English

Dräger Medizintechnik
D
Savina
Intensive Care Ventilator
Instructions for Use
Software 1.n
How to work with these
instructions for use
The header line... Operating Concept
contains the main chapter title.

To help you find your way rapidly around the manual.
Keys for routine and additional functions

1 Frequently used keys for routine functions are positioned D Savina
The page body... on the right-hand side of the front panel:

D Savina
2 1
contains the instructions for use — » 2 min« key for suppressing the audible alarm tone
for 2 minutes,
— »Alarm Reset« key for resetting or acknowledging alarm 2 1
in a combination of text and illustrations. The information is messages and for testing the LEDs and audible alarm tone,
— » lock« key for protecting against inadvertent or
expressed directly in terms of actions which enable users to unauthorised modification of the settings.
familiarise themselves with the operation of the machine by 2 Keys for additional functions are positioned on the left-hand
side of the front panel:
hands-on activity. — » Nebul.« key for switching the medicament
nebuliser on / off,
— »O2 Y suction« key to start/end the oxygen enrichment
program,
003 37261
— »Insp. hold« key for manually activated inspiration and
for extending the inspiration time.
The left-hand column...
contains the text
Information window on screen
which provides explanations and guides the user with brief During setting of a ventilation parameter, the Savina calculates
and clear instructions in an ergonomic sequence for confusion the derived parameters and displays them in the information
window on the main screen page.
free use of the machine. The information window disappears when the parameter
setting is confirmed.
Bullet points indicate the working steps. In many cases,
numbers are used to highlight the relation between the
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working step described, the associated illustration(s) and Power switch
the sequence of operations. 3 To switch the apparatus on / off.
Located on the back of the apparatus.
To switch on:
Turn power switch to » « = ON.
3
The right-hand column...
contains the illustration(s) 0
which directly relate to the text opposite and show the user
where to find the items concerned. The focus is on the
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elements mentioned in the text. Non-essentials are omitted.
085 37 276
Screen dumps are also used to guide the user and confirm
the working steps. 12
2
Contents
Contents
For your safety and that of your patients 5

Safety tips
Intended Use 7
Areas of use, appropriate monitoring, back-up
Operating Concept 9
Controls, parameter setting, screen structure
Operation 17
Ventilation modes, alarm limits and alarm priorities, curves,
measured values, special functions
Configuration 43
Contrast, volume, measured value bar, language, apnoea ventilation ON/OFF
Fault – Cause – Remedy 51

Fault analysis and correction chart
Care 59
Dismantling, cleaning
Preparation 71
Assembly, checking readiness for use, maintenance
Description 89
Description of ventilation modes, bibliography
What's what 99
Display, abbreviations, symbols
Technical data 107

Ambient conditions, power characteristics, measured value displays,
operating characteristics
Order List 115
Index 118
3
4
For your safety and that of your patients
For your safety and that of your

patients
Strictly follow the instructions for use Liability for proper function or damage
Any use of the apparatus requires full understanding and strict The liability for the proper function of the apparatus is
observation of these instructions. The apparatus is only to be irrevocably transferred to the owner or operator to the extent
used for purposes specified here. that the apparatus is serviced or repaired by personnel not
employed or authorized by DrägerService or if the apparatus
is used in a manner not conforming to its intended use.
Maintenance Dräger cannot be held responsible for damage caused by
The apparatus must be inspected and serviced by trained non-compliance with the recommendations given above.
service personnel (and a record kept): The warranty and liability provisions of the terms of sale
For the first time: and delivery of Dräger are likewise not modified by the
— should be carried out after 2 years recommendations given above.
or
— 6,000 hours’ operation, whichever is earlier. Dräger Medizintechnik GmbH
Thereafter:
— annually
or
— after 6,000 hours’ operation, whichever is earlier.
Repair and general overhaul of the apparatus may only be
carried out by trained service personnel. We recommend that
a service contract be obtained with DrägerService and that all
repairs also be carried out by them. Only authentic Dräger
spare parts may be used for maintenance. Observe chapter
"Maintenance Intervals".
Accessories
Do not use accessory parts other than those in the order list.
Not for use in areas of explosion hazard

This apparatus is neither approved nor certified for use in
areas where combustible or explosive gas mixtures are likely
to occur.
Safe connection with other electrical equipment

Electrical connections to equipment which is not listed in
these instructions for use should only be made following
consultation with the respective manufacturer or an expert.
5
For your safety and that of your patients
Precautions Appropriate Monitoring

This equipment must only be used under the supervision of The built-in monitoring facilities of the Savina ensure
qualified medical staff, so that if any faults or malfunctions appropriate monitoring of ventilation therapy and therefore
occur, help is available immediately. detect any undesirable changes in the following ventilation
parameters:
This equipment must not be used with flammable gases — airway pressure, Paw
or anaesthetic agents. Danger of fire! — expiratory minute volume, MV
— inspiratory O2 concentration, FiO2
Do not use the apparatus in conjunction with nuclear
— inspiratory breathing gas temperature, T
spin tomography (MRT, NMR, NMI).
— apnoea
The apparatus may malfunction, causing danger to the
— tachypnoea monitoring
patient.
Do not use the equipment in hyperbaric chambers. Changes in these parameters may be caused by:
— acute changes in the patient’s condition
The apparatus may malfunction, causing danger
— incorrect settings and faulty handling
to the patient.
— equipment malfunctions
Avoid pollutants in the ambient air. — failure of power and gas supplies
Savina uses ambient air for ventilation.
Pollutants would enter the patient’s body. In the event of a problem with the integrated monitoring:
● separate monitors must be used.
Do not use mobile phones within a distance of 10 metres
from the equipment.
Mobile phones can cause interference with electrical
and electronic medical apparatus, thereby putting patients
at risk!1
Back-up ventilation with an independent

manual ventilation device
If a fault is detected in the Savina so that its life-support
functions are no longer assured:
● start ventilation using an independent ventilation device
without delay
● if necessary with PEEP and / or increased inspiratory
O2 concentration (e.g. with the Dräger Resutator 2000).
1 Dräger medical equipment fulfils the interference resistance

requirements according to the product-specific standards or
EN 60601-1-2 (IEC 601-1-2). However, depending on the design
of the mobile phone and circumstances of use, field strengths may
occur in the immediate environment of a mobile phone that exceed
the limits of the above standards and therefore cause interference.
6
Intended Use
Intended Use
Intended Use ....................................................................................................................... 8
7
Intended Use
Intended Use
Savina®1 Special modes:
Long-term ventilator for intensive care. For patients from Apnoea Ventilation
50 mL tidal volume. For switching over automatically to volume-controlled
mandatory ventilation, if breathing stops.
With the following ventilation modes
IPPV
Intermittent Positive Pressure Ventilation
controlled and assisted constant-volume ventilation. With monitoring for
airway pressure, Paw,
IPPV Assist expiratory minute volume, MV,
Assisted constant-volume ventilation. inspiratory O2 concentration, FiO2,
inspiratory breathing gas temperature, T,
CPPV apnoea,
Continuous Positive Pressure Ventilation tachypnoea monitoring to detect rapid, shallow spontaneous
Ventilation with continuous positive airway pressure. breathing.
IRV Areas of Use

Inversed Ratio Ventilation In the Intensive Care ward or in the recovery room.
Ventilation with inversed inspiration/expiration ratio. During secondary transport from one hospital to another.
During transfer of ventilated patients within the hospital.
PLV
During transfer flights.
Pressure Limited Ventilation
AutoFlow®2 (optional)
for the automatic optimization of inspiratory flow.
SIMV
Synchronized Intermittent Mandatory Ventilation
Procedure for weaning patients off the ventilator after they
have started spontaneous breathing.
PLV
Pressure Limited Ventilation
AutoFlow® (optional)
for the automatic optimization of inspiratory flow.
CPAP
Continuous Positive Airway Pressure
Spontaneous breathing with positive airway pressure.
SB
Spontaneous Breathing
Spontaneous breathing
ASB
Assisted Spontaneous Breathing
Pressure-assisted spontaneous breathing.
BIPAP3 (optional)
Biphasic Positive Airway Pressure
Pressure-controlled ventilation combined with free
spontaneous breathing during the complete breathing cycle,
and adjustable pressure assist on CPAP level.
1 Savina® is a registered trade mark of

Dräger Medizintechnik GmbH
2 AutoFlow® is a registered trade mark of
3 Licensed trade mark.
8
Operating Concept
Operating Concept
Operating Concept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Ventilation Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Setting ventilation parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Selecting the ventilation mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Screen Operating Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Keys for routine and additional functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Information window on screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Power switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Screen Pages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Structure of the screen pages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Main page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
"Settings" screen page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
"Alarms" screen page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
"Values" screen page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
"Configuration" screen page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
»Standby« key . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
9
Operating Concept
Operating Concept
Ventilation Controls
1 Keys for selecting the ventilation modes:
– IPPV
– SIMV
D 2 Savina
– CPAP/ASB
– BIPAP (optional)
2 Keys for selecting / setting ventilation parameters:
– Tidal volume V T
– Inspiration time Tinsp 1
– Frequency f
– O2-concentration O2 3
– Inspiratory pressure Pinsp
– Pressure support ∆PASB
– Positive End-Expiratory Pressure PEEP
3 Central "turn and push" rotary knob for setting the
parameters and for selecting screen parameters.
To set = turn the rotary knob
To confirm setting = press the rotary knob.
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Setting ventilation parameters
2 To select a ventilation parameter = press the corresponding
parameter key.
The yellow LED in the key lights up.
3 To set the value of the ventilation parameter = turn the rotary
knob. The value is displayed next to the parameter key.
3 To confirm the value = press the rotary knob.
The yellow LED in the key goes out.
The new value of the parameter becomes effective on
confirmation.
Derived parameters are displayed in an information window

on the main screen page during the setting procedure.
Selecting the ventilation mode

1 Hold down the appropriate key for about 3 seconds
or
● press the appropriate key briefly and
3 confirm = press the rotary knob
The selected ventilation mode will now be activated.
For detailed instructions on setting the ventilation modes,

see pages 19 onwards.
10
Operating Concept
Screen Operating Controls

1 Screen page selection keys:
D Savina
— » « key for setting the screen and display brightness
to bright or dark,
— »Curves « key for selecting the main page to

display the pressure/flow curve,
— »Set ∆∆« key for selecting the "Setting" screen page in 2

order to set other ventilation parameters, 1
— »Alarm ∆∆« key for selecting the "Alarms" screen pages
in order to set and display the alarm limits,
— »Values ∆∆« key for selecting the "Measured values"

screen page in order to display the measured values,
— »Config. ∆∆« key for selecting the "Configuration" screen
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page, for system settings such as alarm volume, screen
brightness.
2 Central "turn and push" rotary knob for selecting and

setting the options displayed on the screen.
To select/set = turn the rotary knob,

to confirm = press the rotary knob.
Changing screen pages

To change to the next page:
● press the same key again.
To change to another page:

● press the corresponding key.
To change to the main page:

● press »Curves « key.
11
Operating Concept
Keys for routine and additional functions

1 Frequently used keys for routine functions are positioned D Savina
on the right-hand side of the front panel:
D Savina
— » 2 min« key for suppressing the audible alarm tone 2 1
for 2 minutes,
— »Alarm Reset« key for resetting or acknowledging alarm 2 1
messages and for testing the LEDs and audible alarm tone,
— » lock« key for protecting against inadvertent or
unauthorised modification of the settings.
2 Keys for additional functions are positioned on the left-hand

side of the front panel:
— » Nebul.« key for switching the medicament

nebuliser on / off,
— »O2 Y suction« key to start/end the oxygen enrichment
program,
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— »Insp. hold« key for manually activated inspiration and
for extending the inspiration time.
Information window on screen

During setting of a ventilation parameter, the Savina calculates
the derived parameters and displays them in the information
window on the main screen page.
The information window disappears when the parameter

setting is confirmed.
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Power switch
3 To switch the apparatus on / off.
Located on the back of the apparatus.
To switch on:
Turn power switch to » « = ON.
0
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12
Operating Concept
Screen Pages
Structure of the screen pages
1 2
1 Ventilation mode display field
2 Alarm message display field
3 Curves and measured values display field
4 Measured values display field 3
5 Information bar
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5
Main page
Displays a pressure curve and displays three measured values.
To configure combination of measured values, see page 45.
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or:
Displays a flow curve and displays three measured values.
To configure combination of measured values, see page 45.
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13
Operating Concept
"Settings" screen page

— Analog bar display of the airway pressure Paw
— Setting menu for setting the supplementary ventilation
parameters »Trigger«, »FlowAcc«, »AutoFlow«,
— Setting menu for setting apnoea ventilation, with the
parameters »VTApnoea«, »fApnoea«,
— Setting menu for setting the sigh (only in ventilation
mode IPPV).
Settings 1/1:
Menu comprises a single page.
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● To select parameters = turn rotary knob.
The selected parameter is indicated by a bold frame.
● To activate parameter for setting = press rotary knob.
The active parameter appears light on a dark background.
● To set parameter = turn rotary knob,
to confirm = press rotary knob.
For detailed instructions on setting the ventilation modes,
see pages 19 onwards.
"Alarms" screen page

— For displaying the alarm limits associated with the
measured values.
— For setting the alarm limits.
For detailed operating instructions, see "Setting alarm limits"

on page 30.
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"Values" screen page

— For displaying all the measured values in the current
ventilation mode.
Detailed instructions for use, see "Displaying Curves and

Measured Values", page 34.
Values 1/2:
Page 1 of 2 available pages.
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14
Operating Concept
"Configuration" screen page

For setting equipment parameters:
— Screen contrast
— Alarm volume
— Displayed measured values
— Manual calibration for the O2 sensor 2
— FiO2 and Flow Monitoring ON / OFF
— Pmax ON / OFF
— Plateau ON / OFF
— Language, date and time
— MEDIBUS protocol
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Configuration 1/4:
Page 1 of 4 available pages of the Configuration menu.
Changing screen pages

To change to the next page:
● press the same key again.
To change to another page:

● press the corresponding key for that page.
To change to the main page for pressure curves:

● press »Curves « key.
Detailed instructions for use, see "Configuration",

pages 43 onwards.
»Standby« key
1 Positioned at bottom right of the front panel.
— To keep the apparatus operational, D Savina
e.g. after pre-setting.

2
or
— to switch on ventilation.
1
To switch to standby:
1 Hold down » Standby« key for at least 3 seconds
and
2 to confirm = press »Alarm Reset« key.
004 37261
To switch on ventilation:
1 Press » Standby« key briefly.
15
16
Operation
Operation
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Starting Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Setting Ventilation Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
IPPV, IPPV Assist, CPPV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
SIMV, SIMV / ASB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
BIPAP, BIPAP / ASB (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
CPAP, CPAP / ASB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Apnoea ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Setting Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
At high ambient temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
In the event of an Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Warning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Caution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Advisory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Suppressing the audible alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
In the event of a gas failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Displaying Curves and Measured Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Displaying measured values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Special functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Manual inspiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Medicament nebulization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Oxygen enrichment for bronchial suction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Calibrating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Calibrating O2 sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
17
Operation
Operation
Run equipment check according to checklist, see page 88.
Starting Up
Switching on
1 Turn the main switch on the back of the apparatus to » «.
The Savina now runs through a power-up self-test
procedure.
● Wait for the 12-second test phase to be completed.
At the end of the test phase, the apparatus automatically

starts ventilation with the last ventilation mode set and the 1
associated ventilation parameters.
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During the self-test the start-up page appears, showing the
software version.
After this, the main page appears.

