HELP THEM BREATHE MORE NATURALLY

Your patients’ comfort matters.

That’s why we designed the Puritan Bennett™ 980 ventilator with some of the most innovative breath-delivery technology available.

Simple. Smart. Safe. Because helping your patients breathe more naturally† may make them more comfortable, too.1

†Compared to conventional mechanical ventilation (VC,VC+,PC,PS)

PURITAN BENNETT ™ 980 VENTILATOR

Simple ∙ Innovative user interface

∙ Customizable display

∙ Intuitive screen navigation

Smart ∙ Advanced synchrony tools let you set the ventilator to adapt to each patient’s unique needs

∙ These synchrony tools help provide the right level of support throughout each breath

Safe ∙ Unique ventilator assurance feature*

∙ Integrated expiratory filtration system

Being in the ICU can be unsettling and uncomfortable for patients.

With limited consciousness and limited ability to communicate, patients have little control over their own comfort.2,3

Machines and clinicians may need to assume control over the most instinctive decisions patients have made all their lives, including:4

∙ When to eat and move around ∙ How to moderate their body temperature ∙ When and how they breathe, if they are being mechanically ventilated

It’s easy to see why 71 percent of ICU patients show signs of agitation at least once during their ICU stay.2

That’s why — out of compassion — clinicians often turn to sedation to relieve their patients’ distress.2

But research confirms a strong link between sedation and poor patient outcomes.2

Learn more at medtronic.com/icusedation

LET’S WORK TOGETHERTO REDUCE DISCOMFORT IN THE ICU

AN EXAMPLE OF THE VICIOUS CYCLEOF ASYNCHRONY

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Ventilation is sometimes necessary.

But conventional modes of ventilation can’t always match your patients’ breathing patterns or properly manage their work of breathing.

This can make them agitated. And without a better way to manage agitation, sedation can seem like the only option.

In fact, one study reported that 42 percent of all increases in sedation are responses to patient-ventilator asynchrony.5,6

Respiratory muscle atrophy begins in as little as

18 hours.7 Many things can lead to diaphragm atrophy, but reduced activity — including sedation — may be a significant factor.8,9

What’s more, an increase in sedation can lead to longer ventilator dependency.2, 3

That’s the asynchrony vicious cycle. And it may impact your patients’ outcomes.

When used inappropriately, sedation can lead to:

∙ Failure to wean ∙ Prolonged ICU stays ∙ Increased cost of care2

PATIENTS FACE ENOUGH CHALLENGES IN THE ICU. TRYING TO BREATHE SHOULDN’T BE ONE OF THEM.

Our advanced synchrony tools adapt to each patient’s unique needs — and provide the appropriate level of support throughout the breath, from initiation to completion.

With calculations happening every 5 milliseconds, the Puritan Bennett™ 980 ventilator stays in tune with patients’ demands. It helps them receive the flow and volume they want — when they want it, from breath to breath.

PAV™*+ SoftwareWith PAV™*+ software, patients define the rate, depth, and timing of each breath they receive. It can:

∙ Help you clearly understand the work required to complete each breath ∙ Tell the ventilator when patients want to begin inspiration, how deep the breath should be, when to end the breath, and how often the patient needs to breathe

∙ Continuously measure patient demand by reading flow and volume every 5 milliseconds ∙ Change ventilatory support within the same breath as patient demand changes

When you set the % support within PAV™*+ software, the patient and ventilator share the work of breathing (WOB).

MEASURES R (RESISTANCE)AND C (COMPLIANCE)

Measures resistance and compliance every 4 to 10 breaths

CALCULATES WOB WITH R AND C DATA

With R and C data, it’s possible to calculate patient-generated pressure (PMUS) and WOB in real time using the equation of motion

PMUS + PVENT = (flow x resistance) + (volume/compliance)

PROVIDES A VISUAL INDICATOR OF PATIENT'S WOB

Once % support is set, you can check the WOB bar for real-time feedback on how much work the patient is doing

Noninvasive Ventilation

The Puritan Bennett 840 and Philips Respironics™* V60 ventilators were the only ventilators that adapted well to increasing or decreasing leaks, and the Puritan Bennett 840 ventilator required the fewest number of breaths to synchronize under all test conditions.14

HELPING PATIENTSDICTATE BREATHS

Getting real-time feedback on WOB helps you keep the patient at a sustainable level, reducing the risk of respiratory muscle atrophy and potentially off-loading enough work to avoid fatigue. 8,9,17

Leak Sync software

Leaks from a mask interface or uncuffed endotracheal tube are common during mechanical ventilation.11-13 And that can cause auto-triggering and asynchrony. Leak Sync software can help:

∙ Detect changes in breathing ∙ Compensate for leaks ∙ Adjust effective trigger sensitivity, helping manage the patient’s WOB5,10

Published study

Puritan Bennett™ ventilator leak compensation performance during both invasive and noninvasive ventilation14

HELPS PREVENTAUTO-TRIGGERINGAND ASYNCHRONY

Invasive mechanical ventilation

∙ The Puritan Bennett™ 980 ventilator is one of only two ventilators to acclimate to all leaks in invasive ventilation15 ∙ Leak Sync software now works with VC+ and VS modes15 ∙ Volume-targeted ventilation is shown to be the most lung-protective mode for babies16

Noninvasive ventilation

∙ In a comparison study using 5 ICU ventilators, the Puritan Bennett™ 980 ventilator was the only ventilator to acclimate to all leaks in noninvasive ventilation15

PEACE OF MIND.FOR YOU.FOR YOUR PATIENTS.

SECURITYASSURANCE.

