Dynamic Anesthesia Delivery - Getinge

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Dynamic Anesthesia DeliveryEvery. Breath. Counts.This document is intended to provide information to an international audience outside of the US.

Complexity made easy. Advancedtools with an intuitive interface– to facilitate true personalization.Personalizationbreath by breathDynamic Anesthesia Delivery the Getinge way putsyou in control. With our innovative technologies,the Flow Family anesthesia machines provideyou with the tools to ensure the perfect flow andfine-tune personalized delivery even for the mostchallenging patients, from neonates and pediatricto the morbidly obese. The Flow Family machinesare designed for ease of use and a streamlinedworkflow, with our innovative technologycontributing to enhanced patient safety anda reduced carbon footprint. Every. Breath. Counts.2Safe and easy low flowAutomatic Gas Control (AGC) makeslow-flow anesthesia delivery safer.With simple pre-settings, specifyingthe targeted inspired oxygen, endtidal anesthetic agent levels andrequired speed, AGC solves the rest.Our innovation offers high precisioncombined with improved comfort,reduced anesthetic waste, andincreased safety.1, 2, 3, 4Dynamic Anesthesia Delivery

“Automatic Gas Control (AGC) is a sustainableand economic approach without compromisingpatient safety” 6Better agent dosingGentle steps against atelectasisFor more precise control of depth ofanesthesia, we created MAC Brain.A unique tool that visualizes thedifference in agent concentrationbetween the lungs and the target organ,the brain. The reliability of the dataputs you in control, letting you plan anddeliver more efficient dosing of agentswith safety and ease. 5, 6, 7Lung recruitment maneuvershave become the tool of choiceto counter atelectasis, to improveoxygenation and help preventpostoperative complications. Whatonce was considered complex andtime consuming is now seamlesslyintegrated into your workflow. 9, 10Active hypoxia preventionVentilation to ICU standardsOur O2Guard is the world’s onlysystem for active hypoxia prevention.Should the inspired oxygen level dropbelow 21%, the O2Guard activelyoverrules the settings and increasesthe flow of oxygen. The risk of hypoxiais minimized. 8Our innovative Flow Core Technologyis designed to promote efficientagent usage, providing the power andprecision to ventilate even the mostchallenging patients. This is due to thecombination of our Volume Reflectorwith its smart re-breathing systemand our proven Servo gas modules,adjusting pressure and flow constantlywithin every breath. 11, 12, 13Dynamic Anesthesia Delivery3

ScreenCustomizableTiltable 15” screen with same intuitiveMultipurpose rails for mountingand user-friendly interface for all Flowauxiliary equipment. Drawers offermodels.9 Quick access presets for keygenerous storage space and lockablefunctions such as agent, oxygen andcompartment.FGF adjustments.Ergonomic workspaceLarge workspace for convenienceInnovative toolsand efficient workflow.Our proprietary technical solutions for truepersonalization and dynamic anesthesiadelivery. MAC Brain and O2Guard arestandard features on all Flow Familymachines. AGC and Lung RecruitmentManeuver are available as options.Ventilation performanceThe innovative Volume Reflectorrebreather and Servo gas modulesensure precise gas delivery– adjusts pressure and flowconstantly within every breath.Excellent ventilation performanceElectronic vaporizersfor any patient category. 11, 12, 13Fast and precise delivery ofanesthetic agents. Lightweight,easily refillable and exchangeable.Holds 300 ml. No heating timefor Desflurane.Simple cleaningOnly 7 parts to be dismantled for cleaning – saves costand supports infection control. Reduced complexity foreasy maintenance.Staying in controlUser-friendly workstations for Dynamic Anesthesia DeliveryThe Flow family is our line-up of anesthesia machines.They cover the needs of operating and emergency rooms.Developed together with clinicians, they are designedto facilitate a great scope for personalization and patientsafety. With an intuitive interface and emphasis onease of use14, they ensure a streamlined workflowand efficiency that offers enhanced cost control andresource management.4With smart design and a high level of automation, the FlowFamily brings smooth workflows to a stressful OR situation,making the clinician confident, responsive and proactive.The ergonomics, connectability advantages, and simplifiedroutines and settings allow the clinician to focus full attentionto the patient. This translates into higher efficiency, a betterwork environment and improved care outcomes.Dynamic Anesthesia Delivery

