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Servo-n

Servo-n Neonatal Ventilator

Servo-n Neonatal Ventilator

Purposely developed to help you create an ideal environment for newborns to breathe, sleep and grow.

Questions? Ask us about Servo-n

Overview

They deserve our best from the very beginning

Newborns should not have to start their lives battling for it. But some will, and the best we can do is help create an ideal environment for them to breathe, sleep and grow - while minimizing as many risks as possible to their physical and mental development.

Ready for the reality of NICU

Servo-n Neonatal Ventilator was created to help you provide vulnerable neonates with the support they need while protecting the lungs, brain, and other developing organs. Sensitive and responsive, Servo-n compensates for variable leakage in both invasive* and non-invasive modes of ventilation. Servo-n can deliver tidal volumes as low as 2ml in patients as small as 0.3kg and includes optional hot-wire flow sensor technology to both trigger and measure pressure and flow at the patient interface.

* Leak compensation in invasive modes is only available in the neonatal patient category and is not available in Bi-Vent. 

Assess

Diaphragm monitoring (Edi) aids you in determining and providing the appropriate support the babies want and need [4] [15] while managing sedation [10] [13] [17] and monitoring apnea of prematurity. [18]

Prevent

When CPAP is not enough, NIV NAVA offers a viable alternative that may
increase the chance of NIV success [8] [9] [33] and reduce the need for intubation [8] [9] and sedation. [3] [10] [11]

Protect

With NAVA, you have the opportunity to personalize the support and protect the neonate from risk factors associated with negative outcomes. And if the
babies need controlled ventilation, PRVC is there for you.

Wean

There are several modes to help you wean with Servo-n. Most interesting is NAVA, which will essentially allow the patients to wean themselves. [19] [20]

See and deliver what the patient wants

Personalized ventilation provides unique patient insight and ventilation capabilities. It consists of a diagnostic tool that helps you monitor diaphragm activity (Edi) on the ventilator screen and a ventilation mode (NAVA) that uses the diaphragm activity to deliver assist adapted to the patient.

Read more about personalised ventilation

The clinical experience of Turku University Hospital

– Results from trying to prevent intubation

Fewer intubations with CPAP and NIV NAVA, among others, have proven useful for Liisa Lehtonen, her team and the neonates they treat. They now see improved sleep and average weight gain, decreased exposure to painful procedures and pain medication, decreased risk of hyperventilation, fewer infections and less inflammation. [35] [36]

Original Matters

It doesn’t matter how advanced the therapy support platform is if the interface used to deliver therapy to the patient is compromised. Choosing genuine Getinge consumables helps ensure that you can take full advantage of the Getinge Servo-n®.

Getinge consumables:

  • are fully tested and approved
  • are made of top quality material and design
  • guarantee full capabilities and performance
  • minimize risk for unplanned downtime and ensures optimum performance throughout the system's lifecycle

Getinge has designed a full range of masks, breathing systems/circuits and patient specific interface options for use with Servo ventilators. Each of these options is quality engineered to ensure access to the platforms’ key support features while supporting better patient comfort and safety.

Filters and humidifiers

The unique Servo Duo Guard filter is specially designed to manage nebulized medications. It can be used for 48 hours without exchange. It also helps to support a healthy work-environment for your staff and at the same time protects the ventilator, helping support a long life time of use.

Servo humidifiers are optimized to combine high efficiency with low resistance and small volume. The Servo humidifiers come in versions with or without a bacterial/viral filter, humidifying and reducing contamination risk for patient and equipment. Maquet supplies both active and passive humidifiers.

Neonatal prongs and masksNeonatal prongs and masks

The Miniflow adapter has been designed to minimize weight, noise level, and dead space volume. The caregiver can alternate between prongs and masks to help support patient skin integrity during therapy.

Training

Improve your knowledge with our eLearning courses

Servo-u/n start up guide (20 min)*

  • Preparing for patient
  • Ventilating and responding to alarms
  • Maneuvers and interventions

English (voice over)

Servo-u Open Lung Tool (20 min)

  • Auto SRM, Auto RM, OLT Trends
  • Patient cases

English (voice over)

Servo Compass (10 min)

  • VT/PBW
  • Driving Pressure
  • Target ventilation

English (voice over)

Downloads

Brochures
Technical Specification

All references

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    Today 2011;6:1e6.

  2. Vignaux L, Grazioli S, Piquilloud L, Bochaton N, Karam O, Jaecklin T, Levy-jamet
    Y, Tourneux P, Jolliet P, Rimensberger P. Optimizing patient ventilator synchrony
    during invasive ventilator assist in children and infants remains a difficult task.
    PCCM In Press, June 2013.

  3. Emeriaud G, Larouche A, Ducharme-Crevier L, Massicotte E, Fléchelles O,
    Pellerin-Leblanc AA, Morneau S, Beck J, Jouvet P. Evolution of inspiratory
    diaphragm activity in children over the course of the PICU stay. Intensive Care
    Med. 2014 Nov;40(11):1718-26.

