August 1999

Anesthesia Units
Purpose
Scope of this Product Comparison Anesthesia units dispense a mixture of gases and
This Product Comparison covers anesthesia sys- vapors and vary the proportion to control a patient’s
tems that can have the following components: level of consciousness and/or analgesia during surgical
mainframes, hanger yokes and gauges, flowme- procedures. Basically, anesthesia units perform the
ters, vaporizers, flush valves, carbon dioxide following four functions:
(CO2) absorbers, ventilators, scavenging sys-
• Provide oxygen (O2) to the patient
tems, monitors, and alarms. Not included are
separate analyzers designed to measure concen- • Blend gas mixtures that can include, besides O2, an
trations of halogenated anesthetics and gases anesthetic vapor, nitrous oxide (N2O,) air, and other
supplied to the unit or to detect levels present in medical gases
the operating room; also not included are sepa-
rate stand-alone physiologic monitoring systems.
For information on any of these devices, see the
following Product Comparisons:
• Halogenated Anesthetics Analyzers
• Multiple Medical Gas Monitors, Respired/
Anesthetic
• Oxygen Monitors
• Physiologic Monitoring Systems, Acute Care;
Neonatal; ECG Monitors
• Pressure Monitors, Airway
• Spectrometers, Mass, Respiratory/Anesthetic
Gas Monitoring

UMDNS information
This Product Comparison covers the following de-
vice term and product code as listed in ECRI’s
Universal Medical Device Nomenclature System™
(UMDNS™):
• Anesthesia Units [10-134]

177060 5200 Butler Pike, Plymouth Meeting, PA 19462-1298, USA

424-008 Telephone +1 (610) 825-6000 ● Fax +1 (610) 834-1275 ● E-mail hpcs@ecri.org
Healthcare Product Comparison System
• Facilitate ventilation with these gas mixtures, re-
gardless of whether ventilation is spontaneous, con-
trolled, or assisted
• Reduce, if not eliminate, anesthesia-related risks to
the patient and clinical staff
The patient is anesthetized by inspiring a mixture
of O2, the vapor of a volatile liquid halogenated hydro-
carbon anesthetic, and, perhaps, N2O and other gases.
Because normal breathing is routinely depressed by
the anesthetic agents and by muscle relaxants admin-
istered in conjunction with the anesthetic agents, res-
piratory assistance — either with an automatic
ventilator or by manual compression of the reservoir
bag — is usually necessary to deliver the breathing gas
to the patient.
Principles of operation
An anesthesia machine comprises four basic sub-
systems: a gas supply and control circuit, a breathing
and ventilation circuit, a scavenging system, and a set
of system function and breathing circuit monitors
(e.g., inspired O2 concentration and breathing circuit
integrity). Also included in some anesthesia systems
are a number of monitors and alarms that indicate
levels and variations of several physiological vari-
ables and parameters associated with cardiopulmon-
ary function and/or gas and agent concentrations in
breathed-gas mixtures. Manufacturers typically offer
a minimum combination of monitors, alarms, and
other features that customers must purchase to meet
standards and ensure patient safety. To meet the
minimum standard of care in the United States, an-
esthesia machines must monitor O2 concentration,
airway pressure, and either the volume of expired gas
(Vexp) or the concentration of expired CO2.
Gas supply and control
Because O2 and N2O are used in large quantities,
they are usually drawn from the hospital’s central gas
supplies. In the United States, cylinders containing
compressed O2, N2O, and sometimes other gases are
mounted on yokes attached to the anesthesia machine
and can serve as an emergency gas supply in case
central supplies fail. The requirements in other coun-
tries throughout the world may not necessarily call for
cylinders to be attached to the anesthesia machine as
an emergency backup. The United States requires
indexing pins, which are intended to prevent acciden-
tal mounting of a gas cylinder on the incorrect yoke.
Each gas entering the system from a cylinder flows
through a filter, a one-way check valve, and a regulator
that lowers the pressure to approximately 45 pounds
per square inch (psi). There is no need for a separate
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regulator when the central gas supply is used because
the pressure is already at about 50 psi.
Most anesthesia machines have an O2 supply fail-
ure device and alarm that protect the patient from
inadequate O2 supply. If the O2 supply pressure drops
below about 25 to 30 psi, the unit decreases or shuts
off the flow of the other gases and activates an alarm.
The flow of each gas in a continuous-flow unit is
controlled by a valve and indicated by a flowmeter. The
flowmeter can be a purely mechanical arrangement,
with a flow tube in which a bobbin moves up and down
depending on the flow, or the flowmeter can be an
electronic sensor with an LCD (liquid crystal display).
After the gases pass through the control valve and
flowmeter, enter the low-pressure system, and pass
through a vaporizer if required, they are administered
to the patient. On machines sold in the United States,
the N2O and O2 flow controls are interlocked so that
the proportion of O2 to N2O can never fall below a
minimum value (nominal 0.25) to produce a hypoxic
breathing mixture. An O2 monitor, located on the
inspiratory side of the breathing circuit or analyzing
gas sampled from the Y-piece of the patient’s breathing
circuit, displays O2 concentration in volume percent.
O2 monitors should sound an alarm when the O2 falls
below the preset limit.
If the flow of anesthetic gases to the patient must
be stopped for any reason, an O2 flush valve can be
activated to provide a large flow of central-source O2
to purge the breathing circuit of anesthetic vapors. The
O2 flush flow bypasses the flowmeters and vaporizers.
In some units, the anesthetic gas flow momentarily
shuts off.
Vaporizers
Because the inhaled anesthetic agents, with the
exception of N2O, exist as liquids at room temperature
and sea-level ambient pressure, they must be evapo-
rated by a vaporizer. Vaporizers add a controlled
amount of anesthetic vapor to the gas mixture. Some
anesthesia units can accommodate up to three vapor-
izers. Most units have a lockout mechanism that pre-
vents the use of more than one vaporizer at a time.
There are several types of vaporizers, including vari-
able bypass (conventional), heated blender, measured
flow, and draw-over. Variable bypass vaporizers can
now be either mechanically controlled or electronically
controlled.
Variable bypass and heated blender vaporizers are
concentration calibrated and thus can deliver a prese-
lected concentration of vapor under varying condi-
tions. In a variable bypass vaporizer, such as those

used for enflurane, isoflurane, halothane, or sevoflu-
rane, a shunt valve divides the gas mixture entering
the vaporizer into two streams; the larger stream
passes directly to the outlet of the vaporizer, while the
smaller stream is diverted through an internal cham-
ber in which vapor fills the space over the relatively
volatile liquid anesthetic. The vapor mixes with the gas
of the smaller stream, which then rejoins the larger
stream as it exits the vaporizer. In a mechanically
controlled variable bypass vaporizer, a bimetallic ther-
mal sensor that regulates a shunt valve to divert more
or less gas through the chamber compensates for tem-
perature changes that affect the equilibrium vapor
pressure above the liquid. Each variable bypass va-
porizer is specifically designed and calibrated for a
particular liquid anesthetic.
The heated blender vaporizer was introduced for
use with the anesthetic agent desflurane (see the April
1994 Health Devices citation below). In this type of
vaporizer, desflurane is heated in a sump chamber. A
stream of vapor under pressure flows out of the sump
and blends with the background gas stream flowing
through the vaporizer. Desflurane concentration is
controlled by an adjustable, feedback-controlled, me-
tering valve in the vapor stream.
Measured flow (also known as copper kettle or flow-
meter-controlled) vaporizers are not concentration
calibrated; in this type of vaporizer, a measured flow
of carrier gas is used to pick up anesthetic gas. This
type of vaporizer has become almost obsolete in the
United States since the adoption of a standard that
requires all vaporizers to be concentration calibrated
(ASTM standards; see Standards and Guidelines).
These vaporizers are sometimes used by veterinarians
in the United States, and they may still be in use
outside the United States.
Draw-over vaporizers are sometimes used by the
military in the field, but they are not typically used in
the United States. They are usually employed in situ-
ations or countries where pressurized gas sources are
unavailable. Such units offer low resistance to gas flow
and are relatively simple. Specific examples of these
vaporizers include the Goldman halothane, the
McKesson, the Rowbotham, the Oxford miniature, the
EMO (Epstein, Macintosh, Oxford), and the EMO
ether inhaler.
A few anesthesia units now have a liquid-injector
type of vaporizer. This vaporizer is electronically con-
trolled and directly injects the liquid anesthetic agent
into the stream of gases.
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Anesthesia Units
Ventilation
Manual ventilation, which requires that an operator
manually squeeze the reservoir bag for each patient
breath, can be tiring during long procedures and can
compete with other tasks; therefore, an automatic ven-
tilator is often used to mechanically deliver breaths to
the patient. These ventilators, which have a minimal
number of control settings and are usually electroni-
cally controlled and pneumatically powered, use a bel-
lows in place of the manually compressed reservoir bag.
The ventilator forces the anesthesia gas mixture into
the patient’s breathing circuit and lungs and, in a circle
breathing system (discussed below), receives exhaled
breath from the patient as well as fresh gas. The
anesthetist can vary the volume of a single breath (tidal
volume) and the ventilation rate, either directly by
setting them on the ventilator or indirectly by adjusting
parameters such as the duration of inspiration, the
inspiratory flow, and the ratio of inspiratory to expira-
tory time (I:E ratio). The ventilatory pattern is adjusted
to the varying needs of the patient. For patients with
special respiratory support needs, a more sophisticated
ventilator with capabilities similar to those used in
critical care applications may be required.
Minute ventilation, the total volume inspired or
expired during one minute, can be evaluated as the
product of the expired tidal volume and the ventilation
rate. It requires careful monitoring, not only because
it is physiologically important to the patient, but also
because it can indicate malfunctions of the ventilation
delivery system (e.g., leaks in the breathing circuit).
The expired tidal volume can be measured with a
flowmeter, with a spirometer, or with a sensor placed
in the expiratory circuit. Some anesthesia ventilators
can also limit the peak inspiratory pressure, slow the
rate of exhalation, provide ventilation only when the
patient is not making inspiratory efforts, and maintain
a positive airway pressure during the expiratory phase
of the breath (positive end-expiratory pressure
[PEEP]).
Breathing circuits
Most anesthesia systems are continuous-flow sys-
tems (see Fig. 1), which provide a continuous supply of
O2 and anesthetic gases. There are two basic types of
breathing circuits used in these systems: the circle
system and the T-piece system (see Fig. 2), each of
which can assume various configurations. (A common
configuration of the T-piece system is the Bain modifi-
cation of the Mapleson D system.) A higher proportion
of anesthetic gases is rebreathed in the circle system,
which uses check valves to force gas to flow in a loop
and returns expired gases (minus the CO2), plus fresh
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Healthcare Product Comparison System
Gas/Vapor Blending System
Reserve
Cylinders
Gas Control
Vaporizer
and
Flowmeters
Gas Supply
O2 Flush Valve
N2O Shutoff/Low O2 Pressure Alarm
Gas Pipelines
To Atmosphere
Figure 1. Continuous-flow anesthesia system
gas, to the patient. In the T-piece circuit, most of the
exhaled gas is vented out of the system, but the portion
rebreathed depends on the fresh-gas flow rate.
In the circle system, fresh gas from the anesthesia
machine enters the inspiratory limb of the breathing
circuit and mixes with gas in the system before the
resulting mixture flows through a one-way valve to the
patient. Expired gas flows from the patient, through
a second (expiratory) limb of the circuit, passing an-
other one-way valve, and flows into either a reservoir
bag or a ventilator bellows. When positive pressure is
generated in the system, either by a manual squeeze
of the reservoir bag or by compression of the bellows
by a mechanical ventilator, collected gas that does not
escape via an adjustable pressure-limiting (APL) valve
to the scavenging system is driven through a CO2
absorption canister and back to the patient. The can-
ister contains either soda lime or barium hydroxide
lime that removes CO2 from the rebreathed gases. In
circle breathing systems, a fresh-gas flow of 1 L/min
or less typically is considered low-flow anesthesia (4 to
10 L/min is typically considered the usual fresh-gas
flow rate). A fresh-gas flow of 0.5 L/min is generally
considered minimal-flow anesthesia. In situations
where the cost of anesthetic agents is high, low-flow
anesthesia may be the preferred option.
Machines with T-piece design have corrugated tub-
ing in which fresh gas and some expired gas mix before
entering the patient at each inhalation. Partial re-
breathing is controlled by the supply rate of fresh gas,
and the exhaled anesthetic mixture leaves the circuit
through an APL valve. Elimination of rebreathed CO2
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Fresh Gas Flow Patient
Breathing
Circuit
Selector Valve
APL
Valve
Reservoir
C866UN7A-01
Ventilator Bag
Scavenging
System
depends on fresh-gas flow and occurs in direct propor-
tion to that flow. This system, though adaptable to a
variety of anesthetic procedures, is used most often in
pediatric anesthesia.
Circle systems offer advantages over T-piece sys-
tems in that they conserve a greater proportion of the
anesthetic gases and conserve body heat and moisture
from the patient. The advantages of T-piece systems
include a lower circuit compliance, easier circuit ster-
ilization, and a less complex design requiring fewer
valves and no CO2 absorber (although one can be used
with it).
Because excess pressure imposed on the patient’s
lungs can cause serious lung damage, either an APL
valve or a valve in the ventilator allows excess gas to
escape when a preset pressure is exceeded. There are
two types of APL valves: spring-loaded and needle
valves. The spring tension in spring-loaded APL valves
can be adjusted to control the pressure at which the
valve will open. At pressures below this, the valve is
closed. The needle-valve type is always open except
when fully closed. The pressure in the breathing sys-
tem maintained by the needle valve depends on the
flow through the valve. Therefore, when the valve is
not fully closed, gas will always leak from the system.
The minimum exhaust pressure required to refill a
ventilator bellows is usually 1 to 2 cm H2O; for maxi-
mum pressure, both types of valve are fully closed.
Because many APL valves do not have calibrated
markings, the anesthetist must adjust them empiri-
cally to give a desired peak inspired pressure. Circle
systems and T-piece systems also include a pressure

