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Servo-u Mechanical Ventilator

Servo-u gives you many options for personalized lung protection and weaning.

All are easy to understand, implement and use, making it simple to integrate advanced personalized ventilation strategies into your daily patient care.
*The Servo ventilator and and/or ventilator options presented on this page may be pending regulatory approvals to be marketed in your country. Contact your Getinge representative for more information.

 

Getinge Servo-u Ventilator close up with screen and full view.
Servo-u ventilator
Servo-u ventilator

Personalized ventilation for better outcomes

As our most advanced ventilator, Servo-u builds on more than 50 years of groundbreaking innovations. It features unique decision support tools such as Transpulmonary pressure, Open Lung Tool, Servo Compass®, Stress Index, and Edi – the electrical activity of the diaphragm. Crucially, it also comes with our unique NAVA ventilation mode. In other words, an all-in-one solution where there’s no need to switch ventilators or devices.

Servo-u-ventilator - ease of use

Ease of use

Servo ventilators are built on more than 50 years of close collaboration with intensive care clinicians around the world. The result is continuous innovation, higher levels of patient safety and a superior user experience.[1] It makes it easy to learn and safe to use.

Personalized lung protection

Personalized lung protection

Servo-u offers you the complete toolkit for personalized ventilation. It enables you to detect risks early and support timely and consistent implementation of personalized protective ventilation strategies, in line with the latest international guidelines.[2],[3] In other words, the right support for each patient, at the right time.

Personalized weaning

Personalized weaning

Recent clinical studies reveal that diaphragm weakness is prevalent (23–84%) in ICU patients and consistently associated with poor outcome.[4] Servo-u lets you monitor the patient‘s diaphragm activity (Edi) to personalize ventilation for successful weaning. A recent study showed NAVA shortens time of mechanical ventilation by almost 35%.[5]

Doctor during administration

Secure and sustainable

Servo-u is a secure solution that was developed with efficiency and sustainability in mind – fewer parts, long-lasting materials that are easy to reprocess and sourced responsibly. Several components are interchangeable with other Servo ventilators, to help optimize uptime and reduce purchase and maintenance costs. And with many service centers globally, we are always there to support your hospital.

Related products

Servo-u

Context-based guidance

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

Servo-u

Safety Scale parameters

The system Safety Scale tool makes parameter changes quick and intuitive, while dynamic images illustrate how those changes may affect ventilation.

Servo-u

Choose your view

  • Basic, Advanced and Loops
  • Distance and Family
  • Servo Compass and Pes & PL
Hand pointing at the screen of the Servo-u

Alarm management

The frame lights up when an alarm is triggered, and this visual signal is easy to see from any view point. On-screen checklists help you to manage each active alarm and avoid undesired alarms.

Protect the lungs and other organs

Servo compass

Servo Compass

Servo Compass makes it easy to see when plateau/driving pressure or tidal volume per predicted body weight (VT/PBW) are off pre-defined targets and interventions are needed.[6] Precisely calculated Dynamic compliance (Cdyn) and Stress index (SI) complete the picture, helping you detect changes in lung volume and verify over-distension. [7],[8],[9]

Servo-u Transpulmonary pressure illustration

Transpulmonary pressure

To simplify esophageal manometry and improve accuracy, we have developed an automatic maneuver to validate balloon positioning and filling. A diagnostic view provides esophageal (Pes) and transpulmonary (PL) pressure waveforms, with key parameters for safety assessment of controlled and spontaneous ventilation. The relationship between airway and transpulmonary pressures is now much more intuitive.

Open Lung Tool

Open Lung Tool

Open Lung Tool trends helps you assess lung mechanics and gas exchange – breath-by-breath, in real time and retrospectively. It provides flexibility and guidance when personalizing PEEP and driving pressure during recruitment maneuvers, prone positioning and extracorporeal life support. Stress index, carbon dioxide elimination and transpulmonary pressures are also fully integrated.

Automatic recruitment maneuvers

Automatic recruitment maneuvers

Auto SRM is an automatic workflow for Stepwise recruitment maneuvers based on the Open Lung approach.[10]
The tool guides you smoothly through recruitment, decremental PEEP titration, re-recruitment and post-recruitment personalization of PEEP and driving pressure, based on optimal Cdyn. Diagnostic features include assessment of recruitability and additional decision support when patients do not respond to the recruitment maneuver.[11]

Wean early with an active diaphragm

Target protective tidal volumes

Target protective tidal volumes

PRVC is a true volume-targeted mode that automatically adapts the inspiratory pressure to account for rapid changes in lung mechanics. Separated regulation
of controlled and assisted breaths reduces tidal volume variations and ensures lower driving pressure. A low tidal volume strategy can therefore be maintained
when a patients start breathing spontaneously.

