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Perseus A500 + Low flow anesthesia tools. September – November 2024, India.
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Agenda. 3. Item 01. Item 02. Item 03. Mindray. Item 04.
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Floor variant. [image] Ein Bild das Haushaltsger t enth lt Automatisch generierte Beschreibung.
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Screen: 15.3‘‘ colour touch screen with standard UI.
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[image] A picture containing optical instrument cameras optics person camera Description automatically generated.
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7. —. Footer: Please add appropriate company. Perseus A500 – Standard feature set.
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[image] D 9149 2011 1000. [image] D 9145 2011 1000.
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Perseus A500 USB support. Data export Screenshot System test result Alarm history Trends Logbook (optional) Last case/Today/All Capturing measurements, settings, consumptions, alarms, and self-test results Exchange of system setups between different devices.
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[image] D 8800 2011. [image] D 9160 2011 1000. Perseus A500 Integrated aux. O2 and AGSS.
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Perseus A500 Major options overview. Drawer module, shelves, poles, etc. Multiple workstation combinations with patient monitoring Endotracheal suction system & components VaporView FiO2 prediction External fresh-gas outlet Manual pressure gauge Automated Lung Recruitment Manoeuvre Pressure Support package/APRV Lung Recruitment Logbook Export.
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Perseus A500 VaporView – Functions & benefits. What is it? What does it provide? Optional feature (VaporView hardware and Vapor 3000 required) Vaporizer illumination Predicts anaesthesia agent measurement based on current fresh-gas flow and composition Provides „What-if“ function when fresh-gas flow is changed Clinical benefits Easier identification of potential alarm causes related to volatile agents Better perception of the current state of drug delivery and concentrations Better projection of future states Better adjustment of vaporizer settings to fulfil the individual patient’s needs.
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Display Standard screen module Actual handwheel setting Refill indicator Substituting display space of virtual flow tubes Triangle indicates current vaporizer setting 10 minutes trend and 20 minutes prediction Display of insp. (grey) and exp. (coloured) concentration Area between lines ~ saturation.
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… wait …. Perseus A500 Agent-concentration change prediction (1/3).
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[image] Vapor3000 Iso. … wait …. Perseus A500 Agent-concentration change prediction (2/3).
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Perseus A500 Agent-concentration change prediction (3/3).
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[image] Screenshot A500 2011 11 23 12 26 31 Perseus1.
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Display Standard screen module Actual handwheel setting Refill indicator Substituting display space of virtual flow tubes Triangle indicates current vaporizer setting 10 minutes trend and 20 minutes prediction Display of insp. (grey) and exp. (coloured) concentration Area between lines ~ saturation.
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[image] 70 FG 02 %. Perseus A500 FiO2 prediction – “What-if” function.
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Perseus A500 Pressure Support (PS) and CPAP. Pressure Support mode.
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Perseus A500 Airway Pressure Release Ventilation (APRV).
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Perseus A500 Lung Recruitment. [image] P r oceå_res 19 40 S PEEP.
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The Auto On function allows the Atlan to be programmed to perform an automatic system test and to be tested at a specified time..
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Perseus A500 Econometer, Econometer trend and Low Flow Wizard.
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[image] Flush & Dry 1. prepare system for FH_JSh & Dry. - Make sure that no patient is connected. -Set APL valve to 30. - Occlude Y—piece. - Connect sample line, - Close 02 flmvvalve. - Set 02 swtch to "Aux. 02•. 2. start Flush & Dry. - Reducbon of humidity and agent residues in breathing circuit -Duration: 10 min Immediate Cancel shutdown.
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Aisys CS2. Flow – i. Competitors. Deep dive into competition.
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GE Aisys CS2 Product Overview. Device. Insert photo.
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Surplus Efficient Deficit Econometer. Low-flow wüard Required FG flow 0 0.5 1 T otal flow Too 2 4.
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It is the GE way to performing target-controlled agent dosing It monitors the patient et Oxygen and et AA values constantly and automatically adjusts the gas delivery and total flow to achieve and maintain the set target end tidal Oxygen (etO2) and end tidal anaesthetic agent (etAA) values.
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30. The “Et Control” option Software. [image] 2.00 2.01.
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Modes of Ventilation & Lung Recruitment. [image] usng Vital COocity 1. Se*t to Vital.