Fresh Gas Flow
Circle Breathing
System
One-Way Valve
CO2 Absorber
One-Way Valve
To Mechanical Ventilation
and the Scavenging System
Idealization of T-Piece
System
Fresh Gas Flow
To Mechanical Ventilation
C866UN7A-02
and the Scavenging System
Figure 2. Examples of breathing circuits
gauge for monitoring circuit pressure and setting the
APL valve. An electronically controlled, settable, and
calibrated APL valve is available on some anesthesia
machines.
Scavenging system
A scavenging system captures and exhausts waste
gases to minimize the exposure of the operating room
staff to harmful anesthetic agents. Scavenging sys-
tems remove gas by a vacuum, a passive exhaust
system, or both. Vacuum scavengers use the suction
from an operating room vacuum wall outlet or a dedi-
cated vacuum system. To prevent positive or negative
pressure in the vacuum system from affecting the
pressure in the patient circuit, manifold-type vacuum
scavengers use one or more positive or negative pres-
sure-relief valves in an interface with the anesthesia
systems. In contrast, open-type vacuum scavengers
have vacuum ports that are open to the atmosphere
through some type of reservoir; such units do not
require valves for pressure relief.
Passive exhaust scavengers can vent into a hospital
ventilation system (if the system is the non-recirculating
©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
Anesthesia Units
type) or, preferably, into a dedicated exhaust system.
The slight pressure of the waste-gas discharge from
the anesthesia machine forces gas through large-bore
tubing and into the disposal system or directly into the
atmosphere.
Monitors and alarms
Anesthesia systems incorporate a set of equipment-
related monitors, including those for airway pressure,
expiratory volume, and inspired O2 concentration.
They can also include exhaled anesthetic agent moni-
toring such as those for CO2 concentration, N2O con-
centration, and agent concentration, or physiologic
monitors, such as those for blood oxygen saturation by
pulse oximetry, ECG, invasive and noninvasive blood
pressure, and temperature.
Anesthesia systems are typically configured with
respect to their monitors in one of two ways: either as
modular systems or as preconfigured systems. In the
modular approach, an anesthesia machine with a basic
set of equipment monitors (usually airway pressure,
inspired O2 concentration, and expired volume) is used
as a physical platform for the system. Additional physi-
ologic monitors, individually or in a monitoring system
(with its own display and alarms), along with other
devices as needed, are obtained separately and added
to the system. The preconfigured approach involves a
more completely integrated, manufacturer-assembled
system that already includes all physiologic and equip-
ment monitors and displays in a turnkey unit.
Some units may have methods of integrating, ana-
lyzing, displaying, and recording the information gen-
erated by the monitors, their sensors, and their
alarms. Microprocessors have been incorporated into
the systems to implement these functions. Stand-alone
microprocessor-controlled data collection and display
units have been used to integrate modular anesthesia
systems. These units can also be used as part of an
anesthesia information management system.
Integration of the information and alarms from each
of the monitors into a single display has become very
important. An integrated display gives the anesthetist
a single point of reference for a wide variety of equip-
ment and physiologic information. Anesthesia ma-
chines that lack integrated alarms can sometimes
cause confusion among anesthetists and operating
room teams by sounding numerous alarms simultane-
ously. In an integrated system of information and
alarms, visual alarm messages appear on a central
display; furthermore, audible and visual alarms are
prioritized so that the more urgent alarm sounds and
visual signals are associated with the more vital moni-
tored variables.
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Healthcare Product Comparison System
An anesthesia workstation is designed to centralize
system control and to integrate the display of informa-
tion. This involves continuous acquisition, recording,
and presentation, on a central display, of selected
monitored physiologic and equipment variables (in
real time or using historical trends) along with limit
settings and the status of all alarms, plus explanatory
messages.
Several models exist to predict the level of wakeful-
ness in anesthetized patients, such as the Ramsay
Scale and the Modified Observer’s Assessment of
Alertness/Sedation Scale. However, in lieu of a direct
method of monitoring brain activity during surgery,
users may rely on indirect means of assessing con-
sciousness, such as blood pressure and vital signs.
According to proponents of the Bispectral Index (BIS),
this indirect method measures the effectiveness of
pain-killing agents, while ignoring the sedatives and
paralytic elements that constitute a significant portion
of anesthetic agents. Some anesthesia units may incor-
porate this technology as an additional tool to monitor
the patient. BIS monitors used a metered scale to
indicate the degree of patient wakefulness based on
collected and processed data. A digital meter indicates
the numeral on the scale that corresponds to the pa-
tient’s degree of wakefulness, with a higher number
representing a higher degree of consciousness and
awareness of sensation despite the presence of anes-
thetic agents.
Automated anesthesia record keeper/anesthesia
information management systems
Automated anesthesia record keepers (AARKs) are
available either as an option on some anesthesia units
or from third-party suppliers. They are used for col-
lecting data from electronic ventilation and monitoring
equipment having appropriate outputs. Vital signs
such as blood pressure, heart rate, end-tidal CO2, and
oximeter values are recorded at specific intervals and
plotted in graph form. Drug dosages, lab data, intraop-
erative events, and gas delivery rates are entered into
the system either manually or by some semiautomated
means; comments can also be entered directly onto the
record. An AARK produces a formatted hard copy of
the anesthesia record for patients’ files. Gathering and
storing such data can expedite individual patient man-
agement and billing, quality assurance, critical inci-
dent analysis, and teaching. However, automated
record keeping has not achieved wide acceptance, in
part because of many clinicians’ concerns about mis-
leading artifacts being entered into the record, hospital
personnel’s resistance to change, and the cost of imple-
menting an automated record keeper.
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An anesthesia information management system
(AIMS) can receive, analyze, store, and distribute in-
formation relating to the clinical and administrative
management of anesthesia. Information can be col-
lected from numerous sources associated both directly
with anesthesia administration (e.g., an AARK sys-
tem) and indirectly with the surgical procedure (e.g.,
preoperative evaluation, laboratory, pharmacy). Long-
term storage capabilities aid in quality assurance and
anesthesiology research. Some systems may also in-
corporate administrative management tools such as
room scheduling and patient billing. (For further in-
formation, see the Product Comparison titled DATA
MANAGEMENT SYSTEMS, ANESTHESIA.)
Reported problems
Problems have been reported with all parts of anes-
thesia systems. Because patients under general anes-
thesia are entirely dependent on others for life
support, errors caused by machine failure, faulty ad-
justments, or the operator can be critical. Pre-use
checklists, regular inspections, and preventive main-
tenance can minimize anesthesia unit hazards.
One of the greatest dangers of general anesthesia is a
lack of O2 reaching the patient (hypoxia), which can
result in brain damage or death. Conversely, the admini-
stration of O2 in a concentration of 100%, even for a short
duration, may be toxic. Inhalation of 100% O2 may cause
resorption atelectasis. The danger of inhaling 100% O2
is particularly acute in neonatal anesthesia, where
retrolental fibroplasia and bronchopulmonary dysplasia
can be caused by inhalation, even for a very short dura-
tion, of 100% O2. Inadequate O2 delivery can be caused
by any number of conditions, including disconnection of
the patient from the breathing circuit; accidental move-
ment of the O2, N2O, or other gas flow control setting
knobs; changes in the patient’s lung compliance; and gas
leaks. One common safety measure is the inclusion of an
O2 monitor and a CO2 monitor or an expired volume
alarm (in an anesthesia unit with an ascending bellows)
in the anesthesia system. An O2 monitor warns of inade-
quate O2 concentration in the inspiratory limb. A CO2
monitor or a spirometer alarm (in an anesthesia unit
with an ascending bellows) in the breathing circuit can
alert the anesthetist to inadequate ventilation, such as
that caused by a disconnection.
ECRI has investigated incidents of patient exposure
to carbon monoxide (CO) during the administration of
inhalation anesthetics through semiclosed circle anes-
thesia systems. Once in the blood, CO binds tightly with
hemoglobin, forming carboxyhemoglobin and diminish-
ing the ability of hemoglobin to transport and release
oxygen. A reaction between halogenated anesthetic