The Puritan Bennett™ 980 ventilator is built on the reliability and sophisticated breath-delivery technology you have come to expect from this portfolio. With features you can depend on, including:

∙ NeoMode 2.0 software: Helps you provide ventilatory support to neonates weighing as little as 300 grams by delivering tidal volumes as small as 2 mL

∙ Noninvasive software: Allows versatile options, including SIMV and CPAP ∙ BiLevel software: Permits spontaneous breathing at all times and supports biphasic or airway-pressure release ventilation for extra flexibility

∙ Proximal flow sensor: Measures lower flows, pressures, and tidal volumes right at the patient wye in neonate applications

∙ Volume control plus: Lets the patient take spontaneous breaths to achieve a targeted tidal volume as pressure is automatically adjusted

∙ Respiratory mechanics software: Monitors key respiratory parameters for easy patient-status assessment

∙ Tube compensation software: Accurately overcomes the WOB imposed by an artificial airway

Our assurance program includes:

∙ Ventilator assurance: In the event of certain system failures, the ventilator continues to deliver support as close to preset settings as feasible

∙ Status display: An additional screen with data display on the breath delivery unit (BDU) in case the graphic user interface (GUI) is unavailable

∙ Stand-by state: Pauses ventilation while the patient is disconnected; preserves settings, auto-detects the patient upon reconnection, and resumes ventilation

EXPERIENCE.RELIABILITY.SERVICE.Quality

Our service team worked hand-in-hand with design engineers during the development of the Puritan Bennett™ 980 ventilator. So they can provide the high-quality service that you have come to expect.

Consistency

Our service team operates on a solid foundation of experience and expertise, with more than 50 years of experience with Puritan Bennett™ ventilators.

Responsiveness

With more than 40 customer support engineers across the country, our fully integrated sales, service, and clinical support team lets us respond quickly to your needs.

Integrity

We prioritize strict compliance with industry standards for quality management systems and with our manufacturer-recommended service maintenance schedule.

©2016 Medtronic. All rights reserved. Medtronic, Medtronic logo and Further, Together are trademarks of Medtronic. ™* Proportional Assist and PAV are registered trademarks of The University of Manitoba, Canada. Used under license. All other brands are trademarks of a Medtronic company. 11/2016-13-VE-0026(1)a(2)-[WF#964383]

1. Grasso S, Puntillo F, Mascia L, et al. Compensation for increase in respiratory workload during mechanical ventilation. Pressure-support versus proportional-assist ventilation. Am J Respir Crit Care Med. 2000;161(3 Pt 1):819-826.

2. Siegel MD. Management of agitation in the intensive care unit. Clin Chest Med. 2003;24(4):713-725.

3. Tate JA, Devito Dabbs A, Hoffman LA, Milbrandt E, Happ MB. Anxiety and agitation in mechanically ventilated patients. Qual Health Res. 2012;22(2):157-173.

4. Patak L, Gawlinski A, Fung NI, Doering L, Berg J, Henneman EA. Communication boards in critical care: patients’ views. Applied Nursing Research. 2006;19:182-190.

5. Epstein SK. Optimizing patient-ventilator synchrony. Semin Respir Crit Care Med. 2001;22(2):137-152.

6. Pohlman MC, McCallister KE, Schweickert WD, et al. Excessive tidal volume from breath stacking during lung-protective ventilation for acute lung injury. Crit Care Med. 2008;36(11):3019-3023.

7. Levine S, Nguyen T, Taylor N, et al. Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans. N Engl J Med. 2008;358(13):1327-1335.

8. Hermans G. Increased duration of mechanical ventilation is associated with decreased diaphragmatic force: a prospective observational study. Crit Care. 2010;14:R127.

9. Haitsma JJ. Diaphragmatic dysfunction in mechanical ventilation. Curr Opin Anaesthesiol. 2011;24(2):214-218.

10. Puritan Bennett™ 840 ventilator operations manual.

11. Mahmoud RA, Proquitté H, Fawzy N, Bührer C, Schmalisch G. Tracheal tube airleak in clinical practice and impact on tidal volume measurement in ventilated neonates. Pediatr Crit Care Med. 2011;12(2):197-202.

12. Main E, Castle R, Stocks J, James I, Hatch D. The influence of endotracheal tube leak on the assessment of respiratory function in ventilated children. Intensive Care Med. 2001;27(11):1788-1797.

13. Vignaux L, Vargas F, Roeseler J, et al. Patient-ventilator asynchrony during non-invasive ventilation for acute respiratory failure: a multicenter study. Intensive Care Med. 2009;35(5):840-846.

14. Oto J, Chenelle CT, Marchese AD, Kacmarek RM. A comparison of leak compensation in acute care ventilators during non-invasive and invasive ventilation; a lung model study. Respir Care. 2013;58(12):2027-2037. doi: 10.4187/respcare.02466.

15. Itagaki T, Chenelle C, Fisher D. A comparison of leak compensation during neonatal noninvasive ventilation delivered by three ICU ventilators: A lung model study. Abstract presented at: AARC Congress 2015 AARC; November 2015; Tampa, FL.

16. Wheeler K, Klingenberg C, McCallion N, Morley CJ, Davis PG. Volume-targeted versus pressure-limited ventilation in the neonate. The Cochrane Database Syst Rev. 2010;(11):CD003666. doi: 10.1002/14651858.

17. Anzueto A, Peters JI, Tobin MJ, et al. Effects of prolonged controlled mechanical ventilation on diaphragmatic function in healthy adult baboons. Crit Care Med. 1997;25(7):1187-1190.

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* Ventilation Assurance provides for continued ventilatory support using one ofthree backup ventilation (BUV) strategies, bypassing the fault to maintain the highest degree of ventilation that can be safely delivered