呼吸麻醉教学资料servo-i呼吸机

1、27.01.2021,Fuzeile,1,Servo,27.01.2021,Fuzeile,2,Main Units,SM 2-2,User Interface,Patient Unit,Servo Mobile Cart,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（O

2、pen Lung Tool）,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,27.01.2021,Fuzeile,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（Mve sp/）。 6 独有的呼吸波形和数据20秒

3、存储，方便快捷,27.01.2021,Fuzeile,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,27.01.2021,Fuzeile,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

4、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,27.01.2021,Fuzeile,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,27.01.2021,Fuzeile,8,User Interface,37,27.01.2021,Fuzeile,9,U

5、ser Interface,46,27.01.2021,Fuzeile,10,User Interface,Rear view,SM 2-3,27.01.2021,Fuzeile,11,User Interface - Overview,OH 4:002,1. Menu touchpad 2. Text messages 3. Trig indication 4. Alarm messages 5. Fixed keys 6. Main rotary dial 7. Measured value boxes 8. Special function keys 9. Direct access k

6、nobs 10. Mains indicator 11. Start/Stop (Standby) ventilation key 12. Waveform area 13. Patient category,36,27.01.2021,Fuzeile,12,User Interface - Start / Stop ventilation (Standby,OH 4:007,39,27.01.2021,Fuzeile,13,User Interface - Main rotary dial,OH 4:008,Rotate to select - Push to accept new valu

7、e,39,27.01.2021,Fuzeile,14,User Interface - Direct Access Knobs,OH 4:009,40,27.01.2021,Fuzeile,15,User Interface - Fixed keys,OH 4:039,56,27.01.2021,Fuzeile,16,User Interface - Special function keys,OH 4:067,max 30s,max 30s,100% Oxygen for 1 minute,27.01.2021,Fuzeile,17,PC Card slot,OH 1:004,27.01.2

8、021,Fuzeile,18,Patient Unit,27.01.2021,Fuzeile,19,Basic Principles - Patient unit overview,OH 3:008,1. Handle 2. Gas inlet Air 3. Gas inlet O2 4. Equipotentiality terminal 5. Mains supply connector incl. 2.5 A fuses 6. Internal fan with filter 7. Connector for external 12 V DC 8. Fuse for external D

9、C supply (10 A) 9. Optional connector 10. Connection to the User interface 11. 9-pole serial port for data communication (RS232) 12. Expiratory outlet (expiratory cassette,SM 2-4,27.01.2021,Fuzeile,20,Basic Principles - Patient unit overview,OH 3:009,13. Cover, inspiratory channel 14. Expiratory inl

10、et 15. Module Unit for connecting 1-6 modules 16. Connector for Servo Ultra Nebulizer 17. Inspiratory outlet,SM 2-4,27.01.2021,Fuzeile,21,Basic Principles - Inspiratory flow,OH 3:011,1. Gas inlet O2 2. Gas inlet Air 3. Gas modules 4. Inspiratory mixing section,5. O2 cell with bacteria filter incl. t

11、emp. Sensor 33C, 1/2 speed ; 43C, Full speed ; 70C Shut down. 6. Bacteria filter for the inspiratory pressure transducer 7. Inspiratory outlet pipe incl. safety valve,SM 2-6 26,27.01.2021,Fuzeile,22,Gas module,1. Filter 2. Inspiratory valve temperature sensor 3. Supply pressure transducer 4. Flow tr

12、ansducer (Delta pressure transducer and net) 5. Nozzle unit with valve diaphragm 6. Inspiratory solenoid,SM 3-3,27.01.2021,Fuzeile,23,Basic Principles - Nozzle unit,27.01.2021,Fuzeile,24,Basic Principles - O2 cell,OH 3:014,27.01.2021,Fuzeile,25,O2 cell,SM 3-4,Estimated lifetime: 500.000 %hours Built

13、 in ID-prom,27.01.2021,Fuzeile,26,Basic Principles - Safety valve,OH 3:015,SM 3-5 30,Opens at 117 3 cmH20 or 5 cmH20 above UPL,27.01.2021,Fuzeile,27,Expiratory cassette,SM 3-6,27.01.2021,Fuzeile,28,Expiratory flow transducer,SM 3-6 31,8. Expiratory inlet 9. Ultrasonic transducers with connection boa

