Puritan Bennett 840 Universal Ventilator
ne Ventilator for Every Area of Care Healthcare providers and patients throughout the world depend on Covidien for state-of-the-art ventilation therapy. Whether your needs include acute care for critically ill patients with chronic respiratory failure or a solution to transition patients to home care, we have the right system for the task at hand. Healthcare professionals know all too well the range of issues that impact ventilation outcomes today. At Covidien, our innovations are systematically tackling the issues that truly matter patient safety, healthcare efficiency and medical efficacy. The Puritan Bennett 840 universal ventilator is another example of how we re helping medical professionals improve ventilation outcomes and quality of life for their patients. Solutions for Patients Who are Hours to Decades ld The Puritan Bennett 840 universal ventilator offers a wide range of features designed to provide the tools medical professionals need when determining the optimal ventilation strategy for every patient type in their care from neonatal patients as small as 300 grams to adult patients weighing up to 150 kg. Bi-Level Provides two different strategies for enabling patients to breathe spontaneously at both upper and lower positive airway pressure levels, helping improve synchrony patient safety healthcare efficiency medical efficacy Three dimensions of excellence built into every Puritan Bennett 840 Neonatal Ventilator Patient Safety Multiple modes of ventilation combine with a full suite of safety features, including alarm systems, high-efficiency filters and self-diagnostic testing, to help ensure effective and efficient ventilation. Healthcare Efficiency The Puritan Bennett 840 universal ventilator features advanced technology focused on maintaining patient-ventilator synchrony. 1 Improving synchrony has been shown to facilitate spontaneous breathing 2 and reduce days on ventilation, 3 thereby reducing patient costs and risks associated with mechanical ventilation. Medical Efficacy The intuitive user interface of the Puritan Bennett 840 universal ventilator, combined with our commitment to clinician support, which includes custom software options and easily accessible technical support staff, create a dependable, clinically effective ventilation solution that is in line with your budget. DualView LCD Touch Screen Provides an intuitive, easy-to-use interface with an at-a-glance format that allows quick interpretation of data and immediate adjustment of settings Proximal Flow System ption Enhanced monitoring through direct measurement at the patient wye Puritan Bennett 806 Compressor Improves versatility by providing an alternative air source if compressed wall air or bottled air is unavailable Puritan Bennett 840 Ventilator Compressor Mount Cart Provides the ability to mount a compressor and uses dual-wheel castors and a 360-degree handle for easier maneuverability Tube Compensation Automatically compensates for resistance in gas flow through the endotracheal or tracheostomy tube Noninvasive Ventilation (NIV) Greater flexibility for all patient ranges with noninvasive ventilation Volume Ventilation Plus (VV+) Combines Volume Control Plus (VC+) for delivery of mandatory breaths and Volume Support (VS) for delivery of spontaneous breaths Proportional Assist * Ventilation Plus (PAV *+) Helps maintain synchrony by increasing airway pressure during inspiration in proportion to a patient s spontaneous effort Leak Compensation Helps improve neonatal ventilatory care by minimizing the impact of leaks associated with both invasive and noninvasive ventilation NeoMode 2.0 Software Contributes to neonatal patient safety by allowing you to set a tidal volume as small as 2 ml and implementing enhanced alarm management You live and breathe excellence in ventilatory care. So do we. Ventilators for every area of care neonatal pediatric to adult universal Tidal volume IBW 2 ml 300 g 25 ml 3.5 kg 315 ml 7 kg 2,500 ml 150 kg
