SV300 Service Training-Basic - V2.0 - EN

SV300 Service Training - Basic
PMLS Global Technical Support Department

Version: V2.0
Number:MMZ-15001-SV300
© 2018 Mindray Confidential

Contents
• SV300 Introduction
• Installation
• Basic Operations
• Maintenance
2 © 2018 Mindray Confidential

Contents
• Installation
• Maintenance

SV 300 – Intended use
SV 300 is a turbine based ventilator that comes with transport

capability
 Application:
- Intensive care wards,
ICU
- Recovery rooms and generally for hospital use
- Patient request long term ventilation
- During transport within the hospital
A&E SV300 PACU
 Patient Type:
- Adult to Pediatric
Trans
port

SV 300 – Intended Use
Clinical Need
Level of Care /
Acuity Level Critical Care Ventilation
• Advanced respiratory support or Advanced respiratory support

• Basic respiratory support • Trauma
together with support of at least • Neuromuscular desease
two organs • Pneumonia
• Multi organ failures • ARDS, Severe COPD
Acute
L3 High
ventilation Basic respiratory support
ICU emerging markets: • NIV
Complete range of • Postoperative ventilation > 24h, Cardiac ICUs
applications needs to be • Oxygen therapy, Mask CPAP
covered • COPD
• Single organ failure Basic respiratory support

• Postoperative care • Postop. ventilation < 24h
Sub-acute
• Step down from L3 • Oxygen therapy, Mask CPAP
ventilation
• COPD
L2 Medium
Developed countries: NIV in sub-acute settings
Medium/small size, less • Increase patient comfort (speech, swallow,
Non-invasive cough)
specialized hospitals
ventilation
• Reduce ventilation related disease
• Patients at risk of deterorating

L1 Low No ventilation
• Or step down from higher levels

Mindray Ventilator Portfolio
Segment Value Performance Premium
Price
-turbine based ventilator -High pressure gas source
-transport capacity (HPGS)
-NIV -support critical ill patient e.g
-excellent cost benefit ratio ARDS
-extensive functions
E5
E3 SV600/800
SV100 SV300
Performance

SV300 Competitors
Blower
Constant speed Dynamic speed
SV 300 C2
Vela iVent 201
Savina 300
V200
Non turbine based
Piston
PB 760
Servo s Raphael XTC E 360

Appearance – Front View
Alarm indicator
AC power &
battery indicator
Alarm silence button

Power botton
Control knob
Expiration port
Nebulizer connector
Leak test plug

Inspiration port

Appearance – Side View
Optional SpO2/CO2 Speaker

module receptacle
Expired gas O2 sensor

outlet door

Appearance – Rear view
Interface: VGA, USB, Network, RS232, Nurse call
DC power inlet
HEPA filter, fan filter, built in turbine
support up to
HPO (High Pressure O2) inlet
2 E-size
cylinder
LPO (Low Pressure O2) inlet

SV 300 Features
 Ventilation Function
- O2 Therapy / ATRC / PV tools
 Performance
- Max flow 210L/min
- Tidal volume: 20~300ml (Ped), 100~2000ml (Adu)
- Pressure 5 to 80 cmH2O
 Monitoring
- Up to 35 monitored patient parameters
- Tve/IBW
- Weaning indicator: P0.1, RSBI, NIF
- 72 hrs trends data
- 5,000 event log
- Data export (Screen short, History, configuration)

SV 300 Features
 Optional feature
- SPO2 monitoring
- ETCO2 monitoring preconfigured (built-in)
- Mainstream with (Volumetric CO2 )
- Side stream
 Mobility
- Built-in turbine that request no compress air supply

- Max. 2 built-in battery for up to 4 hours support
- One click detachable trolley
- Compact in size approximately 9.8kg
- Trolley with 2 E-size cylinders, ideal for long distance
transportation

Reliable hardware performance
 Integrated Turbine
- Ultra quiet noise level down to 45 db (a)
 Especially good for patient require long term
ventilation
- High performance drive up to 210 L/min
 fulfill most of the acute patient needs
- 20,000 hours before maintenance needed
 Low maintainance cost
 Modular Valves System

