Evita 4 Training

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Evita 4
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Ventilation at a Glance Powerful and Easy

• Ventilation
• AutoFlow
• BIPAP
• APRV
• ATC
• PPS
• NIV
• Monitoring
• Respiration
• SPO2
• CO2

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Ventilation at a Glance Powerful and Easy

• Operation Panel
• Swivel mounted
• Easy to detach
• Central rotary knob
• Touch screen
• Interactive device check
• Start settings
• Maneuvers
• P.01
• PEEPi (all modes)
• R and C
• Loops, trends
• Logbook

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Ventilation at a Glance Powerful and Easy

• User oriented
• Ideal bodyweight setting
• Configurable start settings
• Only active parameters displayed
• Automatic online calibration of Flow and O2
• Help function
• Additional value
• Power back up
• Open real time - data interface
• Open for new developments
• Versatile udates and upgrades since 1995

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Operation Easy Steps ... Safe Therapy

• Front Panel
• Swivel mounted
• to reduce reflections
• to adapt to place and persons
• for access to the patient system
• Compact, close to basic unit
• Sealed unit, no openings
• Easy to clean and disinfect
• More than 3m connection cable integrated
• Rail connector for standard rail

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Operation Optimized for the Situation

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

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Power on - Easy Start

• Customers Value
• Start procedure
• Ideal body weight setting
• Guided interactive device check
• Standby
• Configurable start ventilation mode
• Configurable start parameter
• Configurable standard settings and alarms
• Automatic online calibration of sensors
• Help-function

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Ventilation therapy - Overview

• Volume strategy
• IPPV / CMV IPPVAssist / AC)
• SIMV
• MMV
• Pressure strategy
• BIPAP / BIPAPAssist (PCV / PCVAssist)
• APRV
• ASB (Psupp)

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Ventilation therapy - Overview

• Room to Breathe
• BIPAP (PCV)
• APRV
• AutoFlow (IPPV/SIMV/MMV)
• ATC
• PPS
• Additional Modes
• NIV / Mask Ventilation
• ILV

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Ventilation therapy - Overview

• Continuity throughout all modes
• Automatic Tube Compensation ATC
• Apnea ventilation except with IPPV / MMV
• Flow-trigger
• Easy to adjust frequency f, inspiration time
  Tinsp
• Resistance and compliance-calculation
• Intrinsic-PEEP measurement
• P0.1 - occlusion pressure

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Ventilation therapy - Conventional Volume
Ventiation

• Adjustments
• VT, Freq., Tinsp, O2, Flow, PEEP
• Monitoring
• From resistance to intrinsic PEEP
• Loops and trends for diagnosis
• e.g. SIMV
• Safe handling
• User guidance with direct acknowledgement

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Ventilation therapy - Easy to Adjust

• Volume Strategy
• SIMV AutoFlow
• PAW high - alarm
• Flow-trigger
• Apnea ventilation

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Ventilation therapy - Easy to Adjust

• Pressure Strategy
• BIPAP / PCV
• VTi high - alarm
• Flow-trigger
• Apnea ventilation

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Ventilation Therapy - Room to Breathe

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

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Ventilaton therapy - Room to Breathe

• AutoFlow
• automatic regulation of flow to meet
  changinglung conditions and spontaneous
  breathing
• pressure peaks are cut off automaticallyVT is
  maintained at minimum pressure level
• less sedation and less alarmswith spontaneous
  breathing patients
• less adjustments to adapt ventilation toactive
  patients
• AutoFlow - To use with?
• IPPV/CMV - SIMV - MMV

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Beatmungstherapie - Room to Breathe

• MMV AutoFlow / ATC
• Minute ventilation garanteed
• Patient only gets the necessary mandatory support
• Mandatory frequency is reduced proportionally to
  spontaneous minute ventilation
• automatic Weaning

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Ventilation therapy - Room to Breathe

• BIPAP / PCV
• True pressure controlled ventilation combined
  with spontaneous breathing on both pressure
  levels
• optimized in- and exspiratory trigger
• BIPAP/PCV - Customer value
• One Mode from intubation to weaning
• Higher patient comfort
• less Alarms, easy to use

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Ventilation therapy - Room to Breathe

• APRV
• Spontaneous breathing under CPAP with brief
  release periods
• Suitable for patients with poor gas exchange
• Normal lung areas are emptied
• Slow lung areas change volume to a lesser
  extent
• optimized recruitment

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Ventilation therapy - Room to Breathe

• ATC
• Increased patient comfort
• Improved synchronisation in assisted ventilation
• The electronic extubation helps to predict
  weaning success
• The tracheal pressure is beeing monitored without
  usage of a measurement catheter

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OPTION
Ventilation therapy - Room to Breathe

• PPS
• Pressure support proportional to patient effort
• PPS follows spontaneous volume and flow
• PPS gives the weak patient the necessary strength
  to breathe
• Even weak patients with RC changes can control
  breathing and the ventilator

Volumen Assist Flow Assist PEEP Atemwegs
druck
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OPTION
Ventilation therapy - NIV / Mask ventilation

• NIV
• NIV adapted monitoring and alarms
• NIV optimimised, automatic leakage compensation
• Unmistakable colour scheme
• Same high end performance as in tube mode
• Additional vent mode BIPAPAssist / PCVAssist

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Monitoring - Extended Application Range

• Monitoring of values, curves, loops or trends
• Pre-configurable to meet clinical standards/needs
• Standard
• O2
• Pressure
• Flow
• Volume
• Optional
• CO2
• SpO2

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Extended Application Range

• Intrinsic PEEP
• lung status information available in every mode
• auto stop of measurements if pressure increases
  (mes. time 1) or flow becomes zero (mes. time 2)
• improved monitoring of inverse ratio ventilation
  (IRV)
• extended application with respect tomodes and
  lung conditions

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Extended Application Range

• Occclusion Pressure P0.1
• available in all modes
• autoscaling of time axis
• screen freeze with cursor function fordetailed
  analysis
• determines neuromuscular driveearly indication
  of fatigue levels
• support for optimum weaning protocols

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Extended Application Range

• Weaning - Indices
• RSB - Rapid Shallow Breathing Index
• RSB f / Vt
• NIF - Negative Inspiration Force
• Vt ASB Volume inhaled during ASB stroke

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Extended Application Range

• Loops
• Throughout all modes
• Loops and settings simultaneous
• Pressure, flow, volume, CO2 and tracheal pressure
• Zoom - Big Loop!
• Reference Loop
• Loop cursor to measure upper and lower inflection
  point

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Trends - Logbook

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