Intensive care ventilation.

Simple, effective
and lung protective.

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Contents
elisa 4
the future of intensive care ventilation

Instant View Technology 10

in control at all times

Easy Access Bar 12

precise operation even in stressful situations

A clean affair 14
a simple way to prevent nosocomial pneumonia

PEEPfinder® 16
gold standard bedside lung diagnostics

Volatile sedation meets intensive care ventilation 18

optimised ventilation with bespoke sedation

Cuffscout® 20
simple cuff management to reduce VAP risk

Chest Monitoring 22
more than just detection of stress and strain

Tools to assist the weaning process 24

there are no simple answers when weaning fails

Ventilator-Integrated Tomography (VIT®) 26

the imaging navigation system for intensive care ventilation

Options & choices 28

our modular system at a glance

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elisa - because individuality
matters in intensive care
ventilation.

The elisa product family has a com-

mon denominator: Simplicity at the
highest technological standard.

Simple application creates safety for

medical staff and patients.

To be a technological pioneer means

two things to SALVIA: natural, gentle
ventilation and a sustainable outlook.
The elisa product family is based on
this principle of sustainability. Up-
grades create smooth transitions be-
tween the models, while software
updates guarantee our products’ long
service life at the highest technologi-
cal level.

Innovative. Intuitive. Sustainable.

The elisa family.

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elisa - because individuality
matters in intensive care
ventilation.

elisa 600 | 800 | 800VIT

The premium range in intensive care
ventilation

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The platform concept enables situation-based configura-
tion. The flexible system architecture allows for integrating
future requirements as well as medical and technical devel-
opments.

The devices offer a full bandwidth of diagnostic and thera-

peutic tools for innovative and intuitive ventilation, from
common clinical standards to our ventilator-integrated
impedance tomography (VIT), which remains unique in the
world.

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elisa - because individuality
matters in intensive care
ventilation.

elisa 300 | 500

The new compact range in intensive
care ventilation with the latest turbine
technology

The turbine technology enables maximum peak inspiratory

flows of up to 300 l/min and higher ventilation pressures.
At the same time, noise emissions and maintenance costs
have been significantly reduced.

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Daily requirements in intensive care ventilation are complex • in modern ventilation modes, oesophageal pressure
and wide-ranging. A comprehensive functional platform, measurement with mesh nebulizer, loops, PEEPfinder®
state-of-the-art technology, flexible device configuration or weaning tools
and intuitive operation support you in your daily routine
work and in critical ventilation situations:

• in the ICU, the intermediate care unit, the emergency

department or during in-hospital transports

• with ARDS, COPD or in prolonged weaning, in high-flow

oxygen therapy, invasive or non-invasive ventilation

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Instant View Technology
in control at all times

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Don’t miss the wood for the trees – instantly assess the
current ventilation situation and identify developing
problems.

Time is a scarce resource in every-

day clinical practice. Increasing work-
loads, critical situations as well as
normal routine place high demands
on medical personnel. The cumber-
some operation of complicated de-
vices causes additional stress and
creates sources of error. That calls
for innovative technology which of-
fers a clear overview of the required
information in a structured format.
Simply smart!

Instant View Technology

The Instant View Technology gives
you an intuitive grasp of the patient’s
situation. Trends and necessary in-
terventions are immediately evi-
dent. Deviations are clearly obvious
without the need to read individual
measuring values.

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Easy Access Bar
precise operation even in stressful situations

New answers are needed for

intelligent operation – the Easy
Access Bar enables fast response.

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Easy Access Bar
The Easy Access Bar of the intensive care ventilator family The absence of conventional rotary
elisa 300 to 800VIT lets you choose the required settings knobs makes operation easy and
with precision and ease, even in stressful situations. The verifiable. The fully disinfectable
touchscreen operation provides intuitively understandable, surface enables hygienic operation at
unmistakable feedback on the selected setting. Since all minimal cost.
numerical values and setting parameters are consistently
arranged in the same location, operating the devices
becomes an easy routine that does not fail in critical situa-
tions.