agents and commonly used CO2 absorbents can pro-
duce CO if the CO2 absorbent is excessively dry. Drying
out can occur when (1) an anesthesia machine has been
sitting idle (e.g., over a weekend), and (2) there is a
continuous flow of medical gas (which is very dry)
through the CO2 absorber. When dry, the absorbent
becomes highly reactive in the presence of certain
halogenated agents, resulting in the production of CO
as the agent flows through the machine’s CO2 ab-
sorber. ECRI recommends that the absorbent material
in both canisters of an absorber be replaced whenever
there is reason to believe that a machine has been left
idle with gas flowing for an undetermined time. Fresh
absorbent materials are sufficiently hydrated and nor-
mally remain hydrated by exhaled water vapor in the
circle system, thereby preventing reaction with halo-
genated agents.
Some anesthesia system malfunctions can cause de-
livery of gas with excessive CO2 concentration, inade-
quate or excessive anesthetic agent, or dangerously high
pressure. Hypoventilation, compromised cardiac output,
air in the pleural cavity (pneumothorax), and asphyxi-
ation are possible consequences of such problems.
Improperly calibrated vaporizers can result in the
delivery of the wrong concentration of anesthetic agent
to the patient. Removing some vaporizers from the
anesthesia machine and transporting them can dis-
turb their calibration and could eventually cause de-
livery of too much or too little anesthesia. The output
of anesthesia vaporizers should be tested each time one
is removed from a system and each time it is returned
to service. Each vaporizer should be inspected and the
calibration verified at least twice a year.
Contamination of any part of the anesthesia breathing
circuit, including the breathing tubes, Y-connector, face
mask, and reservoir bag, may lead to nosocomial infec-
tions. Reported cases include infections of the upper
respiratory tract or the lungs and, in one instance in
Australia, transmission of hepatitis C. The Centers for
Disease Control and Prevention (CDC) and the American
Association of Nurse Anesthetists (AANA) recommend
the single use of disposables or high-level disinfection of
reusables or disposables between patients to prevent
cross-contamination. There has been some controversy
concerning the use of disposable bacteria filters to pre-
vent patient cross-infections (Berry and Nolte 1991;
Brooks et al. 1991; Dorsch and Dorsch 1994; Snowdon
1994; Hogarth 1996; Komesaroff 1996). CDC has not
made a definitive recommendation concerning the use of
bacterial filters with anesthesia machines. Possible haz-
ards, such as the increased impedance to gas flows and
obstruction of the circuit, are associated with these fil-
ters. Also, because many viruses are difficult to culture,
©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
Anesthesia Units
the efficacy of viral filters that attempt to reduce viral
contamination of breathing systems is not established.
Frequent replacement of disposable filters can prevent
inadequate gas delivery due to clogging, and some
filters can be sterilized and reused.
The piping connections for O2 and N2O within the
hospital walls can be accidentally interchanged during
installation or repair of medical gas systems, with the
potential for causing patient injuries or deaths. After
any such work, careful inspection and testing with an
O2 analyzer are vital. Gas lines should also be checked
for liquid, gaseous, solid particulate, and microorgan-
ism contamination after such work and periodically
thereafter.
In the United States, a diameter index safety sys-
tem (DISS) is used to prevent the connection of gas
hoses from the machine to the wrong wall outlet, and
a pin index safety system (PISS) is used to prevent the
connection of the wrong cylinders to the yokes in the
anesthesia machine. The PISS employs pins protrud-
ing from the yoke that correspond to holes in a specific
type of gas cylinder post. Only a cylinder post with the
corresponding holes can fit properly onto the yoke.
Other countries have similar requirements to ensure
the proper connection of all medical gas hoses to the
anesthesia machine.
Faulty or inoperative scavenging systems are re-
sponsible for most anesthetic gas pollution in the op-
erating room; other causes include improper
anesthesia administration technique and leaks in an-
esthesia equipment. Common sources of leaks include
worn hose connectors, the CO2 absorber, the APL
valve, and the endotracheal tube or mask. Current
scientific and epidemiologic studies have shown that
exposure to trace levels of anesthetic gases continually
present in the operating room can cause adverse
health effects in operating room personnel, such as an
increased incidence of spontaneous abortion and con-
genital anomalies in offspring. In addition, trace gas
levels in the air may have a slight anesthetizing effect
on the anesthetist and surgeon.
The increased interest in low-flow anesthesia to re-
duce costs has increased the potential danger of leaks in
the anesthesia unit. Because low-flow anesthesia re-
quires very little fresh gas flow, a leak in the equipment
can result in inadequate delivery of O2 and anesthetic
gases. Regular testing of the anesthesia equipment us-
ing standard leak tests should minimize the risk of leaks
during the administration of anesthesia.
Inadequate evacuation of some scavenging systems
can cause pressure to build up in the breathing circuit,
with the potential for pneumothorax.
7
Healthcare Product Comparison System
As mentioned previously, anesthesia units that lack
integrated monitors and alarms can cause confusion
by sounding numerous alarms simultaneously. While
integrated monitors and alarms are becoming more
widespread, both modular and integrated systems are
subject to the confusion caused by false alarms. A false
alarm, caused by accidental patient movement or other
nonphysiological reasons, can confuse operating room
staff and possibly draw attention away from other
alarms that may truly indicate a change in the pa-
tient’s physiologic condition. Currently, there is no
quantitative agreement on the prevalence of false
alarms in anesthesia units (Block and Schaaf 1996).
Ensuring that the alarm limits are properly set and
positioning sensors and electrodes in such a way as to
minimize artifacts can reduce the incidence of false
alarms.
The magnetic fields created by magnetic resonance
imaging (MRI) equipment may interfere with the func-
tion of conventional anesthesia units and electronic
monitoring equipment when used in proximity to such
equipment. Conversely, magnetic materials and elec-
tronic monitors may interfere with MRI scanner func-
tion and degrade image quality. Rao et al. (1988) have
reported changing all ferromagnetic materials to non-
ferromagnetic (including support structures, casters,
and gas cylinders) to allow an anesthesia machine to
be used in the MRI suite. A few suppliers offer MRI-
compatible anesthesia machines, and a line of MRI-
compatible monitors is available.
Users should be careful not to hang any extraneous
materials (e.g., polyethylene garbage bag) or equip-
ment off anesthesia units. If accidently bumped, the
hanging objects may compromise the anesthesia unit’s
stability, causing the hanging objects to be sucked into
the receiving end of the anesthesia unit. This might
cause the full negative pressure to be transmitted to
the patient breathing system, collapsing the reservoir
bag.
As anesthesia machines become increasingly elec-
tronically controlled, there is the risk of electrical fire
in the operating room. Current anesthetic agents will
not ignite, but the presence of pressurized O2 and N2O
could increase the severity of a fire initially caused by
electrical problems with the anesthesia unit.
Purchase considerations
Some anesthesia units require stand-alone physi-
ologic monitors (modular approach) and/or anesthetic
agent monitors, while others have integrated monitors
(preconfigured approach). The advantages of precon-
figured monitoring include convenience and electroni-
cally integrated displays and prioritized alarms.
8 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
Modular systems can be less expensive than precon-
figured systems, especially if the monitors are already
owned.
Hospitals can purchase customized modular sys-
tems, assembled from standard components, or they
can assemble their own modular systems. These sys-
tems must meet all national and regional safety stan-
dards. Advantages of the modular approach include
flexibility in choosing and upgrading monitors and
ease of service; drawbacks include assembling a sys-
tem that may not be successfully integrated, thereby
having multiple alarms, multiple displays, etc.
Anesthesia units and patient monitoring systems
should be carefully chosen to ensure that all the essential
monitoring functions recommended by the American
Society of Anesthesiologists (ASA) are obtained and to
ensure optimal integration and an adequate standard of
care. For legal reasons, the level of monitoring and
anesthesia delivery capabilities for each anesthesia sta-
tion should be uniform so that all patients receive the
same standard of care for the same surgical procedures.
Integrated anesthesia workstations, along with the
gas/vapor dispensing subsystem and individual physi-
ologic and equipment monitors, may also include a
device for automatically dispensing injectable drugs.
Consequently, the anesthesia workstation can be
viewed as an integrated monitoring system that dis-
penses anesthetic drugs.
Hospitals should also consider the standardization
of anesthesia equipment; that is, purchasing systems
that are compatible with equipment already in operat-
ing rooms or other areas of the hospital (e.g., intensive
care units). The purpose of standardization is to allow
a reduced parts inventory, minimize the number of
suppliers and service personnel, and reduce confusion
among the staff.
Pulse oximeters noninvasively measure O2 satura-
tion of blood hemoglobin (SpO2) and, along with O2
monitors and CO2 monitors, are increasingly being
required for anesthesia units by state law. Some U.S.
states have specified their own requirements for anes-
thesia units. Hospitals should check with their state’s
department of health for any regulations that may
apply to their area. CO2 monitors measure end-tidal
CO2 and can help identify leaks and misconnections as
well as indicate when the trachea has not been prop-
erly intubated.
Many features of anesthesia systems are optional,
allowing hospitals to choose the ones that best fit their
needs. Among anesthesia units with essentially
equivalent mechanical gas/vapor dispensing subsys-
tems, the monitors included in the system and the