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32. GE Aisys CS2 Strength & Weaknesses. Modern workstation approach (combination with CARESCAPE monitors) Standardized UI (ventilator + monitoring) 15’’ color touch display etControl option ecoFLOW for low flow anesthesia Automated lung recruitment procedures Table top design (central brake, movable display arm, large writing tray, 4 drawers) “Quick Picks” (pre-configuration of FGF & FiO2 settings) Sophisticated ventilation modes VG (= “AutoFlow”) additional to VCV, PCV, PCV-VG, SIMV, PSV and CPAP Flexible in pricing and service contracts.
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A series: FDA Approved. 33. Mindray: A8 & A9. Eli Oyi-.
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A8 uses traditional vaporizers. Disadvantages (against Perseus): No filling level low alarm No information about hand wheel position Agent prediction? No vaporizer illumination.
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Disadvantages: In case of leakages, driving gas goes directly to the patient, risk of awareness Large compressed volume, long distance from flow control valve to patient (bad reaction time) No fresh gas decoupling (press O2-flush to demonstrate) Requires oxygen (at least amount of MV), critical when oxygen supply goes down), launching this device in Covid-19 pandemic seems cynical.
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Counter argumentation: Perseus A500 and Zeus IE offer recruitment maneuvers with a user-friendly interface including analysis support In addition to one-step and multi-step maneuvers, with Perseus A500 also insp. / exp. Hold can be chosen Is it helpful / safe to schedule recruitment maneuvers and have them carried out automatically? Patient safety? Settings via the number pad are time-consuming and complicated, and many individual settings are necessary. It is unclear to what extent A8 / A9 offers support in evaluating the maneuvers.
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Counter-argument: What about patient safety? How does the security concept work? Security is crucial (see GE case with 24% Desflurane in Singapore with Aisys etControl. How low does it flow and how fast can the flow be reduced? Mindray claims to go down to 300 ml/min but all screenshots of their marketing material show 700 ml/min (see right). ACA has several limitations: ACA does not work in Man/Spon When FiO2-low or FiO2-high alarms occur, then ACA goes to high flow Dosage stops when dosing modules are refilled ACA seems similar to etControl of GE and Getinge but Zeus IE is the only device in the market which offers closed system anesthesia.(minimize costs and environmental footprint).
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38. Mindray – A9 Strength & Weaknesses. 18.5’’ color touch display with Electronic Gas Mixing. 8.5 inch LCD Display for Display of Gas Status HFNC - All Advance Modes of Ventilaton Automated Gas Control (AGC) Electronic Injector Vaporizer Lung Recruitment ICU like ventilation capabilities with new volume Analyzer. Transpulmonary Pressure Monitoring Low System Volume 1.2 l and High Peak flow 180lpm Venturi Suction / Continuous Suction. Data Storage up to 10 Profiles/ 1000 entries..
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39. Driving gas & Agent Calculation. Drive Gas Calculation Average 4 hours of operations Number of surgeries Average hours of operations in minutes Number of minutes of sur ery per ear Drive as wasted per ear linders utilized for drivin ventilation Amount of oxygen savings Gas & Agent savings Savings 240 60 (mins) x4(hrs) -240 120000 500 (NO. of cases) x 240 (mins) = 720000 (mjns) x 6L (drive gas) = 102.86 720000 (drive gas) / 7000 L (ljumbo cylinder) 102.86 30,857 102.86x 300 (1 jumbo cylindercost) -30,857 Agent calculation Total no of Operation theaters Total no of Cases per ear Avera e case time Lifecycle of the machine Agent consumption per hour = 3*total fresh gas flow*Dial concentration Savin per case Total drive as savin [Year Total ent savin s/Year Totala entand s savin /Year Savings/lifecycle of equipment (Agent+drive as Sevoflurane (30 Rs./ml) Usual practice 2 4 10 10.45 61,714 132,000 193,714 1,937,143 Dreaeger anesthesia workstation 2 4 10 8.25 Savings 2.20 61,714 Total &ive gas savings/Year 132,000 Total Agent savi rgs/Year 193,714 Total agent and gas Savhgs/lifecvdeof savi rgs/Year equipment (Agent+d rive gas) 2.2 (savings/hr) x 4(hrs) x 30 (sevo /ml) - 264 Drive gas saved/ Year for 2 OT = 61,714 264 (saving,/case) x 500 (NO of cases) =.
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Thank you. Anaesthesia Team. 40. Footer: Please add appropriate company.