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1、23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,1,Servo,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,2,Main Units,SM 2-2,User Interface,Patient Unit,Servo Mobile Cart,西门子Servoi呼吸平台独有功能 1独有的成熟通气模式：压力调节容量控制（PRVC）；容量支持（VS）；压力调节容量控制的同步间歇指令通气（SIMV(PRVC)+PS）；自动模式（Automode）；双水平气道正压（Bi-Vent）。 2 独有的资料存储卡，可以很容易地存储病人的资料（包括所有的呼吸监测参数），便于日后在个人
2、电脑中进行分析和研究。 3 独有的开放肺工具（Open Lung Tool）,帮助医生非常方便地找到病人肺真正的打开点和闭合点，并且使病人的肺得到了很好的锻炼。,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,4,4 独有的超声流量传感器，故障率低，使呼出气道更为通畅（可以帮助患者呼吸功最小化），提供了更快的反应速度（采样频率：2000次/秒），避免人机对抗，使人机更好地协调起来。 5 独有的呼吸监测参数：浅快呼吸指数（SBI）、时间常数（Tc）、病人的呼吸功（WOBp）、呼吸机的呼吸功（WOBv）、呼吸末二氧化碳（etCO2）、总PEEP、病人的自主吸气时间与总时间比（Ti/T
3、）、自主呼出分钟通气量（Mve sp/）。 6 独有的呼吸波形和数据20秒存储，方便快捷。,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,5,滤芯 电磁阀 气体模块 1.呼吸机根据设置的潮气量、压力水平和氧浓度计算所需的空气、氧气后送至空气、氧气模,流量传感器 压力传感器 温度传感器,西门子Servoi呼吸平台气体模块和气体混合原理,喷嘴,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,6,气体模块,1.呼吸机根据设置的潮气量、压力水平和氧浓度计算所需的空气、氧气后送至空气、氧气模块； 2.气流的控制由带有光电传感器的电磁阀执行，光电传感器监测电磁阀的位置以控制阀
4、门杆的位置，阀门杆顶起喷嘴内的膜片，通过改变膜片与气孔间距来控制气体的流量， 3.气体模块内的压力传感器监测供气压力，流量传感器监测流量，根据监测的数值对阀门杆位置进行PID控制 4.温度传感器监测供气的温度以补偿气体密度的变化 5.送气精度： 流量-5%或0.1ml/s 压力- 5%或1cmH2O,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,7,气体模块 混合腔 氧电池 压力传感器 出口 氧气进口气体 混合 空气进口原理,气体混合原理：空气、氧气分别进入两个气体模块，根据设置的潮气量、压力水平和氧浓度计算精确送气至混合腔，混合腔内有混合瓣搅动气流，将空气、氧气充分混合，经氧
5、电池监测实际氧浓度后送出。,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,8,User Interface,37,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,9,User Interface,46,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,10,User Interface,Rear view,SM 2-3,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,11,User Interface - Overview,OH 4:002,1. Menu touchpad 2. Text messages 3. Trig indicat
6、ion 4. Alarm messages 5. Fixed keys 6. Main rotary dial 7. Measured value boxes 8. Special function keys 9. Direct access knobs 10. Mains indicator 11. Start/Stop (Standby) ventilation key 12. Waveform area 13. Patient category,36,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,12,User Interface - Start / Stop venti
7、lation (Standby),OH 4:007,39,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,13,User Interface - Main rotary dial,OH 4:008,- Rotate to select - Push to accept new value,39,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,14,User Interface - Direct Access Knobs,OH 4:009,40,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,15,User Interface - Fixed keys,
8、OH 4:039,56,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,16,User Interface - Special function keys,OH 4:067,max 30s,max 30s,100% Oxygen for 1 minute,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,17,PC Card slot,OH 1:004,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,18,Patient Unit,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,19,Basic Principles - Patient u
9、nit overview,OH 3:008,1. Handle 2. Gas inlet Air 3. Gas inlet O2 4. Equipotentiality terminal 5. Mains supply connector incl. 2.5 A fuses 6. Internal fan with filter 7. Connector for external 12 V DC 8. Fuse for external DC supply (10 A) 9. Optional connector 10. Connection to the User interface 11.