2 Check the settings in the display fields next to the
parameter keys and adjust as necessary.
066 37276
To adjust ventilation parameters:

Either D 2 Savina
2 Change the ventilation parameters after the Savina has

started ventilation 4
or
3 Press the » Standby« switch to set the Savina on 3

standby,
4 Confirm = press »Alarm Reset« key.
2 Change the ventilation parameters and
3 press the » Standby« switch to return to ventilation.
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18
Operation
Setting Ventilation Modes

Setting the ventilation parameters
1 Press the appropriate ventilation mode key.
The yellow LED in the key will light up.
D 1 Savina
2 Set the desired value = turn the rotary knob,

confirm value = press the rotary knob
The yellow LED in the key will go out.
If the setting is at the upper or lower limit of the adjustment

range for a parameter, the figure in the parameter key display 2
will start flashing, indicating that confirmation is required.
● Press rotary knob in order to confirm extreme values.
● To set value = turn rotary knob,
to confirm = press rotary knob
Parameter settings for the active ventilation mode do not

become operative until confirmed.
If you fail to confirm the new settings within 20 seconds,

the previous settings will remain operative.
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Extreme settings
Certain ventilation parameters are limited by Savina to a
threshold value. Extreme values can only be set after
confirmation by pressing the rotary knob.
Parameter Threshold Range

Pinsp Y 50 mbar 0 to 100 mbar
Pmax Y 50 mbar 0 to 100 mbar
PEEP Y 20 mbar 0 to 35 mbar
ASB Y 20 mbar absolute 0 to 35 mbar absolute
(above PEEP)
∆ Sigh Y 20 mbar absolute 0 to 35 mbar absolute
FlowAcc X 20 mbar/s 5 to 200 mbar/s
f, Tinsp* Y I:E > 1:1 2 to 80 bpm
X I:E < 1:3 0.2 to 10 s
* Limitation of f and Tinsp is determined by I:E ratio
Setting the extreme values:

● To set threshold value = turn rotary knob,
to confirm = press rotary knob
● To set extreme value = turn rotary knob,
Confirmation is not necessary when the values are reduced to

the normal range.
19
Operation
To set parameters for another ventilation mode

1 Press the key for the new ventilation mode briefly.
The yellow LED will flash.
D 2 Savina
2 In the block of parameter keys, the LEDs for the additional

parameters relevant to the new ventilation mode will start
flashing.
2 Press the relevant parameter key. Its LED will stop flashing
and remain constantly lit. 1 3
3 Set the desired value = turn the rotary knob,

confirm value = press the rotary knob,
the yellow LED will go out.
3 To activate ventilation mode = press rotary knob.
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To activate the ventilation mode
1 Hold down the key for the ventilation mode for about
3 seconds,
or
1 Press the key for the ventilation mode briefly, and

3 confirm = press rotary knob.
The new ventilation mode selected is now operative.

Ventilation starts always with the last settings.
To protect the settings against modification

D Savina
4 Press » Lock « key; the yellow LED will light up.
The parameter keys, the ventilation mode keys and the
screen settings are now protected against alteration.
4
Before setting a new value:
4 Press » Lock « key. The yellow LED will go out.
015 37261
20
Operation
IPPV, IPPV Assist, CPPV

Intermittent Positive Pressure Ventilation
Paw
Volume-controlled ventilation with a fixed mandatory minute
volume MV, set with the tidal volume V T and frequency f.
with plateau without plateau
For patients unable to breathe spontaneously, see page 90
for details. FlowAcc
Pplat
PEEP
Intermittent Positive Pressure Ventilation, Assist
For patients with partial spontaneous breathing.
t
Continuous Positive Pressure Ventilation Tinsp Te

Ventilation with continuous positive airway pressure.
This mode is not displayed on the screen as a ventilation T= 1
f
mode. Flow
Set IPPV by means of the keys for the ventilation parameters:

— Tidal volume »V T«,
— Inspiration time »Tinsp«, t
— Frequency »f«,
— O2 concentration »O2«,
04537276
— Positive end-expiratory pressure »PEEP«.
If PEEP is greater than 0 the airway pressure remains
constantly in the positive range (CPPV).
Pressure limit Pmax

The pressure peak can be avoided in IPPV and IPPVAssist by
setting a pressure limit. Thereby the PLV ventilation mode can
be reached (Pressure Limited Ventilation).
To set the pressure limit Pmax:

● Set Pmax to ON, see page 47.
● Set pressure limit value by means of »Pinsp« key.
● When setting the pressure limit, ensure that the tidal
volume VT is still being applied, as otherwise Savina will
display a "VT low" message. Then:
● Set pressure limit higher,
or
● Increase inspiration time »Tinsp.«,
or
● Increase »FlowAcc«,
This can be set on-screen:
Set flow metering by means of »FlowAcc« on screen page
»Settings 1/1«.
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21
Operation
Flow Acceleration FlowAcc

By setting the FlowAcc, the pressure and flow increase at the
start of inspiration can be changed.
To set FlowAcc:
● Press »Settings ∆∆«key,
screen page »Settings 1/1« appears.
● Select line »FlowAcc« on screen = turn rotary knob,
● To set value = turn rotary knob
Setting range: 5 to 200 mbar/sec
FlowAcc high: steep pressure and flow increase
● To confirm setting = press rotary knob.
A recommended start-up setting for FlowAcc is 35 mbar/s.
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IPPV can be extended using the following ventilation
parameters:
— Trigger
— Sigh
— AutoFlow (optional)
Trigger (IPPV Assist)

to start attempted spontaneous breathing. The actual
frequency may be higher than the ventilation frequency f set. 1 Savina
1 The green LED lights up if the Savina detects attempted

spontaneous breathing by the patient.
The trigger can be switched off if spontaneous breathing

by the patient is not expected or desired.
To set the trigger, see page 23.
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22
Operation
Activating/setting the trigger

2 Press »Settings ∆∆« key.
3 To release »Trigger« for setting = press rotary knob. 4 Savina
The field appears bright against a dark background.

3 To set value = turn rotary knob
Low value = high sensitivity
To confirm = press rotary knob.
2 3
The ventilation mode IPPV Assist is displayed on the screen.
4 The green LED lights up if the Savina detects attempted

spontaneous breathing.
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When changing over from IPPV to SIMV, BIPAP or CPAP/
ASB, the last active trigger value remains effective.
To switch off the trigger:
● Set a value less than 1. Display in trigger field: OFF

3 To confirm = press rotary knob.
The ventilation mode IPPV is displayed on the screen.
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Sigh
to prevent atelectasis.
Atelectasis can be prevented by activating the sigh function
and setting the sigh in the form of an intermittent PEEP.
When the sigh function is activated, the end-expiratory
pressure is increased by the set intermittent PEEP for
2 ventilation strokes every 3 minutes.
Activating/setting the sigh

● Press »Settings ∆∆« key.
● On the screen, to select the »∆ Sigh« line = turn the rotary
knob.
● To release »∆ Sigh« for setting = press the rotary knob.
The field appears bright against a dark background.
● Set a value between 1 and 35 mbar = turn rotary knob,
The sigh set is added to the PEEP.

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23
Operation
Deactivating the sigh

● Set a value less than 1. OFF appears in the sigh field.
The sigh function is deactivated.
AutoFlow® (optional)
Automatic optimization of the inspiration flow.
The inspiration flow is decelerated and regulated by
AutoFlow*, so that at the selected tidal volume V T, with the
current compliance a minimum airway pressure is reached and
pressure peaks are avoided.
Savina supplies additional inspiration flow when the patient
breathes in – restricted by the alarm limit V Ti >.
The patient can also breathe out during the inspiratory plateau
phase.
The inspiratory pressure is limited by the Paw > alarm limit.
To switch AutoFlow ON and OFF

● Press »Settings ∆∆« key.
● Select line »AutoFlow« on screen = turn rotary knob.
● To release »AutoFlow« for setting = press rotary knob.
● To set »AutoFlow ON« = turn rotary knob,
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To set alarm limits, see page 30.
* For a detailed description of AutoFlow, see page 92.
24
Operation
SIMV, SIMV / ASB

Synchronized Intermittent Mandatory Ventilation*
without ASB with ASB
Assisted Spontaneous Breathing** Paw pressure support pressure support
Fixed mandatory minute volume MV, set with the tidal volume
FlowAcc FlowAcc
V T and frequency f. The patient can breathe spontaneously high low
between the mandatory ventilation strokes. Spontaneous FlowAcc
PEEP
breathing can be assisted by ASB.
For patients with insufficient spontaneous breathing or t

Trigger window
patients being weaned from artificial ventilation by progressive Tinsp
reduction of the mandatory proportion of the total minute
volume. T= 1
Flow f
Set SIMV by means of the ventilation parameter keys:

— Tidal volume »V T«,
— Inspiration time »Tinsp«, t
046 37276
— positive end-expiratory pressure »PEEP«.
The following can be set on the screen:

— Sensitivity »Trigger« (for synchronization of mandatory
ventilation strokes) on screen page »Settings 1/1«
— Set flow metering by means of »FlowAcc« on screen page
»Settings 1/1«.
— AutoFlow ON/OFF.
Pressure limit Pmax

The pressure peak can be avoided in SIMV and SIMV/ASB by
setting a pressure limit.
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To set the pressure limit Pmax:
● Set Pmax to ON, see page 47.
● Set pressure limit value by means of »Pinsp« key.
● When setting the pressure limit, ensure that the tidal
volume VT is still being applied, as otherwise Savina will
display a "VT low" message. Then:
● Set pressure limit higher by means of »Pinsp«,
or
● Increase inspiration time »Tinsp«,
or
● Increase FlowAcc.
Additional functions:
— Pressure support »∆ PASB above PEEP«
— Apnoea ventilation
● To set apnoea ventilation, see page 28.
* For a detailed description of SIMV, see page 94.

** For a detailed description of ASB, see page 95.
25
Operation
BIPAP, BIPAP / ASB (Optional)

Pressure-controlled ventilation combined with free

without spontaneous breathing with spontaneous breathing
spontaneous breathing during the complete breathing cycle,
supported by adjustable additional pressure at CPAP level. Paw ASB
FlowAcc FlowAcc
pressure support
The mandatory proportion of the total minute volume MV is high low
FlowAcc FlowAcc FlowAcc
set by means of the inspiration pressure Pinsp, PEEP and FlowAcc
Pinsp high low
frequency f.
PEEP
Adaptable to a wide range of patients, from those unable to t
breathe spontaneously at all to those breathing spontaneously Tinsp Trigger window
before extubation. Suitable for weaning patients from artificial 1
ventilation by progressively reducing the mandatory fraction of f
Flow
the minute volume MV and by reducing the additional artificial
pressure support ∆ PASB above PEEP.
For details see "BIPAP" description, page 96. t
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Set BIPAP by means of the ventilation parameter keys:
— Inspiration time »Tinsp«,

— Inspiration pressure »Pinsp«,
— Positive end-expiratory pressure »PEEP«.
— Sensitivity »Trigger« (for synchronization with spontaneous

breathing)
To set the trigger, see page 23.
— FlowAcc
can be set on screen on screen page
»Settings 1/1«.
FlowAcc is effective both for BIPAP strokes and pressure
support »∆ PASB above PEEP«
— Additionally for BIPAP/ASB:

Pressure support »∆ PASB above PEEP«
BIPAP, BIPAP/ASB can be supplemented with apnoea

ventilation:
● To set alarm limits, see page 30.
26
Operation
CPAP, CPAP / ASB

Continuous Positive Airway Pressure
For patients breathing spontaneously in an adequate manner.
Spontaneous breathing at a raised pressure level, to increase

the functional residual capacity FRC. Spontaneous breathing
can be assisted with additional pressure by ASB.
Set CPAP by means of the ventilation parameter keys:

— O2 concentration »O2«
— Positive end-expiratory pressure »PEEP«
Additionally, for CPAP/ASB:

— Pressure support »∆ PASB above PEEP«

— FlowAcc for pressure support ASB on screen page
»Settings 1/1«
— Sensitivity »Trigger« (for synchronising attempted
spontaneous breathing with ASB pressure support)
on screen page »Settings 1/1«.
CPAP, CPAP/ASB can be supplemented with the following

ventilation parameters and ventilation modes:
Trigger
By setting the trigger sensitivity, the assisting ventilator
support is synchronised with the patient’s own spontaneous
breathing attempts.
● To set the trigger, see page 23.
Apnoea ventilation
27
Operation
Apnoea ventilation
For automatic switchover to volume-controlled mandatory Paw
ventilation if the patient stops breathing. Apnoea ventilation
FlowAcc
can be provided for all ventilation modes with spontaneous
breathing. If the patient stops breathing, Savina activates an
alarm after the set alarm time TApnoea and starts volume-
controlled mandatory ventilation with:
— inspiration/expiration ratio 1:2
Apnoea alarm time t= 1
and the set ventilation parameters: fApnoea t
TApnoea >
— Frequency »fApnoea«
Start of
— Tidal volume »VTApnoea« apnoea ventilation
The patient can breathe spontaneously during apnoea
ventilation. The frequency »fApnoea« remains constant. Flow
009 37276
To set apnoea ventilation
● Press »Settings ∆∆« key. Screen page 1/1 appears.
If apnoea ventilation is activated, the »VTApnoea« and »fApnoea«
lines are visible.
”A = Apnoea Ventilation Standby” appears on main screen
page to the right of the curve.
If apnoea ventilation is deactivated, the display reads
»Apn-vent. OFF«.
To activate apnoea ventilation:

● Select »Apn-vent. OFF« line = turn rotary knob
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Activate = press rotary knob.
● Set a value of at least 2 bpm = turn rotary knob.
The »VTApnoea« and »fApnoea« lines appear.
● To select lines = turn rotary knob,
activate = press rotary knob.
● To set value = turn rotary knob,
confirm = press rotary knob.
To deactivate apnoea ventilation:

● Set a value less than 2 in the »fApnoea« line =
turn rotary knob,
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28
Operation
Setting apnoea time TApnoea on the "Alarms" screen

page
● Press »Alarms ∆∆« key. Display: screen page
»Alarms 1/1«
On the screen select the line »TApnoea «=
turn rotary knob,
activate = press rotary knob.
● Set the desired value = turn rotary knob,

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To end apnoea ventilation:
● Press the »Alarm Reset« key.
Savina carries on ventilating in the original ventilation mode
D Savina
and associated ventilation parameters.
047 37261
During Savina settings, the status of switched on apnoea
ventilation is displayed for 6 seconds by a special information
page where, in principle, apnoea ventilation is possible.
— when changing over the ventilation mode,
— when switching on Savina,
— when reducing the frequency, if the cycle time is then
longer than TApnoea .

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29
Operation
Setting Alarm Limits

● Press »Alarms ∆∆« key.
Example display: screen page »Alarms1/1«
This page displays all the alarm limits that can be set.
< = lower alarm limit
> = upper alarm limit
Alarm Setting Range
Paw > 10 to 100 mbar
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MV > 2 to 41 L/min
MV < 0.5 to 40 L/min
TApn. > 15 to 60 sec
ftot > 10 to 120 bpm
V Ti > 0.06 to 4 L
Example; setting the upper alarm limit for Paw.

● On the screen, select the line »Paw «=
turn the rotary knob,
to release for setting = press rotary knob.
● Set the desired value = turn the rotary knob,
confirm = press the rotary knob.
The lower alarm limit does not have to be set for the airway
pressure Paw, because it is automatically coupled to the
PEEP setting.
The alarm limits do not have to be set for the O2 concentration.

These limits are automatically coupled to the O2 concentration
setting:
Lower alarm limit:

Setting –4 vol. % (at settings up to 60 vol. %)
Setting –6 vol. % (at settings from 60 to 100 vol. %)
Upper alarm limit:
Setting +4 vol. % (at settings up to 60 vol. %)
Setting +6 vol. % (at settings from 60 to 100 vol. %)
At high ambient temperature

The blower built into Savina warms the breathing gas by
1 to 4 oC in relation to the ambient temperature, depending
on the parameters set.
In ambient temperatures over 35 oC:

● Employ breathing gas temperature monitoring with fixed
upper alarm limit of 40 oC to protect the patient from too
high breathing gas temperatures.
When using the temperature sensor AWT 01:

● Only use sensors with blue leads.
30
Operation
In the event of an Alarm

1 the red or yellow LED flashes.
2 the alarm message is displayed in the right-hand corner
D
of the top line of the screen. 1
2
Savina classifies the alarm in three priority classes, marks the
text with exclamation marks according to the priority class and
generates various alarm tone sequences.
!!! = Warning (red LED flashes)

!! = Caution (yellow LED flashes)
! = Advisory (yellow LED lights up and
remains continuously lit)
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Warning
Top priority message
1 Red LED flashes.

Warning messages are marked with three exclamation marks
and appear white on a dark background.
Example: !!! Apnoea
Savina generates a five-tone sequence that is sounded twice

and repeated every 7.5 seconds.
Caution
Medium priority message
1 Yellow LED flashes.

