Overview

The Logical Path to lung protection 

CARESCAPE Ventilator R860 is the new GE Healthcare Critical Care ventilator designed to improve ease of use with a new generation of clinical excellence in Lung Protection.

The CARESCAPE R860 is the result of a research that covered extensive literature review, adjacent industry programs and cooperation of intensive care experts. Clinician feedback highlighted the need to simplify ventilator-user interaction in order to ensure protective ventilation.

Following this, usability tests evaluated the system usability score (SUS) and User Experience scale (UX), demonstrating an intuitive user interface that can facilitate the use of innovative advanced tools.

Choose the view you prefer:

The new GE navigation concept opens up easily the accessibility to clinical data.

From menus to Views: CARESCAPE Ventilator R860 replaces menus with “Views”. Different Views are available at your finger tip displaying the simplest data to the more detailed and you can choose your own view by simply pressing the appropriate icon to access the information you need at the point of care. 

Travel through past, present and future with a single touch:

CARESCAPE Ventilator R860 Views are grouped from left to right in 3 timed logical workspaces: Past, Present and Future.  You can read patient history by swiping from left to right in a natural way: from admission to discharge, from acute respiratory failure to completing the weaning phase.

The Past: on the left, the patient trends Views. By sliding a cursor on a main parameter it is possible to expand all the related clinical data in order to deep dive with finer resolution. This event-centric historical data keeping always the focus where needed, on the patient.

The Present: in the center, the breath by breath Views. Essential ventilation parameters, multiple waveforms (up to 4), loops or combined data are easily accessible without re-configuring the ventilator display.

The Future: on the right, clinical decision support Views. The clinical decision support workspace is designed to help adjust ventilation settings for the future plus providing tools for weaning, Lung Protection and nutrition assessment.

Protect the lungs:  

Due to lung non-homogeneity, ventilation protective strategy needs a comprehensive solution. GE CARESCAPE ventilator R860 offers different visual advanced tools to measure lung volumes, to check potential recruitability and to titrate the optimal level of PEEP.

Features

Modes of Ventilation

  • A/C VC (Volume Control)

  • A/C PC (Pressure Control)

  • A/C PRVC (Pressure Regulated Volume Control)

  • SIMV VC (Synchronized Intermittent Mandatory Ventilation, Volume Control)

  • SIMV PC (Synchronized Intermittent Mandatory Ventilation, Pressure Control)

  • CPAP/PS (Continuous Positive Airway Pressure/ Pressure Support)

  • SBT (Spontaneous Breathing Trial)

  • APRV* (Airway Pressure Release Ventilation)
  • BiLevel* (BiLevel Airway Pressure Ventilation)
  • BiLevel VG* (BiLevel with Volume Guarantee)
  • SIMV PRVC* (Synchronized Intermittent Mandatory Ventilation, Pressure Regulated Volume Control)
  • VS* (Volume Support)
  • NIV* (Non-invasive Ventilation)
FRC INview (optional)

  • Functional Residual Capacity measurement – Wash-in and Wash-out method provides 2 separate FRC measurements
  • FRC displayed both numerically and graphically

  • The most recent 5 FRC procedures displayed

  • PEEPe,Cstat and PEEPi displayed with each FRC

  • Trend Log records:

    • FRC measurements
    • Ventilator settings and procedures that may affect the FRC procedure
  • Programmable time intervals for automatic FRC measurements
Lung INview (available with SpiroDynamics and FRC INview)
 
  • Integrates SpiroDynamics and FRC INview within the PEEP INview procedure

  • Measures the amount of volume between the Dynostatic curves at each FRC measurement

  • Estimate of recruitment volume


Take Snapshot

  • Immediate capture and storage of critical data currently on the CARESCAPE R860’s display

  • Stored data:

    • All available waveform data (15 or 30 seconds)

    • Alarm messages (Currently active Alarm messages)

    • All measured parametersAll set ventilator parameters

  • Maximum stored Snapshots: 10 most recent

  • Cursor: Ability to cursor across waveforms for specific measured values

SpiroDynamics (optional)

  • Tracheal Pressure – Volume loop displayed

  • Dynostatic Curve displays calculated alveolar pressure

  • Tracheal pressure measured via GE’s intratracheal pressure sensor – Connects directly to CARESCAPE R860’s auxiliary pressure port

  • 3 point compliance measurement

    • at 5-15% of the breath

    • at 45-55% of the breath

    • at 85-95% of the breath

  • Store up to 6 SpiroDynamic loops

  • Store up to 6 Dynostatic curves

  • Overlay loops and/or curves over current loop

  • Cursor available across all displayed loops and curves – Pressure and volume values displayed at cursor position 

  • Ppeak, PEEPe, Compliance and Pmean
PEEP INview (available with FRC INview)

  • Measures FRC at up to 5 different PEEP levels
  • Graphic and numeric display of FRC values
  • User selectable beginning and ending PEEP levels
    • Ventilator evenly spaces additional PEEP levels
    • PEEP levels can either increase or decrease
  • PEEPe,Cstat and PEEPi displayed during each FRC measurement
Vent Calculations 

Data from CARESCAPE R860 and external lab results are used to provide the following values:
  
  • PAO2 – Alveolar partial pressure of oxygen
  • AaDO2 –Alveolar arterial oxygen difference
  • Pa/FiO2 – Oxygenation index  
  • PaO2/PAO2 – Alveolar arterial oxygen pressure difference
  • CO – Cardiac output
  • OI – Oxygen Index
  • SpO2/FiO2 – Saturation FiO2 Ratio
  • Vd/Vt – Dead space ventilation
  • Vd – Dead space volume
  • VA – Alveolar ventilation
Tube Compensation

  • Type of compensation: Electronic tube compensation
  • Compensation for: Endotracheal and tracheostomy tubes
  • Tube diameter: 5 to 10 mm
  • Level of compensation: 25 to 100%
Non-Invasive Ventilation (NIV) (optional)

  • Mask ventilation: Yes

  • Integrated unique leak recognition algorithm

Automatic Patient Detection (APD)

  • Patient re-connection: Automatic detection in standby

  • Detection by: Back pressure to Bias-flow

Lung Protection strategy

Lung Protection strategy:
an integrated approach

The lung is a delicate structure that is highly sensitive. Mechanical ventilation can be detrimental if too much volume or pressure is delivered. And patients affected by lung disease are highly susceptible to ventilation-associated lung injury.1

A Lung Protection strategy can help ensure the different zones receive the treatment they need


CARESCAPE* R860 offers an integrated solution


The CARESCAPE R860 was designed with a simple and universal navigation scheme.
The Lung Protection tools calculate FRC, providing the clinician with data for determining the optimal PEEP setting for the patient.



References
1 E. D. Moloney and M. J. D. Griffiths,
British Journal of Anaesthesia 92 (2): 261±70 (2004)
2 Hedenstiernia G, Acta Anesthesiol Scand 2012, 56: 675-685
3 Gattinoni L, N Engl J Med 2006;354:1775-86
4 Brunner J, Intensive Care Med. 2009, 35:1479-83
5 Rouby JJ, Anesthesiology 2004; 101: 228–34
6 Gattinoni L, Current Opinion in Critical Care 2004, 10:272–278
7 Chiumello D, Crit Care Med 2008, 12:R150 doi:10.1186/cc7139

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**Not available in all markets.