Helping Ensure Patient Safety and Clinician Peace of Mind Effective Patient Care that Results in Efficient Patient Care The Puritan Bennett 840 universal ventilator offers advanced features designed to help clinicians employ safe and effective ventilatory strategies that result in the best possible patient outcomes. NIV helps enable noninvasive ventilation for a wide range of patients, contributing to patient comfort and clinician ease of use. NeoMode 2.0 software brings a host of neonatal functionality to your healthcare facility. The Bi-Level mode supports positive airway pressure level transitions and spontaneous breathing by combining biphasic intermittent positive airway pressure (BIPAP) and pressure support (PS), both of which can be applied noninvasively via a face mask. The Puritan Bennett 840 universal ventilator also provides a full suite of features and functionality focused on both patient safety, and the safety of hospital staff and hospital visitors: Circuit disconnect detection Monitors circuit pressure and effective patient volume to reliably detect circuit disconnection Automatic patient detection Prevents inadvertently setting the ventilator into any type of standby condition in which there is no ventilation ngoing background checks Continuously assesses the proper function of the ventilator s electronics and pneumatics hardware during ventilation Heated expiratory filters Traps pathogens from the expiratory breath, helping limit the spread of hospital-acquired infections** Achieving patient-ventilator synchrony is essential to improving the efficiency of ventilatory support. The Puritan Bennett 840 ventilator can be customized with advanced technology that can help maintain patientventilator synchrony. 1 Improving synchrony has been shown to facilitate spontaneous breathing 2 and reduce days on ventilation, 3 thereby reducing patient costs and risks associated with mechanical ventilation. This advanced technology is reflected in the following features: Proportional Assist * Ventilation Plus (PAV *+) Software Delivers positive airway pressure that is proportional to your patients inspiratory efforts during spontaneous breathing Volume Ventilation Plus (VV+) ffers improved comfort and synchrony, while offering a way to maintain targeted tidal volumes Bi-Level Mode Uses augmented pressure ventilation for unrestricted spontaneous breathing at any moment of the ventilatory cycle ther features focused on improving healthcare efficiencies include the following: Leak Compensation Improves neonatal ventilatory care by helping to minimize the effect of leaks associated with both invasive and noninvasive ventilation Tube Compensation Automatically compensates for resistance in gas flow through the endotracheal or tracheostomy tube Improved synchrony helps facilitate spontaneous breathing, 2 potentially reducing patients time spent on ventilation. 3 The reliable, proven ventilation tools and technology clinicians need for safe and effective ventilation of their patients. Enhance synchrony with Proportional Assist * Ventilation Plus PAV *+ software helps maintain patient-ventilator synchrony by increasing airway pressure during inspiration, delivering positive airway pressure that is proportional to the patient s inspiratory effort during spontaneous breathing. Trending Software Monitors patient data and events for up to 72 hours and trends up to 58 parameters Extending ventilatory excellence across your organization Many facilities must ensure that their ventilators are ready to support any patient type, in any area of care. The NICU is one area that requires a truly specialized approach. The Puritan Bennett 840 universal ventilator comes standard with our new NeoMode 2.0 software, which brings a full suite of functionality focused on effective and accurate ventilation of neonates, including the ability to provide compensated tidal volume delivery as small as 2 ml for neonates weighing as little as 300 grams. **See filter specifications for filter ratings.