Caution messages are marked with two exclamation marks.
Example: !! Check settings
Savina generates a 3-tone sequence that is repeated every

20 seconds.
31
Operation
Advisory
Low priority message
1 Yellow LED lights up and remains lit.

Advisory messages are marked with one exclamation mark.
D 1
Example: ! Flow monitoring off
3 4
Savina generates a two-tone sequence that sounds only once. 2
To remedy the faults, please refer to the "Troubleshooting"

section starting on page 52.
When the fault has been remedied

— the audible alarm is switched off.
— Caution messages (!!) and advisory messages (!) disappear
automatically from the screen.
Warning messages (!!!) remain black on a white background

on the screen and need to be acknowledged:
008 37261
2 Press the »Alarm Reset« key
3 The message is erased from the screen.
Suppressing the audible alarm

for max. 2 minutes:
4 Press the » « key. Its yellow indicator LED lights up and

the alarm tone will be muted for about 2 minutes. If the
cause of the alarm has not yet been remedied, the audible
alarm will sound again after about 2 minutes.
If you wish to reactivate the audible alarm before the end of

this 2-minute muting period:
4 Press the » « key again. The yellow LED will now go out.
The message remains on the screen.
The alarm tone sounds only once when a higher priority alarm
occurs during the period, when the audible alarm is muted.
32
Operation
In the event of a gas failure

In normal operating mode, Savina uses ambient air to ventilate
the patient with the aid of a blower and O2 from the medical
gas pipeline system or from a cylinder.
In the event of O2 failure

Savina replaces the missing proportion of O2 with ambient air
and generates an alarm.
The minute volume remains constant.
The inspiratory O2 concentration FiO2 drops to 21 Vol.%
If the patient needs an inspiratory O2 concentration higher

than 21 Vol.%:
● reconnect the O2 supply without delay.
In the event of blower failure Savina cannot carry on

ventilating.
● Continue ventilating without delay, using an
independent ventilator.
33
Operation
Displaying Curves and Measured Values

On the main page
the airway pressure curve, or flow curve and three relevant
measured values are displayed.
To change the curve display

● Press »Curves « key.
Example: flow curve
The combination of measured values in the measured value

line can be configured, see page 45.
072 37276
Displaying measured values
● Press the »Values ∆∆« key. The screen page
»Values 1/2« appears.
The airway pressure is indicated by a bar display.
The other measured values are displayed numerically.
064 37276
Displaying other measured values

● Press »Values ∆∆« key again. The screen page
»Values 2/2« appears.
074 37276
34
Operation
Special functions
Manual inspiration
This function may be used in all modes except CPAP
spontaneous breathing without ASB pressure support.
Regardless of the start time, an automatic ventilation stroke
can be prolonged by up to a maximum of 15 seconds.
Or:
Between two automatic ventilation strokes, a ventilation
stroke can be manually started and held for a maximum
of 15 seconds.
The pattern of the manually started ventilation stroke depends

on the ventilation mode in use.
For IPPV, SIMV:

volume-controlled ventilation stroke, defined by the »V T« and
»Tinsp« settings.
For BIPAP:
pressure-controlled ventilation stroke, defined by the »Pinsp«
and »Tinsp« settings.
For CPAP/ASB:
pressure-assisted ventilation stroke, defined by the
»∆ PASB above PEEP« setting.
1 Press and hold down the »Insp. hold« key for as long as
inspiration is required.
D Savina
Either an automatic ventilation stroke that has just begun will

be accordingly prolonged, or a new ventilation stroke can be
started and held for a maximum of 15 seconds. 1
010 37261
35
Operation
Medicament nebulization
Applicable in every ventilation mode.
Will only function with O2 supply between 2.7 to 6 bar.
Savina applies the medicament aerosol in synchronization

with the inspiration only in the inspiratory flow phase and
automatically maintains the minute-volume constant.
Savina automatically turns the nebulizer off after 30 minutes.
The flow sensor will be automatically heat-cleaned and
calibrated after the aerosol treatment to prevent false results
during flow measurement.
● Danger of fire! Do not nebulize flammable

medicaments.
Since Savina uses pure oxygen for the medicament

nebulization, an increase of the desired inspiratory
O2 concentration may be caused.
Due to the inability of Savina to measure this O2 concentration

increase, an incorrect O2 reading will be displayed.
Only use medicament nebulizer 84 12 935 (white

centerpiece).
Use of other pneumatic medicament nebulizers may
04337261
result in considerable discrepancies in the minute-volume
reading!
● Connect your O2 supply 2.7 to 6 bar – from the medical O2

pipeline system or from a cylinder, to the side of Savina.
● Prepare the medicament nebulizer in accordance with the

accompanying instructions for use. 2
1 Connect the nebulizer to the inspiratory side of the Y-piece
(temperature sensor side).
2 Connect the inspiration hose to the medicament nebulizer.
1
011 37261
● Swivel the medicament nebulizer to the vertical position.
● Using clamps, route the nebulizer hose back to the

ventilator along the ventilation hose.
3 Connect the nebulizer hose to the spigot at the front side of

Savina.
● Fill the medicament nebulizer in accordance with the

accompanying instructions for use. 3
017 37261
36
Operation
During medicament nebulization do not use a heat and

moisture exchanger (HME) at the Y-piece. Risk of
increased breathing resistance!
1 Hold down » Nebulizer« key, until the yellow lamp

lights up.
D Savina
On-screen advisory message: 1

! Nebulizer on
The nebulizer is in operation for 30 minutes; nebulization only

in the inspiratory flow phase.
If medicament nebulization needs to be stopped prematurely:

1 Press » Nebulizer« key again. The yellow lamp goes
out, the nebulizer is switched off.
The flow sensor will be automatically heat-cleaned and

calibrated by Savina.
013 37261
On-screen information:
Flow calibration
● Remove any left-over medicament from the medicament

nebulizer.
● Follow the instructions for use of the medicament nebulizer.
● Take into account the effect of aerosols on sensors,

filters and heat and moisture exchanger (HME)!
The measuring function of the flow sensor may be impaired.
The flow resistance of filters is liable to increase and may
impair ventilation.
● Do not place microbial filters on the nebulizer outlet
during nebulization!
Risk of increased breathing resistance!
37
Operation
Oxygen enrichment for bronchial suction

Will only function with O2 supply between 2.7 to 6 bar.
To prevent hypoxia during bronchial suction, an O2 enrichment

program for the removal of secretions is provided with Savina.
After the program has started, during the oxygen enrichment

phase Savina ventilates in the selected ventilation mode for up
to 180 seconds with 100 Vol.% oxygen.
When the ventilator is disconnected for suction, Savina

automatically interrupts ventilation. During the suction phase,
the audible alarms are suppressed so that the suction routine
is not disrupted.
After suction and automatically recognized reconnection,

Savina ventilates 120 seconds with 100 Vol. % O2. During
suction, and for two minutes afterwards, the lower alarm limit
for the minute-volume and the lower alarm limit for the airway
pressure are disabled.
● Connect your O2 supply 2.7 to 6 bar – from the medical O2

pipeline system or from a cylinder, to the side of Savina.
043 37261
Before suction
1 Hold down »O2 Y suction« key until the yellow lamp lights
up.
D Savina
In the set ventilation mode, Savina ventilates with
100 Vol.% O2.
In case PEEP has not been set higher than 4 mbar, an 1
automatic setting of 4 mbar will come into effect.
This PEEP will enable Savina to detect any subsequent
disconnection.
The other ventilation parameters remain unchanged.
Message in the information line on screen:
O2 enrichment 100% 180 s
The remaining time is continuously displayed on screen.

The oxygen enrichment lasts for a maximum of 180 seconds.
During this time, Savina waits for the suction to be
disconnected.
014 37261
If there is no disconnection after 180 seconds, Savina will

terminate the oxygen enrichment program.
38
Operation
After suction disconnection

During the period of disconnection Savina supplies a minimal
flow of 100 Vol.% O2 in order to automatically detect the end
of the disconnection phase. The time available for suction is
continuously displayed in the information line on screen
(example):
Execute suction and reconnect 120 s
If suction is ended and the system is reconnected within the

displayed time, Savina starts the final O2 enrichment. The
alarms for the lower alarm limit MV and upper alarm limit
Paw will be suppressed.
After reconnection
After reconnection has taken place, Savina ventilates once
more in the set ventilation mode, however, for final O2
enrichment 120 seconds more with 100 Vol.% O2.
Final O2 enrichment 100% 120 s
The remaining time is continuously displayed on screen.
In case the O2 enrichment has to be interrupted:

1 Press the »O2 Y suction« key again
D Savina
014 37261
Automatic discontinuation of oxygen enrichment

If after 120 seconds no reconnection follows Savina stops the
O2 enrichment program. All alarms are immediately
reactivated. Savina immediately continuous ventilating in the
set ventilation mode.
39
Operation
Calibrating
The saved calibration / zeroing values remain stored even
when the machine is switched off.
Automatic calibration of the pressure sensors

The pressure sensors for measuring the airway pressure
are calibrated automatically.
Automatic calibration of the flow sensor

The flow sensor will be automatically calibrated in the
following circumstances:
— when the apparatus is switched on

— every 24 hours during operation
— after changing the flow sensor
— after medicament nebulisation
— after bronchial suction
— after changing the O2 concentration.
Savina uses a full inspiration phase for calibration. Short

inspiration times are extended to about one second.
Message in the information line on the screen:

Flow calibration in progress
After calibration is complete, the following message appears

in the information line:
Flow-calibration ok
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If calibration is unsuccessful, the following message appears:

"Flow-calibration failed". The expiratory part of the flow curve
does not appear and no measured values are displayed for
VTe, MV or PEEP.
Then
● Exchange flow sensor.
● Always pay special attention to a successful flow

calibration. Without an usable flow measurement
neither the O2 calibration nor the O2 enrichment for
the Bronchial suction is possible. For this routine the
breathing phase recognition of the flow measurement
is required.
40
Operation
Calibrating O2 sensors
Savina uses a separate O2 sensor for O2 control and display
(sensor 1) and a separate O2 sensor for O2 monitoring
(sensor 2).
The O2 sensor for O2 control and display (sensor 1)

is automatically calibrated by Savina:
— when the apparatus is switched on
— after 8 hours’ operation
— when the O2 sensor is replaced
— if sensor 1 and sensor 2 differ from each other by more
than 2% by volume
— when the air pressure changes by more than 200 hPa,
e.g. during transfer flights by helicopter
— when the temperature changes by more than 10 oC.
During automatic calibration, the following message appears

in the information line on the screen:
O2 calibration active
After calibration is complete, the following message appears:

O2 calibration ok
The O2 sensor for O2 monitoring (sensor 2) has to be

calibrated manually:
— once per month,
— if the following alarms occur:
!!! FiO2 high
or
!!! FiO2 low
or
!!! O2 measurement inop.
● Manual calibration can be carried out in any ventilation

mode, see page 45.
41
42
Configuration
Configuration
Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Setting the screen contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Adjusting the volume of the audible alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Configuring the measured values line . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Manual calibration for O2 sensor 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
FiO2- or flow monitoring ON / OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Pmax ON / OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Plateau ON/OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Selecting the language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Setting the date and time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Configuring the MEDIBUS protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Displaying the device values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
43
Configuration
Configuration
The following settings for use can be selected in
»Configuration« mode:
— Screen contrast
— Alarm volume
— Measured values line
— Manual calibration for O2 sensor 2
— FiO2 and flow monitoring ON / OFF
— Pmax ON/OFF
— Plateau ON/OFF
— Language, date and time
— MEDIBUS protocol.
The settings selected in »Configuration« mode remain stored

until the equipment is switched off.
The following information about the equipment can be

displayed in »Configuration«:
— Total operating hours
— Operating hours since the last inspection and maintenance.
Setting the screen contrast

● Press »Config. ∆∆« key repeatedly until
»Configuration 1/4« appears.
● Select the »Contrast« line = turn the rotary knob,
activate = press the rotary knob
● To set the contrast = turn the rotary knob.
The contrast changes.
Confirm = press the rotary knob.
The contrast set will now be activated. 077 37276
Adjusting the volume of the audible alarm

Display (example):

● Select »Volume« line = turn the rotary knob,

activate = press the rotary knob.
● To adjust the volume = turn the rotary knob,

confirm = press the rotary knob
122 37276
After the setting has been confirmed, the alarm tone

is sounded once to enable you to judge the volume.
44
Configuration
Configuring the measured values line

Select one of 6 possible combinations of measured values:
● Select »Measured values« line = turn the rotary knob,
activate = press the rotary knob.
● To set the measured values combination =
turn the rotary knob,
078 37276
The following combinations of measured values can
be selected:
1. VTe ftot MV
2. FiO2 VTe MV
3. Ppeak VTe MV
4. Pmean FiO2 MV
5. Pmean VTe MV
6. Ppeak Pmean V Te
Manual calibration for O2 sensor 2

— once per month,
— if the following alarms occur:
!!! FiO2 high
or
!!! FiO2 low
or
Manual calibration can be carried out in the respective

ventilation mode:
● Select »O2 calib.« line = turn rotary knob,
● To start O2 calibration = turn rotary knob and select »Start«,

Disconnect patient
076 37276
● Disconnect patient within the next 30 seconds.

● If necessary continue ventilating the patient using a
separate ventilating appliance.
45
Configuration

O2 calibration active
After 60 seconds the following appears in the information line:
Reconnect patient
● Immediately reconnect patient.
Thereafter appears:
O2 calibration ok
The O2 calibration is completed, Savina ventilates once more

using the original settings.
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Disconnection and change of O2 concentration would activate
the alarms. For this reason Savina turns the alarms off during
calibration.
If the patient is not reconnected, all alarms are activated again.
Savina continues ventilating at the original settings.
If the following alarm appears after calibration:

or
!!! FiO2 low
● Replace O2 sensor, see page 69.
After replacing the O2 sensor:

● Allow about 20 minutes warm-up time to elapse,
then calibrate.
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FiO2- or flow monitoring ON / OFF

For instance, when a used O2 or flow sensor cannot be
replaced immediately.
● Use alternative monitoring, as otherwise there will be a
restricted monitoring function.
● Select the desired line = turn the rotary knob,
confirm = press the rotary knob
● Set to »ON« = turn the rotary knob,
The corresponding monitoring is activated.
● Set to »OFF« = turn the rotary knob,
080 37276
O2 monitoring and flow monitoring and associated

alarms are permanently deactivated.
Display in Alarm line:
! Flow monitoring off
or
! O2 monitoring off
46
Configuration
Display in information bar:

Replace flow monitoring
or
Replace O2 monitoring
or
Replace flow monitoring and O2 monitoring
Flow monitoring is automatically activated each time Savina is
switched on.
Even when O2 monitoring is deactivated, the devices requires
at least sensor 1 for accurate O2 control. Otherwise it delivers
inaccurate O2 / air mixes.
O2 monitoring should only be deactivated when Savina is
supplied with air only.
O2 monitoring remains deactivated even when the device

is switched on again.
Display in alarm line:
!! O2 monitoring off
On acknowledging by pressing the »Alarm Reset« key,

display:
! O2 monitoring off
When flow monitoring is deactivated, Savina does not

determine the following measured values:
— MV
— MVspont
● Reactivate the monitor function after replacing the sensor.
Pmax ON / OFF
To use the pressure limit Pmax in the IPPV, IPPV Assist and
SIMV, SIMV/ASB ventilation modes.
The pressure limit value is set by means of the »Pinsp« key.
Savina limits the airway pressure to that set value.
● Select »Pmax« line = turn rotary knob,
● To set »ON« = turn rotary knob,
The pressure limit »Pmax« is activated.
● To set »OFF« = turn rotary knob,
The pressure limit »Pmax« is deactivated.
079 37276
47
Configuration
Plateau ON/OFF
To switch on and off the inspiratory pause.
When the plateau is deactivated, Savina switches to expiration
after application of the tidal volume V T. The inspiration time
setting Tinsp does not apply. Savina establishes a minimum
expiration time of 500 ms and limits the resulting I:E ratio to
max. 4:1.
● Select »Plateau« line = turn rotary knob,
116 37276
● To set »ON« = turn rotary knob,
Plateau is activated.
● To set »OFF« = turn rotary knob,
Plateau is deactivated.
Selecting the language

Display (example):
● Press »Config. ∆∆« key until »Configuration 3/4«

appears.
● Select »Language« line = turn the rotary knob,
The following languages can be selected:

— German – Greek
— English – Russian
081 37276
— US-English – Japanese
— Spanish – Romanian
— French
— Italian
— Portuguese
— Chinese
● Select language = turn the rotary knob,

The new language selected is activated immediately.
Setting the date and time

This has to be done when using the MEDIBUS interface

● Select »dd.mm.yy« line = turn the rotary knob,
● Set the day (dd) = turn the rotary knob,
● Set the month (mm), year (yy), hour (h) and minutes (m)
082 37276
in the same way.
48
Configuration
Configuring the MEDIBUS* protocol

The following parameters can be set:
— Baudrate
— Parity check bits
— Number of stop bits

● Select line for the corresponding interface parameters,
e.g. select baudrate = turn the rotary knob,
083 37276
● Set value = turn the rotary knob,
Displaying the device values

Savina displays:
— SW
Software version of the device
— Device-ID
specific device identification number
— Working hours
the total number of hours the device has been operating,
and
106 37276
— h since service
the number of working hours since the last inspection
and service by trained service personnel.
— Release code:
Numerical code for release of options
Return to main page

● Press the »Curves « key. The main page showing a
curve appears.
* MEDIBUS
Dräger communications protocol for medical appliances.
49
50
Fault – Cause – Remedy

Fault – Cause – Remedy...............................................................................................52
51

Alarm messages in the alarm display field are displayed in hierarchical order.
For example, if two faults are detected at the same time, the more critical of the two is displayed.
The priority level of the alarm messages is identified by exclamation marks:

Warning = !!! Message with top priority
Caution = !! Message with medium priority
Advisory = ! Message with low priority
The messages are listed in the table in alphabetical order.

