Internal use only

GE CARESCAPE R860
Product presentation (extended)
Product Management Respiratory Care
Lübeck, June 2015, Stefan Mixa
 Internal use only

GE CARESCAPE R860
Agenda

 Device overview
 Ventilation modes
 Advanced applications
 Graphical User Interface
 Marketing approach

2 | 35 GE CARESCAPE R860 Product presentation (extended) | June 2015 | Stefan Mixa

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GE CARESCAPE R860
Device overview

3 | 35 GE CARESCAPE R860 Product presentation (extended) | June 2015 | Stefan Mixa

 Internal use only

GE CARESCAPE R860
Device overview

 One device for all patient types

 Adult Adult to Neonatal
 Pediatric
 Neonatal

 One device for

 Invasive and &
 Non-invasive ventilation

 New philosophy of graphical user interface

 Past
 Present
 Future

4 | 35 GE CARESCAPE R860 Product presentation (extended) | June 2015 | Stefan Mixa

 Internal use only

GE CARESCAPE R860
Agenda

 Device overview
 Ventilation modes
 Ventilation applications
 Graphical User Interface
 Marketing approach

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GE CARESCAPE R860
Ventilation modes

Standard:

 VC: AC, SIMV, PRVC [Pressure Regulated Volume Control]

 PC: AC, SIMV

 SPN: CPAP/PS, SBT [Spontaneous Breathing Trial]

Optional:

 VC: SIMV PRVC

 PC: APRV

 SPN: CPAP/VS, BiLevel, BiLevel VG

 NIV: adult and pediatric = PS, neonatal = nCPAP

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GE CARESCAPE R860
SBT (Spontaneous Breathing Trial) (Standard)

 The SBT is used to assess a patient’s ability to get weaned off the ventilator
 This feature will place the patient in CPAP/PS mode for a set amount of time to
check his ability for spontaneous breathing on his own
 The SBT displays the minute ventilation, respiratory rate and end-tidal CO2 for
the time of the trial
 If the minute volume, respiratory rate or apnea alarm limits are exceeded during
the SBT, the trial will end and ventilator will return to the predefined mode and
settings
 The SBT split screen displays the MVexp, RR, and EtCO2 for the trial

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GE CARESCAPE R860
BiLevel (optional)

 Mixed mode which allows spontaneous BiLevel waveforms

breathing in pressure controlled ventilation
 The ventilator synchronizes spontaneous
breathing with changes in pressure level
 The ventilator switches between two
pressure levels at set times
 If a spontaneous breath is detected within a
window of 4 seconds, the breath is delivered
by an increase to PHigh
 If the spontaneous breath is detected outside
the window, a pressure supported breath is
delivered

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GE CARESCAPE R860
BiLevel VG (optional)

 BiLevel VG combines the “open valve”

technology of BiLevel with the benefits of
volume guarantee
 It ensures that the set tidal volume is
delivered during the high pressure level
 The volume guarantee automatically sets
the inspiratory pressure to the lowest
possible level to provide the set tidal
volume.

BiLevel - VG waveforms

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GE CARESCAPE R860
NIV (optional)

 NIV option is designed with two modes:

- NIV for adult and pediatric
- nCPAP for neonatal
 NIV is only available in pressure support mode such as
CPAP/PS
 Integrated unique leak recognition algorithm
 Use with nasal or face masks
 nCPAP (optional) is only available with neonatal mode
 nCPAP is delivered without the use of neonatal flow sensor

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GE CARESCAPE R860
Neonatal ventilation mode (optional)

 Ventilation mode for intubated neonatal patients weighing

down to 0.25 kg
 Ventilation by using a proximal flow sensor at the patient
wye
 Sensor allows flows
- as low as 0.2 L/min and
- as high as 30 L/min
 Automatic patient detection (APD) in standby
 Precise volume regulation during mechanical, assisted or
spontaneous modes
 Neonatal nCPAP is available
 No high frequency ventilation available

11 | 35 GE CARESCAPE R860 Product presentation (extended) | June 2015 | Stefan Mixa

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GE CARESCAPE R860
Agenda

 Device overview
 Ventilation modes
 Advanced applications
 Graphical User Interface
 Marketing approach