ways in which information is integrated and displayed
are often the primary features distinguishing anesthe-
sia systems.
Microprocessor-controlled equipment could be af-
fected by the change from the year 1999 to 2000 if it
uses a real-time clock and its design does not include
provision for a change in century — for instance, it
does not use a four-digit data field for the year. Fur-
thermore, any incompatibilities in the way different
devices handle the year 2000 might have adverse ef-
fects. Even if a device is unaffected, it may affect or be
affected by other devices through device and informa-
tion systems interfaces (see the December 1998 Health
Devices citation below).
Facilities purchasing new equipment should add a
specification to the request for proposal or other bid
documents stating that the device will not be affected
by the change to the year 2000 and that the supplier
will provide written certification of this fact. Such a
precaution will help prevent costly downtime or major
software changes after purchase. Facilities should also
consider whether any existing information systems
with which a new system will be interfaced are already
compliant.
Cost containment
Because anesthesia systems entail ongoing mainte-
nance and operational costs, the initial acquisition cost
does not accurately reflect the total cost of ownership.
The anesthetic agents are the biggest ongoing expense
associated with anesthesia units. Therefore, a pur-
chase decision should be based on issues such as life-
cycle cost (LCC), local service support, discount rates,
and non-price-related benefits offered by the supplier.
An LCC analysis should be conducted to determine
the cost-effectiveness of all the units that meet the
users’ needs.
Although many of the following costs may be similar
for a number of anesthesia units, they should still be
carefully considered to determine total LCC for budget
purposes:
• Maintenance, service, and inspections
• Accessories, such as monitoring equipment, neces-
sary to comply with standards
• Optional accessories
• Vaporizers (some have been offered at discounted
prices or at no cost upon the introduction of a new
anesthetic agent)
• Gases, including O2, N2O, and anesthetic agents
• Anesthesia circuits
©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
Anesthesia Units
• Recording and storing anesthesia-related data
• Disposables
• Utilities
When selecting a vaporizer, consider the type of
anesthetic agent required for the hospital’s patient mix
in conjunction with the type of procedures being per-
formed. Users should ask the supplier if the anesthetic
gas monitor will be able to identify and measure all
anesthetic agents used (i.e., some models may not
recognize sevoflurane).
Hospitals can purchase service contracts or service
on a time-and-materials basis from the supplier. Ser-
vice may also be available from a third-party organiza-
tion. The decision to purchase a service contract should
be carefully considered. Most suppliers should provide
routine software updates, which enhance the system’s
performance, at no charge to service contract custom-
ers. Purchasing a service contract also ensures that
preventive maintenance will be performed at regular
intervals, thereby eliminating the possibility of unex-
pected maintenance costs. Also, many suppliers do not
extend system performance and uptime guarantees
beyond the length of the warranty unless the system is
covered by a service contract. Hospitals that plan to
service the anesthesia units in-house should inquire
about the availability and cost of service training and
the availability and cost of replacement parts.
ECRI recommends that, to maximize bargaining
leverage, hospitals negotiate pricing for service con-
tracts before the system is purchased. Additional ser-
vice contract discounts may be negotiable for
multiple-year agreements, or for service contracts that
are bundled with contracts on other similar equipment
in the department or hospital. Discounts will depend
on the hospital’s negotiating skills, knowledge of dis-
counts offered to other customers (from services such
as ECRI’s online cost database or SELECT™ service),
the system configuration and model to be purchased,
previous experience with the supplier, and the extent
of concessions granted by the supplier, such as ex-
tended warranties, fixed prices for annual service con-
tracts, and guaranteed on-site service response.
Buyers should make sure that applications training is
included in the purchase price of the system. Some
suppliers offer more extensive on- or off-site training
programs for an additional cost.
Stage of development
Efforts to improve the design of anesthesia units
center on gas supply and proportioning systems,
breathing circuits, gas scavenging and humidification
devices, gas monitors, ventilators, vaporizers, and data
9
Healthcare Product Comparison System
handling (display, processing, and reporting) software.
There is also an effort to decrease the overall size of
anesthesia units.
Several U.S. manufacturers already offer versions
of anesthesia workstations in their product lines. The
Committee for European Standardization (CEN) is
working on a European draft standard that establishes
the essential requirements for these workstations (see
Standards and Guidelines). The standard will outline
the requirements for individual modules that together
constitute a complete anesthesia workstation; the
draft applies the same standards to each module as to
the system as a whole. A committee of the American
Society for Testing and Materials (ASTM) is drafting
anesthesia workstation standards in the United
States.
Some anesthesia systems now use microprocessors
to control certain parts of the unit. The microprocessor
may control and mix the flows of gases used in the
anesthesia unit. Computer-controlled systems are ex-
pected to become more common in the near future.
The potential risk that current anesthetic agents
pose to the ozone layer has led some regulatory agen-
cies to call for the phasing out of current anesthetic
agents. However, phasing out the current agents
would necessitate finding acceptable alternative anes-
thetic agents, and none have yet been found.
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Bromley HR, Tvorinsky S. An uncommon leak in the
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Brooks JH, Gupta B, Baker D. Anesthesia machine
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Standards and guidelines
Note: Although every effort is made to ensure that the
following list is comprehensive, please note that other
applicable standards may exist.
Anesthesia breathing circuits
American Society for Testing and Materials. Particu-
lar requirements for anesthesia workstations and
their components [standard]. ASTM Committee
F29.0109 on Anesthesia Workstations. F1850-98.
1998.
Specification for anesthetic breathing tubes [stan-
dard]. ASTM Committee F29 on Anesthetic and
Respiratory Equipment. F1205-88(1993). 1988 (re-
approved 1993).
©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
Anesthesia Units
Specification for minimum performance and safety
requirements for components and systems of anes-
thetic gas monitors [standard]. ASTM Committee
F29 on Anesthetic and Respiratory Equipment.
F1452-92(1992). 1992.
Canadian Standards Association. Breathing systems
for use in anaesthesia [standard]. Z168.9-92. 1986
(reaffirmed 1992).
Tracheal tube connectors [standard]. CAN/CSA-
Z7228-94. 1993.
Tracheal tubes [standard]. CAN/CSA-Z5361-94.
1994.
European Committee for Standardization. Breathing
tubes intended for use with anaesthetic apparatus
and ventilators [draft standard]. prEN 12342. 1989.
Test methods for breathing system filters [stan-
dard]. CEN/TC 215 N 326. 1989.
International Organization for Standardization.
Breathing tubes intended for use with anaesthetic
apparatus and ventilators [standard]. 3rd ed. ISO
5367:1991. 1991.
Inhalational anaesthesia systems — part 2: anaes-
thetic circle breathing systems [standard]. 1st ed.
ISO 8835-2:1993. 1993.
Anesthesia equipment
American Association of Nurse Anesthetists. Infection
control guide [guideline]. 1993 (revised 1997).
American Society for Testing and Materials. Particu-
lar requirements for anesthesia workstations and
their components [standard]. ASTM Committee
F29.0109 on Anesthesia Workstations. F1850-98.
1998.
Specification for alarm signals in medical equip-
ment used in anesthesia and respiratory care
[standard]. ASTM Committee F29 on Anesthetic
and Respiratory Equipment. F1463-93. 1993.
Specification for anesthetic equipment — oro-
pharyngeal and nasopharyngeal airways [stan-
dard]. ASTM Committee F29 on Anesthetic and
Respiratory Equipment. F1573-95. 1995.
Standard specification for minimum performance and
safety requirements for components and systems of
anesthesia gas machines [standard]. ASTM Commit-
tee F29 on Anesthetic and Respiratory Equipment.
F1161-88(1994). 1988 (reapproved 1994).
American Society of Anesthesiologists. Anesthesia ap-
paratus checkout recommendations. 1993.
Recommendations for infection control for the practice
of anesthesiology. Committee on Occupational Health
11
Healthcare Product Comparison System
of Operating Room Personnel and Subcommittee on
Infection Control Policy. 30503-5PB. 1992.
Standards for basic anesthetic monitoring. 1986
(revised 1995).
Association of Operating Room Nurses. Cleaning and
processing anesthesia equipment [recommended
practice]. 1977 (revised 1995).
British Standards Institution. Anaesthetic and anal-
gesic machines. Specification for continuous flow
anaesthetic machines [standard]. BS 4272:Part 3.
1989.
Anaesthetic and analgesic machines. Specification
for intermittent (demand) flow analgesic machines
for use with 50/50% (V/V) nitrous oxide [standard].
BS 4272:Part 2. 1968 (revised 1996).
Specification for oxygen analyzers for monitoring
patient breathing mixtures. BS 5724:Section 2.27.
1989 (revised 1997).
Canadian Anaesthetists’ Society. Guidelines to the
practice of anaesthesia. 1996 (revised 1997).
Canadian Standards Association. Continuous-flow in-
halation anaesthetic apparatus (anaesthetic ma-
chines) for medical use [standard]. CAN3-Z168.
3-97. 1984.
Continuous-flow inhalation anaesthetic apparatus
(anaesthetic machines) for medical use: supplement
no. 1 [standard]. CAN/CSA-Z168.3S1-M91. 1991.
Pressure regulators, gauges, and flow-metering de-
vices for medical gases [standard]. CAN/CSA-
Z305.3-M87. 1987 (revised 1997).
Centers for Disease Control and Prevention. Guideline
for handwashing and hospital environmental con-
trol. Am J Infect Control 1986 Jun;14(3):110-29.
Guideline for prevention of nosocomial pneumonia.
Hospital Infection Control Practices Advisory Com-
mittee, National Centers for Infectious Dieseases.
Respir Care 1994 Dec;39(12):1191-236.
European Committee for Standardization. Anaes-
thetic and respiratory equipment — conical connec-
tors — part 1: cones and sockets [standard]. EN
1281-1:1997. 1994 (revised 1997).
Anaesthetic and respiratory equipment — conical con-
nectors — part 2: screw-threaded weight-bearing con-
nectors [draft standard]. prEN 1281-2:1994. 1994.
Medical electrical equipment — anaesthetic work-
stations and their modules — particular require-
ments [draft standard]. prEN 740. 1989.
International Electrotechnical Commission. Medical
electrical equipment — part 1: general requirements
for safety [standard]. IEC 60601-1 (1988-12). 1988.
12 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
Medical electrical equipment — part 1: general re-
quirements for safety. Amendment 1 [standard].
IEC 60601-1-am1 (1991-11). 1991.
Medical electrical equipment — part 1: general re-
quirements for safety. Amendment 2 [standard].
IEC 60601-1-am2 (1995-03). 1995.
Medical electrical equipment — part 1: general re-
quirements for safety. Section 2. Collateral standard:
electromagnetic compatibility — requirements and
tests. IEC 60601-1-2 (1993-04). 1993.
Medical electrical equipment — part 2: particular
requirements for the safety of anesthetic worksta-
tions [standard]. IEC 60601-2-13 (1998-05). 1998.
International Organization for Standardization. An-
aesthesia and respiratory care alarm signals —
part 1: visual alarm signals [standard]. 1st ed. ISO
9703:Part 7-1:1997. 1992.
Anaesthesia and respiratory care alarm signals —
part2: auditory visual alarm signals [standard]. 1st
ed. ISO 9703-2:1997. 1997.
Anaesthetic and respiratory equipment — conical
connectors — part 1: cones and sockets [standard].
1st ed. ISO 5356-1:1987. 1987.
Anaesthetic and respiratory equipment — conical
connectors — part 1: cones and sockets: amend-
ment 1 [standard]. ISO 5356:1-1987/amend 1:1993.
1993.
Anaesthetic and respiratory equipment — conical
connectors — part 2: screw-threaded weight-bear-
ing connectors [standard]. 1st ed. ISO 5356-2:1987.
1987.
Anaesthetic and respiratory equipment — heat and
moisture exchangers for use in humidifying re-
spired gases in humans [standard]. ISO 9360:1992.
1992.
Anaesthetic machines for use with humans [stan-
dard]. 2nd ed. ISO 5358:1992. 1992.
International Task Force on Anaesthesia Safety. In-
ternational standards for a safe practice of anaes-
thesia. Eur J Anaesthesiol 1993 Jan;10(Suppl
7):12-5.
Standards Association of Australia. Anaesthetic ma-
chines — non-electrical — for use with humans
[standard]. AS/NZS 4059 1996. 1996.
U.S. Food and Drug Administration. Anesthesiology
devices. 21 CFR Part 868. 1995.
Underwriters Laboratories. Electrically conductive
equipment and materials for use in flammable anes-
thetizing locations [standard]. 3rd ed. 1067. 1987
(revised 1997).