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A clean affair
a simple way to prevent nosocomial pneumonia

The device's numerous individual functions and

architecture support compliance with suitable infection
prevention measures.

Pneumonia is the most common nosocomial infection oc- The materials used guarantee conti-
curring in ventilation patients. It leads to extended hospital nued functionality, even under the
stays and increases lethality by up to 30%. most severe conditions such as me-
chanical strain and repeated autocla-
The elisa series features a number of functions to support ving.
the necessary measures for reducing nosocomial infec-
tions. The design of the modern intensive care ventilators The configurable hygiene function
eliminates hygienic problem zones such as dirt-collecting supports the implementation of in-
corners or rotary knobs and allows for easy cleaning and ternal hospital hygiene standards wit-
disinfection. The Valve Bar comprises all elements that can hout the need for complex RFID
be directly or indirectly contaminated via the respiratory technology or the purchase of ex-
tract and makes it easy to quickly replace all patient-side pensive special tube systems. It com-
connections to effectively prevent cross-contamination. prises all potentially critical parts such
as nebulizers, HME filters, tube ex-
tensions, and suction systems.

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PEEPfinder ®
gold standard bedside lung diagnostics

The PEEPfinder® makes the determination of the optimal

PEEP range as easy as setting the respiratory rate.

It is considered an established fact easier to determine the elastic properties of the lungs. A
that the cyclic collapse and reope- number of evaluation options are available for this purpose.
ning of lung areas in patients with Graphic evaluation support for detecting inflection points,
ALI significantly damages the pulmo- stress indices, and storage of up to 10 reference loops facili-
nary tissue and that alveolar cycling tate the straightforward implementation of lung-protective
of lung areas in particular represents ventilation.
an independent risk factor for higher
mortality.

The PEEPfinder® can be used to

optimise the settings of the ventilator,
thus supporting lung-protective ven-
tilation. The manoeuvre is performed
in a secure window and can be com-
bined with a preoxygenation function.
The expanded, quasi-static PV tool
supports the user’s assessment of
stress and strain. Intelligent algorithms
and extensive safety features make it

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Volatile sedation meets intensive
care ventilation
optimised ventilation with bespoke sedation

The use of volatile anaesthetics enables daily

awakening trials, timely neurological assessment, and
avoiding benzodiazepine hangover.

Daily awakening trials, propofol infu- ration and the effects of anaesthetic gases on the mate-
sion syndrome, timely neurological rials of such devices. Rather, the new anaesthetic delivery
assessment of ventilated, intensive function compensates the inspiratory and expiratory re-
care patients or reducing brief reac- sistances of the Anaesthetic Conserving Device System®
tive psychosis – there are many rea- and thereby avoids extending the mean expiration time,
sons for the use of volatile anaesthe- reduces the risk of trapping, and guarantees the accuracy
tics in the context of intensive care of volume measurement.
treatment.

Salvia medical has responded to this

challenge and has entered new ter-
ritory with the successful application
of the new DIN EN ISO 80601-2-13
standard, “Particular requirements
for basic safety and essential perfor-
mance of an anaesthetic worksta-
tion.” This goes far beyond the scope
of safe intensive care ventilator ope-

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Cuffscout®
simple cuff management to
reduce VAP risk

The continuous monitoring and control

of the blocked cuff is one of the
measures to reduce the VAP risk of
mechanically ventilated patients in the
intensive care unit.

Intermittent cuff control with a pressure gauge, which is fre-

quently applied in current practice, is not fully adequate to
counteract this risk. For this reason, we have equipped our
best-selling products with the new Cuffscout® function. It
maintains and monitors the cuff pressure specified by the
user. In addition, our devices immediately recognise defec-
tive cuffs and leaks and feature a cough detection algorithm
to further simplify the individual cuff adjustment.

