Materi Presentasi VN 500 Babylog Drager

Infinity Acute Care System Workstation Neonatal Care
Babylog VN500
Technical Training
1. Back round of development Babylog VN500
2 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

Babylog VN500
Executive summary
 The Babylog 8000 was launched in 1989 as a revolutionary new ventilator for premature
neonates. It was one of the first microprocessor controlled devices with outstanding accuracy
and already a proximal flowsensor.
 The existing Babylog 8000 plus was launched in 1998 and managed to sell over 16,000 units
until today. The Babylog 8000 can be considered as the worldwide standard in neonatal
ventilation. The brand Dräger Babylog is known across the globe and has an excellent
reputation. However, a large part of the installed base of Babylogs 8000 is old and is urgently
needing replacement. Over the past years Dräger was not able to offer a real successor to
this world class product.
 With the introduction of the Babylog VN500 we will be able to offer a new dedicated neonatal
ventilator with the name Babylog, which builds on the good reputation of the Babylog 8000.
The conventional ventilation of Babylog VN500 will be extended by the optional applications
Automatic Tube Compensation and Mandatory Minute Ventilation; the optional application
High Frequency Oscillation will be able to cover the complete neonatal range and even will
reach into pediatric HFO application; the human interface will set a new standard in
customization and ease of use and the Smart Pulmonary Display together with many other
process supporting features will enable the Babylog VN500 to be another building block of the
Infinity Acute Care System.

Babylog VN500
Executive summary
 With the release of the Babylog VN500 1st release there will finally be a completely new
neonatal ventilator that will set a new standard in the market and will provide a platform for
future innovations in neonatal ventilation. The development of the Babylog VN500 is based on
current platform system architecture providing full range conventional neonatal ventilation,
support of non invasive respiratory treatment and a powerful High Frequency Oscillation. The
Babylog VN500 is a part of the Infinity Acute Care System and will use the same operating
principle, nomenclature, service concept and modular system architecture as the Evita Infinity
V500.
 Babylog VN500 shall be positioned as the preferred intensive care ventilator for the NICU
level 3, providing all levels of respiratory care and part of the Infinity Acute Care System,
supporting bedside (and hospital) processes. It will mainly focus on the developed markets. In
addition it shall be positioned in the private hospitals of emerging markets.
 The Babylog 8000 plus will be positioned in NICU level 2 in the developed market.
Source: Market launch plan

2. Introduction Babylog VN500

Delivering on the Infinity® Vision
Babylog VN500
Babylog VN500 –
Integral part of
Infinity® Acute Care SystemTM
Dräger Babylog VN500
System overview
Alarm light Infinity® Medical Cockpit™ (C500)

(turnable, tiltable, movable)
Rotary knob
Expiration valve with ejector and water trap

HFO muffler for noise
Babylog VN500
reduction
Rails for additional accessories
pneumatic nebulizer
output Rail for active humidification system
proximal flowsensor
Trolley with universal docking profile
Double wheels with brake

NICU
Babylog VN500
For Neonates and Paediatrics till 20kg

 strong High Frequency Ventilation (HFO) with
Volume guarantee (Neo)
 Oxygen therapy & nasal CPAP/CMV
 Automatic Leakage Adaption and Compensation
 “World-class” Conventionally Ventilation & VG
 Mandatory Minute Ventilation (PC-MMV/VG) Volume
Guarantee
 Automatic Tube compensation (ATC)
 Pressure support for CPAP and SIMV
 Internal Battery for 30 min

NICU
Babylog VN500
Brilliant Monitoring, easy use

 Intuitive, standardised GUI
 standardised nomenclature (V500)
 Context sensitive Help function and
on-screen IfU
 extended Monitoring Functioning
(Trends, Values, etc.)
 Smart Pulmonary View
 Flexible transport and backup solution
 Component of the
Dräger Infinity® Acute Care System™

Babylog VN500 human interface
Statusline with system status, vent mode and alarm area
Main menu with

fixed and custo-
mizable buttons
Monitoring area with

customizable content
in 3 views
Therapy line with the most important settings

Babylog VN500 nomenclature
Babylog VN500 is using the new common ventilation mode and parameter
nomenclature, which is already used by many other Dräger devices.
This nomenclature will be used in all future Dräger devices.
Infinity ACS former former former Peri-