- Detachable inspiration valve
 Design according to the latest CE guideline ISO
80601-2-12 & ISO 80601-2-55
- Inspiration and expiration valves support high
temperature sterilization
13 © 2018 Mindray Confidential  further reduce the chance of cross contamination
Ease of use
4 tabs layout structure

 change view within a touch
up to 4 waveforms displayed
 complete picture of patient condition
waveforms+loops, 2 loops view

 present those essential information
according to customer need

Ease of use
Visual guided self test

 intuitive and easy to follow

Intuitive setting-enhance patient safety
 Pop-up relevant
parameters value
suggestion
setting available range for

that parameter. e.g for f
the available range is
from 1 to 100
Current setting e.g right Current setting available range. e.g

now the frequency setting right now the setting for Tinsp is set at
is 10/min 2 s, so that the available range for f is
1 to 30
Alarm management
 current active
alarms
 current alarm setting
 current patient value
 better
understanding of the
current situation and
hence better
judgment
 most recent alarm
(not active right
now) Maximum 9

Additional function
 activated if USB drive is

attached to the USB
port
 allow screen capture
 Export of patient
logbook and trend data
 configuration export

SV 300 Ventilator -Compact yet powerful
 Adaptive to different clinical environment

 Simple, ease of use
 Comprehensive ICU ventilation performance
 Reliable latest hardware platform

Contents
• Installation
• Maintenance

Gas and Power supply requirement

Preparations
 Tools List
Name Qty
Allen Key Set 1set
Philips Screwdrive 1set
 Maintain Passwords
User password 1234
Service password 1118

Installation – Open box

Installation - Cart
1 2 3
4 5 6

Installation – Main Unit
- Place the main unit on the trolley

Installation – Main Unit
Power cord HPO connection LPO connection

(C-Power cord retainer) (NIST or DISS) (CPC quick connector)

Installation – Support Arm
D – Up & down adjustment

F – Bending angle adjustment
G – Back & forth adjustment
Installation – Breathing Circuit
Nebulizer Bacteria filter
Test lung
Watertrap
- Water traps should be at the lowest point of the
limb. Humidifier
- Humidifier should be in inspiratory limb.
- Nebulizer should be in the inspiratory limb, best
45cm away from patient.
- Keep the nebulizer vertical.

Installation – Breathing Circuit
 JIKE SH330 Humidifier Connections
- If a thermometer comes with humidifier, it should be installed at inspiratory limb
close to Y-piece
Inspiratory limb
To
Ventilator patient
Adapter
Thermometer
Adapter
Chamber
Humidifier

Installation – O2 sensor
- Make sure the O2 sensor is plugged in horizontally
- O2 sensor must be calibrated after installation

Installation – Backup Cylinder
*Cylinder is not available from Mindray
082-001927-00
Pressure regulator 14Mpa (for cylinder),
can be ordered from Mindray

Test After Installation
Item
Test Purpose Schedule
No.
1. Set O2 supply type
System 2. O2% calibration if O2 sensor is installed After
1
settings 3. For high altitude area, altitude compensation is installation
necessary
1. Check turbine, air/O2/expirtory flow sensor,
After
System pressure sensor, valves and O2 sensor works well.
2 installation /
check 2. Check system leakage 、 compliance and airway
repair / visit
resistance.
1. To confirm ventilator works normally, and no alarm. After
Ventilation
3 2. To confirm the measured pressure or tidal volume installation /
check
are consistent with settings repair / visit

System Settings – O2 Supply Type
1 -> Maintain -> User
• High pressure O2 supply

HPO • 280-600Kpa
• Low pressure O2 supply

LPO • <100Kpa

System Settings – Altitude
1
6
4
After altitude is updated,
user flow calibration
should be done.

System Settings – O2% Calibration

System Check

System Check

System Check

Ventilation Check
- Check Volume Control Ventilation

(V-A/C)
- Check Pressure Control Ventilation
(P-A/C)

Check Volume Control Ventilation (V-A/C)
Steps
1. Make sure that the supply pressure is
normal and that the breathing circuit are
correctly connected.
2. Connect a 2L bag as the test lung to the Y
piece in the patient circuit.
3. Select V-A/C as the ventilation mode.