Servo-u screen

Ease the transition to spontaneous breathing

The interactive Automode eases the transition to spontaneous breathing for patients and staff. It switches seamlessly between controlled and supported modes depending on patient effort. There are three combinations available for Automode:

  • PC ⇆ PS
  • PRVC ⇆ VS
  • VC ⇆ VS
Diagnose Breathing

Diagnose breathing and start weaning

Edi – the vital sign of respiration – is a bedside diagnostic tool that allows you to monitor and safeguard the patients diaphragm activity.[12],[13] Servo-u lets you visualize Edi on screen, making it easier to identify over-assist, over-sedation and asynchrony when optimizing ventilation delivery and assessing weaning readiness. The result: earlier and more informed interventions.[6],[10]

Activate diaphragm

Activate the diaphragm and protect the lungs

NAVA (Neurally Adjusted Ventilatory Assist) uses the Edi to deliver personalized support, invasively and noninvasively. It promotes lung protective spontaneous breathing with higher diaphragmatic efficiency, and fewer periods of over and under-assist.[14],[15],[16],[17],[18],[19],[20] It also improves the patient’s ICU experience, helping you to reduce sedation with improved comfort and sleep quality.[5],[21],[22],[23],[24],[25]

NIV modes

Configurable NIV modes for all patient categories

NIV NAVA is a non-invasive technique useful in helping avoid intubation and preventing respiratory failure from worsening.[26],[27],[28] It is also leakage independent, helping to reduce skin tear.[29],[30]

Servo-u screen and patient in the background

High-flow therapy

High-flow therapy that reduces the patient’s work of breathing through an accurate flow of heated and humidified oxygen, improving comfort and tolerance.[31] There is no need to switch to a separate high-flow system, and the workflow supports both delivery through non-invasive, and invasive tracheostomy interfaces.

Soothing Heliox therapy

Soothing Heliox therapy

Heliox is our therapy option for patients having difficulty breathing due to airway resistance associated with various types of respiratory disease. Safe, reliable and easy to use, Heliox is a mixture of helium and oxygen that, due to its low density, facilitates laminar flow and minimizes airway pressure. The illustration above shows Heliox therapy promotes better laminar flow with less turbulence in a typical asthma patient.[32]

Aerogen Solo nebulizer connected to Aerogen Solo

Improve comfort with integrated Aerogen® nebulizer

Aerogen® nebulizer – this fully integrated feature offers a significantly higher lung deposition compared to jet nebulizers.[33] Its closed-circuit medication filling design mitigates transmission of patient-generated infectious aerosols.[34] For the recovering patient, Edi real-time respiratory drive monitoring will precisely quantify the effect of the above therapies.[35],[36]

Expiratory cassette

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.

Servo-u High quality consumables

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.

MSync

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.

Nurse with Servo brochure

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.

Simple to learn, safer to use

Simple to learn, safer to use

1. Alarm light frame for 360° visibility

An alarm light indicator around the upper frame of the screen is visible from all directions. Alarms are shown in three colors: red (highest priority), yellow (medium priority), and blue (low priority). Alarm indication is shown in two ways: blinking value (measured or indicated) and alarm message in the alarm message area.

2. Easy to capture screen shots and record events

You can save up to 40 screen shots or recordings on the ventilator. Or export them to a USB drive. To make a screen shot, press the Camera button or, to record waveform data, press the video recorder button. Trends and data can be saved by pressing the Media button and saved in the trends and logs library for later viewing.

3. Additional values

If you need additional values, press this green arrow and you’ll get all the parameters that are measured in ventilation mode you are using. And when you press the Mode arrow, you can see all the set parameters.

4. Color coding

A post-recruitment summary with color-coded results and personalized settings provides further clinical decision-support.

5. Additional settings

The additional settings button lets you quickly access other ventilatory modes or therapies, as needed.

6. Direct access to main settings

You can also quickly return to the main settings at any time by pressing here.

7. 360° horizontal rotation

The screen can be rotated through 360°, which means you can place the ventilator anywhere around the bed depending on clinical requirements

Intuitive touchscreen

The intuitive touchscreen makes Servo-u a breeze to learn and use. Information texts, dynamic images and workflow support help staff to orientate quickly and follow guidelines. The interface also simplify knowledge sharing with the intuitive touchscreen, making it easy to retrieve screenshots and recordings or connect to a larger screen.

Flexibility through ergonomic design

Servo-u features an ergonomic design. The screen can be rotated through 360°, which means you can place the ventilator anywhere around the bed, depending on clinical requirements. You can also mount Servo-u on a ceiling supply unit or shelf. The system is light and compact, making it highly suitable for intra-hospital transport.