 Carina Critical Care Neonatal Care operative Care
 Evita V500
VC-CMV IPPV - Volume
 Oxylog 2000plus
Volume
VC-SIMV SIMV -
sync.
Pressure
PC-PSV - PSV
Support
Pressure
PC-SIMV BIPAP SIMV
sync.
PC-A/C BIPAPassist SIPPV -

What does this mean ?
Translations…
Babylog 8000 Evita Neoflow Babylog VN500
IPPV / CMV BIPAP PC-CMV

SIMV BIPAP PC-SIMV
SIMV+VG SIMV/Autoflow PC-SIMV/VG
SIPPV / AC BIPAP/Assist PC-AC
PSV CPAP/PS PC-PSV
CPAP CPAP/PS Spn-CPAP/PS
CPAP/HFV -- PC-HFO
CMV/HFV -- PC-HFO/Sigh
…
For more details please refer to our great ventilation modes booklet,
which is under preparation and will be available very soon !
Context sensitive help functions
 Babylog VN500 offers help if needed

 By a touch of a button:
– alarm specific cause and remedy
can be displayed
– ventilation mode or adjunct specific
descriptions can be shown
– special procedure related
information is given

Support of ventilator setup
Babylog VN500 supports ventilator setup by:
 selection of used patient circuit

 display of a hose connection picture
 automatic adjustment of
humidification type
 preselection of patient circuit
specific hose properties

Onscreen IfU
 Babylog VN500 offers an integrated instruction for use

 It can be opened by a touch of a button and offers:
– hyperlinked content
– hyperlinked index
– cross reference hyperlinks
 With Babylog VN500 the
instruction for use is always right
there where it is needed –
at the bedside

Data exchange by USB memory stick
 Babylog VN500 offers extended customization possibilities. These configurations

can be easily saved and exchanged in between devices by use of a standard
memory stick
 Screenshots can be easily

saved to a memory stick
for educational or
other purposes
 Further more logbooks,

trends, alarm history and
more can be exported to a
memory stick and imported
into standard Windows
applications

RFID capabilities
 Babylog VN500 is prepared for our RFID accessories and

offers the following functions:
– hose mismatch control
– control of exchange intervals
– automatic detection and adjustment
of patient circuit properties
 Transfer of vent settings (TVS)
will NOT be supported with the
1st release of VN500
R, C

Smart Pulmonary View
 Babylog VN500 offers a completely new graphical view to lung function and
ventilation data
 The following data are graphically shown:
– compliance
– resistance
– spontaneous breathing activity
– spontaneous and mandatory minute
volume as area of VT over RR
 The Smart Pulmonary View can be
calibrated to the patient status
 The Smart Pulmonary View has been
developed together with Dr. Blike
from USA
 Further developments are planned
and feedback / ideas appreciated !

Smart Pulmonary View
Benefits of Smart Pulmonary View:
 Easy recognition of changes of lung status and pattern of breathing

– Especially in neonates rapid changes in compliance are common
– Increased resistance e.g. due to mucus can be easily detected
 Quicker reaction of care giver due to graphical visualization
 Reduction of cognitive load

Customization ob Babylog VN500
The following user specific configurations are possible:

 start settings and alarm limits
 standard modes of ventilation
 detailed settings for specific modes
 3 main screens with different layout and contents
 standard value list
 standard graphical trend parameters
 main menu buttons
The benefits are:

 Effortless and individual adaptation of human interface to customer needs
 Adaptation of therapy types and modes to customer needs
 Easy operation

CO2 Monitoring
 Babylog VN500 offers a mainstream CO2 monitoring

 The following information is provided:
– Capnogram waveform
– etCO2
 The CO2-Option is the same as for Evita V500
 A pediatric cuvette is available and has a VD of 5 ml; therefore it can be
recommended only for bigger neonatal or pediatric patients.
 Clinical value in premature neonates is not proven and the use of CO 2 monitoring is
not a standard. However, some users use the etCO2 as a trend information in order
to detect adequate time for new BGA.

Optional infrastructure modules
Air Supply Unit and Power Supply Unit
Air Supply Unit GS500 Transport Supply Unit
Power Supply Unit PS500

Optional infrastructure modules
Air Supply Unit and Power Supply Unit
Gas Supply Unit GS500 Compact, lightweight, quiet  Protection against central
and battery operable gas outage
independent air supply  Operation in rooms without
gas infrastructure
 Quiet operation to support
developmental care aspects of
patients
 Battery operation of GS500
allow independent gas supply
also in case of power outage
 Lightweight unit increases
mobility of the system
Internal backup battery and Internal battery for 30 minutes  Protection against power
extended battery power by of independent operation. outage
PS500 Extended power supply  Independent operation for
module with additional 90-120 internal patient transport (L&D
min power independent supply – NICU, NICU – Imaging)
(depending on simultaneous
operation of GS 500) .

