呼吸麻醉教学资料servo-i呼吸机

19 04 2020 Servo Technicaltraining 1 Servo 19 04 2020 Servo Technicaltraining 2 MainUnits SM2 2 UserInterface PatientUnit Servo MobileCart 西门子Servoi呼吸平台独有功能1 独有的成熟通气模式 压力调节容量控制 PRVC 容量支持 VS 压力调节容量控制的同步间歇指令通气 SIMV PRVC PS 自动模式 Automode 双水平气道正压 Bi Vent 2 独有的资料存储卡 可以很容易地存储病人的资料 包括所有的呼吸监测参数 便于日后在个人电脑中进行分析和研究 3 独有的开放肺工具 OpenLungTool 帮助医生非常方便地找到病人肺真正的打开点和闭合点 并且使病人的肺得到了很好的锻炼 19 04 2020 Servo Technicaltraining 4 4 独有的超声流量传感器 故障率低 使呼出气道更为通畅 可以帮助患者呼吸功最小化 提供了更快的反应速度 采样频率 2000次 秒 避免人机对抗 使人机更好地协调起来 5 独有的呼吸监测参数 浅快呼吸指数 SBI 时间常数 Tc 病人的呼吸功 WOBp 呼吸机的呼吸功 WOBv 呼吸末二氧化碳 etCO2 总PEEP 病人的自主吸气时间与总时间比 Ti T 自主呼出分钟通气量 Mvesp 6 独有的呼吸波形和数据20秒存储 方便快捷 19 04 2020 Servo Technicaltraining 5 滤芯电磁阀气体模块1 呼吸机根据设置的潮气量 压力水平和氧浓度计算所需的空气 氧气后送至空气 氧气模 流量传感器压力传感器温度传感器 西门子Servoi呼吸平台气体模块和气体混合原理 喷嘴 19 04 2020 Servo Technicaltraining 6 气体模块 1 呼吸机根据设置的潮气量 压力水平和氧浓度计算所需的空气 氧气后送至空气 氧气模块 2 气流的控制由带有光电传感器的电磁阀执行 光电传感器监测电磁阀的位置以控制阀门杆的位置 阀门杆顶起喷嘴内的膜片 通过改变膜片与气孔间距来控制气体的流量 3 气体模块内的压力传感器监测供气压力 流量传感器监测流量 根据监测的数值对阀门杆位置进行PID控制4 温度传感器监测供气的温度以补偿气体密度的变化5 送气精度 流量 5 或0 1ml s压力 5 或1cmH2O 19 04 2020 Servo Technicaltraining 7 气体模块混合腔氧电池压力传感器出口氧气进口气体混合空气进口原理 气体混合原理 空气 氧气分别进入两个气体模块 根据设置的潮气量 压力水平和氧浓度计算精确送气至混合腔 混合腔内有混合瓣搅动气流 将空气 氧气充分混合 经氧电池监测实际氧浓度后送出 19 04 2020 Servo Technicaltraining 8 UserInterface 37 19 04 2020 Servo Technicaltraining 9 UserInterface 46 19 04 2020 Servo Technicaltraining 10 UserInterface Rearview SM2 3 19 04 2020 Servo Technicaltraining 11 UserInterface Overview OH4 002 1 Menutouchpad2 Textmessages3 Trigindication4 Alarmmessages5 Fixedkeys6 Mainrotarydial7 Measuredvalueboxes8 Specialfunctionkeys9 Directaccessknobs10 Mainsindicator11 Start Stop Standby ventilationkey12 Waveformarea13 Patientcategory 36 19 04 2020 Servo Technicaltraining 12 UserInterface Start Stopventilation Standby OH4 007 39 19 04 2020 Servo Technicaltraining 13 UserInterface Mainrotarydial OH4 008 Rotatetoselect Pushtoacceptnewvalue 39 19 04 2020 Servo Technicaltraining 14 UserInterface DirectAccessKnobs OH4 009 40 19 04 2020 Servo Technicaltraining 15 UserInterface Fixedkeys OH4 039 56 19 04 2020 Servo Technicaltraining 16 UserInterface Specialfunctionkeys OH4 067 max30s max30s 100 Oxygenfor1minute 19 04 2020 Servo Technicaltraining 17 PCCardslot OH1 004 19 04 2020 Servo Technicaltraining 18 PatientUnit 19 04 2020 Servo Technicaltraining 19 BasicPrinciples Patientunitoverview OH3 008 1 Handle2 GasinletAir3 GasinletO24 Equipotentialityterminal5 Mainssupplyconnectorincl 2 5Afuses6 Internalfanwithfilter7 Connectorforexternal12VDC8 FuseforexternalDCsupply 10A 9 Optionalconnector10 ConnectiontotheUserinterface11 9 poleserialportfordatacommunication RS232 12 Expiratoryoutlet expiratorycassette SM2 4 19 04 2020 Servo Technicaltraining 20 BasicPrinciples Patientunitoverview OH3 009 13 Cover inspiratorychannel14 Expiratoryinlet15 ModuleUnitforconnecting1 6modules16 ConnectorforServoUltraNebulizer17 Inspiratoryoutlet SM2 4 19 04 2020 Servo Technicaltraining 21 BasicPrinciples Inspiratoryflow OH3 011 1 GasinletO22 GasinletAir3 Gasmodules4 Inspiratorymixingsection 5 O2cellwithbacteriafilterincl temp Sensor33 C 1 2speed 43 C Fullspeed 70 CShutdown 6 Bacteriafilterfortheinspiratorypressuretransducer7 Inspiratoryoutletpipeincl safetyvalve SM2 626 19 04 2020 Servo Technicaltraining 22 Gasmodule 1 Filter2 Inspiratoryvalvetemperaturesensor3 Supplypressuretransducer4 Flowtransducer Deltapressuretransducerandnet 5 Nozzleunitwithvalvediaphragm6 Inspiratorysolenoid SM3 3 19 04 2020 Servo Technicaltraining 23 BasicPrinciples Nozzleunit 19 04 2020 Servo Technicaltraining 