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Transpulmonary Monitoring
more than just detection of stress and strain

Even in difficult clinical ventilation situations, the

measurement of oesophageal or transpulmonary
pressure allows lung-protective ventilation to be
adjusted.

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Alveolar overdistension and cyclic alveolar collapse are the tended. The transpulmonary pressure
primary causes of ventilation-associated lung injury. This is measurement allows lung-protective
characterised by alveolar permeability dysfunction with ventilation to be adjusted without
oedema, alveolar haemorrhage, hyaline alveolar membrane additional damage to the lung parti-
formation, loss of surfactant function, and alveolar collapse. cularly in patients who require a large
The lung damage caused by alveolar overdistension is pro- proportion of the ventilation pres-
duced by high pressure values. These are reflected in the sure to extend the “stiff” lung (obe-
transpulmonary pressure (difference between airway pres- sity, elevated intraabdominal pressure,
sure and pleural pressure). Although inspiratory alveolar etc.).
overdistension and expiratory collapse cause lung damage
through shear forces, the limits of conventional lung protec-
tion can also be considerably exceeded with maximum pla-
teau pressures of 30 mbar without the lung being overdis-

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Tools to assist the
weaning process
there are no simple answers when weaning fails

In the majority of ventilated patients, ventilator weaning is quick more difficult. The necessary weaning strategy is complex, de-
and can be successfully achieved by simple strategies. However, manding and allows no simple answers. In addition to special
there is a steady rise in the number of ventilated patients that modes for simple weaning, there are numerous tools and in-
cannot be weaned off the ventilator or where the weaning dices available for continuously assessing the weaning process
process is very prolonged. and for the standardised assessment of weaning and extuba-
tion readiness.
40 % of all ventilated patients undergo difficult or prolonged
ventilator weaning, which takes up almost 50  % of intensive
care time. Often, these are patients with severe respiratory
dysfunction, where comorbidity makes the weaning process

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Weaning modes Weaninganalyzer ®
The right choice of ventilation type has high significance in the A huge challenge in weaning is to establish the right time for
weaning concept and influences the duration and success of weaning readiness and extubation. The fact that up to 16 % of
weaning. In addition to the whole range of conventional venti- extubations are unplanned as so-called self-extubations with
lation modes, elisa 600 and 800 also have two special ventila- subsequent ventilation no longer being required in about 50 %
tion types for efficient weaning of standard ventilation patients. of these patients illustrates the importance of the right time
Spontaneous breathing activity, necessary ventilation pressure for planned extubation.
for mandatory and spontaneous breathing activities, trapping The Weaninganalyzer® contains protocols for daily standar-
risk, and lung parameters are continuously recorded, assessed dised determination of weaning readiness (“ready to wean”)
and used to adjust the ventilation parameters. and extubation readiness (“ready to extubate”). By monitoring
Adaptive Lung Protection Ventilation (ALPV®) takes lung pro- clinical situations and assessing measurement values, daily SAT
tective protection rules into account and guarantees the ne- or SBT tests can be performed more easily, thus helping to
cessary CO2 elimination.ALPV® can be maintained throughout reduce complications, reintubation rates, days in intensive care
the entire period of ventilation without changing the ventila- and treatment costs.
tion mode or adjusting the ventilation parameters.

Fastwean®
Fastwean® allows measurement values relevant to weaning
to be assessed at a glance. Whether RSBI, occlusion pressure
measurement P.01 or Negative Inspiratory Force – the measu-
rement values are continuously displayed and assessed using a
‘traffic lights’ display.

Adaptive Lung Protection Ventilation continuously adapts to the weaning

situation.

Fastwean® supports differentiated assessment in the weaning process.

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Ventilator-integrated
tomography (VIT®)
the imaging navigation system for intensive care ventilation

Electrical impedance tomography (EIT) for the first time offers

a bedside method for reliable non-invasive determination of the
regional lung function without radiation exposure.

