DatumDateinamenAutor Evita 4 Ventilation at a Glance Powerful

Datum/Dateinamen/Autor Evita 4

Ventilation at a Glance: Powerful and Easy Datum/Dateinamen/Autor Ventilation ü Auto. Flow ® ü BIPAP* ü APRV ü ATC ü PPS ü NIV Monitoring ü Respiration ü SPO 2 ü CO 2

Datum/Dateinamen/Autor Ventilation at a Glance: Powerful and Easy Operation Panel ü Swivel mounted ü Easy to detach ü Central rotary knob ü Touch screen ü Interactive device check ü Start settings Maneuvers ü P. 01 ü PEEPi (all modes) ü R and C ü Loops, trends ü Logbook

Ventilation at a Glance: Powerful and Easy Datum/Dateinamen/Autor User oriented ü Ideal bodyweight setting ü Configurable start settings ü Only active parameters displayed ü Automatic online calibration of Flow and O 2 ü Help function Additional value ü Power back up ü Open real time - data interface ü Open for new developments ü Versatile udates and upgrades since 1995

Operation: Easy Steps. . . Safe Therapy Front Panel ü Swivel mounted – to reduce reflections – to adapt to place and persons – for access to the patient system ü Compact, close to basic unit ü Sealed unit, no openings Datum/Dateinamen/Autor ü Easy to clean and disinfect ü More than 3 m connection cable integrated ü Rail connector for standard rail

Operation: Optimized for the Situation Configurability meet clinical needs ü Standby / interactive device check ü focus on the important information, e. g. only the mode specific functions are displayed ü a full size real time curve and four monitoring parameters are always visible ü different monitoring parameters and curves can easily be selected and preconfigured Datum/Dateinamen/Autor Ø complexity is reduced by a clear structure and by selections for needs of the hospital Ø less training and safe handling

Power on - Easy Start Datum/Dateinamen/Autor Customers Value ü Start procedure ü Ideal body weight setting ü Guided interactive device check ü Standby ü Configurable start ventilation mode ü Configurable start parameter ü Configurable standard settings and alarms ü Automatic online calibration of sensors ü Help-function

Ventilation therapy - Overview Volume strategy ü IPPV / CMV IPPVAssist / AC) ü SIMV ü MMV Datum/Dateinamen/Autor Pressure strategy ü BIPAP / BIPAPAssist (PCV+ / PCV+Assist) ü APRV ü ASB (Psupp)

Ventilation therapy - Overview Room to Breathe ü BIPAP (PCV+) ü APRV ü Auto. Flow (IPPV/SIMV/MMV) ü ATC ü PPS Datum/Dateinamen/Autor Additional Modes ü NIV / Mask Ventilation ü ILV

Ventilation therapy - Overview Datum/Dateinamen/Autor Continuity throughout all modes ü Automatic Tube Compensation ATC ü Apnea ventilation except with IPPV / MMV ü Flow-trigger ü Easy to adjust: frequency f, inspiration time Tinsp ü Resistance and compliance-calculation ü Intrinsic-PEEP measurement ü P 0. 1 - occlusion pressure

Ventilation therapy - Conventional Volume Ventiation Adjustments ü VT, Freq. , Tinsp, O 2, Flow, PEEP Monitoring ü From resistance to intrinsic PEEP ü Loops and trends for diagnosis Datum/Dateinamen/Autor e. g. SIMV ü Safe handling ü User guidance with direct acknowledgement

Ventilation therapy - Easy to Adjust Volume Strategy SIMV Auto. Flow ü PAW high - alarm Datum/Dateinamen/Autor ü Flow-trigger ü Apnea ventilation

Ventilation therapy - Easy to Adjust Pressure Strategy BIPAP / PCV+ ü VTi high - alarm Datum/Dateinamen/Autor ü Flow-trigger ü Apnea ventilation

Ventilation Therapy - Room to Breathe Datum/Dateinamen/Autor Room to breathe - What does it mean? ü Decelerating flow to reduce peak pressures and to optimize gas distribution ü Ventilation - easier and less invasive ü Early spontaneous breathing in volume- and pressure oriented ventilation Room to breathe - Customer value ü no relaxation, less sedation ü better alveolar recruitment ü less shunt, less dead space ventilation ü better venous return ü weaning is enhanced