In the event of an alarm, this table is designed to enable you to identify the cause and take rapid
corrective action.
Message Cause Remedy
!!! Airway pressure high The upper alarm limit for the airway Check patient condition.
pressure has been exceeded. The Check ventilation pattern.
patient is "fighting" the ventilator; cough. Correct alarm limit if necessary.
Ventilation hose kinked. Check hose system and tube.
!!! Airway pressure low Leaking cuff. Inflate cuff and perform leak test.
Leak or disconnection. Check hose system for tight

connections.
Check that the expiration valve
is properly engaged.
!!! Ambient press. meas. inop. Internal pressure sensor faulty. Call DrägerService.
!!! Apnoea Patient’s spontaneous breathing has Apply controlled ventilation.

stopped.
Flow sensor not calibrated or faulty. Calibrate flow sensor.

Replace if necessary.
Alarm time TApnoea> is set less Extend alarm time TApnoea >.
than time for one respiration phase
(TApnoea> < 1/f).
Disconnection. Reconnect.
!! Apnoea ventilation Due to detected apnoea, Savina auto- Check the ventilation process.
matically switched over to mandatory To return to the original ventilation mode:
ventilation. Press the »Alarm Reset« key.
!!! ASB > 4 s The ASB cycle has been switched off Test ventilation system for leaks.
3 times due to exceeding time limit.
! ASB > 4 s The ASB cycle has been switched off Test ventilation system for leaks.
due to exceeding time limit.
! Atmospheric pressure high The device is being used at too high Use Savina inside of the given
atmospheric pressure. atmospheric pressure range,
see Technical data, page 108.
One of the pressure sensors is defective. Call DrägerService.
52
! Atmospheric pressure low The device is being used at too low Use Savina inside of the given
atmospheric pressure. atmospheric pressure range,
see Technical data, page 108.
One of the pressure sensors is defective. Call DrägerService.
!!! Breathing gas temp. high Breathing gas temperature is over 40 oC. Switch off humidifier. Use longer
inspiration hoses.
!! Check settings Due to an internal data loss, Savina is Check settings and adjust.
operating with factory settings.
!!! Device failure XX.YYYY Device faulty. Call DrägerService.
!! Device over temperature Temperature inside the device is too Check condition of the dust filter and
high. replace if necessary, page 68.
!!! Exp. valve inop. Expiration valve not properly connected Fit expiration valve correctly.
to socket.
Flow sensor defective. Replace flow sensor.
Expiration valve faulty. Replace expiration valve.
! Ext. DC active Device operating with external battery. Note capacity of external power source.
!!! Fail to cycle The device does not deliver any gas. Set an IPPV frequency of at least 4/min.
Alarm time TApnoea> is set less Extend alarm time TApnoea >.
than time for one respiration phase
(TApnoea> < 1/f).
Disconnection. Reconnect.
!!! FiO2 high O2 sensor not calibrated. Calibrate O2 sensor, see page 41.
Faulty mixer function. Call DrägerService.
!!! FiO2 low O2 sensor not calibrated. Calibrate O2 sensor, see page 41.
Faulty mixer function. Call DrägerService.
!!! Flow measurement inop. Water in flow sensor. Dry flow sensor.
Flow sensor faulty. Replace flow sensor.
Flow measurement malfunction. Call DrägerService.
! Flow monitoring off Flow monitoring is switched off. Switch flow monitoring on again, see
page 46, or immediately provide
adequate external monitoring.
!!! Flow sensor? Flow sensor not fully inserted in Insert flow sensor correctly.
rubber lip of expiration valve.
!!! High frequency Patient is breathing at a high Check condition of patient.

spontaneous frequency, therefore the Check pattern of ventilation.
monitored overall frequency is too high. Correct alarm limit if necessary.
! Insp. hold interrupted The »Insp. hold« key was held down Release »Insp. hold« key.
longer than 15 seconds.
53
!!! Int. battery failed Internal battery has failed. Call DrägerService.
!!! Int. batt. almost discharged Working time when running on the Immediately connect supply via mains,
internal battery has almost expired, external battery or a vehicle DC
mains power or external DC power on-board network.
supply not connected.
! Int. batt. almost discharged Mains power connected; internal Do not switch over Savina to operation
battery almost discharged. via internal battery.
!! Int. battery activated Savina is being supplied via the internal Restore mains power or supply from
battery as there is no mains supply or charged external battery or DC on-board
external battery and no DC on-board network within 60 minutes.
voltage. This alarm can be acknowledged by
The typical working time using a supply pressing »Alarm Reset«. It will then
from the internal battery (new and fully appear as an advisory message (!).
charged) is 60 minutes.
! Int. battery activated Savina is being supplied via the internal Restore mains power or supply from
external battery and no DC on-board network within 60 minutes.
voltage.
The typical working time using a supply
from the internal battery (new and fully
charged) is 60 minutes.
!! Int. battery low Savina is being supplied via the internal Restore mains power or supply from
external battery and no DC on-board network immediately.
voltage. There are only a few minutes’
working time left.
! Int. battery low Mains power connected. The remaining Do not switch over Savina to operation
operating time is only a few minutes. via internal battery.
!! Key xx failed xx key (e.g. » 2 min«) can no longer Call DrägerService.

be pressed.
!! Key xx overused Keys pressed very frequently within Acknowledge message by pressing
a short time (e.g. » 2 min« key). »Alarm Reset«.
If this message appears again:
Call DrägerService.
!! Main switch overused Savina has detected very frequent Acknowledge message by pressing
operation of the switch within a short »Alarm Reset«.
time. If message appears again:
!!! Malfunction fan Fan failure. Call DrägerService.
! MEDIBUS COM. inop. The connector of the MEDIBUS cable Reconnect the connector and secure
has been unplugged during operation. against disconnection with the two screws.
MEDIBUS cable defective. Use a new MEDIBUS cable.
Interface defective. Call DrägerService.
54
!! Microfilter blocked Microfilter clogged. Change microfilter, see page 67.
!!! Microfilter missing Microfilter is missing or is not Fit microfilter, see page 67.
correctly fitted.
!!! MV high The minute volume has exceeded the Check condition of patient.
upper alarm limit. Check pattern of ventilation.
Correct alarm limit if necessary.
Water in flow sensor. Drain water trap, dry flow sensor.
Machine malfunction. Call DrägerService.
!!! MV low The minute volume has fallen below Check condition of patient.
the lower alarm limit. Check pattern of ventilation.
Correct alarm limit if necessary.
Leak in breathing system. Ensure that the breathing system is

leakproof.
Check that the water trap collecting jar is
connected to the expiration valve.
Machine malfunction. Call DrägerService.
! Nebulizer on The medicament nebulizer is

switched on.
!!! No battery charging Battery not charging. Call DrägerService.
!!! No int. battery Internal battery is missing, defective or Call DrägerService.

not connected or fuse has failed. This alarm can be acknowledged by the
»Alarm reset« key. Then it appears as
advisory message (!).
! No int. battery Internal battery is missing, defective or Call DrägerService.

not connected or fuse has failed.
!!! O2 measurement inop. O2 sensor provides invalid measured Calibrate O2 sensor, see page 41.
values. Replace if necessary.
O2 sensor consumed or not fitted. Fit new O2 sensor, see page 69.
Calibrate, see page 41.
O2 measurement malfunction. Call DrägerService.
!! O2 monitoring off On switching on, Savina notifies that O2 Reactivate O2 monitoring, see page 46
monitoring is switched off. or immediately connect adequate
external monitor function.
This alarm can be acknowledged by
pressing »Alarm Reset«. It will then
appear as an advisory message (!).
! O2 monitoring off O2 monitoring is switched off. Switch O2 monitoring on again, see

Switched-off state has been confirmed. page 46 or immediately ensure
adequate external monitoring.
55
!!! O2 supply down O2 supply pressure too low. Ensure pressure is greater than 2.7 bar.
! O2 supply down O2 supply pressure too low. Ensure pressure is greater than 2.7 bar.
O2 supply pressure is not required
when FiO2 = 21 Vol.%.
!! O2 supply pressure high O2 supply pressure too high. Make sure pressure is less than 6 bar.
! O2 supply pressure high O2 supply pressure too high. Make sure pressure is less than 6 bar.
O2 supply pressure is not required
when FiO2 = 21 Vol.%.
!!! PEEP high Expiration tract incorrectly positioned. Check hose system and expiration valve.
Increased expiratory resistance. Check bacterial filter.

Replace if necessary.
!!! PEEP inop. PEEP set not reached. Check system for leaks.
!!! Pressure meas. inop. Fluid in expiration valve. Replace expiration valve, then disinfect/
clean and dry, see page 63.
Pressure measurement malfunction. Call DrägerService.
!! Rotary knob failed Rotary knob cannot be turned or Call DrägerService.

pressed.
!! Rotary knob overused Rotary knob has been pressed very Press »Alarm Reset« to acknowledge
frequently within a short time. message.
If this message appears again:
!!! Standby activated Savina has been switched to standby. Confirm standby by pressing
»Alarm Reset«.
!!! Temperature high Breathing gas temperature in Savina Reduce ambient temperature. Switch off
higher than 40 oC. humidifier to protect the patient and use
longer inspiration hoses.
! Temperature high Due to high ambient temperatures Lower the ambient temperature.
(35 to 40 oC), the device has reached its
peak pressure, but not its peak flow.
!!! Temperature meas. inop. Temperature sensor faulty. Fit new temperature sensor.
!!! Temperature sensor ? Temperature sensor probe has been Reconnect probe.
disconnected during operation.
Sensor cable broken. Fit new temperature sensor.
!!! Tidal volume high After third breathing stroke: Check the condition of the patient.
The upper alarm limit of the applied Check the ventilation pattern.
inspiratory tidal volume V T has been If necessary, correct the alarm limit.
exceeded during three consecutive
ventilation strokes.
Leak or disconnection. Check that the connections of the hose

system are leakproof.
56
! Tidal volume high After first breathing stroke: Check the condition of the patient.
The upper alarm limit of the applied Check the ventilation pattern.
inspiratory tidal volume V T has been If necessary, correct the alarm limit.
exceeded during three consecutive
ventilation strokes.
Leak or disconnection. Check that the connections of the hose

system are leakproof.
!! Tidal volume low After fourth breathing stroke: Extend inspiration time »Tinsp«,
Because of pressure and time limitations raise »FlowAcc«,
the set tidal volume V T will not be raise pressure limitation Paw, using
applied. »Pinsp« key.
This alarm can be acknowledged by the
After fourth breathing stroke in Extend inspiration time »Tinsp«,

AutoFlow: raise »FlowAcc«,
Because of pressure and time limitations raise upper alarm limit for airway
the set tidal volume V T will not be pressure Paw >.
applied. This alarm can be acknowledged by the
! Tidal volume low After second breathing stroke: Extend inspiration time »Tinsp«,
Because of pressure and time limitations raise »FlowAcc«,
the set tidal volume V T will not be raise pressure limitation Paw, using
applied. »Pinsp« key.
After second breathing stroke in Extend inspiration time »Tinsp«,

AutoFlow: raise »FlowAcc«,
Because of pressure and time limitations raise upper alarm limit for airway
the set tidal volume V T will not be pressure Paw >.
applied.
57
58
Care
Care
Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Dismantling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Removing parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Disinfecting / Cleaning / Sterilising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Disinfecting / cleaning / sterilising schedule for Savina Intensive Care Ventilator . 65
Maintenance Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Replacing the microfilter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Replacing the dust filter set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Replacing the O2 sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Using an external battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Correct disposal of batteries and O2 sensors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Correct disposal of internal battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Important when laying up Savina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Correct disposal of apparatus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
59
Care
Care
● Observe the hospital hygiene regulations.
● Clean and prepare the machine after each patient.
Recommendation:
● Change the hose system and expiration valve every week.
Keep the replacement systems ready.
Dismantling
Removing parts
● Switch off the ventilator and breathing gas humidifier,
and remove their power plugs.
1 Drain condensate from water traps and ventilation hoses.
Drain the water trap on the expiration valve.
2 Drain the water container of the humidifier.
1
1
2
1
109 29 170
Ventilation hoses
● Remove ventilation hoses from the device ports.
● Remove the water traps from the ventilation hoses. 3
Remove the water containers from the water traps and
the expiration valve.
● Prepare the ventilation hoses, water traps and associated
water jars, and the Y-piece for disinfection and cleaning
by autoclaving.
3 Remove the bacterial filter and treat it in accordance with
the accompanying instructions for use.
110 29 170
60
Care
● When removing the ventilation hoses, always grasp

them by the sleeve, never by the hose itself, to avoid
possibly tearing the hose at the sleeve or ripping it out
of the sleeve.
093 29 170
Medicament nebulizer (optional)
1 Remove nebulizer hose from the medicament nebulizer and
from the spigot on the device.
2 Pull medicament nebulizer out of the adult hose set, or
2 1
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2 dismantle medicament nebulizer from the paediatric hose
set.
3 Pull catheter connector (ISO cone ø15/ ø11) out of the 5 4 3
input.
4 Pull spigot (ISO cone ø22/ ø11) out of the output.
5 Pull corrugated hose out of the spigot. 2 1
● Dismantle and prepare medicament nebulizer in
accordance with the accompanying instructions for use.
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61
Care
Flow sensor
1 Push the flow sensor to the left as far as it will go and
2 pull out.
D Savina
● The flow sensor cannot be autoclaved or

steam-sterilised. It is not temperature-stable
and would be destroyed.
● Disinfect flow sensor for about 1 hour in 70% ethanol

solution.
● Leave sensor to dry in air for at least 30 minutes.
Residual alcohol could otherwise cause the sensor to fail
during calibration.
● The flow sensor may be re-used as long as automatic 1
calibration can be carried out successfully.
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Expiration valve
3 Remove collecting jar from water trap.
4 Turn knurled sleeve to the left and
4
5 remove expiration valve.
059 29 170
3
6 Remove diaphragm.
7 Remove rubber bushing.
● Do not disassemble the expiration valve any further.
● The expiration valve together with the diaphragm, rubber
bushing and dismantled water trap collecting jar are
suitable for disinfection and cleaning by autoclaving or
sterilising.
6
048 29 170
Breathing gas humidifier

● Dismantle according to the relevant Instructions for Use
and prepare for disinfection / sterilisation.
62
Care
Disinfecting / Cleaning / Sterilising

Use surface disinfectants. For surface compatibility, use
disinfectants based on:
— aldehydes,
— quaternary ammonium compounds.
Due to possible damage to the materials, do not use any

preparations based on:
— Compounds containing alkylamine
— Compounds containing phenol
— Halogen-releasing compounds
— Strong organic acids
— Oxygen-releasing compounds
For users in the Federal Republic of Germany, we recommend

that only disinfectants on the current DGHM list are used
(DGHM: German Society for Hygiene and Microbiology).
The DGHM list (published by mhp-Verlag, Wiesbaden) also
classifies each disinfectant by its active agents. For countries
where the DGHM list is not available, we recommend the types
of disinfectant given above.
Disinfectants often contain – besides their main active agents

– additives that can also damage materials.
● If in doubt, ask the supplier / manufacturer of the
disinfectant / cleaning agent.
● Do not sterilise parts in ethylene oxide!