Covidien provides warranty and service options to support clinicians when they choose the Puritan Bennett 840 universal ventilator. Medical professionals want an intuitive, easy-to-use and thoughtfully designed user interface that clinical staff can easily adopt and operate. The Puritan Bennett 840 universal ventilator features the DualView LCD touch screen, providing one screen dedicated to patient monitoring and another screen dedicated to ventilator settings. This makes it easier to read patient data while making immediate adjustments of settings. The Puritan Bennett 840 universal ventilator also supports communication with certain patient monitoring and hospital information systems. When it comes to the service and support of your ventilation solution, Covidien offers some of the most comprehensive field service programs in the ventilator industry. From field-based warranty and repair services to free online educational programs at our Center for Clinical Excellence, Covidien provides a wide range of support for the Puritan Bennett 840 universal ventilator. Access to data helps clinicians manage the course of therapy To assess the effectiveness of current therapy for patients, clinicians need access to trended data. The trending software in the Puritan Bennett 840 universal ventilator is designed to give that visibility, featuring: Monitored patient data and events for 72-hour intervals Up to 58 trended parameters in a drop-down menu Seven presets, including CPD (chronic obstructive pulmonary disease) and lung recruitment monitoring Automatic and manually placed event markers Ventilator Settings Ideal body weight (IBW): 7.7 to 330.7 lbs (3.5 to 149 kg) 1.1 to 330.7 lbs (0.5 to 149 kg) with NeoMode ption Modes: Assist/Control (A/C), synchronous intermittent mandatory ventilation (SIMV) or spontaneous (SPNT). ptional Bi-Level, Volume Ventilation Plus (Volume Control Plus and Volume Support), Tube Compensation. Proportional Assist * Ventilation Plus (PAV *+) and NeoMode software options Mandatory breath types: Volume control (VC), pressure control (PC) or Volume Control Plus with Volume Ventilation Plus option Spontaneous breath types: Pressure supported (PS), Volume supported (VS), Proportional Assist (PA), none or Tube Compensation option Vent type: INVASIVE or NIV Pressure support (P SUPP ): 0 to 70 cm H 2 Rise time %: 1% to 100% Expiratory sensitivity (E SENS ): 1% to 80%; 1 L/min to 10 L/min with PAV + Tidal volume (V T ): 25 to 2,500 ml, 5 to 315 ml with NeoMode Respiratory rate (f): 1.0 to 100 /min, 1 to 150 /min with NeoMode Peak inspiratory flow (V. ): 3 to 150 L/min for IBW > 24 kg; MAX 3 to 60 L/min for IBW 24 kg, 1 to 30 L/min with NeoMode Flow pattern: Square or descending ramp Plateau time (T PL ): 0.0 to 2.0 seconds Inspiratory pressure (P I ): 5 to 90 cm H 2 Constant during rate change: Inspiratory time (T I ), I:E ratio, or expiratory time (T E ) Inspiratory time (T I ): 0.2 to 8.0 seconds I:E ratio: 1:299-4.00:1 Expiratory time (T E ): T E 0.2 second Trigger type: Pressure (P TRIG ) or flow (V. Flow-by flow triggering) TRIG Pressure sensitivity (P SENS ): 0.1 to 20 cm H 2 below PEEP Flow sensitivity (V. ): 0.2 to 20 L/min, 0.1 to 10 L/min with NeoMode SENS 2%: 21% to 100% PEEP: 0 to 45 cm H 2 Apnea ventilation: Apnea mandatory type-volume control (VC) or pressure control (PC) Apnea flow pattern: Square or descending ramp Apnea peak flow (V. ): 3 to 150 L/min for IBW > 24 kg; 3 to 60 L/min for IBW 24 kg MAX Apnea inspiratory pressure (P I ): 5 to 90 cm H2 Apnea inspiratory time (T I ): 0.2 to 8.0 seconds Apnea interval (T A ): 10 to 60 seconds Apnea respiratory rate (f): 2.0 to 40 1/min Apnea 2%: 21% to 100% Apnea I:E ratio: 1.00:1 Apnea expiratory time (T E ): 0.2 second Disconnect sensitivity (D SENS ): 20% to 95% or FF in NIV Humidification type: Heat-moisture exchanger (HME), nonheated expiratory tube or heated expiratory tube Humidification volume: 100 to 1,000 ml Patient circuit type: Pediatric, adult or neonate with NeoMode option