NAVA shortens time of mechanical ventilation by almost 35%.[5]

Lung-and-diaphragm-protective-ventilation-lungs

Target protective volumes and pressures

PRVC is a true volume-targeted mode that automatically adapts the inspiratory pressure to account for rapid changes in lung mechanics. Separated regulation of controlled and assisted breaths reduces tidal volume variations and ensures lower driving pressure. A low tidal volume strategy can therefore be maintained when a patient start breathing spontaneously.
Our interactive Automode eases the transition to spontaneous breathing for patients and staff. It switches seamlessly between controlled and supported modes, depending on patient effort.

Lung-and-diaphragm-protective-ventilation-eye

Diagnose breathing to facilitate weaning

Edi – the vital sign of respiration – is a bedside diagnostic tool that allows you to monitor respiratory drive and effort and safeguard the patients diaphragm activity.[12],[13] With the Edi signal continuously visible, you can detect diaphragm inactivity, over-sedation, patient ventilator asynchrony as well as over- and under-assist. You can also monitor changes in increased work-of-breathing during weaning trials and post-extubation. Edi monitoring is available in all invasive and non-invasive ventilation modes, and can be used from day zero to discharge from the intensive care unit.

Lung-and-diaphragm-protective-ventilation-lungs-diaphragm

Exercise the diaphragm and protect the lungs

NAVA (Neurally Adjusted Ventilatory Assist) follows the patient’s Edi to personalize lung-protective spontaneous breathing with higher diaphragmatic efficiency, and fewer periods of overand under-assist. NAVA shortens the time of weaning and mechanical ventilation and increases the number of ventilator-free days. NIV NAVA significantly improves patient-ventilator interaction, and reduces NIV complications.[38] For patients with acute exacerbation of COPD it can be effective in managing their status and to improve patient outcomes.[27],[38],[39],[40],[41]

Lung-and-diaphragm-protective-ventilation-brain

Improve comfort with effective therapies

High Flow therapy reduces the patient’s work-of-breathing by providing an accurate flow of humidified gas with a set oxygen concentration.
Heliox therapy is designed for patients with airway resistance diseases.
Aerogen® nebulizer – this fully integrated feature offers a significantly higher lung deposition compared to jet nebulizers. Its closed-circuit medication filling design mitigates transmission of patient-generated infectious aerosols. For the recovering patient, Edi real-time respiratory drive monitoring will precisely quantify the effect of the above therapies

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

– Intensive care physician and researcher, Brazil

Sustainability through efficiency

The Servo-u adds efficiency, drives down maintenance costs and
reduces waste. It shares many components and parts with other Servo
ventilators. Hot swappable batteries, for example, and easy- to-clean
expiratory cassettes that are interchangeable, meaning you can use
any cassette that is ready for use if a patient is waiting. You can also
choose from a range of consumables such as catheters, nebulizers and
interfaces. All original parts and consumables are optimized for lasting
high performance.

Extra support with Getinge Care

With many service centers globally, we are always close at hand. To
maximize uptime, ask us about local service agreements. Our Getinge
Care package, for example, comes in four different levels of support
depending on your needs. Whatever your specific situation, our skilled
service technicians and staff, many of whom are clinicians, are always
there to support you. Servo-u is also designed for a high degree
of connectivity: the ventilator connects to a wide range of PDMS
systems and patient monitors. It can also use MSync (optional) as
an HL7 converter, which makes the system conform to IHE Technical
Frameworks

  • Servo-u gives you many options for personalized lung protection and weaning, for treatment of all patient categories. All are easy to understand, implement and use.

  • The physiological challenges of mechanical ventilation requires a powerful toolkit, offering the right protection for each patient at the right time.

  • Help patients suffering from obstructive lung diseases, such as asthma, bronchiolitis, and COPD, breathe easier where additional targeted support may be required.

  • Expand the performance of your flexible Servo-u with additional functionalities and features allowing you to adapt more easily to your ever-changing clinical needs.

  • Servo-u technical specifications and information on intended use, clinical benefits, functionality, user interface, power supply, gas supply, weights and dimensions.

  • Detect electrical activity of diaphragm, with our range of Edi catheters, enabling NAVA and NIV NAVA ventilation modes, and available in all patient categories.

  • The NutriVent is a nasogastric feeding tube with one or two balloons for monitoring of esophageal, transpulmonary and gastric pressures.

Visit our Academy – training and education designed to enhance your proficiency

For more information about our onsite events or remote trainings, you can also contact your local sales & service representative.

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  2. 2. Fan E, Brodie D, Slutsky AS. Acute Respiratory Distress Syndrome: Advances in Diag­nosis and Treatment. JAMA. 2018;319(7):698–710. doi:10.1001/jama.2017.21907

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  4. 4. Dres M, Goligher EC, Heunks LMA, Brochard LJ. Critical illness-associated dia­phragm weakness. Intensive Care Med. 2017 Oct;43(10):1441-1452.