Ethylene oxide can diffuse into the parts.
Danger to health!
— Savina basic device with trolley

— Hinged arm
— Medical gas hose
● Wipe disinfect, e.g. with PaMo dur rapid AF
(Dräger Parts & More GmbH).
Follow the manufacturer’s instructions.
— Ventilation hoses
— Y-piece
— Water traps and collecting jars
— Expiration valve casing
— Expiration valve diaphragm
— Containers for water traps
● Hot-steam disinfect in the autoclave (93 oC/10 minutes)
using detergent only.
63
Care
— Ventilation hoses
— Y-piece
— Water traps and collecting jars
— Expiration valve casing
— Expiration valve diaphragm
— Containers for water traps
● are thermo-stable and can be steam-sterilised at 134 oC.
— Prepare medicament nebulizer

● in accordance with the accompanying instructions for use.
— Handle bacterial filter

● in accordance with the accompanying instructions for use.
64
Care
Disinfecting / cleaning / sterilising schedule

for Savina Intensive Care Ventilator
Applicable for use with non-infectious patients.
For infectious patients, all parts that conduct breathing gas
must be additionally sterilised after disinfecting and
cleaning.
The parts that conduct breathing gas listed here can be
steam-sterilised at 134 oC. See "Sterilising" column.
This schedule contains guideline values only. The protocols
of the responsible hospital hygiene official remain
unaffected!
Part How often How

Reusable Recommended Disinfecting and cleaning Sterilising
components cleaning Autoclaving at Wiping * Bath Steam
intervals 93 oC 10 minutes immersion 134 oC
10 minutes
Savina per patient no outside no no
basic device
Trolley per patient no outside no no
Hinged arm
Medical gas hose
Ventilation hoses, per patient / yes no possible yes
Y-piece, weekly
Water traps and
Collecting jars
Expiration valve per patient / yes no possible yes
weekly
Flow sensor daily no** outside possible** no
Temperature sensor daily no yes no yes

*) e.g. with PaMo dur rapid AF (Dräger Parts & More GmbH)
**) Special treatment, bath disinfect in 70% ethanol, see page 62
65
Care
Maintenance Intervals
Clean and disinfect equipment and/or components
before any maintenance procedures – and before
returning for repair!
O2 sensors replace when the following message is displayed:

in case of calibration is no longer possible.
Used O2 sensors can be returned to
Dräger Medizintechnik GmbH for disposal.
Microfilter Replace after 1 year, see page 67.

Dispose of with normal domestic waste.
Dust filter set Replace after 1 year, see page 68.

Dispose of with normal domestic waste.
Blower unit To be replaced by trained service personnel after

20,000 hours’ operation or after 8 years – whichever is earlier.
Lead-gel battery To be replaced by trained service personnel after 2 years.

Lead-gel batteries should be disposed of as special waste,
see page 70.
Filter in O2 inlet To be replaced by trained service personnel every 6 years.
Real-time clock To be replaced by trained service personnel every 6 years.

Disposal: see page 70.
Pressure reducer To be replaced by trained service personnel every 6 years.
Equipment inspection Should be carried out for the first time after 2 years or
and service 6,000 hours’ operation, whichever is earlier
thereafter annually or after 6,000 hours’ operation, whichever
is earlier.
Six-monthly equipment inspection and service is

recommended to ensure maximum availability.
Inspection and service should be carried out by trained

service personnel.
66
Care
Replacing the microfilter

— This should be replaced once a year.
1 Hold down both latches,

2 lift filter cover and remove.
1 1
097 29 170
3 Remove used microfilter from its housing.
● Slide new microfilter into housing as far as it will go.
● Dispose of used microfilter with domestic waste.
● Do not operate Savina without a microfilter, as the

inspiration side will get dirty.
099 29 170
4 Insert filter cover with two lugs into rear panel.
5 Position power cable under filter cover. 4 4
6 Push latches into housing until they engage.
6 6
114 29 170
67
Care
Replacing the dust filter set

— Inspect after 4 weeks for soiling, clean or replace as
necessary.
1 Hold down both latches,

2 lift filter cover and remove.
1 1
097 29 170
3 Remove used dust filter from filter cover.
● Fit new dust filter.
● Dispose of used dust filter with domestic waste.

3 3
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4 Insert filter cover with two lugs into rear panel.

5 Position power cable under filter cover. 4 4
6 Push latches into housing until they engage.
5
Breathing air and cooling air are drawn in through the
filter cover.
● Do not cover, do not place up against a wall –
risk of device overheating.
6 6
114 29 170
68
Care
Replacing the O2 sensors

— If the following message appears:
Exchange O2 sensor 1
or
Exchange O2 sensor 2
or
— if calibration is no longer possible.
Savina uses one O2 sensor for O2 control and display

(sensor 1) and a separate O2 sensor for O2 monitoring
(sensor 2).
1 Swivel inspiration port downwards

2 Unscrew screw, using a coin or similar object, and remove
cover plate.
3/4 Remove used O2 sensor from housing
3/4 Slide new O2 sensor into respective housing for
"Sensor 1" or "Sensor 2". Turn using light pressure
until the O2 sensor slides further into the housing.
2 Screw cover plate into place. 3 4
Sensor 1
is automatically calibrated after fitting.
1
Sensor 2:
● Allow not more than 20 minutes warm-up time to elapse,
then
● calibrate manually, see page 45.
The internal battery supplies the two O2 sensors with current

even when Savina is switched off. This enables Savina to
2
054 29 170
supply valid O2 measured values as soon as it is switched on.
If the internal battery is discharged, Savina does not supply
any O2 measured values for the first 20 minutes after
switching on. The O2 dosage operates at reduced accuracy
during this time.
Using an external battery

Either 12V batteries or 24V batteries can be connected as
the external battery.
The use of 24V batteries (two 12V batteries arranged in series)
with a minimum capacity of 15 Ah each is recommended.
With batteries of this type, the efficiency of the DC power
supply and the associated operating time is considerably
greater than with 12V batteries of comparable capacity.
69
Care
Correct disposal of batteries and O2 sensors

Batteries and O2 sensors:
● Do not incinerate or throw in fire; risk of explosion.
● Do not open using force; risk of causticization.
Batteries must be disposed of as special waste:

● Information may be obtained from the local environmental
and public health authorities or from approved waste
disposal companies.
O2 sensors:
● can be returned to Dräger Medizintechnik GmbH.
Correct disposal of internal battery

Savina contains permanent batteries that contain harmful
substances.
● The permanent batteries containing harmful substances
that are fitted in Savina should be removed and disposed of
by Dräger Service.
Important when laying up Savina

If Savina is laid up for longer than 1 month without power:
● Remove fuse for internal battery. This avoids undesirable
total discharge of the internal battery, which would
otherwise constantly supply the O2 sensors with current.
Correct disposal of apparatus

006 29 170
— at the end of its useful life.
● After contacting the competent waste disposal company,

hand over Savina for appropriate disposal. The applicable
legal regulations must be observed.
70
Preparation
Preparation
Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Assembling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Mounting the expiration valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Inserting the expiration valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Fitting the flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Fitting the bacterial filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Note on the use of expiratory bacterial filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Note on the use of heat and moisture exchangers . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Positioning the humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
For ventilating infants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Fitting the Aquapor humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Fitting the Fisher & Paykel humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Electrical powersupply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
O2 supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Nurse call system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Checking readiness for operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
71
Preparation
Preparation
Assembling
Only use the duly prepared components!
Mounting the expiration valve

1 Attach diaphragm to expiration valve.
2 Attach rubber bushing to port.
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Inserting the expiration valve
3 Turn knurled sleeve to left as far as it will go.
4 Insert expiration valve. 3
3 Turn knurled sleeve to right.
5 Fit container for water trap.
4
5
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72
Preparation
Fitting the flow sensor

1 Push the socket to the left as far as it will go.
2 Insert the flow sensor, with the probe facing towards the
ventilator, into the mounting and push it into the socket 2
as far as it will go.
Then:
3 Push flow sensor to the right as far as it will go into the

rubber lip of the expiration valve.
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Fitting the bacterial filter
● Push bacterial filter on to inspiration port.
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73
Preparation
Note on the use of expiratory bacterial filters

The use of expiratory bacterial filters on the ventilator is not
recommended.
However, if a bacterial filter is used on the expiration side, an
undesirable increase in breathing resistance may occur.
Especially during medicament nebulisation and humidifying,
the resistance of the bacterial filter may increase gradually.
For the patient, the effect may be increased breathing effort
and intrinsic PEEP.
1 An intrinsic PEEP can be recognised by the fact that the f

expiratory flow does not return to "0" before the end of Flow
expiration.
1
If PEEP is unacceptably high, the unit signals the t
»!!! PEEP high« alarm.
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The current PEEP is then approximately 8 mbar higher than
the PEEP set.
● Check the bacterial filter and replace it if it is the cause

of the PEEP alarm.
Note on the use of heat and moisture

exchangers
The use of a heat and moisture exchanger (HME) in the patient
connection of the Y-piece can considerably increase breathing
resistance.
An increase in breathing resistance will in turn lead to greater
effort in spontaneous breathing and/or greater trigger effort
during assisted ventilation. Under unfavourable conditions, an
increase in breathing resistance can lead to an unwanted
intrinsic PEEP.
This breathing resistance in the patient connection cannot be
directly monitored by the ventilator.
Therefore:
● The condition of the patient and the ventilator's measured

values for air volume must be checked more frequently.
● Follow the Instructions for Use of the heat and moisture
exchanger (HME).
● Do not use the heat and moisture exchanger (HME)
together with a medicament nebulizer or humidifier!
This can increase the breathing resistance.
● Inspiratory ventilation hoses used should be 1.2 m

long to avoid risk of overheating the breathing gas.
74
Preparation
Positioning the humidifier

Depending on the desired position of the ventilator in relation
to the bed, the hinged arm can be fitted to either side of the
machine.
Attachment on right-hand side:

● Turn both ports to the left.
● Turn Aquapor to the left.
The following description applies when the ventilation hoses

have been attached to the left-hand side.
For ventilating infants

● Use a suitable humidifier, e.g. Fisher & Paykel MR 730 with
humidifier chamber MR 340
and
● use suitable ventilation hoses, see Order List on page 116.
Fitting the Aquapor humidifier

● Aquapor should only be used at ambient temperatures
below 30 oC, to avoid too high breathing gas
temperature in case of Aquapor failure.
● Prepare Aquapor in accordance with the separate

instructions for use.
● Monitor the breathing gas temperature.
1 Hang the Aquapor with a bracket to the mounting and
tighten the screws.
2 Insert elbow connector into Aquapor.
3 Insert double nozzle into elbow connector.
● Fill Aquapor tank with distilled water to the upper level.
● Do not use an additional heat and moisture exchanger

(HME) at the same time as a humidifier. 3
Risk of increased breathing resistance because of 2
condensation.
1
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75
Preparation
Connecting the ventilating hoses

Do not use anti-static or conductive hoses*.
1 Hang the hinged arm from the rail on the left-hand side
and tighten screws.
● Connect ventilation hoses, and note length of hoses
(in metres).
The total length of the inspiratory hoses between
Aquapor and the Y-piece must be not less than 1.20 m,
as otherwise the breathing gas temperature at the Y-
piece can be unacceptably high, endangering the patient.
2 Turn ports in direction of hoses.

3 Install water traps in vertical position at the lowest point 1
of their hose lines.
● Connect the Y-piece, with the rubber sleeve of the Y-piece
2 2
on the inspiratory side.
● Insert Y-piece into bracket of hinged arm. 0,6m
0,4m
0,6m 3
0,6m 0,6m
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Fitting the Fisher & Paykel humidifier
● Prepare the humidifier in accordance with the separate
instructions for use.
1 Hang the humidifier with bracket to the humidifier holder
rail and tighten the screws.
● Do not use an additional heat and moisture exchanger

(HME) at the same time as a humidifier.
Risk of increased breathing resistance because of
condensation.
1
111 37261
* DIN VDE 0750 Part 215:

The use of anti-static or electrically conductive material in the
breathing system of the lung ventilator is not considered to
contribute any improvement in safety. On the contrary, the use
of these materials increases the danger of electric shock to the
patient and of fire due to the presence of oxygen.
76
Preparation
Fitting ventilation hoses

1 Hang the hinged arm with a bracket to the rail on the
left-hand side, and tighten the screws.
● Connect the ventilation hoses as described in the
Instructions for Use of the humidifier, and note their
length (in metres).
● Do not use shorter ventilation hoses than specified

The inspiratory breathing gas warmed by the built-in blower
is cooled in a controlled manner by the ventilation hoses 1
specified. If shorter hoses are used, the breathing gas
temperature at the Y-piece can be unacceptably high,
endangering the patient. 0,4m
1,1m
1,2m
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Electrical powersupply
The ventilator is designed for a mains voltage of:
100 V to 240 V, 50 / 60 Hz
The built-in power adapter of the Savina automatically adapts

to the mains supply.
● Insert the plug into the mains socket.
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77
Preparation
Connecting to DC on-board network or external battery

Note requirements for external battery, see "Technical Data",
pages 108 onwards.
● Only rechargeable batteries should be used.
The charging function of the DC power supply may cause
non-rechargeable batteries to explode during mains use.
● Connect external battery to device via DC battery cable

S (84 14 092) or connect DC on-board network to device
via DC on-board network cable S (84 14 048).
The plug on the connecting cable that plugs into the Savina
is coded. This enables Savina to detect whether an external
battery or a DC on-board network is connected.
● Ensure polarity is correct.

black = –
red = +
If an external battery or DC on-board network is wrongly
connected, the device will ignore it!
● Insert plug into DC socket on rear of device.
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● Do not connect DC power supplies to the DC socket.
78
Preparation
Internal batteries
In the event of a mains power failure and if the external battery
is discharged or not connected or in the event of failure of the
DC on-board network, Savina automatically switches over to
power from its own internal batteries.
Active power supply display

The status of the power supply is indicated by three lamps
at the right of the rotary knob.
1 Lamp for mains supply »N«
2 Lamp for DC on-board network »ext. J«, e.g. in an
ambulance or helicopter, or external battery, e.g. on
a trolley.
N 1
3 Lamp for internal battery »int. J« ext. J 2
int. J 3
Significance of lamp colours
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green: power source is available
yellow: battery is charging
lamp out: power source not available
Use of power sources

Savina automatically prioritises the use of the power sources.
Mains supply:
If a mains supply is available, Savina automatically switches to
mains voltage and charges the internal and external batteries.
● The device should only be left connected to the power

supply in well-ventilated rooms.
Electrolytic gas is produced when the battery is charging,
and in the right concentration this can cause an explosion.
External battery or DC on-board network:

In case of mains power failure, if direct-current voltage is
connected Savina automatically switches to the external
battery or DC on-board network.
Internal battery:
If neither a mains power supply, an external battery nor
the DC on-board network is available.
79
Preparation
Operating with mains power supply

Display (example):
1 Savina running on mains supply: lamp »N« shows green

2 External battery not yet fully charged: middle lamp N 1
»ext. J« shows yellow.
3 Internal battery charged: bottom lamp »int. J«” shows ext. J 2
green. int. J 3
When operating with a mains power supply, the internal
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battery is automatically charged first. Once this has been
charged (lamp shows green), the external battery is
automatically charged.
Savina automatically detects the voltage of the external

battery (12V or 24V).
Once the respective battery is fully charged, trickle charging

takes place. This keeps the battery charged to counteract
running-down.
Operation with an external battery or DC on-board network

In the event of a mains power failure, Savina seamlessly
switches over to the external DC power supply connected.
This may take either of two forms:
— Supply from external battery

or
— Supply from DC on-board network
Savina detects whether an external battery or the DC on-board

network is connected. This prevents Savina from charging the
DC on-board network.
4 When an external battery or DC on-board network is

connected, the »ext. J« lamp shows green.
Display (example):
N
No mains voltage:
top lamp »N« out ext. J 4
int. J
Supply from external battery:
middle lamp »ext. J« shows green
Internal battery fully charged:

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bottom lamp »int. J« shows green.
80
Preparation
If the external battery is discharged or if no DC on-board

voltage is available, the device switches over to the internal
battery and displays the message:
!! Int. battery activated
● Acknowledge message = press »Alarm Reset« key.