Babylog VN500
Basic specifications
 Ventilator for premature neonates and infants up to 20kg

 Highly customizable color touchscreen human interface
(17“ widescreen)
 Common Dräger human interface and nomenclature
 Pressure controlled modes with and without Volume Guarantee
 Conventional ventilation and HF oscillation (max. 20Hz)
 High flow oxygen therapy and nasal CPAP/CMV
 Internal battery backup of 30 min
 Bedside process support features
 High acuity innerhospital transport
 Prepared for future Smart Applications
 Prepared for future Infinity workplace integration.

Therapy capabilities
Optional
 NIV: nasal CPAP/CMV

 Pneumatic nebulizer with timer
 Ventilation with Volume Guarantee and
Mandatory Minute Ventilation (PC-MMV/VG)
 Strong HFO with HF-Volume Guarantee
 Automatic Tube Compensation (ATC)
 Proportional Pressure Support (Spn-PPS)
 Airway Pressure Release Ventilation (PC-APRV)

Intrahospital transport
Incubator mount
A flexible, but solid incubator or open

warmer mount facilitates inhouse
transports with the Babylog VN500.
Dräger and 3rd party warming therapy
devices can be connected.
For first class ventilation

during transport !

Stationary monting for Babylog VN500
Apart from the trolley different mounting solutions for

architectual systems can be offered !

3. HFO on Babylog VN500

What is HFV and how does it work ?
Definition
 Application of high CPAP
 Maintain open lung volume
 Recruit lung volume to optimise oxygenation.
 Combined with a technique that utilizes supra-physiologic rates to deliver small

tidal volumes to remove CO2
Rationale
 To reduce pressure/volume related injury to lung parenchyma
 Decrease the risk of airleak and chronic lung disease
 To facilitate the resolution of existing airleak.

What is high frequency ventilation?
 Frequencies from 5 - 50 Hz (300 - 3.000 / min.)

 Tidal volumes in the range of the dead space volume (approx. 2 ml/kgBW)
 Active in - and expiration
Pressure
Typical pressure - time curve

with high frequency oscillation at 12 Hz
0 1 seconds

How can it be generated ?
Working principle of commercial ventilators
 Piston oscillators
 Flow interrupters
 Other devices (loudspeaker principle)

Working principle
Babylog 8000 plus
Working principle:
Flow interrupter
Continuous flow
PEEP
Frequency
Amplitude
Venturi Jet Exp. valve

Babylog VN500
High Frequency Oscillation
A weak point of Babylog 8000 is the High Frequency Ventilation. Due to

technical limitations Babylog 8000 can not provide enough power and shows
unwanted interdependencies of the settings.
Babylog VN500
now offers a
powerful
High Frequency Oscillation !
HFO- generation with Babylog VN500
Pulsed inspiratory flow by fast servo valve
Servo valve Safety breath.valve

Safety valve actively closed by
microprocessor during HFO
PEEP/MAP
Frequency
Amplitude
Exp. valve
Venturi Jet
3 times stronger
Venturi Jet Directly driven, fast
expiration valve

Dräger Babylog VN500
The birth of a new era
 Dedicated neonatal ventilator

 Powerful high frequency oscillation
 World-class conventional neonatal ventilation
 Non-invasive nasal CPAP and oxygen therapy
 Smart Pulmonary View
 Intuitive user interface with color touch screen
 Flexible transport and backup solution
 Component of the Dräger Infinity® Acute Care
System™
Enter the new era of neonatal ventilation. It’s just beginning…

1 Display unit
2 Ventilation unit
3 Trolley option
4 Gas supply unit option
5 Power supply unit option
6 Nebulizer option
7 Humidifier option
8 Other devices and accessories from
Drager or third parties
(see accessories list)

