1. Evita 4

2. 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

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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)

9. 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

10. 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

11. 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

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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

19. 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

20. 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

21. 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

22. 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

23. 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

24. 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

25. 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

26. 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

27. 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