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Product name/ manufacturer Avea Viasys Healthcare Palm Springs, CA (800) 937-3750 www.viasyshealthcare.com BearCub 750PSV Infant Ventilator Viasys Healthcare Palm Springs, CA (800) 937-3750 www.viasyshealthcare.com

MARKET CHOICES

RN

Mechanical ventilators
In this issues Market Choices, we take a look at mechanical ventilators used in ICUs and subacute care units. Most manufacturers offer ventilators that are available in a wide range of configurations, with extensive ventilation therapy, patient monitoring, and power supply features and options. In the interest of space, only select features are described here. The information below, alphabetical by product name, is not a complete listing of the many products on the market. The omission of a product does not indicate a negative assessment, nor does the appearance of a product on this list indicate an endorsement. Products have not been individually tested by RN staff.

INTENSIVE/CRITICAL CARE VENTILATORS

Description Ventilation modes include Assist Control (AC), Synchronized Intermittent Mandatory Ventilation (SIMV), CPAP, Pressure Support Ventilation (PSV), Non-invasive (NIV), Airway Pressure Release Ventilation/BiPhasic (APRV/BiPhasic), Pressure Regulated Volume Control (PRVC), and Time Cycled Pressure Limited (TCPL). Selectable, full-color waveforms and loops. Bicore esophageal and tracheal monitoring, proximal airway pressure monitoring, and 24-hour trending of 35 parameters. Has an internal compressor Ventilation modes include flow cycled AC, AC, SIMV/IMV, SIMV/PSV, flow cycled SIMV, CPAP, and PSV. Features complete graphics package, 12 monitored parameters, proximal hot wire flow sensor, and internal battery Alarms High/low peak, high/low minute ventilation, high tidal volume, apnea, high respiratory rate, and low exhaled tidal volume Size/weight 17 16 10.5

High breath rate, low PEEP/CPAP, low inspiratory pressure, low minute volume, low gas supply, apnea, pressure settings incompatible, prolonged inspiratory pressure, flow sensor, low battery, and high pressure limit High/low peak and baseline inspiratory pressure, total minute volume, and total breath rate

13.5 10 11 (Ventilator) 13 2.5 9.5 (Graphics monitor) 44.5 lbs (Ventilator, graphics monitor, and stand) 23 13.5 54 lbs 15

Bear 1000, Bear 1000 t/es Viasys Healthcare Palm Springs, CA (800) 937-3750 www.viasyshealthcare.com

Ventilation modes include Assist/Conventional Mechanical Ventilation (CMV) and SIMV/CPAP (PSV). Pressure Augmentation assures patient/ventilator synchrony. Pressure slope allows the clinician to adjust rise time to the inspiratory pressure level. Smarttrigger uses computer logic to evaluate demand, then trigger a breath with pressure or flow whichever is more sensitive. The Bear 1000 t/es model adds tracheal and esophageal pressure monitoring.

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INTENSIVE/CRITICAL CARE VENTILATORS (continued)

Product name/ manufacturer Esprit Ventilator Respironics Carlsbad, CA (800) 345-6443 www.respironics.com

Description Ventilation modes include Volume Control (VC), Pressure Control (PC), and fully integrated noninvasive ventilation. Microprocessor-driven unit doesnt require wall air or compressors.

Alarms High/low inspiratory pressure, low PEEP/CPAP, high respiratory rate, low exhaled mandatory and spontaneous tidal volume, high/low exhaled minute volume, and apnea interval High/low airway pressure, high/low expired minute volume, high tidal volume, apnea alarm, spontaneous breath frequency, high/low inspired O2 concentration, and EtCO2 High/low airway pressure, high/low expired minute volume, high tidal volume, apnea alarm, spontaneous breath frequency, high/low inspired O2 concentration, and high/low SpO2, pulse, and EtCO2 High/low airway pressure, high/low expired minute ventilation, high/low EtCO2, apnea alarm, and FIO2

Size/weight 16 24 66 lbs 14

EvitaXL Drger Medical Telford, PA (800) 437-2437 www.draeger.com

New software platform for the Evita series. Ventilation modes include CMV, SIMV, MMV, PCV+, PCV+Assist, APRV, and Independent Lung Ventilation (ILV). AutoFlow, which increases comfort by allowing spontaneous breathing regardless of the ventilation phase, can be added to all volume modes. Basic ventilation platform features individualized screen and parameter settings. Ventilation modes include CMV, SIMV, PCV+, PCV+Assist, CPAP, and MMV. Expandable with hardware and software upgrades