A Gas metering module M1.3
B Inspiratory unit/safety valve unit module
C Neonatal expiratory valve module
D Silencer The sound absorber is an integral part of the neonatal expiratory
valve module
E Barometric pressure sensor The barometric pressure sensor is located on
the PI Main PCB.
F Pressure measurement module, PVT Monitoring PCB M4.1
G Calibration unit module
H PATO-O2 sensor module
I Nebulizer/ejector option
J Attenuator The attenuator provides a laminar
flow of the mixed gas to the PATO O2
K Blower adapter

Functional principle

Item Designation Item Designation
1 Gas inlet - Air
2 Gas inlet – O2
3 Air non-return valve (M1_3_CV1)
4 O2 non-return valve (M1_3_CV2))
5 Air metering valve (M1_3_V1)
6 O2 metering valve (M1_3_V2)
7 Gas mixing tank 21 PATO O2 sensor (S1)
8 Mixed gas metering valve (M1_3_V3)
9 Safety valve (V5) 23 Air pressure regulator (PR1)
10 Emergency expiratory valve (SV2)
11 Emergency respiratory valve (SV3)
12 Patient's lung 26 Nebulizer switching valve (V9)
13 Expiratory valve (V16)
14 Non-return valve (CV5)
14 Non-return valve (CV5

15 Neonatal flow sensor (S4)
16 Barometric pressure sensor (S8)
17 Calibration valve (V8) for inspiratory pressure sensor (S9)
18 Inspiratory pressure sensor (S9)
19 Calibration valve (V6) for expiratory pressure sensor (S6)
20 Expiratory pressure sensor (S6)
21 PATO O2 sensor (S1)
22 Nebulizer outlet
23 Air pressure regulator (PR1)
24 O2 pressure regulator (PR2)
25 Nebulizer mixing valve (V10)
26 Nebulizer switching valve (V9)
27 Ejector switching valve
28 Ejector
29 Silencer
30 CO2 sensor (optional) (S5)

Design
Functional principle

Inspiratory unit/safety valve unit

1 Inspiratory unit/safety valve unit The inspiratory unit/safety
valve unit is a complete unit locked into the connector
plate on the front of the Evita Infinity V500.
2 Neonatal inspiratory unit/safety valve unit The neonatal
inspiratory unit/safety valve unit is fitted with a
smallerdiameter socket, though its function is identical to
the standard inspiratory unit/safety valve unit.
SV2 Emergency expiratory valve The emergency expiratory
valve (SV2) is housed in the inspiratory unit/safety valve
unit.
SV3 Emergency respiratory valve
The emergency respiratory valve

Thank you for
your attention.

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Infinity Acute Care System Workstation Neonatal Care

2 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

3 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

4 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

5 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

Alarm light Infinity® Medical Cockpit™ (C500)

Expiration valve with ejector and water trap

Double wheels with brake

7 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

For Neonates and Paediatrics till 20kg

8 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

Brilliant Monitoring, easy use

9 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

Statusline with system status, vent mode and alarm area

Main menu with

Monitoring area with

Therapy line with the most important settings

10 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

Infinity ACS former former former Peri-

PC-A/C BIPAPassist SIPPV -

11 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

Babylog 8000 Evita Neoflow Babylog VN500

IPPV / CMV BIPAP PC-CMV

 Babylog VN500 offers help if needed

13 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

Babylog VN500 supports ventilator setup by:

 selection of used patient circuit

14 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

 Babylog VN500 offers an integrated instruction for use

15 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

 Babylog VN500 offers extended customization possibilities. These configurations

 Screenshots can be easily

 Further more logbooks,

16 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

 Babylog VN500 is prepared for our RFID accessories and

17 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

18 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

Benefits of Smart Pulmonary View:

 Easy recognition of changes of lung status and pattern of breathing

19 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

The following user specific configurations are possible:

The benefits are:

20 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

 Babylog VN500 offers a mainstream CO2 monitoring

21 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

Air Supply Unit GS500 Transport Supply Unit

Power Supply Unit PS500

22 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

23 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

 Ventilator for premature neonates and infants up to 20kg

24 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

 NIV: nasal CPAP/CMV

25 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

A flexible, but solid incubator or open

For first class ventilation

26 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

Apart from the trolley different mounting solutions for

27 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

28 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

 Combined with a technique that utilizes supra-physiologic rates to deliver small

29 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019

 Frequencies from 5 - 50 Hz (300 - 3.000 / min.)

Typical pressure - time curve

30 | 34 Technical Training BabylogVN500 | G. Hagelstein | 01.04.2019