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GE CARESCAPE R860
Advanced applications (optional)

 SpiroDynamics*
(Tracheal pressure measurement)
 FRC INview*
(Measurement of Functional Residual Capacity)
 PEEP INview*
(See how the PEEP value affects the FRC value)
 Lung INview*
(Measures the volume between dynostatic curves at the set
PEEP levels of the PEEP INview procedure)
 Metabolics*
(Calorimetry measurements)

* All advanced applications are already available in GE Engström Carestation

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GE CARESCAPE R860
SpiroDynamics (optional)

 Measurement of tracheal pressure and intrinsic PEEP (Tracheal pressure

measured via intratracheal pressure sensor)
 Similar to Spirometry by creating a PV loop that is analyzed by the user
 Freezes current loops and provides numeric display of X and Y axis as cursor
moves across loops
 Pressure and volume values displayed at cursor position
 Not available in neonatal mode

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GE CARESCAPE R860
SpiroDynamics (optional)

 The Sensor is inserted into the endotracheal tube

proximal to the Y- piece
 After a breath, a dynostatic curve is calculated from the
loop providing an estimate of the alveolar pressure and
volume

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GE CARESCAPE R860
FRC INview (optional)

 Enables to measure Functional Residual Capacity

on mechanically ventilated patients
 Calculation based on the nitrogen washout method
using a step change ( ∆ +10% abs. FiO2)
in the oxygen/air concentration

 An FRC procedure takes 2 measurements

 When FRC procedure is started, the system
captures a baseline of N2 concentration and
then changes the set O2 to the set FRC O2
 After a few breaths, a curve begins to plot
on the graph
 Provides the user with data for determining the
optimal PEEP setting for the patient
 Not available in neonatal mode

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GE CARESCAPE R860
PEEP INview (optional)

 The PEEP INview procedure can

be used to see how a change in
the PEEP value affects the FRC
value  helps the clinician to
determine the optimal PEEP
 A series of FRC measurements
are taken at varying PEEP levels
 PEEP levels can increase or
decrease
 Best PEEP when the FRC
difference is the biggest
 Only available with FRC INview
 Not available in neonatal mode

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GE CARESCAPE R860
Lung INview (optional)

3000
 Available when SpiroDynamics and FRC INview
are used together

FRC volume axis

Lung INview

 Integrate SpiroDynamics and FRC INview within

the PEEP INview procedure
 complete Lung INview display
 Measures the amount of volume between the PEEP axis 30

dynostatic curves at the set PEEP levels PEEP curve for 5 measurements

 When FRC measurement is taken, data is also PEEP curve minus the difference between
SpiroDynamic dynostatic curve (= Lung INview)
taken from the SpiroDynamics loop to obtain
information on absolute volume
 Comparing the volumes from several dynostatic
curves results in a difference that can be
estimated as recruited volume
 Not available in neonatal mode

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GE CARESCAPE R860
Metabolics

 The GE gas module measures

inhaled and exhaled gases
 physician can use to assess
the nutritional status of the patient
 Measured parameters:
 Avg ACO2 - VCO2 CV
 Avg VO2 - VO2 CV
 Avg RQ - Avg EE
 Avg EE/m2 - Avg EE/kg
 BSA
 Weight

 Evidence- based nutritional

assessment like the Metabolics
can improve the patient
outcomes, reduce infection and
shortens the length of stay

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GE CARESCAPE R860
GE gas module (optional)

 The GE gas module measures

and monitors inhaled and exhaled
gases (by sidestream method)
 Modules measure CO2, O2 and
spirometry inputs
 Et and Fi values updated breath
by breath
 Gas modules is needed for the
Spirometry and Metabolics
measurement

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GE CARESCAPE R860
Airway Resistance Compensation (ARC)

 Level of compensation: 25% to 100%

 Provides pressure support level base on tube
size and inspiratory flow
 Can support all pressure- controlled, CPAP and
pressure- supported breaths for patients with a
PBW ≥ 10.0 kg / endotracheal/ tracheostomy
tubes ID ≥ 5.0 mm.
 Only pediatrics and adults, can not support
neonates

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GE CARESCAPE R860
Leak compensation