21 12.5 64 lbs

18

Evita 2 dura Drger Medical Telford, PA (800) 437-2437 www.draeger.com

20.6 11.3 17.5 59.4 lbs

Evita 4 Drger Medical Telford, PA (800) 437-2437 www.draeger.com

Ventilator features a 10.4 touch screen. Ventilation modes include CMV, SIMV, MMV, PCV+, PCV+Assist, APRV, and ILV. AutoFlow, which increases patients comfort by allowing spontaneous breathing regardless of the ventilation phase, can be added to all volume modes. Ventilation modes include VC, AC, SIMV, CPAP, and Apnea Backup. Features low pressure/low flow oxygen bleed-in. For adult and pediatric patients

20.9 11.4 17.7 60 lbs

LTV800 Pulmonetic Systems Minneapolis, MN (866) 752-1438 www.pulmonetic.com LTV900/950 Pulmonetic Systems Minneapolis, MN (866) 752-1438 www.pulmonetic.com

High/low airway pressure, apnea, battery low, battery empty, sense line disconnect, power low, and power lost alarms High/low airway pressure, low minute volume, apnea, battery low, battery empty, sense line disconnect, power low, and power lost alarms

3 10 12.4 lbs

12

Ventilation modes include VC, AC, PS, SIMV, and CPAP. LTV950 includes a PC ventilation mode. Both LTV900 and LTV950 feature low pressure/low flow oxygen bleedin and bias flow to aid in patient triggering. For adult and pediatric patients Ventilation modes include VC, PC, Assist/Control, PS, SIMV, and CPAP. OnBoard Oxygen Blending works with both high-pressure and low pressure/low flow oxygen sources. Bias flow aids in patient triggering. For adult and pediatric patients Modular design allows interchangeable options and easy upgrading by adding hardware and software modules. Features a modular battery for backup and transport. Ventilation modes include Automode, VC, PC, PRVC, Bi-Vent, SIMV, Volume Support (VS), and PS. Open Lung Tool option provides clinicians with parameters including EIP, PEEP, inspiratory and expiratory tidal volumes, and dynamic compliance to support lung recruitment procedures. Flow triggering for all modes. CO2 monitoring

3 10 12.4 lbs

12

LTV1000 Pulmonetic Systems Minneapolis, MN (866) 752-1438 www.pulmonetic.com

High/low airway pressure, low minute volume, apnea, battery low, battery empty, sense line disconnect, power low, and power lost alarms

3 10 12.6 lbs

12

Servo-ii Infant, Adult, and Universal Ventilation Platforms Siemens Medical Solutions Malvern, PA (888) 826-9702

High airway pressure, high/low minute volume, high/low respiratory rate, high/low FIO2, low PEEP, apnea. Alarm/Message center allows you to survey all alarms. 24-hour trend memory of all alarms, ventilator changes, and interactions

11.7 44 lbs

7.9

16.1

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INTENSIVE/CRITICAL CARE VENTILATORS (continued)

Product name/ manufacturer Servo Ventilator 300 Siemens Medical Solutions Malvern, PA (888) 826-9702

Description Ventilation modes include PRVC, VS, PS, PC, VC, SIMV VC + PS, SIMV PC + PS, and CPAP. Automatically switches from VS to PRVC if patient stops breathing. Flow triggering in all modes. CO2 monitoring. For adult, infant, and pediatric patients Ventilation modes include PRVC, VC, PC, VS, PS, SIMV VC + PS, SIMV PC + PS, and Automode. Flow triggering for all modes. CO2 monitoring. For adult, infant, and pediatric patients Ventilation modes include VC, VC with Sigh, PC, PS, SIMV VC + PS, and CPAP. PEEP during ventilation can be measured in all modes. For adult, infant, and pediatric patients Ventilation modes include VC, PC, PS, and CPAP. Completely upgradeable platform. Turbine technology does not require wall air or compressor. Features smart sensor, full-color LCD touch screen with scaleable graphics, trends, and a six-hour battery

Alarms High airway pressure, high/low minute volume, high/low FIO2. Alarm/Message center allows you to survey all alarms.

Size/weight 9.5 14.5 57.2 lbs 9.4

Servo Ventilator 300A Siemens Medical Solutions Malvern, PA (888) 826-9702

High airway pressure, high/low minute volume, high/low FIO2. Alarm/Message center allows you to survey all alarms.

9.5 14.5 52.8 lbs

9.4

Servo Ventilator 900C Siemens Medical Solutions Malvern, PA (888) 826-9702

High airway pressure, high/low minute volume, high/low FIO2. Alarm/Message center allows you to survey all alarms.

19.5 8.9 41.8 lbs

12.4

Vela Ventilator Viasys Healthcare Palm Springs, CA 800 937-3750 www.viasyshealthcare.com

High/low pressure, low minute volume, high breath rate, apnea interval, high PEEP, no flow sensor, loss of O2, high O2, O2 sensor failure, flow sensor disc, circuit fault, on battery power

13 12 38 lbs

14.5

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