The following advisory message is displayed:
! Int. battery activated
The operating time with an external battery depends on the

state of charge and type of battery connected:
With a fully charged 24V battery with 17 Ah, the operating
time is about 7 hours.
Savina detects when the external battery is discharged and
switches over to the internal battery.
When a mains voltage becomes available again, Savina
automatically switches over to mains power supply, charging
the internal battery first and then the external battery.
When the power source is an external battery, the internal

battery is not charged. Only trickle charging takes place.
● Immediately reconnect Savina to mains power supply to

fully recharge the internal and external battery again.
Operation with the internal battery

In the event of a mains power failure, if no external battery is
connected or if the external battery is discharged, Savina
seamlessly switches over to the internal battery.
Display:
1 No mains supply: top lamp »N« out.

2 No external battery or no DC on-board network: middle N 1
lamp »ext. J« out
3 Supply from internal battery: bottom lamp »int. J« ext. J 2
shows green. int. J 3
When the device automatically switches over to the internal
battery, the following advisory message is displayed:
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● Acknowledge message = press »Alarm Reset« key.

The following advisory message is displayed:
! Int. battery activated
81
Preparation
The operating time with the internal battery depends on the

state of charge:
With a new, fully charged battery the operating time for typical
ventilation is about 60 minutes.
After about 25 minutes’ operating time, a caution message

is displayed:
!! Int. battery low
● Immediately reconnect to mains power supply

or
● connect to a charged external battery or the DC on-board
network.
At the end of the operating time, a warning message is

displayed:
!!! Int. batt. almost discharged
● Immediately reconnect to a power supply from the mains or

a charged external battery or from the DC on-board network
to prevent any interruption to ventilation.
After operating the Savina with an internal battery:

● Reconnect Savina to the mains voltage in order to charge
the internal battery and, if applicable, the external battery
again immediately.
When the power source is an external battery, the internal

battery is not charged. Only trickle charging takes place.
When the power source is the DC on-board network,

the internal battery is charged.
The charging time is around 5 hours.
● Always ensure the internal battery is charged from the

mains or from the DC on-board network. The internal
battery supplies the two O2 sensors with current even when
Savina is switched off. This enables Savina to supply valid
O2 measured values as soon as it is switched on. If the
internal battery is discharged, Savina does not supply any
O2 measured values for the first 20 minutes after switching
on, and the O2 mix operates at reduced accuracy during
this time.
82
Preparation
O2 supply
Compressed O2 must be free of dust and oil and must
be dry. Gas pressure must be 2.7 to 6 bar.
● Screw the O2 hose on to the side of Savina. Connect up

O2 from the medical gas pipeline system or an O2 cylinder.
A 90o connector is available for the O2 threaded
connection on the device; see order list.
After an O2 concentration is set, it takes 3 minutes for this
concentration to be reached, due to the mixing process.
The mixing process may take longer with minute volumes
less than 2 L/min.
The "O2 high" or "O2 low" alarm indicates that the
O2 concentration set has not been reached within
this time.
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● Do not place any liquid container (e.g. infusion
container) above or on top of Savina.
Any leak, spill or seepage could prevent it working
properly, and endanger the patient.
83
Preparation
Nurse call system

Optional
Connection for redirecting alarm signals to a clinic-internal
central alarm system can be found on the rear side of Savina.
● Installation of the supplementary equipment should be

carried out by experts.
● The 6-pin round plug (female) should be connected to the
5
clinic-internal central alarm by experts.
3
When Savina displays an alarm message, the connection 3-5
is closed and the nurse call system is active.
1
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● Push the plug into the » « socket at the back and screw
in tightly.
Only alarm signals will be transferred through the nurse
1 5
call system. 3
Warning messages appear in red, with 3 exclamation marks, in
the upper line on screen; see page 31. Caution and advisory
messages will not be transferred. The nurse call system will
also be activated when the original alarm tone device is
defective, or the power supply to the device being used is cut
off.
● Test the connected nurse call system for proper

functioning.
The installation of the nurse call system does not replace
the regular Savina screen surveillance.
● Regularly check on-screen messages.
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Technical data
Potential-free DC contact
Input voltage max .40 V =
Input current max. 500 mA
Switching power max. 15 W
84
Preparation
Checking readiness for operation

● to be carried out after preparation.
The following functions are tested during this check:

— Operation of lamps/LEDs, displays and the audible alarm
— Ventilation function
— PEEP function
— Expiratory volume measurement MV
— Measurement of inspiratory O2 concentration FiO2
— Lower alarm limit MV
— Lower alarm limit Paw
— Mains power failure alarm
— O2 alarm
Connecting test lung

The test lung consists of a mask elbow for connection to the
Y-piece, a 7 mm diameter catheter connector to simulate the
resistance of the airway, and a 2-litre breathing bag 84 03 201
to simulate lung compliance.
● Attach mask elbow to patient connection of Y-piece.
Switching on
● To switch on = power switch on the back panel of the
device to » «.
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Savina runs through its self-test procedure.
● Wait until the 12-second test phase has been completed.
Savina automatically matches the speed of its blower to the

patient’s gas requirement. A slight whine may be heard
temporarily at the start of ventilation or when setting the
ventilation parameters.
Checking the lamps and audible alarm

At the end of the 12-second test phase, the device activates all
the LEDs, all the lamps in the keys, and the trigger and power
supply lamps. The audible alarm is tested briefly.
The lamp indicating the power source in use at any given time
is lit continuously.
85
Preparation
Testing the ventilation function

1 Ventilation mode »IPPV«
2 »V T« 800 mL
D Savina
3 »Tinsp« 2 s
4 »f« 10 bpm 2
5 »O2« 60 vol.% 7 3
6 »PEEP« 10 mbar 4 6
7 »Trigger« 5 L/min on screen under »Settings 1/1« 5
8
Savina ventilates the test lung using the ventilation pattern set.
1
8 Press »Values ∆∆« key to select »Values 1/2«
● The bar display on the screen shows the inspiratory
pressure and the end-expiratory pressure, alternating
between inspiration and expiration.
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PEEP display:
PEEP 10 mbar
± 2 mbar tolerance
Minute volume display:

MV 7.8 L/min
± 1.0 L/min tolerance
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8 Press »Values ∆∆« key to select »Values 2/2«
O2 concentration display:
FiO2 60 %
± 3% vol. tolerance
● Detach test lung from Y-piece

Display after about 45 seconds:
MV 0 L/min
+ 0.5 L/min tolerance
The following message is displayed:
»!!! Airway pressure low«.
● Reconnect test lung to the Y-piece.
86
Preparation
Checking mains power failure

● Disconnect mains plug, or disconnect DC supply plug.
The device switches over to the internal battery and
continues ventilating.
Display:
● Reconnect mains plug or DC supply plug.
Checking the O2 alarm

● Disconnect O2 compressed gas hose connector:
Intermittent audible alarm and display:
!!! O2 supply down
Savina ventilates with air.
● Reconnect O2 compressed gas hose connector.

A warning !!! FiO2 low may appear briefly.
● Press »Alarm Reset«.
After successful testing of readiness for operation, Savina is

ready to use.
● Do not use device unless all the test steps have been
completed.
87
Preparation
Checklist
● To be carried out every time before using the device.
Device is complete and ready for operation.
The test lung is connected.
What How What should happen

Operation of lamps/ Switch device on: All lamps (except the lamps for power supply)
LEDs and audible alarm and LEDs light up, audible alarm sounds.
Operation of audible Hold down »Alarm Reset« for about Audible alarm sounds.
alarm for mains power 3 seconds:
failure
Apnoea alarm Set ventilation mode CPAP, At the end of the apnoea alarm time TApnoea,
set PEEP 10 mbar, audible alarm sounds, the warning !!! Apnoea
steadily inflate and deflate the test lung to appears on the screen.
simulate spontaneous breathing, then stop
simulation:
Press »Alarm Reset«.
"PEEP high" alarm Set ventilation mode IPPV, Audible alarm sounds, red lamp flashes,
set Paw W to 100 mbar, the warning !!! PEEP high appears on the
keep flow sensor tight: screen.
"Airway pressure high" Set pressure limit Pmax to OFF, set Paw W Audible alarm sounds. The warning
alarm below the current max. airway pressure: !!! Airway pressure high appears on
the screen.
Set Paw W to 100 mbar.
If necessary, set pressure limit Pmax to ON.
"MV low" alarm Set MV w higher than the current MV Audible alarm sounds, the red alarm lamp
measured value: flashes, the warning !!! MV low appears on
the screen.
Set MV w lower than the current MV
measured value again.
Press »Alarm Reset«:
Tightness of breathing Set high flow acceleration FlowAcc, press and Plateau pressure remains constant.
system hold down the »Insp. hold« key and observe
pressure curve:
When the check has been completed successfully, Savina is

ready for use.
● Do not use device unless all the test steps have been
completed.
● Adapt all settings and alarm limits to current patient
situation.
88
Description
Description
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Volume-controlled ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
IPPV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Flow Acceleration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Pressure limiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
IPPV Assist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Sigh (intermittent PEEP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
AutoFlow® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
SIMV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
ASB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
BIPAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
89
Description
Description
Ventilation modes
Volume-controlled ventilation
IPPV
Volume-constant mandatory ventilation stroke
Paw
The ventilation pattern is specified by the settings for tidal
volume V T, frequency f, inspiration time Tinsp, PEEP, and with plateau without plateau
FlowAcc.
FlowAcc
Pplat
At the end of the flow phase, the expiration valve remains PEEP
closed until the end of the inspiration time Tinsp. This phase,
the inspiratory pause, can be identified as the plateau Pplat t
in the curve Paw (t).
Tinsp Te
When the plateau is turned off Savina immediately changes to
T= 1
expiration as soon as the set tidal volume V T is applied. In this f
case the inspiration time is not adjustable, but it is the result of Flow
the compliance and resistance of the patient’s lungs together
with the set values tidal volume V T and flow acceleration.
Savina establishes a minimum expiration time of 500 ms and
limits the resulting I:E ratio to max. 4:1. t
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Flow Acceleration
With the parameter »FlowAcc« the pressure and flow increase
can be influenced. A greater Flow acceleration produces a
steeper pressure and flow increase. Flow acceleration (and
the inspiration time) can be used to adapt the pressure and
flow curve to suit the individual patient’s needs.
Pressure limiting
Pressure Limited Ventilation (PLV)
Paw
Savina can limit the peak pressure in IPPV, IPPV Assist and
SIMV and SIMV/ASB modes. The »Pinsp« ventilation
parameter is used to set the limit. The value of Pinsp remains
effective until Savina has applied the set tidal volume V T or
Pinsp
until the inspiration time has elapsed.
If the set tidal volume V T cannot be delivered with the set
values, a »! Tidal volume low« alarm will be displayed.
t
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Tinsp Te
90
Description
IPPV Assist
Assisted ventilation with continuous positive airway pressure.
The mandatory ventilation stroke begins when the patient
reaches an inspiratory flow corresponding at least to the flow
trigger set.
The current ventilation frequency may be greater than the
set frequency for the same trigger.
Sigh (intermittent PEEP)

"Sigh", in the form of intermittent PEEP, is operative in IPPV
and IPPV Assist modes. Paw
Sigh phase
The purpose of the expiratory sigh during ventilation is to open
collapsed areas of the lung, or to keep open "slow" areas of interm.
the lung. PEEP
Since atelectatic alveoli have a longer time constant – also
caused by obstructed bronchioles – increased airway
PEEP
pressure maintained over a longer period is required to
open them.
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t
In many cases, the sigh function is achieved by increasing
the ventilation stroke; however, due to the short time available,
this form of sigh only marginally improves the filling of the
"slow" alveoli.
In Savina, the sigh operates during expiration with an
intermittent PEEP. It is set relative to PEEP (∆ sigh).
The average airway pressure is higher, and a longer filling
time is normally available.
When the sigh is activated, the end-expiratory pressure
increases every 3 minutes by the intermittent PEEP set
for 2 ventilation strokes.
91
Description
AutoFlow®
The AutoFlow function can be activated in the »Settings«
Paw
menu. FlowAcc FlowAcc Paw >
high low Pmax
With AutoFlow, the inspiration flow is automatically adjusted to FlowAcc FlowAcc
PPLAT
changes in lung conditions (C, R) and to the spontaneous
breathing demand of the patient. PEEP
t
Always set the alarm limit »Paw W« as well as V T W in Tinsp Te

order to set off an alarm in the event of an increase in 1
airway pressure or tidal volume V T with change of f
Flow
compliance. VT
t
Typically, the selected inspiration time Tinsp is noticeably
longer than the filling time of the lungs. The inspiration
pressure Pinsp corresponds to the minimum value resulting
024 37276
from both tidal volume V T and compliance C of the lungs. without spontaneous breathing with spontaneous breathing
Savina automatically controls the inspiration flow so that there

is no pressure peak caused by the resistances of the tube and
the airways. The plateau pressure Pplat varies with changes in
compliance C, as is normal in all constant-volume ventilation
strokes. With AutoFlow, these variations occur in maximum
steps of 3 mbar between ventilation strokes. The plateau
pressure Pplat is automatically limited by the pressure
limitation Pmax = Paw W –5 mbar.
If the tidal volume V T is reached (inspiration flow = 0) before

the inspiration time has elapsed, the patient can breathe in and
out during the remaining inspiration time at the level of the
plateau pressure Pplat.
If the patient breathes in or out during mandatory inspiration,

the plateau pressure Pplat is not changed for this ventilation
stroke. Only the Inspiration and expiration flow are adapted to
the patient’s demand. The individually applied tidal volume V T
may differ from the set tidal volume V T in specific ventilation
strokes, but on average over time a constant tidal volume V T is
supplied.
The exceeding increase of the tidal volume V T can be

restricted by the alarm limit »VTi W«. If the set alarm limit is
exceeded one time, Savina sets of an advisory message (!);
if the alarm limit is exceeded three times, Savina sets of a
warning message (!!!). The volume is actively limited to the
alarm limit value »VTi W« by switching over to the PEEP level.
A set inspiration time Tinsp which is shorter than the filling

time of the lungs can be recognized from the flow curve: the
flow at the end of the inspiration time has not yet returned to
zero. The »! Tidal volume low« or »!! Tidal volume low« alarms
indicate that the settings selected do not permit full delivery of
the tidal volume V T. It must now be decided whether the
current condition of the patient permits prolongation of the
inspiration time Tinsp or an increase of the flow acceleration,
in order to apply the set tidal volume V T.
92
Description
A stenosis can also cause the filling time of the lungs to

become longer than the set inspiration time Tinsp.
Paw
Paw >
Starting behavior of AutoFlow PPLAT

Upon switching on the function AutoFlow Savina applies
the set tidal volume V T using a volume-controlled breathing PEEP
t
stroke.
Tinsp Te
The plateau pressure Pplat derived from this breathing stroke
serves the function AutoFlow as starting value for the 1
f
inspiration pressure. Flow
VT
Settings to suit the patient’s needs

The Start of the mandatory inspiration can be synchronized
033 37276
without spontaneous breathing with spontaneous breathing
with the patient’s inhalation effort with the help of the variable
flow trigger. The flow trigger can only be completely turned off
in IPPV (IPPV Assist –> IPPV).
The steepness of the pressure increase from PEEP level to the

inspiration level can further be adapted with the ventilation
parameter FlowAcc in SIMV and IPPV to suit the patient’s
needs.
93
Description
SIMV
Synchronized Intermittent Mandatory Ventilation
Combination of mandatory ventilation and spontaneous
breathing. unsynchronised synchronised
Paw mandatory mandatory
ventilation stroke ventilation stroke
SIMV enables the patient to breathe spontaneously in regular
prescribed intervals between mandatory ventilation strokes FlowAcc FlowAcc
that ensure a minimum ventilation.
PEEP
This minimum ventilation is defined by two set values, tidal
volume (V T) and ventilation frequency (f). The minimum t
Trigger
ventilation is the product of V T x f. window Tinsp spontaneous spontaneous
breathing time breathing time
The ventilation pattern is set by the ventilation parameters + T
tidal volume V T, frequency f, inspiration time Tinsp and flow 1
set IMV time
f
acceleration FlowAcc. set IMV time 1
041 37276
f
To prevent the mandatory ventilation stroke being applied
during spontaneous expiration, the Flowtrigger of the machine
ensures that the ventilation stroke is triggered within a "trigger
window" and synchronised with the patient's spontaneous
inspiration.
The "trigger window" is no longer than 5 seconds. If the
expiration times are less than 5 seconds, the trigger window
covers the entire expiration time, less a minimum expiration
time of 500 ms.
Since the synchronisation of the mandatory ventilation stroke

reduces the effective SIMV time and therefore would normally
result in an undesirable increase in the effective IMV
frequency, Savina adds back the reduced SIMV time by
prolonging the subsequent spontaneous breathing phase by
the SIMV time difference ∆ T – thus preventing an increase in
SIMV frequency. The frequency parameter f remains constant.
This parameter, in combination with the tidal volume V T, sets
the minimum ventilation. If the patient has breathed in a
considerable inspiratory volume at the beginning of the trigger
window, the machine reduces the subsequent mandatory
ventilation stroke by shortening the time for the inspiratory flow
phase and the inspiration time. In this way, the tidal volume V T
remains constant, and over-inflation of the lungs is avoided.
During the spontaneous breathing phases, the patient can be

assisted by ASB pressure support.
In the course of progressively weaning the patient from

artificial ventilation, the ventilation frequency f is further
reduced while the spontaneous breathing time is increased,
so that the required total minute volume is supplied more and
more by spontaneous breathing.
The ventilation frequency can be reduced to 2/min.
94
Description
ASB
Pressure support for insufficient spontaneous breathing.