6
4. Set the following combinations of TV (tidal
volume) and Rate respectively: (150ml,
15BPM), (300ml, 15BPM), (600ml, 15BPM),
and (900ml, 15BPM).
3
5. Set others to the defaults. 4 4
6. Record the TVi reading in each setting

when it is stable.

Check Volume Control Ventilation (V-A/C)
Pass Criteria
• The difference between the TVi
reading and set value does not
exceed 10ml + 10% setting value
Example
• If you set TV=600ml.
• Max accepted tolerance will be
10+600*10%=70ml, i.e. acceptable
measured TVi is 530~670ml.

Check Pressure Control Ventilation (P-A/C)
Steps
1. Make sure that the supply pressure is
normal and that the breathing circuit are
correctly connected.
2. Connect a 2L bag as the test lung to the Y
piece in the patient circuit.
6
3. Select P-A/C as the ventilation mode. 6
4. Set the following combinations of Pinsp,

Rate and PEEP respectively: (10 cmH2O,
15BPM, OFF), (15cmH2O, 12BPM, 5cmH2O),
(20cmH2O, 10BPM, 8cmH2O).
3
5. Set others to the defaults.
4 4
6. Record the displayed Peak and PEEP
values in each setting stabilized status.

Check Pressure Control Ventilation (P-A/C)
Pass criteria:
Difference between the displayed
Difference between the displayed
Ppeak and the set Pinsp
PEEP value and the set value
(△Pinsp+PEEP) value does not
does not exceed 2cmH2O+5% of
exceed 2cmH2O+5% of the set
the set value.
value.
Example:
− If you set △Pinsp=15cmH2O, PEEP=5cmH2O.
− For Ppeak, expected value is 15+5 = 20cmH2O. Max Ppeak

accepted tolerance will be 2+20*5%=3cmH2O, i.e. △Pinsp
acceptable measured Ppeak is 17~23cmH2O.
PEEP
− For PEEP, expected value is 5cmH2O. Max accepted
tolerance will be 2+5*5%=2.1cmH2O, i.e. acceptable
measured PEEP is 2.9~7.1cmH2O.
Operation Notes
 Do not use antistatic or conductive masks or breathing hoses. They can cause
burns if working with high frequency electrosurgical equipment.
 Re-do system check each time when accessories or components like hose,
humidifier, and filter are replaced.
 Adding accessories or other components to the ventilator can increase system

inspiratory and expiratory resistance
 Humidifier connector must be lower than the ventilator’s breathing connectors and
the patient.
 To reduce the risk of fire, do not use a low-pressure O2 supply that delivers a flow
greater than 15L/min.

Contents
• Installation
• Maintenance

Standby Screen
Settings
1
1. Patient type
- Adu / Ped
2 - Last patient
5 2. Patient settings
- Gender
- Height / IBW (Ideal
body weight)
- Invasive for intubated
4 patient
- Non-invasive for
patient wearing mask
3
3. Ventilation mode
4. Start Ventilation
5. Other functions
- System Check
- O2 Therapy
Ventilation Modes
Volume • V-A/C
controlled • V-SIMV
Pressure • P-A/C
controlled • P-SIMV
Spontaneou • CPAP/PSV
s
• PRVC
Advanced • APRV
• Duolevel

V-A/C
- Volume Assisted / Controlled ventilation
 In V-A/C, a preset amount of tidal volume is delivered to the patient within
preset delivery time (Tinsp). The airway pressure varies according to the
compliance and resistance of the patient’s lungs and thorax.
 When the airway pressure reaches Pmax-5cmH2O during inspiratory
phase, it is maintained at Plimit level (called PLV).
 If the airway pressure exceeds upper limit of pressure alarm (Pmax),
system will switch to expiratory phase and airway pressure is fully
released.
 V-A/C supports synchronous trigger in expiratory phase. Namely, when
the ventilator detect patient inspiratory effort, it delivers next mechanical
ventilation in advance.