 It compensates the leaks in the breathing circuit to maintain PEEP

and prevent auto- triggering
 Automatically adjust ventilation delivery and monitoring for breathing
circuit and patient airway leaks to maintain the desired tidal volume
 Available in invasive and noninvasive ventilation for the modes
VC, PC- VG, SIMV- VC
 The system limits volume control leak compensation to 25% of the
set tidal volume for adult patients and 100% for 100ml
 Monitored parameter:
- %LEAK [%]

22 | 35 GE CARESCAPE R860 Product presentation (extended) | June 2015 | Stefan Mixa

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GE CARESCAPE R860
Agenda

 Device overview
 Ventilation modes
 Advanced applications
 Graphical User Interface
 Marketing approach

23 | 35 GE CARESCAPE R860 Product presentation (extended) | June 2015 | Stefan Mixa

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GE CARESCAPE R860
Overview

 New touch screen motions:

 Swipe
 Slide
 Double- tap
 Touch and hold

 Traditional hard keys for direct access:

1. Alarm silence key

2. ↑O2- Key (Push to deliver 100% O2 for 2 minutes)
3. Screen capture icon
4. Key off
5. Home button
6. Trim knob: “Touch, turn, accept”

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GE CARESCAPE R860
Menu- free navigation

 3 workspaces available:  Intuitively organized and easily

1) Past (Historical trends) accessible to relevant clinical content
2) Present (Patient status) and therapy controls
3) Future (Clinical decision support)

 “Swipe left to right to navigate from past to present to future.”

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GE CARESCAPE R860
3 workspaces: Past, Present, Future

Past Present Future

 Event- centric historical  Breath- by- breath views  Providing tools for
data available  Essential parameters weaning, lung protection
 Multiple waveforms and nutrition accessment

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GE CARESCAPE R860
Standby display
Patient type:
Alarm configuration
adult, pediatric, neonatal

Menu

System check
Select patient type
Bar graph
(Paw measurement)
Information
about patient

Start ventilation
Current mode

FiO2 Pmax
Tidal volume PEEP
Respiratory rate Flow
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GE CARESCAPE R860
Graphical User Interface

 Easily manage alarms

– Green flashlight on top
– Alarm history

 Take snapshots
– Record waveforms, alarms, measured
and set values
– Max. stored snapshots: 10 most recent
– Waveform data (15 or 30 seconds)
– Ability to cursor across waveforms for
specific measured values

28 | 35 GE CARESCAPE R860 Product presentation (extended) | June 2015 | Stefan Mixa

 Internal use only

GE CARESCAPE R860
Agenda

 Device overview
 Ventilation modes
 Advanced applications
 Graphical User Interface
 Marketing approach

29 | 35 GE CARESCAPE R860 Product presentation (extended) | June 2015 | Stefan Mixa

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GE CARESCAPE R860
Marketing approach

 Key slogans:
 “The logical path to Lung Protection”
 “A touch of brilliance”

 “It’s nice to see a familiar interface”

 “Choose your view, you’re the director”
 “Travel through time with a single touch”
 “Gentler breaths for easy breathing”
 “Connecting intelligence and care”

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GE CARESCAPE R860
Marketing approach

 Related product series:

 CARESCAPE Central Station
 CARESCAPE Monitor B450
 CARESCAPE Monitor B650
 CARESCAPE Monitor B850

CARESCAPE Monitor B450 CARESCAPE Monitor B650 CARESCAPE Monitor B850

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GE CARESCAPE R860
Marketing approach

Related product series:

 The GE anesthesia devices feature
the CARESCAPE Monitors
 CARESCAPE -inspired user experience

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GE CARESCAPE R860
Pricing

Performance

Evita V500

CARESCAPE R860

Evita V300

Savina 300

Savina (color)

Price

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GE CARESCAPE R860
Additional information

 Material on the GE webpage

 Overview and videos

 Material on the Dräger Intranet SalesView

 USP comparison
 Product overview
 Competitor Matrix (incl. CARESCAPE R860)

 Material on Dräger GoBench

 GoBench GE CARESCAPE R860

(Please click on picture)

We would appreciate it if you could send any feedback and additional information (i.e. on pricing) to [email protected]

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Thank
Vielen you
Dankfor
für Ihre
your attention.
Aufmerksamkeit.