Anesthesia unit vaporizers
Canadian Standards Association. Anaesthetic vapour-
izers — agent-specific filling systems [standard].
CAN/CSA-Z5360-94. 1994.
European Committee for Standardization. Agent spe-
cific filling systems for anaesthetic vaporizers —
part 1: rectangular keyed filling systems [draft
standard]. prEN 1280-1. 1989.
Agent-specific filling systems for anaesthetic vapor-
izers — part 2: cylindrical keyed filling systems for
desflurane and other anaesthetic agents with active
means to prevent the escape of liquid or vapour
[standard]. CEN/TC 215 N 392. 1989.
Specification for agent specific filling systems for
anaesthetic vaporizers [draft standard]. prEN
1280:1994. 1994.
International Organization for Standardization. An-
aesthetic vaporizers — agent-specific filling sys-
tems [standard]. ISO 5360:1993. 1993.
Anesthesia ventilators
American Society for Testing and Materials. Specifica-
tion for ventilators intended for use during anesthe-
sia [standard]. ASTM
Committee F29 on Anesthetic and Respiratory
Equipment. F1101-90 (1996). 1990 (revised 1996).
Canadian Standards Association. Anaesthesia venti-
lators [standard]. CAN/CSA-Z168.5.1-M97. 1987.
Anesthetic reservoir bags
American Society for Testing and Materials. Specifica-
tion for anesthesia reservoir bags [standard]. ASTM
Committee F29 on Anesthetic and Respiratory
Equipment. F1204-88(1993). 1988 (reapproved
1993).
British Standards Institution. Specification for anaes-
thetic reservoir bags [standard]. BS 3353. 1987.
European Committee for Standardization. Anaes-
thetic reservoir bags [draft standard]. prEN
1820:1995. 1995.
International Organization for Standardization. An-
aesthetic reservoir bags [standard]. 2nd ed. ISO
5362:1986. 1986.
Medical gas piping
Canadian Standards Association. Low-pressure con-
necting assemblies for medical gas systems [stan-
dard]. CAN/CSA-Z305.2-M88. 1988.
Medical oxygen concentrator central supply system:
for use with nonflammable medical gas piping sys-
tems [standard]. CAN/CSA-Z305.6-92. 1992 (re-
vised 1997).
©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
Anesthesia Units
Nonflammable medical gas piping systems [stan-
dard]. CAN/CSA Z305.1-92. 1992.
Qualification requirements for agencies testing
nonflammable medical gas piping systems [stand-
ard]. CAN3-Z305.4-M85. 1985.
International Organization for Standardization. Non-
flammable medical gas pipeline systems [standard].
1st ed. ISO 7396:1987. 1987.
National Fire Protection Association/American Na-
tional Standards Institute. Health care facilities
[standard]. 99-96. 1996. [In the United States, medi-
cal gas pipeline systems must be constructed and
maintained to meet the requirements of NFPA-99.
Chapter 4 of this code specifically covers medical gas
and vacuum systems. A number of other countries,
including Britain, France, and Japan, have require-
ments based on this code.]
Scavenging systems
American National Standards Institute. Scavenging
systems for excess anesthetic gases [standard].
ANSI Z79.11-1982. 1982.
American Society for Testing and Materials. Specifica-
tion for anesthetic equipment — scavenging sys-
tems for anesthetic gases [standard]. ASTM
Committee F29 on Anesthetic and Respiratory
Equipment. F1343-91. 1991.
British Standards Institution. Specification for active
anaesthetic gas scavenging systems [standard]. BS
6834. 1987.
Canadian Standards Association. Anaesthetic gas
scavenging systems [standard]. CAN3-Z168.8-
M82(R1994). 1982 (reaffirmed 1994).
European Committee for Standardization. Medical gas
pipeline systems — part 2: anaesthetic gas scaveng-
ing disposal systems — basic requirements [draft
standard]. prEN 737-2:1994. 1994.
Medical gas pipeline systems — part 4: terminal
units for anaesthetic gas scavenging systems [draft
standard]. prEN 737-4:1994. 1994.
International Organization for Standardization. Inha-
lational anaesthesia systems — part 3: anaesthetic
gas scavenging systems — transfer and receiving
systems [standard]. 1st ed. ISO 8835-3:1997. 1997.
National Institute for Occupational Safety and Health.
CD-waste anesthetic gases and vapors [recommen-
dation]. NTIS No. PB-274-238.
Development and evaluation of methods for elimi-
nation of waste anesthetic gases and vapors in hos-
pitals [miscellaneous]. NTIS No. PB-267-513.
13
Healthcare Product Comparison System
(There are many state rules and regulations in the
United States regarding anesthesia machines; consult
ECRI’s Healthcare Standards Directory or your state
for more information.)
Citations from other ECRI publications
Health Devices
North American Drager Narkomed 2A anesthesia
units [User Experience Network™]. 1986 May;
15(5):142-3.
Using an oxygen monitor with a pulse oximeter during
anesthesia. [User Experience Network™]. 1986
Sep-Oct;15(9-10):294-5.
Anesthesia units with a flowmeter-controlled vapor-
izer [hazard]. 1986 Dec;15(12):336-7.
North American Drager anesthesia vaporizers [User
Experience Network™]. 1986 Dec;15(12):332.
North American Drager halothane vaporizers [User
Experience Network™]. 1987 Feb;16(2):55.
Concentration calibrated vaporizers [hazard]. 1987
Mar-Apr;16(3-4):112.
Pre-use testing prevents “helpful” reconnection of anes-
thesia components [hazard]. 1987 May;16(5):178-9.
Anesthesia systems [evaluation]. 1988 Jan;17(1):3-29,
32-4.
Automatic record keeping in anesthesia. 1988 Jan;
17(1):30-1.
Sodasorb PrePak CO2 absorption cartridges [hazard].
1988 Jan;17(1):35-6.
Dryden anesthesia breathing circuits [hazard]. 1988
Feb;17(2):66.
Who should service anesthesia equipment? [User Ex-
perience Network™]. 1988 Feb;17(2):70-1.
Dryden 10100 disposable CO2 absorbers [hazard].
1988 Sep;17(9):276.
Medical air compressors [User Experience Net-
work™]. 1988 Sep;17(9):279.
Pre-use anesthesia check fails to find faults [hazard].
1988 Sep;17(9):274-5.
Pre-use checklist for anesthesia units. 1988 Sep;
17(9):275.
Barotrauma from anesthesia ventilators [hazard].
1988 Nov;17(11):354.
Anesthesia systems [evaluation update]. 1988 Dec;
17(12):366-7.
New monitoring standards for anesthesia. 1988 Dec;
17(12):374.
14 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
Nitrogen distribution systems [hazard]. 1989 Feb;
18(2):85.
Anesthesia units and breathing systems [standard].
1989 Oct;18(10):363.
Gas monitoring and the standard of care in the OR
[clinical perspective]. 1990 Jul;19(7):207-8.
Multiple medical gas monitors [evaluation]. 1990
Jul;19(7):209-35.
Oxygen regulator fire caused by use of two yoke wash-
ers [hazard]. 1990 Nov;19(11):426-7.
Monitoring and anesthesia systems: integration and a
new option. 1991 Mar-Apr;20(3-4):131.
North American Drager Narkomed 4. 1991 Mar-
Apr;20(3-4):131.
Ohmeda CD. 1991 Mar-Apr;20(3-4):131.
North American Drager Narkomed 4 software update
and revised calibration procedure [User Experience
Network™]. 1993 Dec;22(12):601.
Use of inadequate (old) anesthesia scavenger inter-
faces [hazard]. 1993 Dec;22(12):592-3.
Risk of barotrauma and/or lack of ventilation with
ventilatorless anesthesia machines [hazard]. 1994
Jan-Feb;23(1-2):54-5.
Desflurane (Suprane) [guidance article]. 1994 Apr;
23(4):131-9.
False CO2 readings from disposable anesthesia
breathing circuits with an internal gas-sampling
line [hazard]. 1995 Apr;24(4):160-1.
Fires from oxygen use during head and neck surgery
[hazard]. 1995 Apr;24(4):155-7.
Anesthesia systems [evaluation]. 1996 May-Jun;25(5-
6):158-211.
Anesthesia ventilators with descending bellows: the
need for appropriate monitoring [hazard]. 1996
Oct;25(10):391-3.
Leaching of the plasticizer from PVC tubing in heart-
lung bypass unit tubing circuits [User Experience
Network™]. 1996 Oct;25(10):393-5.
Medical devices and the year 2000 problem [guidance
article]. 1997 Dec;(26)12:448-56.
Anesthesia systems [update evaluation]. 1998
Jan;27(1):4-27.
Carbon monoxide exposures during inhalation anes-
thesia: the interaction between halogenated anes-
thetic agents and carbon dioxide absorbents [hazard
report]. 1998 Nov;27(11):402-4.
Y2K compliance issues [special section]. 1998 Dec;
27(12):412-23.

Health Devices Alerts
This Product Comparison lists Health Devices Alerts
(HDA) citations published since the last update of this
report. Each HDA abstract is identified by an Acces-
sion Number. Recalls and hazard reports include de-
scriptions of the problem involved; abstracts of other
published articles are referenced by bibliographic in-
formation. HPCS subscribers can call the Hotline for
additional information on any of these citations or to
request more extensive searches of the HDA database.
A3347 FDA designated Class II Recall No. Z-863-7 of
certain North American Drager anesthesia units. The
oxygen flush button on some machines may stick in the
open position if the affected product contains small
burs at the set screw holes that may contact the button.
The manufacturer initiated a recall by certified letter
dated June 11, 1997. Users should verify that you
received the June 11, 1997, letter from North Ameri-
can Drager containing a verification form, a small-di-
ameter replacement button, replacement procedures,
and an Allen wrench. If you want the manufacturer to
replace the button or need further information regard-
ing the button replacement, U.S. customers should
contact the North American Drager Technical Services
Department at (800) 543-5047, and international cus-
tomers should contact North American Drager Tech-
nical Services at (215) 721-5400. Source: FDA
Enforcement Rep 1997 Aug 27; Manufacturer.
D3770 FDA has designated Class II Recall No. Z-220-9
of certain Core-M (manufacturer) and North American
Drager (distributor) anesthesia units. If the monitors
are not warmed up properly before calibration, the
values stored for calibration may be invalid. The dis-
tributor initiated a recall by letter dated October 7,
1998. The firm states that customers have received a
new user’s manual and have been instructed to affix a
sticker to the affected machines warning of the prob-
lem. No further action is required by the user.
Source: FDA Enforcement Rep 1998 Dec 9; Distributor.
31323 Eltringham RJ, Varvinski A. The Oxyvent: an
anesthetic machine designed to be used in developing
countries and difficult situations. Anaesthesia 1997
Jul;52(7):668-72.
31420 Lee HT. Ideal placement for the suction cathe-
ter [letter]. Am J Anesth 1997 Jul-Aug;24(4):214.
31729 Aarhus A, Soreide E, Holst-Larsen H. Mechani-
cal obstruction in the anaesthesia delivery-system
mimicking severe bronchospasm [case report]. Anaes-
thesia 1997 Oct;52(10):992-4.
31884 Marchionni L, Agro F, Favaro R, et al. The
flexible laryngeal mask as a nasal airway [letter].
Anesth Analg 1997 Nov;85(5):1179.
©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
Anesthesia Units
31887 Caplan RA, Vistica MF, Posner KL, et al.
Adverse anesthetic outcomes arising from gas delivery
equipment. Anesthesiology 1997 Oct;87(4):741-8.
31888 Yasumoto M, Sakuragi T, Maruta S, et al.
Activation of apnea alarm by a surgical theater light
during ophthalmological surgery [letter]. Anesth
Analg 1997 Dec;85(6):1414-5.
32210 Osterud A. A non-rebreathing coaxial anaes-
thesia system [letter]. Anaesthesia 1997 Nov;
52(11):1123.
32385 Mizuno K, Sumiyoshi R. Air contamination of
a closed anesthesia circuit. Acta Anaesthesiol Scand
1998 Jan;42(1):128-30.
32475 Primiano FP Jr. Open adjustable pressure
limiter valve [letter]. Anesthesiology 1998 Feb;
88(2):552.
32785 Cowling M. Cato machine failure [letter].
Anaesth Intensive Care 1998 Jun;26(3):329-30.
32789 Tripathi M. A partial disconnection at the main
stream CO2 transducer mimics “curare-cleft” capno-
graph. Anesthesiology 1998 Apr;88(4):1117-9.
33147 McLaughlin AJ, Campkin NT. Electrical safety —
a reminder [letter]. Anaesthesia 1998 Jun;53(6):608-9.
33516 Ti LK, Dhara SS. Another cause of a prolonged
downstroke on the capnograph [letter]. Anesthesiology
1998 Sep;89(3):801-2.
33591 Kendell J, Barthram C. Revised checklist for
anaesthetic machines. Anaesthesia 1998 Sep;53(9):
887-90.
34073 Anesthesia machines: product was not defec-
tive. Spec Law Dig Health Care Law 1998
Dec;(236):31.
34253 Goto T, Saito H, Nakata Y, et al. Effects of
xenon on the performance of various respiratory flow-
meters. Anesthesiology 1999 Feb;90(2):555-63.
Health Devices Inspection and Preventive Maintenance
System
Anesthesia unit vaporizers. 436-0595. 1995
Anesthesia unit ventilators. 461-0595. 1995.
Anesthesia units. 400-0595. 1995.
Capnometers and multiple medical gas monitors. 450-
0595. 1995.
Healthcare Risk Control
Surgery and anesthesia. 1996;3:Surgery and anesthe-
sia:14.
Overview of anesthesia liability. 1996;4:Surgery and
anesthesia:2.
15
Healthcare Product Comparison System

