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Evita 4

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Ventilation AutoFlow ®

BIPAP* APRV ATC PPS NIV

Monitoring Respiration SPO2

CO2

Ventilation at a Glance: Powerful and Easy

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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

Ventilation at a Glance: Powerful and Easy

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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

Ventilation at a Glance: Powerful and Easy

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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

Operation: Easy Steps ... Safe Therapy

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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

Operation: Optimized for the Situation

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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

Power on - Easy Start

[kg]

65

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Volume strategy IPPV / CMV

IPPVAssist / AC)

SIMV MMV

Pressure strategy BIPAP / BIPAPAssist

(PCV+ / PCV+Assist)

APRV ASB (Psupp)

Ventilation therapy - Overview

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Room to Breathe BIPAP (PCV+) APRV AutoFlow (IPPV/SIMV/MMV) ATC PPS

Additional Modes NIV / Mask Ventilation ILV

Ventilation therapy - Overview

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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

Ventilation therapy - Overview

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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

Ventilation therapy - Conventional Volume Ventiation

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Volume Strategy

SIMV AutoFlow

PAW high - alarm Flow-trigger Apnea ventilation

Ventilation therapy - Easy to Adjust

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Pressure Strategy

BIPAP / PCV+

VTi high - alarm Flow-trigger Apnea ventilation

Ventilation therapy - Easy to Adjust

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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

Ventilation Therapy - Room to Breathe

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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

Ventilaton therapy - Room to Breathe

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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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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

Ventilation therapy - Room to Breathe

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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

Ventilation therapy - Room to Breathe

Paw

P

PT

T

t

hoch

hoch

tief

tief

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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

Ventilation therapy - Room to Breathe

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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

Ventilation therapy - Room to Breathe

Volumen Assist

+

Flow Assist

+

PEEP

=

Atemwegsdruck

P

P

P

OPTIONOPTION

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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

Ventilation therapy - NIV / Mask ventilation OPTIONOPTION

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Monitoring of values, curves, loops or trends

Pre-configurable to meet clinical standards/needs

Standard O2

Pressure Flow Volume

Optional CO2 SpO2

Monitoring - Extended Application Range

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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 Paw

t

Insp.- and Exsp.- valve closed Exsp.-valve opened

PEEP

mes. time 1 mes. time 2PEEPi VTrap

PEEPi

Extended Application Range

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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

Extended Application Range

Paw

CPAP-0,5 mbar

100 ms

P 0.1

P1

P2

t

Insp.-Ventil geschlossen

Insp.-Ventil geöffnet

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Weaning - Indices RSB - Rapid Shallow

Breathing Index RSB = f / Vt

NIF - Negative Inspiration Force

Vt ASB = Volume inhaled during ASB stroke

Extended Application Range

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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

Extended Application Range

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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

Trends - Logbook