V-A/C
Pressure trigger Alarm Setup

P-A/C
- Pressure Assisted / Controlled ventilation
 In P-A/C, the airway pressure rises to the set Pinsp (△Pinsp+PEEP)

within Tslope and is maintained at that level until Tinsp is expired. Then
expiration is switched to. When the airway pressure is maintained at
Pinsp level, delivered gas flow will vary with resistance and compliance
of the patient’s lungs.
 During the inspiration phase, when the delivered volume exceeds the
upper alarm limit of tidal volume, the system switches to expiratory
phase immediately and airway pressure is fully released.
 P-A/C supports synchronous trigger in expiratory phase.

P-A/C

Classical Ventilation Modes
End users are most familiar with, and used most often. All of them support
synchronous trigger or spontaneous breath.
V-A/C
• In this mode, mechanical ventilation is synchronous
P-A/C with patient spontaneous effort. It can improve man-
machine coordination, reduce sedative and muscular
relaxants consumption, expedite weaning process.
SIMV • Mechanical ventilation synchronize with patient

spontaneous inspiratory effort with preset fSIMV and
trigger window. It can reduce hyperventilation, exercise
spontaneous respiration, and assist weaning.
• Supported ventilation synchronized with patient

PSV spontaneous inspiratory and expiratory effort. It can
reduce patient WOB or excise patient spontaneous
breath to help weaning. It can also provide sufficient
inspiration based on patient lung time constant, and
enable sigh respiration.

Special Functions
Inspiration Hold Nebulizer
Expiration Hold Sigh
PEEPi O2 Therapy
P0.1 CO2 Monitor (Optional)

-Sidestream
-Mainstream
RSBI SpO2 Monitor (Optional)
NIF ATRC (Optional)
Manual Breath PV Tool (Optional)

Special Functions
 Inspiration Hold
--- Go to -> [Function], press and hold the [Insp. Hold] soft key during inspiration
phase （ Max. 30s ）
---Inspiratory valve is closed, and flow turns to zero. Then there is no airway resistance. At
this moment, Pplat is generated by lung capacity and compliance
---Calculate Cstat and Pplat.
Function
1. Optimize parameters with the
measurement of Cstat;
2. Improve ventilation efficiency;
3. Ensure patient safety.

Special Functions
 Expiration hold
--- Go to -> [Function], press and hold the [Exp. Hold] soft key during
expiration phase （ Max. 30s ）
--- Expiratory valve closed. Flow is zero and pressure in the lung and ventilator
circuit equilibrate. The static airway pressure represents total PEEP.
--- Calculate PEEPi.

Special Functions
 Expiration hold
---PEEPi reflects obstructive pulmonary diseases (asthma, COPD) condition

and treatment effect. And it’s very meaningful for the clinical diagnosis and
treatment
---PEEPi is not easy to detect. But PEEPi

could reduce trigger sensitivity of
ventilator as its increasing, which could
cause invalid trigger. With expiration hold,
increased PEEPi can be detected in time,
which can guide users adjust the trigger
sensitivity to improve ventilation

Special Functions
 Suction
- Press soft key to start the function.

- 3 phases:
 O2↑ before suction. (Max. 120s)
 Suction (Max. 120s), close inspiratory valve, disable alarm
 O2↑after suction (Max. 120s), resume ventilation, enable alarm

Special Functions
 Suction
---Deliver higher O2 concentration before and after suction can avoid

hypoxia and ensure patients’ safety
---Inspiratory valve is closed during suction, which could prevent secretion,

bacteria and virus in the hose escape to the room. Make sure medical
staffs safety. At the same time, it can also eliminate valve idle running
noise. Keep quiet.
---Alarms will be disabled automatically

during suction to make patients feel
comfortable, and resumed automatically
after suction.

Special Functions
 Nebulizer
Administer medication in the form of a mist so that patient can inhale into
the lungs.
Connect the nebulizer kit in the breathing circuit as required.
Press soft key to start the function.