The real-time images as well as the EIT-based special lung The EIT, in turn, supports the imple-
function parameters support clinicians with the regular eva- mentation of lung-protective ven-
luation of the variable pulmonary status in order to adjust tilation, therapeutic positioning, and
the ventilation to individual patient needs. weaning.

In the elisa 800VIT, Salvia medical combines both functions: Powerful computers, innovative tex-
Intensive care ventilation and EIT. tiles and modern algorithms have all
Assessment and monitoring of ventilation, stretch, regional contributed to electrical impedance
compliance, regional tidal volume and size of available lung tomography graduating from the
volume (functional lung size) can be performed continuous- pure science stage to being part of
ly and easily, and the results applied to ventilation strategies. clinical routine. Sensor densities that
were too low, complicated assess-
ment strategies, and pressure sores
caused by sensor belts are now a
thing of the past.
Changes in the dependent and non-
dependent lung regions can be loca-
ted at a glance, and ventilation settings
can be adjusted under direct visual
control.

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Options & choices
our modular system at a glance

Highflow O2
High-flow oxygen therapy (HFOT) is consi- breath and regulates the selective pressure
dered a supplement to non-invasive venti- support for compensation.
lation or is used in cases where conventio-
nal oxygen therapy does not provide Loop package
adequate oxygenation. It involves offering a LOOP Up to six selectable loops form the basis of
continuous flow with individually adjusted differentiated assessment and derivation of
oxygen supply via a special nasal cannula. treatment decisions. At the same time, up
to 10 reference loops can be saved and dis-
CPR mode played to compare with the current ventila-
CPR Special emergency mode for ventilation in tion situation for diagnosis.
resuscitation situations.
Scientific Data Tool
ALPV ®
The Scientific Data Tool offers a solution
ALPV The ALPV mode combines the previous for scientific data collections. All ventilation
advantages of hybrid closed-loop ventila- data and EIT measuring values can be re-
tion with the current requirements of lung- corded breath by breath. Our external
protective ventilation. The pressure- software compiles the EIT and ventilation
controlled ventilation with volume data, associated with the individual breaths,
guarantee (comparable to dynamic BiLevel) and converts it to an Excel table.
is combined with pressure-supported
spontaneous breathing with volume gua- Transport option
rantee (dynamic PSV) in such a way that a A bracket for attaching the unit to the bed
tidal volume of 6 ml/kg of ideal body weight and a kit for accommodating the com-
results as the target value for mandatory pressed air and oxygen bottles make it ea-
and pressure-supported spontaneous sier to transport the intensive care ventila-
breathing. At the same time, the device tor with the patient bed within the hospital.
continuously monitors potential air trap-
ping and offsets it as necessary. ALPV® is PEEPfinder®
used as a weaning mode and generalist Thanks to state-of-the-art sensor techno-
mode. logy and its high-resolution sampling rate,
the PEEPfinder® features algorithms for the
PAPS® Proportional Adaptive reliable determination of inflection points
PAPS Pressure Support to establish the necessary PEEP and ventila-
In contrast to the fixed pressure support tion range. The intuitive display allows a ve-
with PSV, a spontaneously breathing patient rifiable review of measuring values, transpa-
receives proportional pressure support rent PEEP settings, and the assessment of
with PAPS. The effective pressure support stress indices as well as static compliance.
is based selectively on the respective in-
creased elastic and restrictive resistance
values. A special algorithm determines the
current work of breathing based on eleva-
ted flow and stretch resistance in every

