Product Overview

The result of close and continuous collaboration with clinicians, this compact, integrated Carestation features advanced anesthesia therapy, patient monitoring, and sophisticated ventilation capabilities.   

The Avance* Carestation combines advanced anesthesia delivery, anesthesia patient monitoring, and system information management. By combining these care elements with our supplies and services, we deliver an essential component of your integrated perioperative solution.  Advanced ventilation with GE’s SmartVent* technology helps clinicians meet the needs of a broad range of patients.

GE’s Advanced Breathing System (ABS) features small breathing system volume so it can respond to fresh gas changes rapidly even during low flow anesthesia. Removable ABS and multi absorber canisters help eliminate delays.

B850 surgery.

Avance in OR

Benefits

The Avance Carestation features expanded clinical capabilities, including Synchronized Intermittent Mandatory Ventilation (SIMV), PSVPro* (Pressure Support with Apnea backup) and Pressure Control Ventilation - Volume Guaranteed (PCV-VG) for all of the benefits of pressure ventilation with the added security of consistent tidal volume.  

Sophisticated ventilation capabilities with the 7900 SmartVent* support the needs of a broad patient range. Ventilation modes available include:

  • PCV-VG 
  • Volume Control 
  • Pressure Control
  • PSVPro
  • SIMV (Volume and Pressure)
  • Manual ventilation  

Responsive gas delivery

  • Avance utilizes the Advanced Breathing System (ABS), which is designed to simplify gas delivery for anesthesia procedures. With its small breathing system volume, the ABS responds to fresh gas changes rapidly even during low-flow anesthesia. 
  • The ABS includes a manual bag to ventilator switch.
  • The no-tool disassembly streamlines cleaning and maintenance. The ABS is autoclavable, so sterilization is no longer a complex procedure.  

Digital gas mixing and delivery

  • Each gas is simultaneously monitored on multiple sensors. The gas sample is measured and maintained at standard temperature and pressure (STP).  

Integrated solutions

  • Modular agent analysis provides anesthetic measurement with automatic agent identification as well as patient spirometry for a comprehensive and integrated picture of your patient’s ventilatory status.
  • Consistent menus, quick key actions, and alarm management for intuitive use.

Technology

Avance is engineered with extensive insight provided by clinicians worldwide. Avance is compact, integrated and combines advanced anesthesia delivery and patient monitoring.

Advanced Breathing System (ABS) engineered into Avance

  • With its low circuit volume, the ABS responds to fresh gas changes rapidly even during low-flow anesthesia.
  • Using single touch points for activating ventilation, the user interface is intuitive and consistent throughout the range.
  • The no-tool removal or disassembly allows routine cleaning and maintenance to be done virtually anywhere. The ABS is autoclavable.  

Sophisticated ventilation

  • The 7900 SmartVent* uses a digital flow valve similar to those found in most critical care ventilators, and has been adapted for anesthesia ventilation applications. 
  • Ventilation capabilities include PCV-VG Volume Control, Pressure Control, PSVPro, SIMV (Volume and Pressure), and manual ventilation.
  • The SmartVent’s advanced modes, PCV-VG, SIMV with Pressure Support, and PSVPro (Pressure Support with Apnea backup mode), expand the clinical capabilities of the Avance to help you tailor the ventilation therapy that is appropriate for your patients.
  • With an adjustable flow trigger, electronic PEEP and an apnea backup mode, the SIMV and PSVPro modes help streamline the work of caring for your spontaneously breathing patients.  

PCV-VG

PCV-VG - Pressure Control Ventilation Volume Guaranteed  

Compliance in your patient’s lungs changes breath by breath. Pressure Control helps maximize time for gas exchange while delivering the same volume regardless of compliance changes.  

PCV-VG delivers the same tidal volume with all the benefits of Pressure Control Ventilation.  

  • PCV-VG helps ensure that your patients receive the same volume regardless of compliance changes caused by packs, retractors, position, surgical exposure, or relaxation.
  • Get consistent tidal volume in the face of compliance changes.
  • In PCV-VG, the Smartvent* 7900 delivers the preset tidal volume with low pressure using a decelerating flow.
  • The first breath delivered to the patient is a volume-controlled breath; this is visible on the screen with a 'square' flow waveform and a 'shark-fin' pressure waveform.
  • The patient's compliance is determined from this volume breath, and the inspiratory pressure level is then established for the subsequent PCV-VG breaths. PCV-VG breaths are characterized by a decelerating flow waveform and a square pressure waveform.

PSVPro

PSVPro - Pressure Supported Ventilation  

The GE Healthcare 7900 SmartVent's advanced feature PSVPro (Pressure Supported Ventilation) expands the clinical capabilities of the Anesthesia Delivery portfolio to help meet the needs of your patients.