10、 9-pole serial port for data communication (RS232) 12. Expiratory outlet (expiratory cassette),SM 2-4,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,20,Basic Principles - Patient unit overview,OH 3:009,13. Cover, inspiratory channel 14. Expiratory inlet 15. Module Unit for connecting 1-6 modules 16. Connector for S
11、ervo Ultra Nebulizer 17. Inspiratory outlet,SM 2-4,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,21,Basic Principles - Inspiratory flow,OH 3:011,1. Gas inlet O2 2. Gas inlet Air 3. Gas modules 4. Inspiratory mixing section,5. O2 cell with bacteria filter incl. temp. Sensor 33C, 1/2 speed ; 43C, Full speed ; 70C Sh
12、ut down. 6. Bacteria filter for the inspiratory pressure transducer 7. Inspiratory outlet pipe incl. safety valve,SM 2-6 26,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,22,Gas module,1. Filter 2. Inspiratory valve temperature sensor 3. Supply pressure transducer 4. Flow transducer (Delta pressure transducer and n
13、et) 5. Nozzle unit with valve diaphragm 6. Inspiratory solenoid,SM 3-3,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,23,Basic Principles - Nozzle unit,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,24,Basic Principles - O2 cell,OH 3:014,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,25,O2 cell,SM 3-4,Estimated lifetime: 500.000 %hours Built in I
14、D-prom,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,26,Basic Principles - Safety valve,OH 3:015,SM 3-5 30,Opens at 117 3 cmH20 or 5 cmH20 above UPL,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,27,Expiratory cassette,SM 3-6,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,28,Expiratory flow transducer,SM 3-6 31,8. Expiratory inlet 9. Ultrasonic
15、transducers with connection board 10. Bacteria filter for the expiratory pressure transducer 11. Expiratory valve 12. Expiratory outlet with non-return valve,8,9,10,11,12,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,29,Expiratory cassette,Heating foil,Ultrasonic transducers,Exp cassette,SM 3-6,Bacteria filter,23.
16、04.2021,呼吸麻醉教学资料 servo-i呼吸机,30,Expiratory flow transducer,SM 3-6,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,31,PlugnPlay Module,145,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,32,Battery indicator,OH 8:020,25% 50% 75% 100%,Remaining capacity:,145,Operating time: 30 min Charging time: 3 h,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,33,Ba
17、ttery charging,Low charge,Normal charge,Trickle charge,Volt,10,12,1,2,3,4,Batteries,If more than 1 battery is inserted, each battery is charged for 10 minutes before switching to next.,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,34,Battery discharging,Discharging always starts with the battery with the highest v
18、oltage, then the second highest etc.,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,35,Patient unit flexibility,OH 8:008,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,36,PC 1777 Panel,SM 2-3,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,37,Patient unit - Internal layout,SM 2-5,PC 1781 Insp. Pressure transducer,PC 1784 Exp. channel,PC 1771 Contr
19、ol,PC 1772 Monitoring,PC 1775 PlugnPlay,AC/DC Converter,PC 1781 Exp. pressure transducer,Expiratory Valve Coil,PC 1778 Connections & DC/DC converter,Internal fan,Mains supply inlet,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,38,PC 1770 Main Back-plane,SM 2-5,PC 1770 Main back-plane,PC 1780 Adaptor board,23.04.20
20、21,呼吸麻醉教学资料 servo-i呼吸机,39,Options - Servo Ultra Nebulizer,OH 7:024,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,40,Servo-i Mobile Cart with Compressor Mini,OH 8:010,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,41,Gas cylinder application,OH 8:012,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,42,Servo-i holder,OH 8:013,23.04.2021,呼吸麻醉教学资料 ser
21、vo-i呼吸机,43,PC 1781 - Pressure Transducer,Pressure transducer Pre-amplifier Two similar PC-boards in the vent one for the inspiratory pressure and one for expiratory pressure Interchangeable boards Memory prom on the board,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,44,PC 1784 - Expiratory Channel,Mother board fo
22、r pressure transducers Safety valve control PEEP-valve control Exp flowmeter electronics Siemens 167-processor ID-prom,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,45,PC 1771 - Control,Control processor for inspiratory and expiratory valve Nebulizer electronics Motorola 826 processor Battery back-up Flash Memory
23、ID-prom,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,46,PC 1772 - Monitoring,Control processor for monitoring and alarm handling. Host for CI-interface Back-up buzzer Barometer Motorola 826 processor Battery back-up Flash Memory ID-prom,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,47,PC 1775 - Plug-and-Play Back-plane,Identifi
24、es mounted P&P-modules. Controls battery charging / discharging. Primary version contain socket based micro processor including prom. This will however be revised to a soldered component with eeprom in future version. Processor controls if the system shall run on mains, battery or external +12 Volt.
25、,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,48,AC/DC converter,Switched power supply Switches on AC-side between 85V to 250V Generates 12 Volt DC (unregulated),23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,49,PC 1778 - Connections and DC/DC converter,Generates regulated voltages out of the unregulated 12 Volt DC from the powe
26、r supply: + 24 Volt DC 12 Volt DC + 5 Volt DC + 3.3 Volt DC Connectors: N29 - RS232 N28 - Panel N27 - Optional Fuse for Ext 12V N26 - Ext 12V,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,50,PC 1770 - Main back-plane,Interconnection board for the PC boards in the lower part of the patient unit. ID prom (IC1) mount
27、ed on PC 1770 contains ventilator s/n, operating time, time stamp for preventive maintenance and system configuration. Spare part is serial number dependent. System configuration must be downloaded when shipped from the factory.,ID prom,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,51,PC 1780 - Pneumatic back-plan
28、e,Adapts the gas modules, O2-cell and the safety valve solenoid to the main back-plane board. No electronics.,23.04.2021,呼吸麻醉教学资料 servo-i呼吸机,52,PC 1777 Panel,Control processor for TFT display, touch screen rotary knob, access knobs, membrane buttons Ventilator On / Off switch PC-card slot Main buzzer, microphone Service ethernet port Motorola 826 processor ID-prom,