GENERAL ELECTRIC ADVANCE CS2 ANESTHESIA RESPIRATOR with MONITORING ANESTHESIA CARESCAPE in Montreuil, Île-de-France, France

• ecoFLOW allows visualization of agent consumption, helping to avoid unnecessary over-administration of fresh gas flow.

• Configurable quick selections by the user for convenient use of FiO2 and total flow combinations.

ecoFLOW benefits:

• For the patient : Improves care by providing data on target inspired oxygen concentration.

• Economic : Less agent used means less expense, which can have a positive impact on your bottom line by reducing gas waste.

- Ecological : Efficient, low flow rate helps reduce agent and gas waste.

Exceptional design:

• Central brake for easy handling.

• Mounting rails on the top shelf for optimal organization.

• Work surface made of metal for increased durability.

• Display arm movable for convenient indoor and outdoor positioning.

• Two or three positions for vaporizers, offering flexibility of use.

• Work surface lighting on two levels for better visibility.

THEGeneral Electric Avance CS2is a sophisticated, digital anesthesia delivery system that offers an intuitive, touch-sensitive user interface. It is equipped with a 15-inch touchscreen with a CARESCAPE TM-inspired user interface for a unified user experience.

The system features ecoFLOW technology that provides information that can help clinicians maintain their desired inspired oxygen concentration during low and minimal flow anesthesia. ecoFLOW also allows visualization of agent consumption and helps mitigate wasted over-distribution of fresh gas flow. Clinicians can configure “Quick Picks” for rapid selection of FiO2 and total flow combinations.

Ventilator Operating Specifications

Ventilator parameter ranges

Tidal volume range: 5 to 1500ml (Volume Control,

PCV-VG and SIMV volume

20 to 1500ml) (PCV modes 5 to 1500ml)

Incremental settings: 20 to 50 mL (increments of 1 mL)

50 to 100 mL

(increments of 5 mL)

100 to 300 mL

(increments of 10 mL)

300 to 1000 mL

(increments of 25 mL)

1000 to 1500 mL

(increments of 50 mL)

Minute volume range: Less than 0.1 to 99.9 L/min

Pressure (Pinspired) range: 5 to 60 cmH2O

(increments of 1 cmH2O)

5 to 1500 mL delivery volume

Pressure (Pmax) range: 12 to 100 cmH2O

(increments of 1 cmH2O)

Pressure (Psupport) range: Off, 2 to 40 cmH2O

(increments of 1 cmH2O)

Rate: 4 to 100 breaths per minute for

Volume Control and Pressure

Control; 2 to 60 breaths per

minute for SIMV, PSVPro and

SIMV PCV-VG; 4 to 60 bpm for

CPAP+PSV (increments of

1 breath per minute)

Inspiratory/

expiratory ratio: 2:1 to 1:8 (increments of 0.5)

Inspiratory time: 0.2 to 5.0 seconds (increments of

0.1 seconds) (SIMV, PSVPro and

CPAP PSV)

Trigger window: 0 to 80% (increments of 5%)

Flow trigger: 1 to 10 L/min

(increments of 0.5 L/min)

0.2 to 1 L/min

(increments of 0.2 L/min)

Inspiration

termination level: 5 to 75% (increments of 5%)

Inspiratory Pause range: 0-60%

Positive End Expiratory Pressure (PEEP)

Type: Integrated, electronically

controlled

Range: OFF, 4 to 30 cmH2O

(increments of 1 cmH2O)

Fan performance

Pressure range at inlet: 240 kPa to 700 kPa

(35 psig to 100 psig)