With a broad patient range capability, an adjustable flow trigger, PEEP, and an apnea backup mode, the PSVPro mode helps simplify the work of caring for your spontaneously breathing patients. PSV supports spontaneous breathing by supplementing pressure to the airway in response to patient initiated breaths.

  • During PSV, once a breath is initiated, the ventilator pressurizes the airway to a given inspiratory support pressure (Psupport).
  • The "Pro" piece of PSVPro refers to the apnea backup feature. After a clinician-selected period of time, apneic patients are mechanically ventilated with a SIMV pressure mode.

PSV Pro:

  • Assists in overcoming the resistance within the breathing circuit and patient circuit, helping decrease the patient's work of breathing
  • Helps counter the reduction in the patient’s functional residual capacity (FRC) and the decrease in muscle contraction due to the anesthetics
  • May be used with LMAs due to its lower airway pressures
  • With automatic apnea backup mode, uses an SIMV-PC + PSV mode to maintain a minimum minute ventilation in the event the patient stops spontaneously breathing.
  • With adjustable inspiration termination, allows fine-tuning to the patient’s breathing pattern.
  • Supports virtually all spontaneous breaths
  • Uses a decelerating flow pattern (optimizes inspiratory flow)
  • Sustains or enhances the patient’s tidal volume and etCO2 maintenance  

SIMV

SIMV - Synchronized Intermittent Mandatory Ventilation  

The GE Healthcare 7900 SmartVent advanced feature SIMV (Synchronized Intermittent Mandatory Ventilation) expands the clinical capabilities of our anesthesia delivery portfolio to help meet the needs of your patients.  

With broad patient range capability, an adjustable flow trigger, and trigger window, the SIMV mode helps simplify the work of caring for your spontaneously breathing patients.  

SIMV is designed to provide assured rates and tidal volumes in a manner that supplements the patient’s own spontaneous efforts. By synchronizing to the patient’s effort, the ventilator responds to the patient's breathing needs. 

Synchronized Intermittent Mandatory Ventilation allows the ventilator to sense a patient's own breathing and permit spontaneous breathing between mechanical ventilations, while providing sufficient mandatory breaths should the patient’s own rate fall below a preset value.  

Because of the synchronization provided in SIMV mode, the ventilator will assist a patient’s own breath when that breath falls within the synchronization window as specified by the clinician. These synchronized ventilations can help overcome difficulties experienced when patients attempt to compete with controlled mechanical ventilation.  

During the course of general anesthesia, various agents can affect the overall respiratory rate and volume. Among these are narcotics, inhalation agents, neuromuscular blocking agents, sedatives, or any combination of these drugs. The application of SIMV is well suited to manage these situations providing for a minimum volume.

  • SmartVent tidal volume compensation system works in all mandatory breaths.
  • Adjustable trigger window allows fine-tuning to the patient’s breathing pattern.
  • Respiratory rate is adjustable from 2 to 60 bpm.
  • Provides assured rate and tidal volume for a minimum minute ventilation
  • Automatic synchronization with mandatory breaths
  • Improved synchronization of breaths helps the ventilator respond to the patient's breathing needs.   

New Features

Uncompromised lung ventilation procedures

Aisys and Avance 8.x software features the ability to arm clinicians with tools they can use to automate lung procedures helping increase positive pressure in the airways. The lung ventilation procedures of Vital Capacity and Cycling may be useful in helping clinicians with patients experiencing lung complications during anesthesia.

  • Vital Capacity: The Vital Capacity procedure automates the manual bag ‘squeeze and hold’. PEEP can be programmed at the end of the procedure to help sustain an open lung.
  • Cycling: Cycling is a procedure that allows the clinician to configure a lung ventilation maneuver. Programmable steps allow for increasing and decreasing PEEP levels during mechanical ventilation.
  • Compliance trending: GE Carestations provide compliance measurements that show real time effectiveness of automated lung procedures.  

 

Uncompromised neonatal ventilation

A neonatal patient’s physiology and small physical size make effective mechanical ventilation much more challenging. With the Aisys and Avance Carestations running version 8.x software —designed and specified for neonatal patients—you can confidently deliver volumes as low as 5ml to the patient (In Pressure Mode Ventilation). Fast and accurate…what you set is what you get:

  • Delivering tidal volumes as low as 5ml in PCV mode
  • Precision volume and pressure delivery to the patient wye, breath by breath, to help reduce the challenges in managing neonatal and pediatric patients
  • Pause Gas feature simplifies temporary circuit disconnects any time. One button temporarily stops all gas flows and suspends alarms, agent delivery, and ventilation, allowing time to focus on the patient
  • Circuit Compliance Compensation ensures that what you set is what you get — showing precisely what is delivered to the patient, taking into account volume in the patient circuit


Related

Downloads

Avance Carestation Product Brochure

PDF 677KB
  • Date Created: 10/27/2011
  • Document ID: DOC1011653

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