Paw
The function of the machine in assisting insufficient
spontaneous breathing is similar to that of the anaesthetist Phase
I II
who manually assists and monitors the patient's spontaneous
breathing by feeling the breathing bag. ∆ PASB
above PEEP
FlowAcc
The machine takes over part of the inhalation function, with
the patient maintaining control of spontaneous breathing. CPAP
The CPAP system supplies the spontaneously breathing t

Start of inspiration End of inspiration
patient with breathing gas, even if the inspiration effort is
weak.
Insp.
Flow
The pressure support of the ASB system is started: max. 4 s
— when the spontaneous inspiration flow reaches the set
value of the Flowtrigger,
or at the latest
— when the spontaneous inspired volume exceeds 25 mL.
25% insp. flow
042 37276
t
The machine then produces an increase in pressure up to
the preselected ASB pressure ∆ PASB above PEEP, which
is adjustable to the breathing requirement of the patient.
The flow supply can be adjusted using »FlowAcc« to meet the
individual needs of the patient.
— In case of high flow acceleration
Savina supports the insufficient spontaneous breathing
of the patient with a high peak flow.
— In case of low flow acceleration
Savina begins smoothly with even inspiratory flow.
ASB is terminated:
— when the inspiration flow returns to zero during phase I,
i.e. when the patient exhales or fights the ventilator,
or
— when the inspiration flow in phase II falls below 25 % of
the last inspiration flow supplied (∆ PASB above PEEP is
thus reached)
or
— at the latest after 4 seconds if the two other criteria have not
come into operation.
If this time criterion occurs, the advisory message
"! ASB > 4 s" is displayed.
If this time criterion occurs three times in succession,
Savina displays a warning message "!!! ASB > 4 s" and
warns of a possible leak in the ventilation system.
95
Description
BIPAP
The BIPAP ventilation mode is a pressure-controlled/time-

cycled ventilation mode in which the patient can always
breathe spontaneously. BIPAP is therefore often described
as a timed alternation between two CPAP levels.*
The time-cycled change of pressure produces controlled

ventilation corresponding to the pressure-controlled ventilation
PCV. However, the constant option of spontaneous breathing
allows the transition from controlled breathing to independent
spontaneous breathing to take place smoothly over the course
of the weaning phase, without requiring any change in the
ventilation mode. To adapt easily to the patient's spontaneous
breathing pattern, the change-over from expiratory pressure
level to inspiratory pressure level, and also the change-over
from inspiratory pressure level to expiratory pressure level, are
synchronised with the patient's spontaneous breathing.
The frequency of the change-over is kept constant, even with

patient synchronisation, by defining a trigger time window with
a fixed time constant.
This smooth adaptation to the patient's spontaneous breathing

requires less sedation, so that the patient returns to
spontaneous breathing more rapidly.
As in all pressure-controlled ventilation modes, the patient is

not prescribed a fixed tidal volume (V T). The tidal volume
results principally from the pressure difference between the
settings for PEEP and Pinsp and also lung compliance.
The display of the tidal volume measured on expiration, V Te, is

used to set the required difference between the two pressure
levels. Any increase in this difference will cause an increased
BIPAP ventilation stroke.
Changes in lung compliance and airways, as well as active

'fighting' by the patient can lead to changes in tidal volume.
This is a desired effect in this ventilation mode.
With the knowledge that the tidal volume, and therefore the
minute volume, are not constant, the alarm limits for minute
volume must be adjusted with care.
* Bibliography (1), (2), (3), page 98.
96
Description
Using BIPAP
As with SIMV, the time pattern is set using the basic setting
mandatory synchronised
parameters of frequency f and inspiration time Tinsp. The Paw BIPAP stroke spontaneous breathing BIPAP stroke
lower pressure level is set with the PEEP parameter, while
the upper level is set with Pinsp.
FlowAcc
When switching over from volume controlled ventilation to
BIPAP mode – while retaining the time pattern – only the Pinsp
PEEP
setting needs to be changed.
The steepness of the pressure increase is controlled by the t

Trigger
»FlowAcc« setting. window Tinsp
During the lower pressure level phase, spontaneous breathing
can be assisted by ASB.
026 37276
1
The steepness of the pressure increase to ASB pressure f
∆ PASB above PEEP is also controlled by the »FlowAcc«
setting.
The transition from controlled ventilation via the weaning
phase to fully spontaneous breathing is achieved by a
gradual reduction of the inspiratory pressure Pinsp and /
or frequency f.
97
Description
Bibliography
(1) Baum, M., Benzer, H., Putensen, Ch., Koller, W., Putz,G.:
Biphasic Positive Airway Pressure (BIPAP) – eine neue
Form der augmentierenden Beatmung
Anaesthesist 38 (1989), 452-458
(2) Vincent, J.-L.:

Yearbook of Intensive Care and Emergency Medicine
Springer-Verlag 1993
(3) Sydow, M.:

Biphasic Positive Airway Pressure (BIPAP) und Airway
Pressure Release Ventilation (APRV)
in: Kuhlen, R., Guttmann, J., Rossaint, R. (Hrsg.):
Neue Formen der assistierten Spontanatmung
Urban & Fischer 2000
98
What's what
What's what
What's what . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Control unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Front connection block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Back panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
99
What's what
What's what
Control unit
20 1 2
D Savina
Trigger
3
19 Nebul. VT Pinsp g
mL L mbar 2 min 4
O2 Y
18 Suction Tinsp. ∆PASB Alarm
Insp.
s above PEEP Reset 5
17 hold f PEEP
bpm mbar
Lock 6
O2
Vol.% N
16
Curves Settings Alarms Values Config. ext. J 7
int. J
CPAP O
IPPV SIMV
ASB
BIPAP Standby 8
15 14 13 12 11 10 9
084 37276
1 Screen for displaying application-specific screen pages. 13 »Alarms ∆∆« key for setting and displaying alarm limits.
2 Parameter keys for setting the ventilation parameters and 14 »Settings ∆∆« key for setting other ventilation parameters
displaying the settings. on the screen.
3 Red and yellow lamps for alarms and advisory messages. 15 »Curves « key for changing to the main page
4 » 2 min« key for suppressing the audible alarm tone and for switching the curve displayed (Flow or Paw)
for 2 minutes. 16 » « key for switching the screen brightness between
5 »Alarm Reset« key for acknowledging alarm messages. bright / dark.
6 » Lock« key for protecting against unauthorised 17 »Insp. hold« key for manual inspiration.
modification. 18 »O2 Y Suction« key for bronchial suction.
7 Power supply indicators 19 » Nebul.« key for switching the pneumatic
medicament nebuliser on / off.
N Mains power 20 Trigger indicator.
ext. J External battery or DC on-board network

int. J Internal battery
8 » Standby« key for changing between ventilation
and standby.
9 Central "turn and press" rotary knob for selecting
and confirming settings.
10 Mode keys for IPPV, SIMV, CPAP/ASB, BIPAP
11 »Config. ∆∆« key for system settings.
12 »Values ∆∆« key for displaying measured values.
100
What's what
Front connection block
2
3
1 4
5
088 37261
1 Flow sensor
2 Expiration valve with expiration port
3 Socket for breathing gas temperature sensor plug
4 Inspiration port
5 Gas supply port for the medicament nebuliser
6 Protective cover for O2 sensors
101
What's what
Back panel
6 7
4
8
3
9
10
089 37261
1 RS 232 serial interface
2 Nurse call socket (optional)
3 Power switch
4 Fuse for internal battery
5 Power unit socket
6 DC inlet (external battery or DC on-board network)
7 Potential equililsation connector
8 Filter cover
9 Low pressure O2 inlet
10 In side panel: connection for O2 pressure hose
102
What's what
Abbreviations
Abbreviation Definition
ASB Assisted Spontaneous Breathing

Pressure-supported spontaneous breathing
BIPAP Biphasic Positive Airway Pressure
Ventilation mode for spontaneous breathing at continuous
positive airway pressure with two different pressure levels
bpm breaths per minute
BTPS Body Temperature, Pressure, Saturated
Measured values based on the conditions of the patient’s lungs,
with body temperature 37°C, atmospheric pressure, steam-
saturated gas
C Compliance
CPAP Continuous Positive Airway Pressure
Breathing with continuous positive pressure in the airways
∆ PASB above Setting for pressure support ASB above PEEP
PEEP
EN 794-1 European standard for medical ventilation equipment
Part 1, "Intensive Care Ventilation"
f frequency
fApnoe Frequency setting for apnoea ventilation
fspn spontaneous breathing frequency
ftot total breathing frequency
Fail to cycle Machines detects no inspiration
FiO2 Inspiratory O2 concentration
FlowAcc Flow acceleration
Int. PEEP Intermittent Positive End-Expiratory Pressure = Sigh
IPPV Intermittent Positive Pressure Ventilation
IPPVAssist Assisting Intermittent Positive Pressure Ventilation
IRV Inversed Ratio Ventilation
Ventilation with inversed inspiration/expiration ratio
I:E Ratio of Inspiration time to Expiration time
MV Minute volume
MVspn Spontaneous fraction of minute volume
O2 Setting for inspiratory oxygen concentration
Paw Airway pressure
PEEP Positive End-Expiratory Pressure
Pinsp Setting of the upper pressure level in BIPAP
PLV Pressure Limited Ventilation
PMean Mean airway pressure
PPeak Peak pressure
PPlat End-inspiratory airway pressure
R Resistance
103
What's what
Abbreviation Definition
SIMV Synchronized Intermittent Mandatory Ventilation

T Ramp Setting for the temporary pressure increase in ASB
Temp Inspiratory breathing gas temperature
Te Expiration time
Tinsp Setting for the inspiratory time
Tplat Plateau time
VT Setting for tidal volume
V TApnoe Setting for tidal volume of apnoea ventilation
V Te Expiratory tidal volume
V Ti Inspiratory tidal volume
104
What's what
Symbols
Symbol Explanation
Nebul. Switch medicament nebuliser on / off
O2 Y
Suction Activate/deactivate oxygen enrichment for bronchial suction
Insp.
hold Start manual inspiration and hold
Settings
∆∆ Select settings page
Config.
∆∆ Configure system settings
Alarms
∆∆ Display alarm limits
Values
∆∆ Display measured values
Curves
Switch between flow / pressure curve
Bright / dark screen brightness setting
2 min Mute audible alarm for 2 minutes

Alarm
Reset Acknowledge alarms
Lock Lock ventilation parameters and ventilation mode
Standby Standby
Upper alarm limit
Lower alarm limit
Lower / upper alarm limit
Follow instructions for use!
m Protection class Type B
m Protection class Type BF
º Insert flow sensor
105
106
Technical data
Technical data
Technical data ............................................................................................................... 108
107
Technical data
Technical data
Environmental conditions
In operation
Temperature 5 to 40°C
Atmospheric pressure 700 to 1060 hPa
Rel. humidity 5 to 95%, no dew
In storage and transit

Temperature –20 to 70°C
Atmospheric pressure 600 to 1200 hPa
Rel. humidity 10 to 95%, no dew
Settings
Ventilation modes IPPV / IPPV Assist,
SIMV, SIMV / ASB
BIPAP, BIPAP/ASB
CPAP/ASB
Ventilation frequency f 2 to 80 bpm
Inspiration time Tinsp 0.2 to 10 s

Tidal volume V T 0.05 to 2.0 L, BTPS*
Accuracy ± 10% of set value or ± 25 mL,
whichever is greater.
Inspiratory pressure Pinsp 0 to 100 mbar**

O2 concentration
Accuracy 21 to 99 vol.%
±3 vol.%
The accuracy of the inspiratory O2 concentration is appreciably
reduced when operating Savina without O2 sensors.
Positive end-expiratory pressure PEEP

or interm. PEEP 0 to 35 mbar
Trigger sensitivity 1 to 15 L/min

Can be switched off in IPPV ventilation mode.
Pressure assist ∆ PASB with PEEP 0 to 35 mbar (relative to PEEP)
Flow Acceleration FlowAcc 5 to 200 mbar/s
* BTPS
Body Temperature, Pressure, Saturated.
Measured values with reference to the conditions of the patient’s lung,
body temperature 37°C, ambient pressure, steam-saturated gas.
** 1 mbar = 100 Pa
108
Technical data
Performance data
Control principle Time-cycled, volume-constant, pressure-controlled
Intermittent PEEP frequency 2 cycles every 3 minutes
Medicament nebulisation For a maximum of 30 minutes, in the inspiratory flow phase,

(with O2 supply only) 2 bar, max. 10 L/min.,
Savina takes the nebulizer flow into account and keeps the
minute-volume constant
Oxygen enrichment for bronchial suction

(with O2 supply only)
disconnection detection automatic
reconnection detection automatic
oxygen enrichment max. 3 minutes with 100 vol.% O2
active suction phase max. 2 minutes
final oxygen enrichment 2 minutes with 100 vol.% O2
Supply system for spontaneous breathing and ASB Blower with quick-action pressure control valve
max. inspiratory flow 180 L/min
Equipment compliance
(with Fisher & Paykel MR 730 humidifier
and adult patient hose system) ≤2 mL/mbar
Inspiration resistance ≤2.3 mbar/60 L/min
Expiratory resistance ≤3.8 mbar/60 L/min
Equipment compliance
(with Fisher & Paykel MR 730 humidifier
and tubing system for paediatric use) ≤1 mL/mbar
Inspiration resistance ≤4.1 mbar/30 L/min

Expiration resistance ≤4.1 mbar/30 L/min
Additional functions
Inspiratory relief valve opens breathing system in case of failure
Safety valve opens the breathing system at 100 mbar.
Measured value displays

Airway pressure measurement
Max. airway pressure PPeak

Plateau pressure PPlat
Pos. end-exp. pressure PEEP
Mean airway pressure PMean
Range 0 to 99 mbar
Resolution 1 mbar
Accuracy ±2 mbar
Inspiratory O2 measurement:
Inspiratory O2 concentration FiO2
Range 18 to 100 vol.%
Resolution 1 vol.%
Accuracy ±3 vol.%
109
Technical data
Flow measurement
Minute volume MV
Spontaneous breathed minute volume MVspon
Range 0 to 99 L/min, BTPS*
Resolution 0.1 L/min
Accuracy ±8 % of measured value
T0...90 approx. 35 s
Measured expiratory tidal volume V Te

