Andrea Ferro Tel 39 06 93459331 Mob 39

Andrea Ferro Tel: +39 06 93459331 Mob: +39 348 2877504 E-mail: export@ginevri. com Skype: andrea. ferro 84

GIULIA Neonatal Ventilator Spokesmen: Mr. Andrea Ferro – Export Manager Mr. Mehdi Hammou – Export Area Manager 26/02/2014

STATE OF THE ART The endotracheal GIULIA is a new ventilator able to support the baby with all the most common ventilation modalities: Ø CPAP and nasal CPAP (NCPAP) Ø SIMV and nasal SIMV (NSIMV) Ø SIPPV and nasal (NSIPPV) With the endotracheal GIULIA we created a new “State of the Art” on ventilators.

IMPROVEMENTS q Endotracheal ventilation modalities q Smart flow NIV kit q Touch Screen/Encoder q Manual and Automatic alarms q Acoustic Trigger q Number and Type of graphs q O 2 Flush q Battery Level

VENTILATION MODES

SMART FLOW NIV KIT To better adapt and be comfortable for the patient, and to assure high accuracy in the readings of the vital parameters of the patient, it has developed a specific noninvasive kit to measure the flow and pressures in the airways. The new design has been studied to obtain the maximum lightness and comfort for the patient The flow sensor is placed between the nasocannula and the patient circuit to minimize the dead space.

TOUCH SCREEN User Interface: • Ease of Use • Color Codes • Intuitive

ALARMS The Endotracheal Giulia is equipped with various alarms to protect the patient. All the alarms are both acoustic and visual and colored according to priority. The alarms limits are automatically adjusted accordng to the set value is changed. The tab illustrates how the automatic alarms are calculated. It is possible for every parameters to set the limits of the relative alarms, by simply using the touch screen or the encoder. Parameter Unit Lower limit Upper limit PIP cm. H 2 O PIP - 5 PIP + 8 PEEP cm. H 2 O PEEP – 3 PEEP + 3 FIO 2 % FIO 2 – 10 not below 20 % FIO 2 + 10 not above 100 %

GRAPHS Possibility to choose the number and type of graphs to show on the screen(1 to 3 maximum graphs): Ø Pressure Ø Flow Ø Volume Ø P/V Ø P/F Ø V/F

WETTY Giulia is compatible with all the humidifiers. Anyway, the use of Wetty assures the minimum level of condensation possible in the patient circuit. The servo controlled WETTY is designed to humidify and heat up the gas inside the patient circuit. It has been designed for neonatal and pediatric use and it is characterized by high technology, ease of use and maintenance.

Maintenance In the interests of the patient safety it is recommended to proceed to the maintenance of the Giulia ventilator every six months. During the maintenance only original GINEVRI srl spare parts must be used. Assuming a maximum use of 3. 000 hours / year, the duration of the accumulator, of the oxygen sensor, the expiratory membrane, the pressure reducers filter and the anti dust filter of the GIULIA is of 1 year; the sensor board must be changed maximum every 3 years.