Peak gas flow: 120 L/min + fresh gas flow

Flow valve range: 1 to 120 L/min

Flow compensation range: 150 mL/min to 15 L/min

Ventilator Accuracy

Delivery/monitoring accuracy

Volume delivery: > 210 mL = better than 7%

≤ 210 mL = better than 15 mL

< 60 mL = better than 10 mL

Pressure delivery: ±10% or ±3 cmH2O

PEEP delivery: ±1.5 cmH2O

Volume monitoring: > 210 mL = better than 9%

≤ 210 mL = better than 18 mL

< 60 mL = better than 10 mL

Pressure monitoring: ±5% or ±2 cmH2O

ALARM SETTINGS

Tidal volume (VTE): Low: OFF, 1 to 1500 mL

High: 20 to 1600 mL, OFF

Minute volume (VE): Low: OFF, 0.1 to 10 L/min

High: 0.5 to 30 L/min, OFF

Inspired oxygen (FiO2): Low: 18 to 99%

High: 19 to 100%, OFF

Apnea alarm: Mechanical ventilation ON:

< 5 mL breath measured

in 30 seconds

Mechanical ventilation OFF:

< 5 mL breath measured

in 30 seconds

Low airway pressure: 4 cmH2O above PEEP

High pressure: 12 to 100 cmH2O

(increments of 1 cmH2O)

Sustained airway pressure: Mechanical ventilation ON:

Pmax < 30 cmH2O, the

sustained limit is 6 cmH2O

Pmax 30 to 60 cmH2O,

the sustained limit is 20% of Pmax

Pmax > 60 cmH2O, the

sustained limit is 12 cmH2O

PEEP and mechanics

ventilation ON

Sustained limit increases by

PEEP minus 2 cmH2O

Mechanical ventilation OFF:

Pmax ≤ 60 cmH2O,

the sustained limit is 50% of Pmax

Pmax > 60 cmH2O, the

sustained limit is 30 cmH2O

Subatmospheric pressure: Paw < -10 cmH2O

Audio pause

countdown clock: 120 to 0 seconds

Ventilator Components

Flow transducer

Type: Variable orifice flow sensor

Dimensions: 22mm OD and 15mm ID

Location: Inspiratory outlet and

expiratory inlet

Ventilator screen

Display size: 15 inch

Pixel format: 1024 x 768

Battery backup

Backup power: Demonstrated battery time

is up to 90 minutes when fully

charged.

Battery time under extreme

conditions is 30 minutes.

Battery type: Internal rechargeable sealed

lead acid

Communication ports

RS-232C compatible serial interface

ethernet

Datex-Ohmeda device interface solutions port

USB port

VGA Output

Anesthetic Agent Delivery

Delivery

Vaporizers: Tec* 6 Plus, Tec 7

Number of positions: 2 (3 as an option)

Mounting: Tool-free installation Selectatec*

manifold interlocks and

isolate vaporizers

Airway Modules

General

M-CAiO, M-CAiOV, M-CAiOVX module software

version 3.2 or higher; E-CAiO, ECAiOV, E-CAiOVX

Size (WxDxH): 75 x 228 x 112 mm/

3.0 x 9.0 x 4.4 in

Weight: 1.6 kg/3.5 lb

Sampling rate: 200 mL/min ±20 mL

E-sCAiO, E-sCAiOV

Size (WxDxH): 38 x 205 x 113 mm/

1.5 x 8.1 x 4.4 in

Weight: 0.7 kg/1.5 lb

Sampling rate: 120 mL/min ±20 mL

Automatic compensation for atmospheric pressure variation

(500 to 800 mmHg for E-, M-series modules; 495 to 795

mmHg for CARESCAPE modules) temperature and CO2/N2O

and CO2/O2 collision broadening effect. Parameter display

update interval typically breath-by-breath. Functional

alarms for blocked sample line, D-fend check and D-fend

replacement.

