GE ENGSTROM (2003)

Adult intensive care is the core setting, where PEEP decisions are made repeatedly across a stay and a measured FRC gives the team a volume to set against the pressures already displayed.

Acute respiratory distress syndrome management is supported by PEEP INview, since a series of measured volumes across a PEEP range gives a titration something quantitative to work from.

Recruitment assessment is supported by the wash-in and wash-out method producing two separate values from one procedure, with expiratory and intrinsic PEEP displayed alongside each result.

Paediatric intensive care runs on the same platform with tidal volumes down to 20 mL and rates to 120 breaths per minute.

Neonatal intensive care is covered with tidal volumes from 2 mL, rates to 150 breaths per minute, nCPAP and the proximal Neo Flow Sensor, with the FRC functions inactive for this patient type.

Nutritional assessment in long-stay patients is supported where the gas module is fitted, since measured energy expenditure gives dietetic decisions a figure taken from the patient.

Weaning and step-down work is supported by the spirometry loops and pressure support modes, with non-invasive ventilation available according to the options on the unit.

Lung Volume Read, Not Inferred

FRC INview measures functional residual capacity at the bedside, so the volume a PEEP setting produces is available as a figure alongside the pressures and tidal volumes already on screen.

Two Values From One Procedure

The wash-in and wash-out technique yields two separate FRC measurements in a single procedure, giving the clinician a check on the result.

PEEP Titration Across Five Levels

PEEP INview measures FRC at up to five levels between a user-selected start and end point, turning a titration into a set of measured volumes.

Context Displayed With Every Measurement

Expiratory and intrinsic PEEP appear alongside each FRC value, and the five most recent procedures stay on screen for comparison across a shift.

A Log That Records What Changed

The FRC event log captures measurements together with the ventilator settings and procedures that could bear on them, which supports review and audit.

Measurements That Repeat Themselves

Programmable intervals allow FRC procedures to run automatically, so a trend builds without someone having to initiate each reading.

Pressure Seen at the Trachea

SpiroDynamics derives tracheal pressure from an auxiliary sensor and presents dynamic pressure-volume behaviour within the breath.

Energy Expenditure From the Patient

Where the gas module is fitted, measured oxygen consumption and carbon dioxide production give an energy expenditure figure averaged over two, six, twelve or twenty-four hours.

Neonatal Through to Adult on One Platform

Tidal volumes from 2 mL to 2000 mL and rates to 150 breaths per minute cover a unit's full patient range from one trolley.

Built for a Working Unit

A display that tilts through 160 degrees when raised, a transferable module bay, a quick-release expiratory valve and battery backup suit continuous use.

Option Set Stated Before Order

The modules and licensed functions fitted are set out by the seller at quotation, so what a buyer receives is established in writing.

Trolley-Mounted Critical Care Ventilator

Integrated ventilation and monitoring for neonatal, paediatric and adult patients, on multiple trolley configurations.

Year of Manufacture: 2003

Bearing on model designation, software version, module availability and support arrangements.

FRC INview

Functional residual capacity measured at the bedside by nitrogen wash-in and wash-out, giving two separate values per procedure. Optional, and not available for the neonatal patient type.

PEEP INview

FRC measured at up to five PEEP levels between user-selected start and end points, displayed graphically and numerically.

FRC Event Log and Automatic Intervals

Measurements logged with the settings and procedures that may affect them, and scheduled at programmable intervals.

SpiroDynamics

Tracheal pressure derived from an auxiliary pressure sensor, with dynamic pressure-volume behaviour presented within the breath.

Patient Spirometry

Pressure-volume, flow-volume and pressure-flow loops with reference loop storage and adjustable scaling.

Gas Monitoring With Metabolics and Energy Expenditure

Oxygen consumption, carbon dioxide production and energy expenditure averaged over two, six, twelve or twenty-four hours, through the optional gas module.

Tidal Volume: 2 to 350 mL Neonatal, 20 to 2000 mL Adult and Paediatric

The delivered volume range across the full patient span.

Respiratory Rate: 3 to 150 Breaths per Minute

Up to 150 for neonatal work and up to 120 for adult and paediatric, according to the mode selected.

Ventilation Modes

VCV, PCV, PCV-VG, SIMV-VC, SIMV-PC, CPAP with pressure support, volume guaranteed pressure support and BiLevel, with SIMV-PCVG, BiLevel-VG, NIV, nCPAP and APRV capability according to the options fitted.

FiO2 Range: 21 to 100 Percent

Delivered oxygen concentration across the ventilation modes.

Paramagnetic Oxygen Sensing

Oxygen concentration measured paramagnetically within the ventilator.

Airway Resistance Compensation

Compensation applied for the resistance of the airway during delivery.

Trigger Settings

Flow trigger from 0.2 L/min for neonatal work and pressure trigger from −10 to −0.25 cm H2O, with a trigger window across 0 to 80 percent of expiration time.

Advanced Nebulisation System

Operated inline or independently, for infants through to adults.

Neo Flow Sensor

Proximal flow sensing for neonatal ventilation, supplied as an option.

Plug and Play Modules and Transferable Module Bay

Modules exchanged at the bedside, with the bay transferable across the platform.

Moveable Display With 160-Degree Tilt

A display that tilts through 160 degrees raised and 60 degrees lowered, positioned to the bed space.

Quick-Release Expiratory Valve

Valve removal without tools, supporting turnaround between patients.

Power Management and Battery Backup

Under 200 W in use with lead acid gel battery backup, and battery condition on this unit provided by the seller at quotation.

Central Station Connectivity

Secure access to central monitoring stations, with the configuration on this unit confirmed at quotation.

Dimensions and Weight

145 × 38 × 36 cm including the cart with the display raised, at 31 kg for the ventilator and 76 kg with the cart.

CE Marking and Declaration of Conformity

Issued by the manufacturer and requested from the seller at quotation.

Decontamination Certificate and Warranty Terms

Provided by the seller at quotation, in line with normal practice for used clinical equipment.

This GE Engström ventilator was built in 2003, and the case for it rests on a measurement most ventilation decisions have to do without. PEEP is a decision about lung volume, yet the volume itself is usually inferred from pressures, tidal volumes and blood gases. FRC INview measures functional residual capacity at the bedside using nitrogen wash-in and wash-out, producing two separate values per procedure, displaying them numerically and graphically with expiratory and intrinsic PEEP alongside, retaining the five most recent procedures, logging the settings that could bear on them and repeating automatically at programmable intervals. PEEP INview carries that into titration across up to five levels. SpiroDynamics adds tracheal pressure from an auxiliary sensor, and the optional gas module supplies measured energy expenditure. Around those sits a full critical care ventilator spanning neonatal to adult, with tidal volumes from 2 mL to 2000 mL and the volume, pressure, SIMV, BiLevel and pressure support modes. Clinical judgement remains with the treating team throughout. The model designation, software version, modules and options fitted, and the service history are set out by the seller at quotation. Medigear.uk lists the ventilator for UK business buyers and can arrange delivery, installation, staff familiarisation, service cover and the supply of spares and consumables. Enquire for a written quotation.