Modes of ventilation module 1:
settings and waveforms (20 min)

  • Introduction to waveforms and ventilator settings

English (voice over)

Modes of ventilation module 2:
Controlled modes (20 min)

  • Pressure Control, Volume Control, PRVC and Bi-Vent/APRV

English (voice over)

Downloads

All references

  1. 1. http://ccforum.biomedcentral.com/articles/10.1186/s13054-016-1431-1

  2. 2. Slutsky AS, Ranieri VM. Ventilator-induced lung injury. N Engl J Med. 2014 Mar 6;370(10):980.

  3. 3. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respira-tory Distress Syndrome Network. N Engl J Med. 2000 May 4;342(18):1301-8.

  4. 4. Amato et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015 Feb 19;372(8):747-55.

  5. 5. Emeriaud G, Larouche A, Ducharme-Crevier L, Massicotte E, Fléchelles O, Pellerin-Leblanc AA, Morneau S, Beck J, Jouvet P. Evolution of inspiratory diaphragm activity in Med. 2014 Nov;40(11):1718-26.

  6. 6. Brander L, Leong-Poi H, Beck J, Brunet F, Hutchison SJ, Slutsky AS, et al. Titration and implementation of neurally adjusted ventilatory assist in critically ill patients. Chest 2009;135:695e703.

  7. 7. Stein H, Howard D. Neurally Adjusted Ventilatory Assist (NAVA) in Neonates less than 1500 grams: a retrospective analysis. J Pediatr 2012;160:786e9.

  8. 8. Cecchini J, et al. Increased diaphragmatic contribution to inspiratory effort during neurally adjusted ventilatory assistance versus pressure support: an electromyographic study. Anesthesiology. 2014 Nov;121(5):1028-36.

  9. 9. Di Mussi R, et al. Impact of prolonged assisted ventilation on diaphragmatic efficiency: NAVA versus PSV. Crit Care. 2016 Jan 5;20(1):1.

  10. 10. Yonis H, et al. Patient-ventilator synchrony in Neurally Adjusted Ventilatory Assist (NAVA) and Pressure Support Ventilation (PSV). BMC Anesthesiol. 2015 Aug 8;15:117.

  11. 11. Piquilloud L, et al. Neurally adjusted ventilatory assist improves patient-ventilator interaction. Intensive Care Med. 2011 Feb;37(2):263-71.

  12. 12. Kallio M, et al. Neurally adjusted ventilatory assist (NAVA) in pediatric intensive care – a randomized controlled trial. Pediatr Pulmonol. 2015 Jan;50(1):55-62.

  13. 13. Piastra M, et al. Neurally adjusted ventilatory assist vs pressure support ventilation in infants recovering from severe acute respiratory distress syndrome: nested study. J Crit Care. 2014 Apr;29(2):312.e1-5.

  14. 14. De la Oliva P, et al. Asynchrony, neural drive, ventilatory variability and COMFORT: NAVA versus pressure support in pediatric patients. Intensive Care Med. 2012

  15. 15. Dysart K et al. Research in high flow therapy: mechanisms of action. Respir Med. 2009 Oct;103(10):1400-5.

  16. 16. Ari A and Fink JB. Guidelines for aerosol devices in infants, children and adults: which to choose, why and how to achieve effective aerosol therapy. Expert review of respiratory medicine. 2011;5:561-72.

  17. 17. Data on file Maquet Critical Care AB. Formative usability tests with 12 subjects. October 7-9, 2013. Paris, France.

  18. 18. Kacmarek RM, et al. Open Lung Approach for the Acute Respiratory Distress Syndrome: A Pilot, Randomized Controlled Trial. Crit Care Med. 2016 Jan;44(1):32-42.

  19. 19. The views, opinions and assertions expressed on the page with regards to ventilation are strictly those of the interviewed and do not necessarily reflect or represent the views of Maquet Critical Care AB. The Servo-u may be pending regulatory approvals to be marketed in your country. Contact your Getinge representative for more information.