rdering Information Standard Accessories Flex arm 4-032006-00 Inspiratory Bacteria Filter Disposable filter (D/Flex, carton of 12) 4-074601-00 Expiratory Bacteria Filter and Collector Vial Test hose 4-018506-00 Test lung 4-000612-00 xygen hose assembly, DIS (U.S.) 4-001474-00 Air hose assembly, DIS (U.S.) 4-006541-00 Power cord (U.K.) 4-078144-00 perator s and Technical Reference Manual Puritan Bennett 800 Series Ventilator System English 10067720 Software ptions NeoMode 2.0 Software ption 10051496 Tube Compensation Software ption 4-076371-00 Bi-Level Software ption 4-076270-00 Volume Ventilation Plus Software ption 4-078128-00 Trending Software ption 10020407 PAV * + ption Kit 4-078204-00 Respiratory Mechanics ption Kit 10019217 Humidifiers and Accessories Humidifiers Fisher & Paykel MR 850 Humidifier 230V Fisher & Paykel MR 850 Humidifier 115V - Taiwan and Guam Chamber Humidification Chamber Adult Humidification Chamber Infant Bracket Mounting Bracket Breathing Circuit Adult Breathing Circuit Kit Infant Breathing Circuit Kit Neonatal Bias Flow Breathing Circuit Kit Heater Wire Adapter Inspiratory Heater Wirer Adapter Temperature Probe for use with circuits 1.1m for use with circuits 1.3m for use with circuits 1.5m Filters and Sensors MR850 MR850JHU MR370 MR340 900MR304 900MR761 900MR749 900MR780 900MR858 900MR868 900MR860 900MR869 ptional Accessories Puritan Bennett 840 Ventilator Cart and Accessories Puritan Bennett 840 Ventilator Cart RTA Package x1 4-076102-00 Puritan Bennett 803 BPS 10030274 806 Compressor 220V English French x1 4-076326-00 806 Compressor 120V English French x1 4-076329-00 Battery Replacement Kit 4-070523-SP Puritan Bennett 840 Ventilator Compressor Mount Cart and Accessories Puritan Bennett 840 Ventilator Compressor Mount Cart 10035086 Cylinder Mount Bracket Kit 10045586 Wall-Air Water Trap Kit 10045588 Universal Humidifier Mounting Bracket 10045589 1 Hour Charging Circuit 10045584 4 Hour Charging Circuit 10045581 Puritan Bennett 840 Ventilator Pole Cart and Accessories Puritan Bennett 840 Ventilator Pole Cart 10035176 Cylinder Mount Bracket Kit 10045578 Wall-Air Water Trap Kit 10045588 1 Hour Charging Circuit 10045572 4 Hour Charging Circuit 10045577 Pole Charging Circuit 10045573 xygen sensor to be replaced every two years or as necessary by a qualified service technician. Preventive maintenance kits must be installed by a qualified service technician. The 800 series ventilator system must be running International English software version 4-070000-85 Revision AK or higher (or the equivalent translated software version). Inspiratory Bacteria Filter Reusable filter (Re/Flex, each) 4-074600-00 Expiratory Bacteria Filter and Collector Vial Reusable filter (Re/X800, each) 4-070305-00 Reusable collector vial (Re/X800, each) 4-074647-00 Seal, expiratory filter 4-070311-00 Neo Filter and Adapter Neo disposable filter (carton of 12) 4-076408-00 Neo filter adapter 4-076405-00 Filter, foam, compressor inlet 4-074374-00 xygen sensor 4-072214-00 Nebulizer Aeroneb * Pro Nebulizer System U.K. AGAP6000UK Proximal Flow Sensor and ption Kit Puritan Bennett 840 Ventilator Proximal Flow Sensor, Neonatal (10-pack) 10047078 Puritan Bennett 840 Ventilator Proximal Flow ption Kit 10047083 perator's manual Addendum, Proximal Flow System ption Introduction 10047088 1. The PAV *+ ventilation mode, available on the Puritan Bennett 840 Ventilator, has been shown to increase patientventilator synchrony compared to pressure support ventilation. Thille AW, Rodriguez P, Cabello B, Lellouche F, Brochard L. Patient-ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med. 2006;32(10):1515-1522. 2. Xirouchaki N, Kondili E, Vaporidi K, et al. Proportional assist ventilation with load-adjustable gain factors in critically ill patients: comparison with pressure support. Intensive Care Med. 2008;34(11):2026-2034. 3. Thille AW, Rodriguez P, Cabello B, Lellouche F, Brochard L. Patient-ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med. 2006;32(10):1515-1522. CVIDIEN, CVIDIEN with logo, Covidien logo and positive results for life are U.S. and internationally registered trademarks of Covidien AG. ther brands are trademarks of a Covidien company. *Proportional Assist and PAV are registered trademarks of The University of Manitoba, Canada. Used under license. 2010, 2011 Covidien. All rights reserved. 11-VE-0286 Covidien Private Limited 103 Penang Road #10-01 Visioncrest Commercial Singapore 238467 + (65)6482 0100 [t] + (65)6482 0300 [f] www.covidien.com