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  6. 6. Data on file Maquet Critical Care AB.

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  8. 8. Grasso S, Stripoli T, De Michele M, et al. ARDSnet ventilatory protocol and alveolar hyperinflation: role of positive end-expiratory pressure. Am J Respir Crit Care Med. 2007 Oct 15;176(8):761-7.

  9. 9. Ferrando C, et al. Adjusting tidal volume to stress index in an open lung condition optimizes ventilation and prevents overdistension in an experimental model of lung injury and reduced chest wall compliance. Crit Care. 2015 Jan 13;19:9. doi: 10.1186/s13054-014-0726-3.

  10. 10. 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.

  11. 11. Goligher EC, Hodgson CL, Adhikari NKJ, et al. Lung recruitment maneuvers for adult patients with acute respiratory distress syndrome. Ann Am Thorac Soc 2017;14:S304-11. 10.1513/AnnalsATS.201704-340OT

  12. 12. Ducharme-Crevier L, et al. Interest of Monitoring Diaphragmatic Electrical Activity in the Pediatric Intensive Care Unit. Crit Care Res Pract. 2013;2013:384210.

  13. 13. ATS/ERS Statement on Respiratory Muscle Testing. American Journal of Respiratory and Critical Care Medicine, 2002166(4), pp. 518-624.

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

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

  18. 18. Blankman P, et al. Ventilation distribution measured with EIT at varying levels of PS and NAVA in Patients with ALI. Intensive Care Med. 2013 Jun;39(6):1057-62.

  19. 19. Brander L, et al. NAVA decreases ventilator induced lung injury and non-pulmo­nary organ dysfunction in rabbits with acute lung injury. Intensive Care Med. 2009 Nov;35(11):1979-89.

  20. 20. Patroniti N, et al. Respiratory pattern during neurally adjusted ventilatory assist in acute respiratory failure patients. Intensive Care Med. 2012 Feb;38(2):230-9.

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  22. 22. 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.

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  25. 25. Delisle S, et al. Sleep quality in mechanically ventilated patients: comparison be­tween NAVA and PSV modes. Ann Intensive Care. 2011 Sep 28;1(1):42.

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  29. 29. Beck J, Brander L, Slutsky AS, Reilly MC, Dunn MS, Sinderby C. Non-invasive neurally adjusted ventilatory assist in rabbits with acute lung injury. Intensive Care Med. 2008;34:316–323.

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  32. 32. Herman J, Baram M. In the Midst of Turbulence, Heliox Kept Her Alive. Ann Am Thorac Soc. 2017. 2 Pilbeam

  33. 33. Galindo-Filho, V.C. et al. Radioaerosol Pulmonary Deposition Using Mesh and Jet Nebulizers During Noninvasive Ventilation in Healthy Subjects. Respir. Care 2015, 60(9):1238-124

  34. 34. Fink J, et al. Reducing Aerosol-Related Risk of Transmission in the Era of COVID-19: An Interim Guidance Endorsed by the International Society of Aerosols in Medicine. J Aerosol Med Pulm Drug Deliv 2020; : jamp.2020.1615.

  35. 35. Di Mussi R et al. High-flow nasal cannula oxygen therapy decreases postextubation neuroventilatory drive and work of breathing in patients with chronic obstructive pulmonary disease Critical Care (2018) 22:180

  36. 36. N Neumann‑Klimasińska1,T A Merritt, J Beck et al Effects of heliox and non‑invasive neurally adjusted ventilatory assist (NIV‑NAVA) in preterm infants. Nature Scientific reports (2021) 11:15778

  37. 37. Bellani G, Laffey JG, Pham T, et al. Epidemiology, Patterns of Care, and Mortality for Patients With Acute Respiratory Distress Syndrome in Intensive Care Units in 50 Countries. JAMA. 2016;315(8):788–800. doi:10.1001/jama.2016.0291.

  38. 38. Prasad KT, et al. Comparing Noninvasive Ventilation Delivered Using Neurally-Adjusted Ventilatory Assist or Pressure Support in Acute Respiratory Failure. Resp Care 2020 Sep 1;respcare.07952.

  39. 39. Sun Q, et al. Effects of neurally adjusted ventilatory assist on air distribution and dead space in patients with acute exacerbation of chronic obstructive pulmonary disease. Crit Care 2017 2;21(1):126.

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  41. 41. Kuo NY, et al. A randomized clinical trial of neurally adjusted ventilatory assist versus conventional weaning mode in patients with COPD and prolonged mechanical ventilation. International Journal of COPD. 2016 11;11:945-51.

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