Professional Documents
Culture Documents
VENTILATION
SERVO-i/s
CLEANING AND MAINTENANCE
| TABLE OF CONTENTS |
TABLE OF CONTENTS
1 Introduction | 5
2 Routine cleaning | 9
3 Maintenance | 27
1 INTRODUCTION
TABLE OF CONTENTS
1.1 Introduction | 6
1.2 Warnings, Cautions, and Important | 6
1.3 Symbols | 6
1.4 General information | 6
1.5 Wall diagrams | 7
Instructions relevant only for either SERVO-i As cleaning practices vary widely among
or SERVO-s are marked. Parts included in health care institutions, it is not possible for
SERVO-i only: MAQUET to specify particular practices that
Battery module will meet all needs, or to be responsible for
Y sensor the effectiveness of cleaning procedures
CO2 sensor carried out in the patient care setting.
Edi module
MAQUET recommends methods that have
1.2 WARNINGS, CAUTIONS, AND been validated using the specified equipment
IMPORTANT and procedures outlined in this manual. Other
methods may work but are not covered by the
warranty unless MAQUET has given written
WARNING! Indicates critical information
permission.
about a potential serious outcome to the
patient or the user.
Cautions:
1.5 WALL DIAGRAMS
All personnel should be aware of the risk
of parts being infected when The wall diagrams are provided as checklists
disassembling and cleaning the and contain overviews and step-by-step
ventilator. instructions for cleaning, to be posted on a
All disposable parts must be discarded
wall.
according to hospital routines and in an
environmentally safe way.
IMPORTANT:
Follow your hospitals guidelines for
handling infectious material when
handling any part of the SERVO-i/s
ventilator system.
If possible, cleaning should be performed
immediately after use and always before
disinfection/sterilization. Blood or other
residues should not be allowed to dry
onto the devices.
Water quality affects
cleaning/disinfection. MAQUET
recommends drinking quality water as
the minimum quality level.
MAQUET recommends the use of Servo
Duo Guard bacterial filter or equivalent
to reduce the transmission of bacteria
from the patient via the expiratory
channel to the expiratory cassette. This
reduces the risk of infection spread and
prolongs the life of the expiratory
cassette due to reduced cleaning
requirements.
The use of a washer-disinfector for
cleaning/disinfection is recommended if
bacterial filters are not used.
Sterilization is normally not necessary for
the expiratory cassette, as it is not an
invasive instrument, but when applied,
use validated processes only.
2 ROUTINE CLEANING
TABLE OF CONTENTS
Assemble
Dry
Dismantle
Wipe off/discard
Rinse
Dry
Autoclave
Dry
Assemble
SERVO-i
Dismantle
Wipe off/discard
Rinse
D1 D2
Washer- Disinfectant
Disinfector
Rinse
Dry
Assemble
2.2.1 PREPARATIONS
- Lift the locking handle and pull out the
patient unit.
- Switch off the ventilator using the switch
- Press the button on the expiratory cassette,
on the rear of the User Interface. tilt it upwards and remove.
- Disconnect the ventilator from the power
and gas supply.
- Disconnect any optional equipment from
the power supply and from the ventilator.
SERVO-s
Dry
This is all the cleaning that is required when a
Servo Duo Guard filter (or equivalent) is used.
Assemble
D1 D2
Washer- Disinfectant
Disinfector
Rinse
Dry
Assemble
Dismantle
Wipe off/discard
Rinse
D1 D2
Washer- Disinfectant
Disinfector
- Wash the parts with water only in a
Rinse
washer-disinfector at a temperature of
85-95C (185-203F).
Dry
Assemble
IMPORTANT:
The expiratory cassette is a precision
1
instrument and must be handled
carefully.
After disinfection procedure, all parts - Place the expiratory cassette on its side
must be dried before use. If the with the electrical connector (1) uppermost
expiratory cassette is not dry it may not as shown in the picture above.
pass the Pre-use check.
Notes:
The water pressure in the
washer-disinfector should not exceed
1.5 bar.
The maximum water flow should not
exceed 10 l/min.
The water must have free passage
through the cassette.
Dismantle
Wipe off/discard
Rinse
D1 D2
Washer- Disinfectant
Disinfector
Recommended position in room air
Rinse
Dry
Assemble
2.5.2 RINSE
2.5.4 AUTOCLAVE
Dismantle
Wipe off/discard
Rinse
CLICK
Washer- Disinfectant
Disinfector - Hinge the expiratory cassette and press it
firmly down into lock position.
Rinse
WARNING! Make sure that the
cassette clicks into position. Check that it
cannot be moved upwards and that the
Dry
button on top of the cassette is completely
ejected.
Assemble
2.6.1 RE-INSERTING THE EXPIRATORY - Note on a log sheet that a routine cleaning
CASSETTE has been performed. Refer to hospital
guidelines.
SERVO-i
2.6.2 PRE-USE CHECK
Preparation
Wipe off/discard
Disconnect the Servo Ultra Nebulizer from the
Rinse
ventilator.
2.7.3 RINSE
Washer-Disinfector
- Wipe the nebulizing chamber and Wash the T-piece and nipples in a
connection cable with a soft cloth washer-disinfector at a temperature of
moistened in soap & water or 85-95C (185-203F).
detergent-based disinfectant.
2.9.1 PREPARATION
Note: The Edi catheter must not be
disposed of with ordinary waste.
Preparation
- Disconnect the Capnostat sensor and
airway adapter from the ventilator.
Disinfection procedure
Rinse
Disinfectant
(wipe off)
Disinfectant Sterilization
Rinse
(wipe off) Rinse
- Wipe the Capnostat sensor with a soft cloth
moistened in disinfectant (Cidex OPA or
isopropyl alcohol 70%).
Dry
Disinfection procedure
- Let the adapter soak in Cidex OPA solution.
- Rinse the adapter thoroughly in distilled
water.
- Before reusing the adapter, the windows
must be dry and wiped off.
2.10 ACCESSORIES
3 MAINTENANCE
TABLE OF CONTENTS
SERVO-i
- Lift the handle and fold it over the Expiratory
cassette.
SERVO-s
SERVO-s
3.3.3 ASSEMBLING
SERVO-i
O2 cell is installed
3.4.3 DISINFECTION/STERILIZATION
PROCEDURES
- Press the latches and insert the inspiratory - Close the locking catch.
channel.
Insertion of O2 sensor
IMPORTANT:
There should always be clearance
between the connector muffs and gas
modules.
Make sure the latches are locked in
position.
Insertion of O2 cell
3.5 ACCESSORIES
Disposable parts
Use disposable and spare parts from MAQUET
only. All disposable parts must be discarded
according to hospital routine and in an
environmentally safe way.
3.4.6 ASSEMBLING