NIOSH alert: Controlling exposures to nitrous oxide AMS

during anesthetic administration. 1996;4:Surgery
and anesthesia:15.1. Marketed worldwide, except for North America

Waste anesthetic gas. 1996;4:Surgery and anesthe- AMS (Advanced Medical Systems) Ltd [356053]
sia:15. Kazim Karabekir Cad
Pre-use checklist for anesthesia units (machines and 95/95 06060 Iskitler
accessories). 1996;12:Surgery and anesthesia:2. Ankara
Turkey
Operating Room Risk Management Phone: 90 (312) 3840520
Fax: 90 (312) 3423307
Automated record keeping in anesthesia. 1992 Jul; E-mail: ams@ams.com.tr
1:Anesthesia:8. Internet: http://www.ams.com.tr
Patient monitoring in the OR: Vigilance, monitoring,
and the standard of care. 1992 Jul;1:Anesthesia:1.
Anamed
Pre-use checklist for anesthesia units (machines and
accessories). 1992 Jul;1:Anesthesia:3. The Sinus TR is marketed in Europe, the Far East,
Selecting and using multiple medical gas monitors. the Middle East, and Russia
1992 Jul;1:Anesthesia:5.
Anamed GmbH [280486]
Selecting and using physiologic monitors. 1992 Jul; Arzbacher Rutenstrasse 80
1:Anesthesia:4. D-56130 Bad Ems Bremen
Germany
Anesthesia malpractice: an overview. 1993 Jul;1:Anes-
Phone: 49 (2603) 96460
thesia:2.
Fax: 49 (2603) 964696
Desflurane (Suprane). 1994 Oct;1:Anesthesia:11. E-mail: ABILO@hul.de
Internet: http://hul.de
NIOSH alert: Controlling exposures to nitrous oxide
during anesthetic administration. 1994 Oct;1:Anes-
thesia:9.
Blease
Supplier information Marketed worldwide, except for the United States

Acoma Blease Medical Equipment Ltd [150950]

The ACM-10 is marketed in Japan Beech House Chiltern Court
Asheridge Rd
Acoma Medical Industry Co Ltd [152410]
Chesham, Buckinghamshire HP5 2PX
14-14 Hongo 2-chome
England
Bunkyo-ku
Phone: 44 (1494) 784422
Tokyo 113
Fax: 44 (1494) 791497
Japan
E-mail: bleasesales@compuserve.com
Phone: 81 (3) 38166911
Fax: 81 (3) 38143845

AIKA Dameca
Marketed in Asia Marketed worldwide, except for North America
AIKA Medical Group
Emergency Medical Equipment Div [290437] Dameca A/S [156977]
3-15-9 Hongo Islevdalvej 211
Bunkyo-Ku DK-2610 Roedovre Koebenhaven
Tokyo 113 Denmark
Japan Phone: 45 (44) 913480
Phone: 81 (3) 38134415 Fax: 45 (44) 916941
Fax: 81 (3) 38134330 E-mail: info@dameca.com

16 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Datex-Ohmeda Heyer Anesthesia

Marketed worldwide, except for the Excel 110 SE The NARKOMAT is marketed worldwide, except for
(Model 7000 ventilator) and 210 SE Series (model the United States; the MODULAR is marketed in
7000 ventilator), which are marketed in Asia, Can- Europe, the Far East, the Middle East, and Russia
ada, Japan, Latin America, and the United States;
the Excel MRI and Modulus SE Series, which are Heyer Anesthesia GmbH & Co KG [152523]
marketed in English-speaking countries; and the Carl-Heyer-Strasse 1/3
Modulus CD and CD-CV, which are marketed in Postfach 1345
Latin America and the United States D-56130 Bad Ems
Germany
Datex-Ohmeda Phone: 49 (2603) 7910
An Instrumentarium Co [351254] Fax: 49 (2603) 70424
3 Highwood Dr
Tewksbury MA 01876-1100 Hill-Rom
Phone: (978) 640-0460, (800) 635-6099
Marketed worldwide
Fax: (978) 640-0469
E-mail: info@datexus.com Hill-Rom Air-Shields
Datex-Ohmeda (Finland) A Hillenbrand Co [339679]
Div Instrumentarium Corp [351977] 330 Jacksonville Rd
Postilokero 900 Hatboro PA 19040-2211
FIN-00031 Datex-Ohmeda Phone: (215) 675-5200, (800) 523-5756
Finland Fax: (215) 675-1859
Phone: 358 (9) 39411 Hill-Rom Air-Shields (Australia)
Fax: 358 (9) 1463310 A Hillenbrand Co [339681]
Datex-Ohmeda Inc (UK) 5-9 Devlin St Suite 402 Ground Floor
An Instrumentarium Co [354403] Ryde, NSW 2112
Ohmeda House Australia
71 Great North Rd Phone: 61 (2) 98096622
Hatfield, Hertfordshire AL9 5EN Fax: 61 (2) 98092911
England Hill-Rom Air-Shields (UK)
Phone: 44 (1707) 263570 A Hillenbrand Co [339680]
Fax: 44 (1707) 260065 Unit 9 Manor Way
Datex-Ohmeda (India) Pvt Ltd Old Woking, Surrey GU22 9JY
An Instrumentarium Co [354295] England
P-43 Taratalak Rd Phone: 44 (1483) 246270
Calcutta 700 088 Fax: 44 (1483) 751435
India
Hill-Rom Canada Ltd [107911]
Phone: 91 (33) 47844401
5444 Timberlea Blvd
Fax: 91 (33) 4784342
Mississauga ON L4W 2T7
Draeger Canada
Phone: (905) 206-1355, (800) 338-6630
Marketed worldwide, except for the Cato, Cicero EM,
Fax: (905) 206-0561
and Fabius, which are marketed worldwide except
for North America, and the Physioflex, which is
marketed in Asia and Europe IMI
Marketed in Japan
Draegerwerk AG [139322]
Moislinger Allee 53-55 IMI Co Ltd [132323]
Postfach 1339 3-3-12 Ryutsu-danchi
D-23558 Luebeck Koshigaya-shi, Saitama Pref 343
Germany Japan
Phone: 49 (451) 8823388 Phone: 81 (489) 884411
Fax: 49 (451) 8823187 Fax: 81 (489) 611354
E-mail: birgit.lenz@draeger.com E-mail: cu7y-itu@asahi-net.or.jp
Internet: http://www.draeger.com Internet: http://www.manjp

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 17
Healthcare Product Comparison System

Kimura Oxigel
Marketed worldwide, except for the United States Marketed in Africa and Latin America
Kimura Medical Instrument Co Ltd [152416] Oxigel Materiais Hospitalares Industria Comercio
17-5 Yushima 2-chome Ltda [152447]
Bunkyo-ku Rua Engenheiro Jorge Oliva 131
Tokyo 113 Vila Mascote Caixa Postal 21212
Japan 04362-060 Sao Paulo-SP
Phone: 81 (3) 38144481 Brazil
Fax: 81 (3) 38145304 Phone: 55 (11) 55646999
Megamed Fax: 55 (11) 55645013
E-mail: oxigel@originet.com
Marketed worldwide, except for the United States
Internet: http://www.originet.com/oxigel
Megamed AG [171243]
Hinterbergstrasse 11 Penlon
CH-6330 Cham Marketed worldwide
Switzerland Penlon Ltd [139281]
Phone: 41 (41) 7415151 Radley Rd
Fax: 41 (41) 7415144 Abingdon, Oxfordshire OX14 3PH
Mercury Medical England
Marketed in North America Phone: 44 (1235) 554222
Fax: 44 (1235) 555900
Mercury Medical [102449]
E-mail: export@penlon.co.uk
11300 A 49th St N
Internet: http://www.penlon.com
Clearwater FL 33762-4800
Phone: (813) 573-0088, (800) 237-6418 Royal Medical
Fax: (813) 573-7938 Marketed worldwide
Normeca Royal Medical Co Ltd [157039]
Marketed worldwide, except for North America 2 Floor Sung Hwa Bldg
Normeca A/S [162653] 463-3 Seo Kyo-dong Mapo-ku
Postboks 404 Seoul 121-210
N-1473 Skarer Republic of Korea
Norway Phone: 82 (2) 71711513
Phone: 47 (67) 927600 Fax: 82 (2) 3363328
Fax: 47 (67) 971766
Samed
Normeca Asia [321497] Marketed worldwide, except for the United States
Kanda-Blanca Bldg 502
2-18-16 Iwamoto Chiyoda Samed Elettromedicali srl [187040]
Tokyo 101-0032 Uffici e Magazzini
Japan Strada Provinciale 181
Phone: 81 (3) 56873899 I-20067 Merlino MI
Fax: 81 (3) 56873911 Italy
E-mail: normasta@mb.infoweb.or.jp Phone: 39 (02) 90658787
Fax: 39 (02) 90658795
North American Drager
Marketed worldwide, except for the Fabius, which is Siare
marketed worldwide except for North America, and Marketed worldwide, except for the United States
the Narkomed 6000, which is marketed in North Siare Hospital Supplies srl [152520]
America Via G Pastore 18
North American Drager [101982] I-40056 Crespellano BO
3135 Quarry Rd Italy
Telford PA 18969 Phone: 39 (051) 969802
Phone: (215) 721-5400, (800) 462-7566 Fax: 39 (051) 969366
Fax: (215) 721-9561 E-mail: mail@siare.it
Internet: http://www.nad.com Internet: http://www.siare.it

18 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Siemens Spacelabs Medical Inc [101758]