Range 0 to 3999 mL, BTPS*
Resolution 1 mL
Accuracy ±8 % of measured value
Frequency Measurement
Spontaneous breathing frequency fspn
Total frequency ftot
Range 0 to 150 /min
Resolution 1 /min
Accuracy ±1 /min
T0...90 approx. 35 s
Breathing gas temperature measurement
Range 18 to 51 oC
Resolution 1 oC
Accuracy ±1 oC
Curve displays
Airway pressure Paw (t) –5 to 100 mbar
Flow (t) –200 to 200 L/min
Monitoring
Expiratory minute volume MV
Upper alarm limit alarm when MV exceeds the upper alarm limit.
Setting range 41 to 2 L/min, in 0.1 L/min steps
Lower alarm limit alarm when MV falls below the lower alarm limit.
Setting range 0.5 to 40 L/min, in 0.1 L/min steps
Airway pressure Paw

Upper alarm limit alarm when the "Paw high" value is exceeded.
Setting range 10 to 100 mbar
Lower alarm limit alarm when the value "PEEP +5 mbar" (coupled with the PEEP set value)
is not exceeded for at least 0.1 s in two successive ventilation
strokes
* BTPS
Body Temperature, Pressure, Saturated.
Measured values with reference to the conditions of the patient’s lung,
body temperature 37°C, ambient pressure, steam-saturated gas.
110
Technical data
Insp. O2 concentration FiO2

Upper alarm limit alarm if FiO2 exceeds the upper alarm limit for at least 20 seconds.
Lower alarm limit alarm if FiO2 falls below the lower alarm limit for at least 20 seconds.
Range both alarm limits are automatically allocated to the set value:
below 60 vol. % with ± 4 vol. %
above 60 vol. % with ± 6 vol. %
Tachypnoea monitoring
Alarm if the total frequency is exceeded during spontaneous breathing.
Adjustment range 10 to 120 /min
Apnoea alarm time

Alarm if no breathing activity is detected.
Adjustment range 15 to 60 s, adjustable in 1 second steps.
Insp. tidalvolume
Alarm if the delivered tidal volume VT exceeds the alarm limit
Setting range 0.06 to 4 L
Operating data
Mains power connection 100 V to 240 V, 50 / 60 Hz

Current input
at 230 V max. 1.3 A
at 100 V max. 3.2 A
Power consumption in typical ventilation typically approx. 100 W
Machine fuses
Range 100 V to 240 V F 5 H 250 V IEC 127-2 (2x)
Protection class I, Type B
External DC supply 10 to 36 V DC
Input current (DC)
12 V battery typically 10 A, max. 20 A
24 V battery typically 5 A, max. 10 A
Bridging time if mains supply is down, with charged

external battery and typical ventilation
examples
12 V battery 36 Ah approx. 4 hours (e.g. with 1 lead-gel battery 12V/36 Ah)
24 V battery 17 Ah approx. 7 hours (e.g. with 2 lead-gel batteries 12V/17 Ah)
Bridging time if mains supply is down and no approx. 60 minutes with typical ventilation
external DC supply is available (new, charged
batteries)
111
Technical data
External battery
Sourcing information:
Standard rechargeable lead or lead-gel batteries
can be used, e.g.
Sonnenschein A212 / 36 A (1 or 2 batteries)
Panasonic LCL 12 V 24P (2 batteries)
LCL 12 V 33AP (1 or 2 batteries)
LCL 12 V 38P (1 or 2 batteries)
Battery charging
Savina automatically detects the voltage of the
external battery connected.
Charge current: 12 V battery approx. 4 A
24 V battery approx. 2 A
When the battery is fully charged, the charging
system switches to trickle charging.
Trickle charging is effected by short current pulses.
Charging times
The charging times indicated refer to immediate
charging of the battery after discharge.
Several successive partial discharges or
intermediate mains charging can extend the
charging time.
Type: lead-gel batteries, maintenance-free, sealed
Minimum capacity
12 V battery 30 Ah
24 V battery 15 Ah
Charging time
12 V battery < 10 hours (about 5 hours at 80% charge)
24 V battery < 10 hours (about 5 hours at 80% charge)
Charge current
12 V battery 4A
24 V battery 2A
112
Technical data
Internal battery
Type Lead-gel battery, maintenance-free, sealed.
Charging time < 5 hours, including from external DC on-board network
(about 1,5 hours at 80% charge)
Protection class
Machine Class I
Temperature sensor AWT01 (sensor fitted) Type BF

Gas supply
O2 gauge pressure 3 bar –10 % to 6 bar
O2 connection thread NIST
The gas must be dry and free from oil and dust.
Output for pneumatic medicament nebuliser O2, max. 2 bar, max. 10 L/min
Sound pressure level 45 dB (A) for typical ventilation at 1 m distance
(for free-field measurement over
a reflecting surface)
Dimensions (W x H x D)
Basic machine 380 x 383 x 358 mm
Machine with trolley 580 x 1335 x 560 mm
Weight
Basic machine approx. 22 kg
Machine outputs
Digital output Output and reception via an RS 232 C interface
for MEDIBUS protocol
Classification Class IIb

as per EC Directive 93/42/EEC
Annex IX
UMDNS-Code 17 – 429
Universal Medical Device
Nomenclature System –
nomenclature for medical products
Relevant standards
EN 794-1, Lung ventilators – Part 1: Special requirements for intensive care ventilators
EN 60601-1, Medical electrical appliances – Part 1: General safety rules (IEC 601-1, 1996)
EN 60601-1-2, Medical electrical appliances – Part 1: General safety rules – Second supplementary standard: Electroma-
gnetic compatibility – Requirements and testing (IEC 601-1-2 1993)
RTC/DO-160D, Environmental Conditions and Test Procedures for Airborne Equipment, Section 21: Emissions of radio
frequency energy, 29.7.1997
MIL-STD-461, Requirements for the control of electromagnetic interference emissions and suspectability, RE 101,
CS 114, RS 101
113
114
Order List
Order List
Order List .........................................................................................................................116
115
Order List
Order List
Designation/Description Part No. Designation/Description Part No.
Basic machine Special accessories
Savina 84 13 600 Pneumatic medicament nebulizer 84 12 935
Articulated bracket 84 09 609
Accessories required for operation or
Quick-fit articulated bracket 2 2M 85 706
O2 connecting hose 3 m (NIST) M 34 402
SavinaMobil trolley 84 14 335
non-colour coded or
O2 connecting hose 5 m (NIST) M 34 403
For manual ventilation:
non-colour coded
Resutator 2000 21 20 046
paediatric Resutator 2000 21 20 984
For adult ventilation
Resutator hook M 26 349
Temperature sensor 84 05 371
Aquapor humidifier 84 05 020
Adult test lung 84 03 201
Bracket set 84 03 345
Hose set adult 84 13 146
comprising: MEDIBUS cable 83 06 488
Patient hoses, water traps, Y-piece, DC battery cable (ext. battery) 84 14 047
catheter connector Ext. lead-gel battery 12 V / 17 Ah 18 43 303
HME hose set (adult) 84 12 860 (2 batteries needed)
Humidifier basic unit MR 730 84 11 046 DC on-board network cable S 84 14 048
(Fisher & Paykel)
Humidifier chamber MR 370 84 12 217 Options
Hose set (adult), Fisher & Paykel 84 12 108 Nurse call system 18 46 248
Bacterial filter SecuRed Big, Stl. MX 02 650 Plug for the connection of nurse calling 16 46 248
system
For paediatric ventilation 90o O2 connector 84 13 641
Humidifier basic unit MR 730 84 11 046 Set of side rails 84 14 358
(Fisher & Paykel),
Including hose heater adapter Sterilisation replacement set
Fastening set (rail bracket) 84 11 074 Expiration valve 84 13 660
Humidifier chamber MR 340 (paediatric) 84 11 047 For adult ventilation:
Double temperature sensor 84 11 048 Adult hose set (silicone) 84 12 092
Single-strand wire 1.5 m 84 11 050 Aquapor patient connection 84 05 029
Bacterial filter SecuRed L, Stl. MX 02 652 Temperature sensor 84 05 371
"paediatric" hose set (Fisher & Paykel) 84 12 081 Pneumatic medicament nebulizer 84 12 935
comprising:
Hose heater 23 47 020,
Patient hoses, water traps, Y-piece, For paediatric ventilation:
catheter connector
"paediatric" hose set (Fisher & Paykel) 84 12 081
Bacterial filter (disposable) 84 09 716
Humidifier chamber MR 340 (paediatric) 84 11 047
including filter paper for humidifier chamber
(set of 100)
116
Order List
Designation/Description Part No. Designation/Description Part No.

Replacement parts Paediatric adapter 90o 84 03 075
For Savina: Double cone 84 09 897
O2 sensor (Oxytrace VE) MX 01 049 Temperature sensor inputs 84 11 044
Expiratory condensate trap 84 09 627
For articulated bracket: Pot 84 03 976
Holder 84 09 746 Hose heater 1.10 m 84 11 045
Hose clamp 84 09 841 Temperature sensor 84 11 048
Hose heater adapter 84 11 097
For adult ventilation: Single-strand wire 1.5 m 84 11 050
Temperature sensor 84 05 371 Humidifier chamber MR 340 (paediatric) 84 11 047
Aquapor E-set cover 84 06 135 including filter paper (set of 100)
Aquapor tank 84 04 739 Bacterial filter 84 09 716
Aquapor float 84 04 738

Adult spiral hose,
Silicone rubber 0.6 m 21 65 627 Consumables
Adult spiral hose, Spirolog flow sensor (set of 5) 84 03 735
Silicone rubber 0.35 m 21 65 619 Microfilter 67 37 545
Water trap 84 04 985 Set of dust filters S 84 14 057
Pot 84 03 976 Filter paper for humidifier chamber F&P 84 11 073
Hose clamp 84 03 566 (100 pieces)
Nozzle M 25 647 Hose set for humidifier F&P (disposable) MX 22 780
Y-piece (with thermometer sleeve) 84 05 435 HME hose set (disposable) MX 22 750
Catheter connector, straight, size 12.5 M 23 841
(set of 10) Hose set Aquapor (disposable) MX 22 777
Corrugated hose 84 02 041 Bacterial filter SecuRed Big, Stl.* MX 02 650
Adult adapter 84 03 076 Bacterial filter SecuRed L, Stl.* MX 02 652
Catheter connector set, adult 84 03 685
Humidifier chamber MR 370 (adult) 84 12 217 Technical Documents on request
(Fisher & Paykel)
Cap set (set of 5) 84 02 918
Elbow connector ISO M 25 649
For paediatric ventilation:

Paediatric spiral hose, 21 65 651
silicone rubber 22/10, 1.10 m
Corrugated hose flex., 0.13 m 84 09 634
Catheter connector size 11 (set of 10) M 19 490 * not available in all countries, please contact your
local Dräger organization.
Cap 84 01 645
117
Index
Index
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103 Electrical power supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Event of an alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Advisory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Event of gas failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Alarm limits Expiration valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62, 72
Factory settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 External battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14, 15, 31 Extreme settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Ambient temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Apnoea alarm time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Apnoea ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Fault – Cause – Remedy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Appropriate monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 FiO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
ASB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 Flow Acceleration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Assembling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 Flow Acceleration FlowAcc . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Audible alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Flow monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
AutoFlow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24, 92 Flow sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62, 73
Front connection block . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Back panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Bacterial filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74 Heat and moisture exchanger . . . . . . . . . . . . . . . . . . . . . . . . 74
Battery status display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79 HME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74
Battery, external . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Hose set, adult . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Bibliography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98 Hose set, paediatric . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
BIPAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26, 96 Humidifier
BIPAP / ASB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Aquapor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Bronchial suction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Fisher & Paykel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Calibrating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Information window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60 Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Caution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Intermittent PEEP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23, 91
Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88 Internal battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 IPPV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21, 90
Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15, 44 IPPV Assist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21, 91
Configuring the measured values line . . . . . . . . . . . . . . . . . 45
Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Contrast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Keys for routine and additional functions . . . . . . . . . . . . . . 12
Control unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Controls
Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Screen operating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Laying up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Locking the keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
CPAP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
CPAP / ASB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
CPPV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Main page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Curves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Maintenance Intervals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Manual inspiration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Manual ventilation device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Measured values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14, 34
Device values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
MEDIBUS protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Device-ID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Medicament nebulization . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Medicament nebulizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Disinfecting / cleaning / sterilising schedule . . . . . . . . . . . 65
Microfilter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Dismantling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Dust filter set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
118
Index
Nebulization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Nebulizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Ventilating infants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Nurse calling system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 Ventilation hoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Ventilation Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21, 90
O2 monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
O2 sensor Volume-controlled ventilation . . . . . . . . . . . . . . . . . . . . . . . . . 90
Calibrating . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Fitting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 What's what . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
O2 sensor 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Working hours . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46, 49
O2 supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Operating concept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Order List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Oxygen enrichment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Patient hose set, adult . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Patient hose set, paediatric . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Plateau . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24, 48
PLV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Pmax ON / OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Power supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Power switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Pressure limiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Readiness for operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Release code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Screen pages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Structure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Selecting the ventilation mode . . . . . . . . . . . . . . . . . . . . . . . 10
Setting new parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Setting ventilation parameters . . . . . . . . . . . . . . . . . . . . . . . . 10
Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Sigh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23, 24, 91
SIMV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25, 94
SIMV / ASB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Special functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Starting Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Sterilising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Suction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
SW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Technical data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

Temperature monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Trigger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22, 23
119
These Instructions for Use apply only to
Savina
with Serial No.:
If no Serial No. has been filled in by
Dräger, these Instructions for Use are
provided for general information only
and are not intended for use with any
specific machine or device.
ç
Directive 93/42/EEC
concerning Medical Devices

Germany
z Moislinger Allee 53 – 55
D-23542 Lübeck
y +49 451 8 82-0
x 26 80 70
FAX+49 451 8 82-20 80
! http://www.draeger.com
90 37 276 - GA 5664.910 en
© Dräger Medizintechnik GmbH
2nd edition – November 2000
Subject to alteration

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Dräger Medizintechnik

The header line... Operating Concept

contains the main chapter title.

Keys for routine and additional functions

The page body... on the right-hand side of the front panel:

For your safety and that of your patients 5

Fault – Cause – Remedy 51

Technical data 107

Order List 115

For your safety and that of your

Not for use in areas of explosion hazard

Safe connection with other electrical equipment

Precautions Appropriate Monitoring

Back-up ventilation with an independent

1 Dräger medical equipment fulﬁls the interference resistance

IRV Areas of Use

1 Savina® is a registered trade mark of

Derived parameters are displayed in an information window

Selecting the ventilation mode

For detailed instructions on setting the ventilation modes,

Screen Operating Controls

— »Curves « key for selecting the main page to

— »Set ∆∆« key for selecting the "Setting" screen page in 2

— »Values ∆∆« key for selecting the "Measured values"

— »Conﬁg. ∆∆« key for selecting the "Configuration" screen

2 Central "turn and push" rotary knob for selecting and

To select/set = turn the rotary knob,

Changing screen pages

To change to another page:

To change to the main page:

Keys for routine and additional functions

2 Keys for additional functions are positioned on the left-hand

— » Nebul.« key for switching the medicament

Information window on screen

The information window disappears when the parameter

"Settings" screen page

"Alarms" screen page

— For setting the alarm limits.

For detailed operating instructions, see "Setting alarm limits"

"Values" screen page

Detailed instructions for use, see "Displaying Curves and

"Conﬁguration" screen page

Changing screen pages

To change to another page:

To change to the main page for pressure curves:

Detailed instructions for use, see "Conﬁguration",

— To keep the apparatus operational, D Savina

e.g. after pre-setting.

At the end of the test phase, the apparatus automatically

After this, the main page appears.

To adjust ventilation parameters:

2 Change the ventilation parameters after the Savina has

3 Press the » Standby« switch to set the Savina on 3

Setting Ventilation Modes

2 Set the desired value = turn the rotary knob,

If the setting is at the upper or lower limit of the adjustment

Parameter settings for the active ventilation mode do not

If you fail to conﬁrm the new settings within 20 seconds,

Parameter Threshold Range

Setting the extreme values:

Conﬁrmation is not necessary when the values are reduced to

To set parameters for another ventilation mode

2 In the block of parameter keys, the LEDs for the additional