Non-disturbing gases:

Ethanol, acetone, methane, nitrogen, nitric oxide, carbon

monoxide, water vapor:

Maximum effect

on readings: CO2 < 0.2 vol %; O2, N2O < 2 vol%

Carbon dioxide (CO2)

EtCO2: End-tidal CO2 concentration

FiCO2: Inspired CO2 concentration

CO2 waveform

Measurement range: 0 to 15%

(0 to 15 kPa, 0 to 113 mmHg)

Accuracy: ±0.2 vol % + 2 % of reading

Datex-Ohmeda infrared sensor

Adjustable low and high alarm limits for EtCO2 and FiCO2

Respiration rate (RR)

Measurement range: 4 to 60 breaths/min for E-,

M-series modules

4 to 100 breaths/min for

CARESCAPE modules

Detection criteria: 1% variation in CO2

Adjustable low and high alarm limits for respiration rate;

alarm for apnea

Patient Oxygen (O2)

FiO2: Inspired O2 concentration

EtO2: End-tidal O2 concentration

FiO2-EtO2: Inspired-expired difference

O2 Measurement

Measurement range: 0 to 100%

Accuracy: ±1 vol % +2 % of reading

Datex-Ohmeda differential paramagnetic sensor

Adjustable low and high alarm limits for FiO2 and EtO2;

alarm for FiO2 < 18%

Nitrous Oxide (N2O)

Measurement range: 0 to 100%

Accuracy: ±2 vol % +2 % of reading

Anesthetic Agent (AA)

Halothane, Isoflurane, Enflurane

Measurement range: 0 to 6%

Accuracy: ±(0.15 vol% +5% of reading)

SEVOFLURANE

Measurement range: 0 to 8%

Accuracy: ±(0.15 vol% +5% of reading)

Desflurane

Measurement range: 0 to 20%

Accuracy: ±(0.15 vol% +5% of reading)

Waveform displayed

MAC value displayed

Identification threshold: 0.15 vol %1

Agent mixture detection

Adjustable high and low alarm limits for EtAA, FiAA

Patient Spirometry*

Pressure-volume loop

Pressure flow loop

Flow-volume loop

Airway pressure and flow waveforms

Adjustable low and high alarm limits for Ppeak, PEEPtot and

MVexp

Alarms for MVexp << MVinsp and for MVexp low. Detection

through D-lite* or Pedi-lite* flow sensor and gas sampler

with following specifications:

Compact Airway Modules

D-lite Pedi-lite

Breathing rate: 4 to 35 4 to 50

breaths/min breaths/min

Tidal volume

Measurement range: 150 to 15 to

2000 mL 300 mL

Accuracy1: ±6% or 30 mL ±6% or 4 mL

Minute volume

Measurement range: 2 to 20 L/min 0.5 to 5 L/min

Accuracy1: ±6% ±6%

Airway pressure

Measurement range: -20 to

+100 cmH2O

Accuracy1: ±1 cmH2O

Display units: cmH2O, mmHg, kPa, mbar, hPa

Flow

Measurement range: 1.5 to 0.25 to 25 L/min

100 L/mi

IE

Measurement range: 1:4.5 to 2:1

Compliance

Measurement range: 4 to 100 1 to 100

mL/cmH2O mL/cmH2O

Airway resistance

Measurement range: 0 to 40 cmH2O/L/s

CARESCAPE Airway Modules

D-lite(+) Pedi-lite(-)

Breathing rate: 4 to 35 4 to 70

breaths/min breaths/min

Tidal volume

Measurement range: 150 to 5 to

2000 mL 300 mL

Accuracy1: ±6% or 30 mL ±6% or 4 mL

Minute volume

Measurement range: 2 to 20 L/min 0.1 to 5 L/min

Accuracy1: ±6% ±6%

Airway pressure

Measurement range: -20 to

+100 cmH2O

Accuracy1: ±1 cmH2O

Display units: cmH2O, mmHg, kPa, mbar, hPa

Flow

Measurement range: -100 to -25 to 25 L/min

100 L/min

IE

Measurement range: 1:4.5 to 2:1

Compliance

Measurement range: 4 to 100 1 to 100

mL/cmH2O mL/cmH2O

Airway resistance

Measurement range: 0 to 200 cmH2O/L/s

Sensor specifications

D-lite/ Pedi-lite/

D-lite(+) Pedi-lite(+)

Dead space: 9.5 mL 2.5 mL

Resistance

at 30 L/min: 0.5 cmH2O

at 10 L/min: 1.0 cmH2O