  4. Brander L, Leong-Poi H, Beck J, Brunet F, Hutchison SJ, Slutsky AS, et al. Titration
    and implementation of neurally adjusted ventilatory assist in critically ill
    patients. Chest 2009;135:695e703.

  5. Bordessoule A, Emeriaud G, Morneau S, Jouvet P, Beck J. Neurally Adjusted
    Ventilatory Assist (NAVA) improves patient-ventilator interaction in infants
    compared to conventional ventilation. Pediatr Res. 2012 May 11. doi: 10.1038/
    pr.2012.64.

  6. Chen Z, Luo F, Ma XL, Lin HJ, Shi LP, DU LZ. Application of neurally adjusted
    ventilatory assist in preterm infants with respiratory distress syndrome].
    Zhongguo Dang Dai Er Ke Za Zhi. 2013 Sep;15(9): 709-12.

  7. Clement KC, Thurman TL, Holt SJ, et al. Neurally triggered breaths reduce
    trigger delay and improve ventilator response times in ventilated infants with
    bronchiolitis. Intensive Care Med 2011;37:1826–32.

  8. Firestone KS, Beck J, Stein H. Neurally Adjusted Ventilatory Assist for
    Noninvasive Support in Neonates. Clin Perinatol. 2016 Dec;43(4):707-724.

  9. Stein H, Beck J, Dunn M. Non-invasive ventilation with neurally adjusted
    ventilatory assist in newborns. Semin Fetal Neonatal Med 2016;21(3):154–61.

  10. Kallio M, Peltoniemi O, Anttila E, Pokka T, Kontiokari T. Neurally Adjusted
    Ventilatory Assist (NAVA) in Pediatric Intensive Care – A Randomized Controlled
    Trial. Pediatr Pulmonol. 2015 Jan;50(1):55-62.

  11. de la Oliva P, Schuffelmann C, Gomez-Zamora A, Vilar J, Kacmarek RM.
    Asynchrony, neural drive, ventilatory variability and COMFORT: NAVA vs
    pressure support in pediatric patients. A randomized cross-over trial. Int Care
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  12. Lee J, Kim HS, Sohn JA, Lee JA, Choi CW, Kim EK, Kim BI, Choi JH. Randomized
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    Pediatr. 2012 Jun 1.

  13. Zhu LM, Shi ZY, Ji G, Xu ZM, Zheng JH, Zhang HB, Xu ZW, Liu JF. [Application of
    neurally adjusted ventilatory assist in infants who underwent cardiac surgery for
    congenital heart disease]. Zhongguo Dang Dai Er Ke Za Zhi. 2009 Jun;11(6):433-6.

  14. Stein H, Howard D. Neurally Adjusted Ventilatory Assist (NAVA) in Neonates less
    than 1500 grams: a retrospective analysis. J Pediatr 2012;160:786e9.

  15. Piastra M, De Luca D, Costa R, Pizza A, De Sanctis R, Marzano L, Biasucci D,
    Visconti F, Conti G. Neurally adjusted ventilatory assist vs pressure support
    ventilation in infants recovering from severe acute respiratory distress
    syndrome: Nested study. J Crit Care. 2013 Oct 24.

  16. Gibu C, Cheng P, Ward RJ, Castro B, Heldt GP. Feasibility and physiological
    effects of non-invasive neurally-adjusted ventilatory assist (NIV-NAVA) in
    preterm infants. Pediatr Res. 2017 Apr 11.

  17. Amigoni A, Rizzi G, Divisic A, Brugnaro L, Conti G, Pettenazzo A. Effects of
    propofol on diaphragmatic electrical activity in mechanically ventilated
    pediatric patients. Intensive Care Med. 2015 Oct;41(10):1860-1.

  18. Parikka V, Beck J, Zhai Q, Leppäsalo J, Lehtonen L, Soukka H. The effect of
    caffeine citrate on neural breathing pattern in preterm infants. Early Hum Dev.
    2015 Oct;91(10):565-8.

  19. Stein H, Firestone K. Application of neurally adjusted ventilatory assist in
    neonates. Semin Fetal Neonatal. Semin Fetal Neonatal Med. 2014 Feb;19(1):60-9.

  20. Stein H. NAVA ventilation allows for patient determination of peak pressures
    facilitating weaning in response to improving lung compliance during
    Respiratory Distress Syndrome: a case report. Neonatol Today 2010;5:1e4.

  21. Colombo D, Cammarota G, Alemani M, et al. Efficacy of ventilator waveforms
    observation in detecting patient-ventilator asynchrony. Crit Care Med. 2011
    Nov;39(11):2452-7.

  22. Rahmani A, Ur Rehman N, Chedid F. Neurally adjusted ventilatory assist (NAVA)
    mode as an adjunct diagnostic tool in congenital central hypoventilation
    syndrome. J Coll Physicians Surg Pak 2013; Feb:23(2):154-156.

  23. Ducharme-Crevier L, Du Pont-Thibodeau G, Emeriaud G. Interest of Monitoring
    Diaphragmatic Electrical Activity in the Pediatric Intensive Care Unit. Crit Care
    Res Pract. 2013; 2013: 384210.