Special Functions
 Nebulizer
CO2 module will be disabled because CO2 cannot be measured in the

aerosolized medicine environment.
Disabled for pediatric patient ventilated in volume control modes (V-A/C,

V-SIMV and PRVC)
Aerosolized medication may occlude the expiration valve and flow

sensor. Please have them checked and cleaned after nebulization.

Special Functions
 P-V tool
Used to plot static P-V loop, which is helpful to determine the optimal PEEP based
on the turning points.
Typical ventilation curves with static P-V Typical static P-V loop
tool function

Special Functions
 P-V tool
EIP: Alveoli will be over inflation
Expiratory beyond the UIP, we can use it
inflection as a reference to set the Plimit
point and TV high limit alarm
UIP: Upper
inflection point
The alveoli tend to

collapse below the
LIP
LIP: Lower
inflection point
There are clinical evidence proven that if the PEEP value is set at
LIP+2cmH2O, it will significant reduce the mortality rate of ARDS patients
Special Functions
 P-V tool
3
1
2

Special Functions
 ATRC
---Automatic Tube Resistance Compensation
Dynamic calculates ΔPtube, which is generated by the tube resistance ，

the Δptube will increase during ins. Phase and decrease during exp. phase

Special Functions
 ATRC algorithm
ΔPtube = Paw - Ptrach=Comp.*Ktube*Flow2
ΔPTube = the pressure difference between end

endotracheal tube and Y-Piece
Ptrach = Pressure at the end endotracheal
tube ；
Paw = Pressure at Y-piece ；
Ktube= Tube resistance coefficient ；
Comp= Compensation setting coefficient （ 1%~100% ）
Flow ， ins.Phase Flow>0; Exp.phase Flow<0

Special Functions
 ATRC Settings
1. ATRC type
- Choose type
ET tube; Trach Tube; Disable ATRC
1 2 3
2. Diameter
- Set tube diameter 4
Adult: 5.0-12.0mm; Pediatric :2.5-8.0mm
3. Compensation ratio
- set compensation ratio
range:1%-100% ， default setting: 80%
4. Compensation during exp. phase

- exp. Compensation
Yes or No

Special Functions

Contents
• Installation
• Maintenance

Maintenance – Recommended Disinfectant
Name Type
Soap water (pH value: 7.0~10.5) Disinfectant

Clean water Disinfectant
Ethanol (75%) Intermediately efficient disinfectant

Isopropanol(70%) Intermediately efficient disinfectant
Glutaraldehyde (2%) Highly efficient disinfectant

Ortho-Phthalaldehyde disinfectant Highly efficient disinfectant
（ such as Cidex®OPA ）
Autoclave( MAX. 134ºC) Highly efficient disinfectant

Maintenance – Cleaning & Disinfection Methods
• with a damp cloth immersed in alkalescent detergent

A. Wipe (soap water etc.) or alcohol solution.
Cleaning
methods • flush with water first and then immerse in alkalescent
B. Immersion detergent (soap water etc, 40ºC) for about 3min.
• with a damp cloth immersed in medium or high efficient

A. Wipe detergent (alcohol or isopropyl alcohol etc.)
• immersed in medium or high efficient detergent (alcohol

Disinfectio B. Immersion or isopropyl alcohol etc.) for more than 30min
n methods
C. Steam • at maximum 134ºC for more than 20min
autoclave
D. Ultraviolet • 30 to 60min
radiation

Maintenance – Cleaning & Disinfection Frequency
Autoclavable

Maintenance -
1-year Preventive Maintenance
In order to maintain SV300 properly, service provider needs to prepare

below flow analyzer.
OR
PF300 Flow Analyzer Fluke VT Plus

Maintenance -
Items Operations
Data export Export log data from service menu via USB stick
System check Check if machine pass all system check items and
record leakage value
Check before
maintenance Ventilation Check if machine pass ventilation test and no alarm
check
Visual check Check for any damage of the appearance
Parts Replace 1-year maintenance kit (115-028397-00)

replacement
Maintenance
Calibrations Complete flow, pressure, etc calibration (need VT
plus or PF300 analyzer)