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 Mesh nebulizer Hygiene function
Targeted nebulizing of medications with ul- To reduce the risk of nosocomial (hospital-
trasound represents the current gold stan- acquired) infection, the ventilator’s hygiene
dard. Modern ultrasound technology does management function monitors the timely
not interfere with ventilation therapy, can replacement of accessories that are in di-
be refilled during ongoing operation, and is rect contact with the patient (tubing sys-
virtually noiseless. The synchronization of tem, valve bar, suction system, HME filter,
our technology with the patient’s inspira- and nebulizer head). Monitoring and display
tion significantly reduces the drug consump- follow the respective department require-
tion while maintaining the same efficacy. ments without the need for complex RFID
The integrated solution enables the direct chips or expensive breathing circuits.
operation via the intensive care ventilator
without the need to rely on additional ex- WOBOV® Work Of Breathing
ternal devices. WOBOV
Optimized Ventilation
WOBOV is a generalist mode that takes
Optional CO2 promoting spontaneous breathing, suffi-
CO2 Mainstream or side stream sensors com- cient minute ventilation, an energetically
plete the close monitoring of ventilation optimal breathing pattern and compliance
patients in routine clinical and emergency with specific lung protection rules into ac-
situations. Measuring values can be dis- count. It continuously calculates the energe-
played numerically, as a curve or as a loop. tically optimal breathing pattern and adjusts
the ventilation control (modified Otis for-
Weaninganalyzer® mula) accordingly. If the ventilation is still
The Weaninganalyzer® accurately displays insufficient, WOBOV gradually steps up
the patient’s weaning process and offers a mechanical support or the algorithm com-
reliable forecast for initiating the weaning pensates the deficit up to the specified mi-
process and extubation readiness based on nute volume as needed.
daily trials and real-time data.
PESO
Mains-independent power supply PESO Oesophageal pressure monitoring
Additional batteries and an external char- Bedside monitoring of oesophageal pres-
ger allow off-grid operation for a period of sure with a modified gastric tube reflects
at least four hours. the changes in pleural pressure under ven-
tilation.
Automatic patient detection APD The resulting measuring values enable PEEP
APD As an additional safety function, users can optimisation, avoidance of alveolar over-in-
activate the automatic patient detection flation with development of barotrauma,
(APD) feature on the configuration level to identification of patient-ventilator asyn-
make it available. This prevents inadvertent chrony, assessment of respiratory muscle
switching to the standby function or tur- effort, and measurement of intrinsic PEEP
ning the ventilator off as long as a patient is with spontaneous breathing.
connected.

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Hardware Options

CO2 interface (without sensor)

CO2 sensor: Mainstream measurement

CO2 sensor: Sidestream measurement

Mesh nebulizer interface

Weaning indicator: MIP

Additional low-pressure feed for oxygen

PDMS interface: Salvia 1.3

PDMS interface: Philips

Video port

Cuffscout®

Oesophageal pressure monitoring

Expanded neonatal mode (including flow sensor close to patient)

Multi-gas sensor (CO2 , Iso, Sevo)

21.5” screen

Second 18.5” screen

Replacement battery for another 120 minutes

integrated optional not available

Software Options

Base Package 'Ventilation Modes'

Expanded Package 'Ventilation Modes'

(ALPV, CPR, PC-APRV)

Mode:WOBOV®

Mode: PAPS®

HFOT

Neonatal Mode

PEEPfinder®

Expanded PEEPfinder® (with automatic display

of inflection points & recruitability)

Weaninganalyzer® (SAT & SBT)

Lung Protection Navigator

Loop Package including reference loops

Ventilator-Integrated Impedance Tomography

integrated optional not available

 BPL MEDICAL TECHNOLOGIES PRIVATE LIMITED
Registered office: 11th KM, Bannergha�a Road,
Arakere, Bangalore - 560076, India
Phone +91 80 26484388/ 2648 4350
Toll Free 1800-425-2355
Website www.bplmedicaltechnologies.com
CIN:U33110KA20212PTC067282
For Enquiries: [email protected]

© 2018 BPL Medical Technologies Private Limited. All rights reserved. BPL Medical Technologies Private Limited BPL VENTILATOR ELISA 300 500 600 32PGB 10:10:18
reserves the right to make changes in product features, specifications, aesthetics and/or to discontinue the same at
any time without notice or obligation