Servo-n Neonatal Ventilator

Diagnostic tools

• Electrical activity of the diaphragm (Edi)
• Servo Compass
• Trends, logs and media library

Modes

• High Frequency Oscillatory Ventilation (HFOV)
• Pressure Regulated Volume Control (PRVC)
• Automode
• Neurally Adjusted Ventilatory Assist (NAVA and NIV NAVA)
• Non-invasive ventilation (NIV)
• Nasal CPAP
• High Flow therapy, and more

Features

• Proximal flow and pressure sensors
• EtCO2
• Integrated Aerogen nebulizer
• Heliox therapy
• On-screen contextual help
• Workflow support

Protect your neonate throughout respiratory support

Finding the right level of ventilatory support without over- or under-assisting neonates is a delicate balance. Servo-n makes it easier to assess that balance and enables you to act on almost any situation, from delivery to discharge.

1. Assessing respiratory need

Diaphragmatic monitoring with the Edi aids you in determining and providing the appropriate support the babies want and need during any mode of ventilation. It provides insight on the presence or absence of spontaneous breaths, patient effort, over- and under-assist,  patient-ventilator asynchrony, sedation, patient positioning and apnea of prematurity.

2. Preventing intubation

When CPAP is not enough, NIV NAVA offers a viable alternative that may increase NIV success. NIV NAVA is leakage independent, it improves short-term physiological effects and comfort, and it lowers work of breathing.

3. Protecting and stabilizing

With NAVA, you have the opportunity to personalize the support. When babies are on this mode, they tend to choose lower pressure and tidal volumes with improved compliance and comfort, improving their blood gases and oxygenation. And if the babies need controlled ventilation, PRVC is there for you.

4. Rescuing with HFOV

Built-in HFOV allows you to quickly start the therapy without losing mean airway pressure or having to switch ventilators. It includes a volume target option and is purposely designed to reduce work of breathing. 

5. Weaning from ventilation

Edi makes it possible to follow the patient’s progress from invasive to non-invasive ventilation (NIV, nasal CPAP and high-flow therapy) and beyond on the same machine. NAVA and NIV NAVA are especially useful during weaning. It can help you maintain diaphragm activity, avoid over- or under-assist and reduce sedation. This may limit diaphragm atrophy and facilitate earlier extubation.

Extending treatment capabilities

With an available pediatric option, the Servo-n is also able to extend its capabilities to the PICU. Or, if your primary ventilatory need is for ICU patients, the Servo-u ventilator can be extended with a neonatal option.

Heliox therapy for infants

Newborns weighing 3 kg or more who are experiencing airway obstruction (e.g. due to bronchiolitis or asthma) can now be treated with Heliox therapy. Heliox is a mix of helium and oxygen that, due to its low density, facilitates laminar flow and minimizes airway pressure. Safe and easy to use, it can help these tiny ones reduce the work of breathing (WoB) and soothe obstructed airways.

Safe, reliable and easy to use

When switching gas from air and O₂ to Heliox and back, volume and CO₂ monitoring as well as flow delivery are adjusted automatically by the ventilator’s Automatic Gas Identification. Heliox delivery is confirmed by the presence of the “HeO_2″ symbol on the screen. O₂ concentration is easily adjusted between 21% – 100% and information texts facilitate Heliox administration in every mode.

 Nebulization and Heliox

The Servo-n has an integrated Aerogen nebulizer that can be used with Heliox therapy. Together, they can help improve aerosol deposition, resulting in up to 50% more drug delivered. This is primarily due to helium’s lower density than air or oxygen, meaning less gas turbulence and aerosol-partical impaction loss in the tubing and patient airways.