Ventilaton therapy - Room to Breathe Datum/Dateinamen/Autor Auto. Flow ü automatic regulation of flow to meet changing lung conditions and spontaneous breathing ü pressure peaks are cut off automatically VT is maintained at minimum pressure level ü less sedation and less alarms with spontaneous breathing patients ü less adjustments to adapt ventilation to active patients Auto. Flow - To use with? ü IPPV/CMV - SIMV - MMV

Beatmungstherapie - Room to Breathe Datum/Dateinamen/Autor MMV Auto. Flow / ATC ü Minute ventilation garanteed ü Patient only gets the necessary mandatory support ü Mandatory frequency is reduced proportionally to spontaneous minute ventilation ü automatic Weaning

Ventilation therapy - Room to Breathe Datum/Dateinamen/Autor BIPAP / PCV+ ü True pressure controlled ventilation combined with spontaneous breathing on both pressure levels ü optimized in- and exspiratory trigger BIPAP/PCV+ - Customer value ü One Mode from intubation to weaning ü Higher patient comfort ü less Alarms, easy to use

Ventilation therapy - Room to Breathe Datum/Dateinamen/Autor APRV ü Spontaneous breathing under CPAP with brief release periods ü Suitable for patients with poor gas exchange ü Normal lung areas are emptied ü “Slow” lung areas change volume to a lesser extent ü optimized recruitment

Datum/Dateinamen/Autor Ventilation therapy - Room to Breathe ATC ü Increased patient comfort ü Improved synchronisation in assisted ventilation ü The electronic extubation helps to predict weaning success ü The tracheal pressure is beeing monitored without usage of a measurement catheter

Datum/Dateinamen/Autor Ventilation therapy - Room to Breathe PPS ü Pressure support proportional to patient effort ü PPS follows spontaneous volume and flow ü PPS gives the weak patient the necessary strength to breathe ü Even weak patients with R&C changes can control breathing and the ventilator OPTION Volumen Assist + Flow Assist + PEEP = Atemwegsdruck

Ventilation therapy - NIV / Mask ventilation Datum/Dateinamen/Autor NIV ü NIV adapted monitoring and alarms ü NIV optimimised, automatic leakage compensation ü Unmistakable colour scheme ü Same high end performance as in tube mode ü Additional vent mode BIPAPAssist / PCV+Assist OPTION

Monitoring - Extended Application Range Monitoring of values, curves, loops or trends Pre-configurable to meet clinical standards/needs Datum/Dateinamen/Autor Standard ü O 2 ü Pressure ü Flow ü Volume Optional ü CO 2 ü Sp. O 2

Datum/Dateinamen/Autor Extended Application Range Intrinsic PEEP ü lung status information available in every mode ü auto stop of measurements if pressure increases (mes. time 1) or flow becomes zero (mes. time 2) ü improved monitoring of inverse ratio ventilation (IRV) Ø extended application with respect to modes and lung conditions

Extended Application Range Datum/Dateinamen/Autor Occclusion Pressure P 0. 1 ü available in all modes ü autoscaling of time axis ü screen freeze with cursor function for detailed analysis ü determines neuromuscular drive early indication of fatigue levels ü support for optimum weaning protocols

Extended Application Range Weaning - Indices ü RSB - Rapid Shallow Breathing Index ü RSB = f / Vt ü NIF - Negative Inspiration Force Datum/Dateinamen/Autor ü Vt ASB = Volume inhaled during ASB stroke

Extended Application Range Datum/Dateinamen/Autor Loops ü Throughout all modes ü Loops and settings simultaneous ü Pressure, flow, volume, CO 2 and tracheal pressure ü Zoom - “Big Loop!” ü Reference Loop ü Loop cursor to measure upper and lower inflection point

Trends - Logbook Datum/Dateinamen/Autor Trends ü 8 pre-configurable parameters over 24 h ü 2 trends simultaneous ü Cursor function Logbook ü All alarms and events listed ü Background alarms listed ü Marker for background alarms ü Alarm silence ON and OFF listed