Marketed worldwide, except for the 710, which is 15220 NE 40th St
marketed worldwide except for the United States, PO Box 97013
and the KION, which is marketed in Canada and Redmond WA 98073-9713
Europe Phone: (425) 882-3700, (800) 251-9910
Fax: (425) 702-2310
Siemens AG [258246]
Internet: http://www.spacelabs.com
Wittelsbacher Platz 2
D-80333 Muenchen Spacelabs Medical Inc (India) [223803]
Germany c/o Impulse Business Club
Phone: 49 (89) 2340 F-22 South Extension Part 1
Siemens Elema AB [139468] New Delhi 110 049
Rontgenvagen 2 India
S-171 95 Solna Phone: 91 (11) 14645002
Sweden Fax: 91 (11) 14645007
Phone: 46 (8) 7307360 Spacelabs (Singapore) Pte Ltd [162905]
Fax: 46 (8) 986593 545 Orchard Rd
Siemens Medical Systems Inc #11-06 Far East Shopping Centre
Electromedical Group [172117] Singapore 238882
14 Electronics Ave Republic of Singapore
Danvers MA 01923-1047 Phone: 65 7323566
Phone: (978) 907-6300, (800) 333-8646 Fax: 65 7321344
Fax: (978) 907-6359
F Stephan
Siemens-Asahi Medical Technologies Ltd [178463]
Siemens Fujikura Bldg 2-11-20 Nishi-Gotanda Marketed in Asia and Europe
Shinagawa-ku F Stephan GmbH [306280]
Tokyo 141 Kirchstrasse 19
Japan D-56412 Gackenbach
Phone: 81 (3) 54238420 Germany
Fax: 81 (3) 54238494 Phone: 49 (6439) 91250
E-mail: akio.muto@sam.seimens.co.jp Fax: 49 (6439) 912511
E-mail: f.stephan.gmbh@t-online.com
SIMS PneuPAC
Internet: http://www.stephan-gmbh.com
Marketed worldwide, except for the United States
SIMS PneuPAC Ltd [358008] K Takaoka
Smithfield House Marketed in Asia and Latin America
Crescent Rd
Luton, Bedfordshire LU2 0AH K Takaoka Ind e Com Ltda [152442]
England Avenida Bosque da Saude 519
Phone: 44 (1582) 453303 04142-081 Sao Paulo-SP
Fax: 44 (1582) 453103 Brazil
Phone: 55 (11) 55861000
SIMS PneuPAC USA [359492]
Fax: 55 (11) 55897313
10 Bowman Dr
E-mail: kt@takaoka.com
PO Box 0724
Internet: http://www.takaoka.com
Keene NH 03431
Phone: (888) 487-8368 Ulco
Fax: (800) 952-1034
Marketed in Asia, Australia, and Europe
Spacelabs Medical
Ulco Engineering Pty Ltd [157051]
Marketed worldwide 25 Sloane St
Spacelabs Medical GmbH [283268] Marrickville, NSW 2204
Postfach 2126 Australia
D-41552 Kaarst Phone: 61 (2) 95195881
Germany Fax: 61 (2) 95502841

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 19
Healthcare Product Comparison System
About the chart specifications
The following terms are used in the charts:
Pipeline gas inlets: Many listed systems include diame-
ter-indexed safety system (DISS) pipeline connec-
tions and pin-indexed cylinders and yokes.
Suction system: The ability to provide suction from the
anesthesia machine.
O2 fail-safe: A safety device that protects the patient
from inadequate O2. If the O2 supply pressure drops
below about 25 to 30 psi, the unit decreases or shuts
off the flow of other gases and activates an alarm.
Hypoxic mixture fail-safe: A safety device that prevents
an anesthesia machine from being set to dispense a
hypoxic mixture.
Bellows: Automatic ventilator bellows have an ascend-
ing or descending design. The bag-in-bottle principle
is based on an equilibrium between the tank pressure
and the bottle pressure during inspiration; during
expiration, the patient exhales into the bag while the
tank is refilled for the following inspiration.
Ventilation modes: The modes of ventilation available
with the anesthesia unit (e.g., manual ventilation,
controlled mechanical ventilation, intermittent
mandatory ventilation).
Tidal volume, range, cc: A control adjusts the volume
of individual breaths within this range.
Minute volume, range, L/min: A control adjusts the total
inspiratory volume per minute delivery from the
bellows.
Frequency, bpm: The respiratory frequency can be set
within the listed range of breaths per minute.
Inspiratory flow, L/min: The flow range of gas that the
ventilator is capable of delivering to the patient.
I:E ratio: The proportion of inspiration to expiration
time in a single respiratory cycle (expiration is usu-
ally longer than inspiration).
System checks: Any check the unit can perform to
ensure proper functioning of the anesthesia system.
Hi-pressure alarm: Senses high gas pressure in the
patient breathing circuit.
Subatmospheric pressure alarm: Senses when pressure
is below ambient level; this usually occurs during
spontaneous inspiration when the patient is not
receiving adequate gas or when gas is being with-
drawn from the circuit (e.g., by a misadjusted scav-
enging system) and not replenished by an adequate
fresh-gas flow.
20 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
Continuing press alarm: Senses sustained elevated air-
way pressure that does not periodically fall below a
selectable threshold level.
Installation: How the anesthesia unit is installed in the
location of its intended use.
Abbreviations:
AGSS — Anesthesia gas scavenging system
ANSI — American National Standards Institute
APL — Adjustable pressure-limiting
ASTM — American Society for Testing and Materials
BB — Blood bank, black box
BIS — Bispectral Index monitor
BP — Blood pressure
BS — British Standard
BSI — British Standards Institution
CE mark — Conformite Europeene mark
CMV — Controlled mechanical ventilation
CPAP — Continuous positive airway pressure
CRT — Cathode ray tube
CSA — Canadian Standards Association
DEKRA — Institut fuer Sicherheit, Umweltschutz
und Energie
DIN — Deutsches Institut fuer Normung
DIS — Draft international standard
ECG — Electrocardiogram
EEG — Electroencephalogram
EL — Electroluminescent display
EN — European Norm
EVK — Expiratory-volume-control (ventilator func-
tion)
FDA — U.S. Food and Drug Administration
GLEM — Groupement des Laboratoires d’Essais
des Materiels de Technique Medicale
GMS — Gas management system
ICE — Integral contrast enhancement
IEC — International Electrotechnical Commission
IMV — Intermittent mandatory ventilation
 Anesthesia Units

I/O — Input/output SMV — Synchronized mechanical ventilation

IPPV — Intermittent positive-pressure ventilation SPVC — Synchronized pressure/volume control
IR — Infrared ST — ECG wave segment

ISO — International Organization for Standardiza- tcCO2 — Transcutaneous carbon dioxide

tion
tcO2 — Transcutaneous oxygen
IV — Intravenous
TGA — Australia Therapeutic Goods Administra-
JIS — Japanese Industrial Standard tion

LCD — Liquid crystal display Ti — Inspiratory time

LED — Light-emitting diode TUV — Technischer Ueberwachungs Verein

MC — Microcomputer TV — Tidal volume

MDD — Medical Devices Directive UL — Underwriters Laboratories

MedGV — Medizingeraeteverordnung UPS — Uninterruptible power supply

VDE — Verband Deutscher Electrotechniker
MRI — Magnetic resonance imaging
Note: The data in the charts derive from suppli-
MV — Minute volume
ers’ specifications and have not been verified through
NDIR — Nondispersive infrared independent testing by ECRI or any other agency.
Because test methods vary, different products’ specifi-
NIBP — Noninvasive blood pressure cations are not always comparable. Moreover, prod-
ucts and specifications are subject to frequent changes.
Ni-Cd — Nickel-cadmium
ECRI is not responsible for the quality or validity of
OR — Operating room the information presented or for any adverse conse-
quences of acting on such information.
P — Pressure
When reading the charts, keep in mind that, unless
PC — Personal computer otherwise noted, the list price does not reflect supplier
discounts. And although we try to indicate which
PCV — Pressure controlled ventilation
features and characteristics are standard and which
PEEP — Positive end-expiratory pressure are not, some may be optional, at additional cost.

PVC — Pressure/volume control
ROM/RAM — Read-only memory/random access
memory
SCMV — Synchronized controlled mechanical ven-
tilation
SEV — Schweizerischer Electrotechnischer Verein
SIMV — Synchronized intermittent mandatory
ventilation
For those models whose prices were supplied to us
in currencies other than U.S. dollars, we have also
listed the conversion to U.S. dollars to facilitate com-
parison among models. However, keep in mind that
exchange rates change often.
Need to know more?
For further information about the contents of this
Product Comparison, contact the HPCS Hotline at +1
(610) 825-6000, ext. 5265; +1 (610) 834-1275 (fax); or
hpcs@ecri.org (e-mail).

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 21
Healthcare Product Comparison System

Product Comparison Chart

MODEL ACOMA ACOMA ACOMA AIKA

ACM-10 KMA-1300III PH-5FII UM700+PVA120

WHERE MARKETED Japan Not specified Not specified Asia

FDA CLEARANCE Not specified Not specified Not specified No

CE MARK (MDD) Not specified Not specified Not specified No
YEAR 2000 COMPLIANT Not specified Not specified Not specified No
PIPELINE GAS INLETS 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (O2, N2O, air)

GAS CYLINDER YOKES 2 (O2, N2O) 2 (O2, N2O) 2 (O2, N2O) 3 (2 O2, N2O)

VAPORIZERS
Agents Sevoflurane, iso- Sevoflurane, iso- Sevoflurane, iso- Isoflurane, halo-
flurane, enflurane flurane, halothane, flurane, halothane, thane, enflurane,
enflurane enflurane sevoflurane
Type Variable bypass Variable bypass Variable bypass Variable bypass

Number 3 3 3 2
Interlock Yes Yes Yes Yes
SUCTION SYSTEM Optional Optional Optional No
O2 FAIL-SAFE Yes Yes Yes Full gas cutoff

HYPOXIC MIXTURE
FAIL-SAFE 30% O2 30% O2 30% O2 25% O2

AUTOMATIC VENTILATOR Yes Yes Optional (AFR-900II Yes

: ACE-3000)
Bellows Yes Yes Yes Yes
Size Adult Adult Adult : Adult/peds Adult
Type Ascending Motor driven Not specified Bellows in bottle

Primary controls
Ventilation modes Not specified Not specified Not specified Assist/cont, P,
preset limit
Tidal volume Yes Yes Yes Yes
Range, cc 200-1,000 200-1,300 200-900 : 0-2,660 50-1,200
Minute volume Yes Yes Yes : Not specified No
Range, L/min 1-20 2-33 1-20 : Not specified NA

Frequency, bpm 5-40 5-40 4-50 : 0-180 5-60

Inspiratory flow,
L/min 3-648 5-100 5-65 : 3-40 10-50
I:E ratio 1:1 to 1:3 1:1 to 1:3 1:0.5 to 1:5 : 1:0.5 to 1:4
1:0.1 to 1:9.9
Inspiratory pause Not specified Not specified Not specified Adjustable
Pressure-limit,
cm H2O Not specified Not specified 40 : 15-65 5-55
PEEP, cm H2O 0-20 0-20 0-20 0-20

Other controls None specified None specified ACE-3000 has an Electronic flow
inspired time control
control

System checks None specified None specified None specified ROM/RAM

Colons separate data on similar models of a device. This is the first of

three pages covering
the above model(s).
These specifications
continue onto the
next two pages.