14、rd 10. Bacteria filter for the expiratory pressure transducer 11. Expiratory valve 12. Expiratory outlet with non-return valve,8,9,10,11,12,27.01.2021,Fuzeile,29,Expiratory cassette,Heating foil,Ultrasonic transducers,Exp cassette,SM 3-6,Bacteria filter,27.01.2021,Fuzeile,30,Expiratory flow transduc

15、er,SM 3-6,27.01.2021,Fuzeile,31,PlugnPlay Module,145,27.01.2021,Fuzeile,32,Battery indicator,OH 8:020,25% 50% 75% 100,Remaining capacity,145,Operating time: 30 min Charging time: 3 h,27.01.2021,Fuzeile,33,Battery charging,Low charge,Normal charge,Trickle charge,Volt,10,12,1,2,3,4,Batteries,If more t

16、han 1 battery is inserted, each battery is charged for 10 minutes before switching to next,27.01.2021,Fuzeile,34,Battery discharging,Discharging always starts with the battery with the highest voltage, then the second highest etc,27.01.2021,Fuzeile,35,Patient unit flexibility,OH 8:008,27.01.2021,Fuz

17、eile,36,PC 1777 Panel,SM 2-3,27.01.2021,Fuzeile,37,Patient unit - Internal layout,SM 2-5,PC 1781 Insp. Pressure transducer,PC 1784 Exp. channel,PC 1771 Control,PC 1772 Monitoring,PC 1775 PlugnPlay,AC/DC Converter,PC 1781 Exp. pressure transducer,Expiratory Valve Coil,PC 1778 Connections & DC/DC conv

18、erter,Internal fan,Mains supply inlet,27.01.2021,Fuzeile,38,PC 1770 Main Back-plane,SM 2-5,PC 1770 Main back-plane,PC 1780 Adaptor board,27.01.2021,Fuzeile,39,Options - Servo Ultra Nebulizer,OH 7:024,27.01.2021,Fuzeile,40,Servo-i Mobile Cart with Compressor Mini,OH 8:010,27.01.2021,Fuzeile,41,Gas cy

19、linder application,OH 8:012,27.01.2021,Fuzeile,42,Servo-i holder,OH 8:013,27.01.2021,Fuzeile,43,PC 1781 - Pressure Transducer,Pressure transducer Pre-amplifier Two similar PC-boards in the vent one for the inspiratory pressure and one for expiratory pressure Interchangeable boards Memory prom on the

20、 board,27.01.2021,Fuzeile,44,PC 1784 - Expiratory Channel,Mother board for pressure transducers Safety valve control PEEP-valve control Exp flowmeter electronics Siemens 167-processor ID-prom,27.01.2021,Fuzeile,45,PC 1771 - Control,Control processor for inspiratory and expiratory valve Nebulizer ele

21、ctronics Motorola 826 processor Battery back-up Flash Memory ID-prom,27.01.2021,Fuzeile,46,PC 1772 - Monitoring,Control processor for monitoring and alarm handling. Host for CI-interface Back-up buzzer Barometer Motorola 826 processor Battery back-up Flash Memory ID-prom,27.01.2021,Fuzeile,47,PC 177

22、5 - Plug-and-Play Back-plane,Identifies mounted P&P-modules. Controls battery charging / discharging. Primary version contain socket based micro processor including prom. This will however be revised to a soldered component with eeprom in future version. Processor controls if the system shall run on

23、 mains, battery or external +12 Volt,27.01.2021,Fuzeile,48,AC/DC converter,Switched power supply Switches on AC-side between 85V to 250V Generates 12 Volt DC (unregulated,27.01.2021,Fuzeile,49,PC 1778 - Connections and DC/DC converter,Generates regulated voltages out of the unregulated 12 Volt DC from the power supply: + 24 Volt DC 12 Volt DC + 5 Volt DC + 3.3 Volt DC Connectors: N29 - RS232 N28 - Panel N27 - Optional Fuse for Ext 12V N26 - Ext 12V,27.