Flow-iFlow-eFlow-cFlow-i is the innovative workstation,a highly advanced anesthesiamachine offering superior ventilationperformance, decision supportfeatures, and a wider range of settingsof flows and pressures. Flow-i issuitable for highly specializedprocedures such as pediatric andthoracic surgery. Available in threeversions – including a heightadjustable model, and a pendant modelsuspended from the ceiling.Flow-e is the extended, flexibleworkstation for dynamic anesthesiadelivery. With a larger worktop, morestorage space, and generous mountingpossibilities for auxiliary equipment,Flow-e can be customized to matchyour needs and preferences. FeaturingGetinge’s proprietary innovations,the machine ensures personalizedanesthesia suitable for a wide rangeof patients – complex cases as well asgeneral procedures.Flow-c is the compact, easy-to-useworkstation for safe and cost-efficienttreatment. Despite its small size, itfeatures all Flow Family innovations,to accommodate true personalizedanesthesia, and the intuitive userinterface supports an efficientworkflow. Its compact design isan advantage in the crowded ORin a hospital as well as inAmbulatory Surgery Centers,all with busy schedules.Flow-iFlow-eFlow-cxxxTidal volume (*20–2000 ml as option)20–2000 ml50–1600 ml*50–1600 ml*Pressure (*0–120 cm H2O as option)0–120 cm H2O0–80 cm H2O*0–80 cm H2O*Getinge Online connected servicesxxx2 11 1 11 1MAC BrainxxxO2GuardxxxAGCOptionOptionOptionLung recruitmentOptionOptionOptionActive vaporizer slots221Workspace (no of 250 ml Sev bottles fitted)448045Drawers1–31 31Volume Reflector ( Indicator)Gas backup (option)Dynamic Anesthesia Delivery5

Excess consumption of anesthetic agent drivescost. Hospital funds are lost unnecessarily – and thenegative environmental impact is considerable.Our Automatic Gas Control addresses both problems.It enables safe low-flow anesthesia with reducedagent consumption by up to 58% – saving cost andreducing the climate footprint.1, 4One coherent offerAt Getinge, you will find thecapabilities of a supplier who canlook at the whole picture and bethe single source of all equipment,services and expertise you need toprovide state-of-the-art treatment– dynamic anesthesia delivery.6A single-supplier approach is reliable; everything isconsistent, compatible, and complete to the last detail.You will know at all times where to turn for ever bettertools, support whenever it is needed and continuousknowledge transfer. We are committed to the efficiencyof the anesthesia team, truly personalized treatment,and smooth workflows to ensure maximum patient safetyand optimized care outcomes.Every breath counts. And no detail is insignificant.Dynamic Anesthesia Delivery

Protect your investmentWhether you have a full-service department on site, or limitedin-house personnel, we can meet your needs. Our Getingecertified field service representatives and Getinge originalparts are a good investment to help maximize the life span ofyour equipment. All to boost productivity and reduce costs.Your Getinge products will be monitored and maintained toensure that they deliver effective performance whenever andwherever they are needed. By following a routine preventivemaintenance schedule, Getinge Care keeps things runningsmoothly, with minimal interruption.Our uniquetechnology makesthe differenceThe solutions developed by Getinge enablepersonalized treatment of the most demandingpatients, from neonates to the morbidly obese.Anesthesia machines based on our technologiesput the anesthesiologist in control – empoweredand proactive. You get a more streamlined workflow,better cost control and resource management.And the results are enhanced patient safety andreliable care outcomes. This is the essence ofdynamic anesthesia the Getinge way.Comprehensiveservice & supportThe prerequisite for dynamic anesthesia delivery is 100%reliability and flexibility. Getinge 360 Services will maximizeuptime and the long-term value of your investment.We provide a service plan that includes proactivemaintenance, easy troubleshooting and prompt serviceby our certified field reps – ensuring your equipment isoperating to its full potential, all the time.Dynamic Anesthesia DeliveryConnect and take controlOur connectivity solution Getinge Online web portal offersdigital access to equipment data, enabling you, your team andhospital to gain insights and maximize uptime. All to improveefficiency in the operating room. Connect your Flow Familyanesthesia machines to be proactive, save valuable time andfocus on the tasks that matter most.Logging in to Getinge Online makes it easier for service teamsto quickly troubleshoot issues with access to remote expertsupport. It also gives you the possibility to reach data onhow your units are used, i.e. viewing and analyzing fresh gasflow and monitoring the anesthetic agent usage to help youreduce the environmental footprint. Everything presented ona role-based dashboard.Expect seamless connectivityIt is easy to connect the Flow machine to patient monitor,HIS and patient data management system with no needfor third party system. Patient data is transferred via theFCI protocol or HL7 (MSync).Quality consumables and accessoriesThe genuine Getinge consumables portfolio is speciallydeveloped for compatibility and ease of use within the FlowFamily anesthesia delivery system.Skills and knowledgeAt Getinge we are happy to share our expertise. We offertailored training programs, e-learning courses, and webinars.We publish and distribute whitepapers and case studies.You also have ready access to our representatives in thefield and our clinical experts for assistance or informationregarding our products and their performance. Contact usfor your special requests.7

