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Evita 4
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Ventilation AutoFlow ® BIPAP* APRV ATC PPS NIV Monitoring Respiration
Ventilation at a Glance: Powerful and Easy Ventilation AutoFlow ® BIPAP* APRV ATC PPS NIV Monitoring Respiration SPO2 CO2
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Interactive device check Start settings Maneuvers P.01
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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Ideal bodyweight setting Configurable start settings
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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Front Panel Operation: Easy Steps ... Safe Therapy 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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Configurability meet clinical needs
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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Ideal body weight setting Guided interactive device check Standby
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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IPPV / CMV IPPVAssist / AC) SIMV MMV Pressure strategy
Ventilation therapy - Overview Volume strategy IPPV / CMV IPPVAssist / AC) SIMV MMV Pressure strategy BIPAP / BIPAPAssist (PCV+ / PCV+Assist) APRV ASB (Psupp)
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AutoFlow (IPPV/SIMV/MMV) ATC PPS Additional Modes
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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Continuity throughout all modes Automatic Tube Compensation ATC
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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VT, Freq., Tinsp, O2, Flow, PEEP Monitoring
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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Volume Strategy SIMV AutoFlow PAW high - alarm Flow-trigger
Ventilation therapy - Easy to Adjust Volume Strategy SIMV AutoFlow PAW high - alarm Flow-trigger Apnea ventilation
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Pressure Strategy BIPAP / PCV+ VTi high - alarm Flow-trigger
Ventilation therapy - Easy to Adjust Pressure Strategy BIPAP / PCV+ VTi high - alarm Flow-trigger Apnea ventilation
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Room to breathe - What does it mean?
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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less sedation and less alarms with spontaneous breathing patients
Ventilaton therapy - Room to Breathe AutoFlow automatic regulation of flow to meet changing lung conditions and spontaneous breathing pressure peaks are cut off automatically VT is maintained at minimum pressure level less sedation and less alarms with spontaneous breathing patients less adjustments to adapt ventilation to active patients AutoFlow - To use with? IPPV/CMV SIMV MMV
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Minute ventilation garanteed
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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optimized in- and exspiratory trigger
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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Spontaneous breathing under CPAP with brief release periods
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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Increased patient comfort
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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Pressure support proportional to patient effort
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 R&C changes can control breathing and the ventilator Volumen Assist + Flow Assist PEEP = Atemwegsdruck
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NIV adapted monitoring and alarms
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 / PCV+Assist
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Monitoring of values, curves, loops or trends
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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lung status information available in every mode
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 to modes and lung conditions
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autoscaling of time axis
Extended Application Range Occclusion Pressure P0.1 available in all modes autoscaling of time axis screen freeze with cursor function for detailed analysis determines neuromuscular drive early indication of fatigue levels support for optimum weaning protocols
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RSB - Rapid Shallow Breathing Index RSB = f / Vt
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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Loops and settings simultaneous
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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8 pre-configurable parameters over 24 h 2 trends simultaneous
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
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