Maintenance -
Items Operations
System check Check if machine pass all system check items and
record leakage value
Ventilation Check if machine pass ventilation test and no alarm

check
Zero point Check if all flow/pressure sensor zero points are

accuracy check correct
Check after
maintenance Flow sensor Check if O2/air flow sensor measurement are correct
accuracy check
Pressure sensor Check if all pressure sensor measurement are

accuracy check correct (need VT plus or PF300 analyzer)
Electrical safety Check if the machine is safe from any potential

test electric hazard

Maintenance -
 1-year Maintenance Kit (115-028397-00)
Item No. P/N Name Q’ty

1 048-004133-00 Dustproof net 1
2 045-001333-01 HEPA filter assembly 1
3 045-001298-00 Air-intake dust filter 1
4 049-000778-00 Expiration valve membrane 1

Maintenance -
 Parts replacement
048-004133-00 045-001333-01
(Dustproof net) (HEPA filter assembly)
045-001298-00
(Air-intake dust filter)

Maintenance -
 Parts replacement
049-000778-00
(Expiration valve membrane)

Maintenance -
- Maintenance report (for reference)

Maintenance - Turbine Blower
- Turbine blower expected life time is 20,000hrs
- A reminder message will be displayed when blower working hour reach

preset blower life time in service menu
- To make sure ventilator work properly, we strongly recommend to replace

blower when life time expires
115-028051-00
(Blower box FRU)
Maintenance - Turbine Blower
- After replacing a new blower

assembly, it is necessary to go
to [Service]->[Setup]->[System]
to clear blower running time

Version Information
Version Author Date Description
1.0 James Nong 11/19/2014 First Version
2.0 David Wang 09/29/2018 Upgrade

Check Information
Version Reviewer Date Comments
1.0 James Nong 11/19/2014 First Version
2.0 Unicorn Liu 09/29/2018 Upgrade

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SV300 Service Training - Basic

PMLS Global Technical Support Department

© 2018 Mindray Confidential

2 © 2018 Mindray Confidential

3 © 2018 Mindray Confidential

SV 300 is a turbine based ventilator that comes with transport

4 © 2018 Mindray Confidential

• Advanced respiratory support or Advanced respiratory support

• Single organ failure Basic respiratory support

• Patients at risk of deterorating

5 © 2018 Mindray Confidential

Segment Value Performance Premium

6 © 2018 Mindray Confidential

Vela iVent 201

Servo s Raphael XTC E 360

7 © 2018 Mindray Confidential

Alarm silence button

Leak test plug

8 © 2018 Mindray Confidential

Optional SpO2/CO2 Speaker

Expired gas O2 sensor

9 © 2018 Mindray Confidential

Interface: VGA, USB, Network, RS232, Nurse call

HEPA filter, fan filter, built in turbine

10 © 2018 Mindray Confidential

11 © 2018 Mindray Confidential

- Built-in turbine that request no compress air supply

12 © 2018 Mindray Confidential

 Modular Valves System

4 tabs layout structure

waveforms+loops, 2 loops view

14 © 2018 Mindray Confidential

Visual guided self test

15 © 2018 Mindray Confidential

setting available range for

Current setting e.g right Current setting available range. e.g

17 © 2018 Mindray Confidential

 activated if USB drive is

18 © 2018 Mindray Confidential

 Adaptive to different clinical environment

19 © 2018 Mindray Confidential

20 © 2018 Mindray Confidential

21 © 2018 Mindray Confidential

22 © 2018 Mindray Confidential

23 © 2018 Mindray Confidential

24 © 2018 Mindray Confidential

- Place the main unit on the trolley

25 © 2018 Mindray Confidential

Power cord HPO connection LPO connection

26 © 2018 Mindray Confidential

D – Up & down adjustment

Nebulizer Bacteria filter

28 © 2018 Mindray Confidential

29 © 2018 Mindray Confidential

- Make sure the O2 sensor is plugged in horizontally

- O2 sensor must be calibrated after installation

30 © 2018 Mindray Confidential

*Cylinder is not available from Mindray