References1. Carette R, De Wolf AM, Hendrickx JF. Automated gas control with the MaquetFlow-i. J Clin Monit Comput. 2016 Jun;30(3):341-6.2. Lucangelo U, Garufi G, Marras E, et al. End-tidal versus manually-controlled low-flowanaesthesia. J Clin Monit Comput. 2014; 28: 117-1213. M. Bilgi, S. Goksu, A. Mizrak, et al. Comparison of the effects of low-flow and high-flowinhalational anaesthesia with nitrous oxide and desflurane on mucociliary activity andpulmonary function tests, Eur J Anaesthesiol 2011;28:279–2835. Drews FA, Syroid N, Agutter J, Strayer DL, Westenskow DR. Drug delivery as controltask: improving performance in common anesthetic task. Hum Factors 2006;48:85–946. ECRI. The MAC Brain feature on Getinge anesthesia units: ECRI’s view. DeviceEvaluation 2022 Jan57. Internal report EVU-197031 - 01 - Flow 4.7 Enhanced Post Market SurveillanceReport 20198. Ghijselings IE, De Cooman S, Carette R, et al. Performance of an active inspiredhypoxic guard. J Clin Monit Comput. 2016 Feb;30(1):63-8t9. García-Fernández J, Romero A, Blanco A, et al. Recruitment manoeuvres inanaesthesia: How many more excuses are there not to use them? Rev Esp AnestesiolReanim.2018 Apr;65(4):209-21710. Yassen et al. Respiratory and Hemodynamic Effects of Prophylactic AlveolarRecruitment During Liver Transplant. Experimental and Clinical Transplantation (2021)DOı: 10.6002/ect.2020.041211. Internal test reports comparing Flow-i with vendor machines; EVU 125310, EVU125312, EVU-12531312. Case study MX-5768, contributed by Dr. Waltraud Bruchelt and Dr. GünterBaumann, Dept. of Anaesthesiology and Intensive Care Medicine, UniversityHospital Graz, Austria13. Lucangelo U, Ajčević M, Accardo A, et al. Flow-i ventilator performance in thepresence of a circle system leak. J Clin Monit Comput. 2017 Apr;31(2):273 28014. Internal report EVU 205592 NPS Summary Anesthesia 2019Getinge is a leading global provider of innovative solutions for operating rooms, intensive care units, hospital wards,sterilization departments and for life science companies and institutions. Based on our firsthand experience and closepartnerships, we are improving the everyday life for people - today and tomorrow.This document is intended to provide information to an international audience outside of the US. The assertions statedby the physician are strictly those of the physician and do not necessarily reflect the views of Getinge. The products,availability of the Flow Family anesthesia systems and SW version may be pending regulatory approvals to be marketedin your country. Contact your Getinge representative for more information.Legal Manufacturer · Maquet Critical Care AB · Röntgenvägen 2 SE-171 54 Solna · Sweden · 46 (0)10 335 73 00www.getinge.com Maquet Critical Care AB 2022 · Maquet Flow-i, Getinge Flow-e, Getinge Flow-c, Maquet Volume Reflector, O2Guard and AGC are trademarks by Maquet Critical Care AB · Subject to modifications · MX-7406 Rev094. Kalmar A. et al. Minimizing sevoflurane wastage by sensible use of automated gascontrol technology in the flow-i workstation: an economic and ecological assessment.J Clin Monit Comput. 2022 Jan 3. doi: 10.1007/s10877-021-00803-z

anesthesia suitable for a wide range of patients - complex cases as well as general procedures. Flow-i Flow-e Flow-c Volume Reflector ( Indicator) x x x Tidal volume (*20-2000 ml as option) 20-2000 ml 50-1600 ml* 50-1600 ml* Pressure (*0-120 cm H2O as option) 0-120 cm H2O 0-80 cm H2O* 0-80 cm H2O* Getinge Online connected .