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Homecare
Pneumology
NEONATOLOGY
ANAESTHESIA
INTENSIVE CARE VENTILATION
Step beyond the future
Sleep Diagnostics
Service
Patient Support
The future starts now!
For over 30 years, Heinen + Löwenstein has been researching and
developing medical devices to benefit patients and continuously
improve ergonomics for users.
All of our developments are driven solely by a desire to benefit
people.
Paradigm shift in anaesthesia and ventilation
The vitaQ™ is revolutionising our present approach to, and
understanding of anaesthesia and ventilation. The vitaQ™ closed
platform is a global leader in cutting-edge technology. It enables
comprehensive control, superior ventilation, and provides the
user with insight into the patient’s physiology and metabolism.
Xenon can now be used as the sole anaesthetic agent. The programmable Qapps™, which further optimizes the processes
of managing anaesthesia and ventilation, also opens up a range
of new possibilities and underscores the uniqueness of the
vitaQ™system.
Xenon - simply the best
In clinical applications, the safe and easy use of xenon as an anaesthetic has been conclusively demonstrated. Since 2005, xenon has
been approved for use as an anaesthetic gas and is considered to
be an ideal anaesthetic. This inert gas is not metabolized by the
body and therefore significantly improves the waking experience
as well as providing previously unattainable haemodynamic stability and organ protection, in particular neuroprotection.
Quantitative anaesthesia and ventilation
In daily clinical practice, inhalation anaesthesia is currently generally performed as minimal flow and low flow anaesthesia.The level
of fresh gas supply to the respiratory system is key.
The flow of fresh gas is significantly lower than the patient’s respiratory minute volume.The anaesthetic gases in the exhaled air are
returned to the patient via the rebreathing system. The CO2 is
chemically bound by carbon dioxide absorbers.
As a rule, the lower the flow of fresh gas, the higher the level of
rebreathed gas, and the lower the amount of excess gas.The time
constant is typically much longer in the system; i.e. adaptations of
the gas composition take longer the lower the flow of fresh gas.
GOOD TO KNOW!
With quantitative anaesthesia in a closed system, the
composition and volume of the supplied fresh gas always
corresponds to the amount of oxygen, nitrogen oxide
and inhaled anaesthetic that the patient is currently being
administered. Patient safety, cost efficiency and superior
control are combined.
The vitaQ™ is the first completely closed system using conventional volatile anaesthetics such as desflurane, sevoflurane and
isoflurane.When there are changes in concentration, excess volatile gas is absorbed by a specially developed charcoal filter.
However, due to a lack of suitable anaesthesia ventilators - and the
resultant high consumption levels and high costs - xenon has not
been used as a routine anaesthetic.
The electronic (closed loop) control mechanisms ensure that the
inspired or expired gas concentrations set by the anaesthesiologist are automatically maintained.
The vitaQ™ is the first closed respirator that enables the use of
xenon.
The ingenious overall design of the vitaQ™, with its surprisingly
quiet high-performance turbine and valve-free circulatory system,
enables time constants within the range of seconds. This practically eliminates any restriction on options for ventilation. The
amount of gas supplied is precisely the amount actually used.
New treatment strategies are now feasible in the ICU as well.
Combined with the Xe-Qapp™, it ensures that the speed is maximized at which xenon is respirated with minimum loss.
This is termed QUAM.
QUAM stands for quantitative universal administration method
and is the next stage in quantitative anaesthesia.
In addition to QUAM, the vitaQ™ can also operate in conventional modes such as semi-closed and open.
GOOD TO KNOW!
Given its specific properties, xenon is an almost perfect anaesthetic. It
enables constant blood pressure regulation and short induction and
waking phases. Furthermore, this inert gas is associated with fewer
side effects, such as postoperative nausea and vomiting, and does not
contribute to the greenhouse effect.
No borders - one for all
Optimal respiratory gas conditioning
In intensive care, volatile anaesthesia has previously been carried
out in a semi-open system with additional components and
conventional ICU respirators. There is now a new approach for
volatile anaesthesia: Fully enclosed with no additional components,
low-loss and fewer contaminants.
The higher the flow of fresh gas, the greater the loss of heat and
moisture through the lungs.
The closed system of the vitaQ™ and absorption of excess volatile anaesthetic by a carbon charcoal filter obviate the need for
purging with cold air. This special feature ensures the optimal
conditioning of respiratory gas in the system.
Ecological
Special software controls the injection of the volatile anaesthetic,
addition of anaesthetic gas, maintenance of the end-tidal value, the
capturing of the volatile anaesthetic in the charcoal filter and the
closed circulatory system reduce the usage of the gases to an
absolute minimum. This saves costs and protects the patient, user
and environment.
Hygiene and preparation
Monitoring the metabolism
The charcoal filter, CO2 absorber, membrane chamber and circulatory system can be accessed quickly, easily and without tools.
Several important parameters have been added to classic
ventilation monitoring:
˙
and carbon
The monitoring of the patient’s oxygen uptake VO
2
˙
.2 The respiratory quotient RQ is calculated
dioxide output VCO
and displayed.
The vitaQ™, the easy and safe disinfection of surfaces was prioritized.
High-quality materials and a new design inner circulatory system
enable easy hygienic preparation and accordingly prevent crosscontamination with nosocomial pathogens.
The future starts now!
Circulatory system
Precision
The autoclavable circulatory system consists of light-weight plastic
and does not have any metal conductive parts such as valves. The
circulatory part has only three components so it can be easily
removed and disassembled without any tools.
The precision of the vitaQ™ is exemplary. Volumes are precisely
applied and monitored with membrane and laser systems. This
even makes it possible to treat neonates.
Small ecological footprint with Qsorb and charcoal
filter
Disposable absorbers are used for CO2 absorption. The Qsorb
was developed specially for the vitaQTM. The geometry of the
granules is specially configured. This enables maximum CO2
absorption and prevents channel formation. The Qactivecarbon
active charcoal filter for absorbing the volatile anaesthetic is also
disposable.This saves costs and is environmentally friendly.
Vapour-free Qtainer
Qtainers are available to provide desflurane, isoflurane and sevoflurane and can be quickly and easily filled.
Safety
Safety means more than integrated monitoring and ease-of-use.
Redundant high-performance processors continuously monitor
the functioning of the vitaQ™.
Of course, the integrated hot-swappable, interruption-free power
supply comes as standard.
The O2concentration is automatically controlled and maintained
according to user settings. This excludes the risk of hypoxia from
insufficient O2 within the system.
The end-tidal concentration in the anaesthetic gas is reliably maintained according to the user setting. This significantly reduces the
risk of overdosing and awareness.
GOOD TO KNOW!
Disposable absorbers are easy and quick to install. Since they
are immediately discarded, there is no processing cost or dust
accumulation, which minimizes the risk of dust contamination and gas
flow resistance during this period.
Advantages of vitaQTM at a glance:
• xenon - anaesthetic and organ protector (optional)
• complete control of anaesthesia and ventilation
• awareness of the patient’s physiology and metabolism
• flexible use from premature infants to adults
• minimum gas use
• comprehensive safety approach
• easy and quick hygienic preparation
All rights retained; we reserve the right to modify technical data.
p-vitaq-e/2 as of: 11/2016
Heinen + Löwenstein worldwide
Heinen + Löwenstein GmbH & Co. KG
Arzbacher Strasse 80
D - 56130 Bad Ems
www.en.hul.de
Telephone: +49 26 03/96 00 0
Fax: +49 26 03/96 00 50
[email protected]