  24. Soukka H, Grönroos L, Leppäsalo J, Lehtonen L. The effects of skin-to-skin care
    on the diaphragmatic electrical activity in preterm infants. Early Hum Dev. 2014
    Sep;90(9):531-4.

  25. Wolf G, Walsh B, Green M, Arnold J. Electrical activity of the diaphragm during
    extubation readiness testing in critically ill children. Pediatr Crit Care Med
    2010;12:e220e4.

  26. Poets CF, Roberts RS, Schmidt B, Whyte RK, Asztalos EV, Bader D, Bairam A,
    Moddemann D, Peliowski A, Rabi Y, Solimano A, Nelson H; Canadian Oxygen Trial
    Investigators. Association Between Intermittent Hypoxemia or Bradycardia
    and Late Death or Disability in Extremely Preterm Infants. JAMA. 2015 Aug
    11;314(6):595-603.

  27. Morley CJ, Davis PG, Doyle LW, Brion LP, Hascoet JM, Carlin JB; COIN Trial
    Investigators. Nasal CPAP or intubation at birth for very preterm infants. N Engl J
    Med. 2008 Feb 14;358(7):700-8.

  28. SUPPORT Study Group of the Eunice Kennedy Shriver NICHD Neonatal Research
    Network, Finer NN, et al. Early CPAP versus surfactant in extremely preterm
    infants. N Engl J Med. 2010 May 27;362(21):1970-9.

  29. Courtney SE, Pyon KH, Saslow JG, Arnold GK, Pandit PB, Habib RH. Lung
    recruitment and breathing pattern during variable versus continuous flow nasal
    continuous positive airway pressure in premature infants: an evaluation of three
    devices. Pediatrics. 2001 Feb;107(2):304-8.

  30. Beck J, Reilly M, Grasselli G, et al. Patient-ventilator interaction during
    neutrally adjusted ventilatory assist in low birth weight infants. Pediatr Res
    2009;65(6):663–8.

  31. Houtekie L, Moerman D, Bourleau A, Reychler G, Detaille T, Derycke E,
    Clément de Cléty S. Feasibility Study on Neurally Adjusted Ventilatory Assist
    in Noninvasive Ventilation After Cardiac Surgery in Infants. Respir Care. 2015
    Jul;60(7):1007-14.

  32. Lee J, Kim HS, Jung YH, Shin SH, Choi CW, Kim EK, Kim BI, Choi JH. Non-invasive
    neurally adjusted ventilatory assist in preterm infants: a randomised phase II
    crossover trial. Arch Dis Child Fetal Neonatal Ed. 2015 Nov;100(6):F507-13.

  33. Zhu LM, Xu ZM, Ji G, Cai XM, Liu XR, Zheng JH, Zhang HB, Shi ZY, Xu ZW, Liu JF.
    [Effect of prone or spine position on mechanically ventilated neonates after
    cardiac surgery with acute lung injury]. Zhonghua Yi Xue Za Zhi. 2010 May
    11;90(18):1260-3.

  34. Lehtonen, L. (EPNV, 2014). NAVA experiences and research in preterm infants.
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  35. Lehtonen, L. (EPNV, 2014). Hospital in Finland experiences a weight gain of 35%
    with NAVA - neonatal NAVA and individualizing treatment at bedside. . Retrieved
    from http://www.criticalcarenews.com.

  36. Terzi N, Pelieu I, Guittet L, Ramakers M, Seguin A, Daubin C, Charbonneau P, du
    Cheyron D, Lofaso F. Neurally adjusted ventilatory assist in patients recovering
    spontaneous breathing after acute respiratory distress syndrome: physiological
    evaluation. Crit Care Med. 2010 Sep;38(9):1830-7.

  37. Kallio M, Koskela U, Peltoniemi O,Kontiokari T, Pokka T, Suo-Palosaari M, Saarela
    T. Neurally adjusted ventilatory assist (NAVA) in preterm newborn infants with
    respiratory distress syndrome-a randomized controlled trial. Eur J Pediatr. 2016
    Sep;175(9):1175-1183.

  38. Delisle S, Ouellet P, Bellemare P, Tetrault J, Arsenault P. Sleep quality in
    mechanically ventilated patients: comparison betweeen NAVA and PSV modes.
    Ann Intensive Care 2011:1. On-line.

  39. Longhini F, Ferrero F, De Luca D, Cosi G, Alemani M, Colombo D, Cammarota G,
    Berni P, Conti G, Bona G, Della Corte F, Navalesi P. Neurally adjusted ventilatory
    assist in preterm neonates with acute respiratory failure. Neonatology.
    2015;107(1):60-7.

  40. Morita P, et al. The usability of ventilators: a comparative evaluation of use safety
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  41. Poddutoor PK, Chirla DK, Sachane K, Shaik FA, Venkatlakshmi A. Rescue high
    frequency oscillation in neonates with acute respiratory failure. Indian Pediatr.
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  42. Iscan B, Duman N, Tuzun F, Kumral A, Ozkan H. Impact of Volume Guarantee
    on High-Frequency Oscillatory Ventilation in Preterm Infants: A Randomized
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