24 BasicPrinciples O2cell OH3 014 19 04 2020 Servo Technicaltraining 25 O2cell SM3 4 Estimatedlifetime 500 000 hoursBuiltinID prom 19 04 2020 Servo Technicaltraining 26 BasicPrinciples Safetyvalve OH3 015 SM3 530 Opensat117 3cmH20or5cmH20aboveUPL 19 04 2020 Servo Technicaltraining 27 Expiratorycassette SM3 6 19 04 2020 Servo Technicaltraining 28 Expiratoryflowtransducer SM3 631 8 Expiratoryinlet9 Ultrasonictransducerswithconnectionboard10 Bacteriafilterfortheexpiratorypressuretransducer11 Expiratoryvalve12 Expiratoryoutletwithnon returnvalve 8 9 10 11 12 19 04 2020 Servo Technicaltraining 29 Expiratorycassette Heatingfoil Ultrasonictransducers Expcassette SM3 6 Bacteriafilter 19 04 2020 Servo Technicaltraining 30 Expiratoryflowtransducer SM3 6 19 04 2020 Servo Technicaltraining 31 Plug n PlayModule 145 19 04 2020 Servo Technicaltraining 32 Batteryindicator OH8 020 25 50 75 100 Remainingcapacity 145 Operatingtime 30minChargingtime 3h 19 04 2020 Servo Technicaltraining 33 Batterycharging Lowcharge Normalcharge Tricklecharge Volt 10 12 1 2 3 4 Batteries Ifmorethan1batteryisinserted eachbatteryischargedfor10minutesbeforeswitchingtonext 19 04 2020 Servo Technicaltraining 34 Batterydischarging Dischargingalwaysstartswiththebatterywiththehighestvoltage thenthesecondhighestetc 19 04 2020 Servo Technicaltraining 35 Patientunitflexibility OH8 008 19 04 2020 Servo Technicaltraining 36 PC1777Panel SM2 3 19 04 2020 Servo Technicaltraining 37 Patientunit Internallayout SM2 5 PC1781Insp Pressuretransducer PC1784Exp channel PC1771Control PC1772Monitoring PC1775Plug n Play AC DCConverter PC1781Exp pressuretransducer ExpiratoryValveCoil PC1778Connections DC DCconverter Internalfan Mainssupplyinlet 19 04 2020 Servo Technicaltraining 38 PC1770MainBack plane SM2 5 PC1770Mainback plane PC1780Adaptorboard 19 04 2020 Servo Technicaltraining 39 Options ServoUltraNebulizer OH7 024 19 04 2020 Servo Technicaltraining 40 Servo iMobileCartwithCompressorMini OH8 010 19 04 2020 Servo Technicaltraining 41 Gascylinderapplication OH8 012 19 04 2020 Servo Technicaltraining 42 Servo iholder OH8 013 19 04 2020 Servo Technicaltraining 43 PC1781 PressureTransducer PressuretransducerPre amplifierTwosimilarPC boardsintheventonefortheinspiratorypressureandoneforexpiratorypressureInterchangeableboardsMemorypromontheboard 19 04 2020 Servo Technicaltraining 44 PC1784 ExpiratoryChannel MotherboardforpressuretransducersSafetyvalvecontrolPEEP valvecontrolExpflowmeterelectronicsSiemens167 processorID prom 19 04 2020 Servo Technicaltraining 45 PC1771 Control ControlprocessorforinspiratoryandexpiratoryvalveNebulizerelectronicsMotorola826processorBatteryback upFlashMemoryID prom 19 04 2020 Servo Technicaltraining 46 PC1772 Monitoring Controlprocessorformonitoringandalarmhandling HostforCI interfaceBack upbuzzerBarometerMotorola826processorBatteryback upFlashMemoryID prom 19 04 2020 Servo Technicaltraining 47 PC1775 Plug and PlayBack plane IdentifiesmountedP P modules Controlsbatterycharging discharging Primaryversioncontainsocketbasedmicroprocessorincludingprom Thiswillhoweverberevisedtoasolderedcomponentwitheeprominfutureversion Processorcontrolsifthesystemshallrunonmains batteryorexternal 12Volt 19 04 2020 Servo Technicaltraining 48 AC DCconverter SwitchedpowersupplySwitchesonAC sidebetween85Vto250VGenerates12VoltDC unregulated 19 04 2020 Servo Technicaltraining 49 PC1778 ConnectionsandDC DCconverter Generatesregulatedvoltagesoutoftheunregulated12VoltDCfromthepowersupply 24VoltDC 12VoltDC 5VoltDC 3 3VoltDCConnectors