22 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL ACOMA ACOMA ACOMA AIKA

ACM-10 KMA-1300III PH-5FII UM700+PVA120

SCAVENGING SYSTEM Optional Optional Optional Vacuum

AUTO RECORD KEEPER No No No No

ANESTHESIA DATA
MANAGEMENT No No No No

MONITORS
Airway pressure Yes Yes No : Yes Yes
Where measured Not specified Not specified NA : Not specified Ventilator, valve
Hi-pressure alarm Yes Yes NA : Not specified Yes

Subatmospheric
pressure alarm 5-60 cm H2O 5-60 cm H2O NA : Yes Yes

Continuing press
alarm No No NA : No No

Low pressure/apnea Not specified Not specified NA : Not specified Yes

Other press alarms None specified None specified NA : None None

Expiratory vol/flow Yes Yes No Yes

Type of sensor Not specified Not specified NA Electronic
Where measured Not specified Not specified NA Circuit
Rate alarm NA NA NA No
Apnea alarm No No NA No

Reverse flow alarm No No NA Yes

High/low min vol No No NA Yes
High/low flow No No NA No
Other expir alarms No No NA Expired volume alarm

O2 concentration Yes Yes Yes Yes

Type of sensor Galvanic cell Galvanic cell Galvanic cell Galvanic cell

Response time, sec Not specified Not specified Not specified 15 (90% of the time)
CO2 concentration No No Yes No
Apnea alarm NA NA Not specified NA
N2O No No Not specified No
Agent monitors Quartz Optional Optional No
Type of agents Sevoflurane, iso- Sevoflurane, iso- Sevoflurane, iso- NA
flurane, halothane, flurane, halothane, flurane, halothane,
enflurane enflurane enflurane
Auto ID Yes No No NA
Agent conc alarm Yes Not specified Not specified NA
ECG No No No No
Heart rate NA NA NA NA
ST segment NA NA NA NA
Noninvasive BP No No No No
Invasive BP No No No No
Temperature No No No No
Pulse oximeter Not specified Not specified Not specified No
Other monitors None specified None specified None specified None

Other features None specified None specified None specified None

Colons separate data on similar models of a device. This is the second of

three pages covering
the above model(s).
These specifications
continue onto the
next page.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 23
Healthcare Product Comparison System

Product Comparison Chart

MODEL ACOMA ACOMA ACOMA AIKA

ACM-10 KMA-1300III PH-5FII UM700+PVA120

DISPLAYS Yes No No Yes

Number Not specified NA NA 2
Type LCD NA NA LCD
Integrated Yes NA NA Yes
Interface w/others No NA NA No
DATA INPUT Key No No Keyboard

PRIORITIZED ALARMS No No No No

PHYSICAL FEATURES
H x W x D, cm (in) 148 x 63 x 79 142 x 71 x 74 148 x 60 x 65 158 x 100 x 72
(58.3 x 24.8 x 31.1) (56.9 x 27.9 x 29.1) (58.3 x 23.6 x 25.6) (62.2 x 39.4 x 28.3)

Weight, kg (lb) 160 (352.8) 150 (330) 80 (176) 112.5 (44.3)

Shelves, cm 51 x 30 57 x 26 3 x 6.1 x 30; 51 x 30 (2)

13 x 42 x 21.5
Drawers, cm 7 x 22 x 30.5 6.5 x 25 x 23 8.3 x 36.2 x 17.7 33 x 29 x 7 (2)

Writing shelf, cm 86 x 53 x 35 87 x 60 x 40 88 x 49.5 x 25 51 x 52 (1)

Installation Not specified Not specified Not specified Mobile

POWER REQUIRED, VAC 100 Not specified Not specified 100

Auxiliary outlets 4 4 Not specified 4

BACKUP BATTERY No No Not specified Yes
Type NA NA Not specified Ni-Cd
Use per charge, hr NA NA Not specified 0.3
PURCHASE INFORMATION
Price Not specified Not specified See footnote * Y5,280,000
(US$44,832)

Warranty Not specified Not specified 1 year 1 year

Service contract Not specified Not specified Not specified Not specified

Delivery time, ARO Not specified Not specified Not specified 30 days
OTHER SPECIFICATIONS Auxiliary shelves. Auxiliary shelves. Auxiliary shelves. None specified.

Colons separate data on similar models of a device.

* Y1,990,000 (US$16,607) for block type; Y2,010,000 (US$16,774); prices do not include the vaporizer.

24 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL AMS ANAMED ANAMED BLEASE

200 : 300 Sinus TR Tizian M Frontline Plus 440 :

Plus 560 : Plus 690
WHERE MARKETED Worldwide, except Europe, Far East, Not specified Worldwide, except
North America Middle East, Russia USA
FDA CLEARANCE No No No No
CE MARK (MDD) Submitted Yes Yes Yes
YEAR 2000 COMPLIANT Yes Yes Yes Yes
PIPELINE GAS INLETS 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (O2, N2O, air)

GAS CYLINDER YOKES Optional 2 (O2, N2O) 2 (O2, N2O) 3 max : 4 max :
5 max *
VAPORIZERS
Agents Isoflurane, haloth- Isoflurane, haloth- Isoflurane, haloth- Sevoflurane, iso-
ane, enflurane, des- ane, enflurane, des- ane, enflurane, des- flurane, halothane,
flurane, sevoflurane flurane, sevoflurane flurane, sevoflurane enflurane
Type Temperature Variable bypass Variable bypass Plenum-type variable
compensated bypass, fully
compensated
Number 2/active : 3/active 1 2 1
Interlock Yes Yes Yes Fully compatible
SUCTION SYSTEM Optional Optional Optional Opt, direct/venturi
O2 FAIL-SAFE Yes Acoustic with N2O Yes Multigas cutoff,
shutoff full alarms **
HYPOXIC MIXTURE
FAIL-SAFE Yes Ratio system O2 >20% Yes Gear-driven ratio
in fresh gas system ***
AUTOMATIC VENTILATOR Optional Optional Yes Blease 8200s

Bellows Yes Yes Yes Yes

Size Adult/pediatric Adult/pediatric Adult/pediatric Adult/pediatric
Type Ascending, bag in Descending, bag in Descending, bag in Ascending, bag in
bottle bottle bottle bottle
Primary controls
Ventilation modes Not specified Manual Manual Adult, pediatric,
extended range
Tidal volume Yes Yes Yes Yes
Range, cc 20-1,500 10-1,500 10-1,500 20-1,600
Minute volume Yes No No Yes
Range, L/min 0-80 1-30 2-30 0.3-25 (extended-
range mode)
Frequency, bpm 4-60 6-60 6-60 2-99 (extended-range
mode)
Inspiratory flow,
L/min 5-80 0.4-80 0.4-80 0-100
I:E ratio 3:1-1:9.9 1:1, 1:3, 0.5:1 1:1, 1:3, 0.5:1 1:0.5 to 1:5

Inspiratory pause Not specified 50% maximum 50% maximum Not specified
Pressure-limit,
cm H2O 10-65 adjustable 10-60 mbar 10-60 mbar 10-70 adjustable
PEEP, cm H2O 3-20 variable 0-16 mbar 0-16 mbar 0-20 variable

Other controls None specified Adjustable pressure, Adjustable pressure, Adult and pediatric
limitable EVK, compensation, modes, standby in
compliance, both modes, spirom-
volume control etry MV/TV selection
System checks None specified Leak test Leak test Self-verification
test

Colons separate data on similar models of a device. This is the first of

* O2, N2O, and air are available with all models, while CO2 is available only in the UK. three pages covering
** In the event of O2 failure, air is supplied to the patient through the ventilator. the above model(s).
*** Rotameter controls are knock resistant with a guard in front of them. These specifications
continue onto the
next two pages.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 25
Healthcare Product Comparison System

Product Comparison Chart

MODEL AMS ANAMED ANAMED BLEASE

200 : 300 Sinus TR Tizian M Frontline Plus 440 :

Plus 560 : Plus 690
SCAVENGING SYSTEM Optional active or Vacuum active AGSS, active Active vacuum or
passive optional exhaust AGSS
AUTO RECORD KEEPER Optional Not specified Optional Optional
ANESTHESIA DATA
MANAGEMENT Optional No No Optional

MONITORS
Airway pressure Yes Yes Yes Peak and mean
Where measured Y-piece, bellows blk Inspiratory side Not specified Y-piece
Hi-pressure alarm Adjustable 10-60 mbar Yes 10-70 cm H2O,
adjustable
Subatmospheric
pressure alarm Yes No No -10 cm H2O, fixed,
internal
Continuing press
alarm Yes 2.5-60 mbar Yes PEEP referenced

Low pressure/apnea Yes Yes Yes Yes

Other press alarms Peak, PEEP Yes Yes Low-pressure 5-60 cm
H2O, adj, apnea *
Expiratory vol/flow Optional Yes Yes MV and TV
Type of sensor Optional Mechanical Electronic or float Spirolite exp volume
Where measured Y-piece Expiratory valve Not specified Circuit
Rate alarm Optional No No No
Apnea alarm Optional Yes Yes Low expired
volume alarm
Reverse flow alarm Optional No No No
High/low min vol Optional Yes Yes Yes
High/low flow Optional Yes Yes Yes
Other expir alarms Disconnection, leak, No No High expired
obstruction volume alarm
O2 concentration Optional Yes Yes Adjustable alarms
Type of sensor Paramagnetic Galvanic cell Galvanic cell Galvanic cell

Response time, sec <0.48 ~0.5 ~0.5 Not specified

CO2 concentration Optional No No Optional
Apnea alarm Optional Yes Yes Optional
N2O Optional No No Optional
Agent monitors Optional No Yes Optional
Type of agents Isoflurane, haloth- NA Isoflurane, haloth- Not specified
ane, enflurane, des- ane, enflurane, des-
flurane, sevoflurane flurane, sevoflurane
Auto ID Optional NA No Optional
Agent conc alarm Optional NA Yes Optional
ECG Optional No No Optional
Heart rate Optional NA NA Optional
ST segment Optional NA NA Optional
Noninvasive BP Optional No No Optional
Invasive BP Optional No No Optional
Temperature Optional No No Optional
Pulse oximeter Optional No No Optional
Other monitors Opt respiration and None Volume monitor None specified
SvO2 modules
Other features Trends, printing, None EVK None specified
networking with
AS/3 monitoring

Colons separate data on similar models of a device. This is the second of

* Also pressure cycling. three pages covering
the above model(s).
These specifications
continue onto the
next page.

26 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL AMS ANAMED ANAMED BLEASE

200 : 300 Sinus TR Tizian M Frontline Plus 440 :

Plus 560 : Plus 690
DISPLAYS Yes Yes Yes Optional
Number 1 1 4 Not specified
Type Color LCD LED LED Not specified
Integrated Yes Yes Yes No
Interface w/others Yes Yes Yes Yes
DATA INPUT Membrane switches, Push button, wheel Push button, wheel NA
ComWheel, flow knobs
PRIORITIZED ALARMS 3 (caution, 5 10 Optional
advisory, warning)
PHYSICAL FEATURES
H x W x D, cm (in) 150 x 82 x [70 : 80] 27 x 31 x 40.5 139 x 57 x 61 See footnote *
(59 x 32.3 x [27.6 : (10.6 x 12.2 x 15.9) (54.7 x 20.7 x 24)
31.5])

Weight, kg (lb) 121 (267) : 22 (48.5) 110 (242.6) 85 (187) : 104 (229)
153 (337) : 130 (287) **
Shelves, cm [56.5 : 34] x 34 None 27 x 61 [50:62:75] x 44 (2);
[45:47:74] x 50 (1)
Drawers, cm 10.5 x 37 x 37 (3) None 57 x 60 (3) 35 x 10 x 35
(4 maximum)
Writing shelf, cm 37 x 37 None 42 x 57 26 x 35 (1) pull-out
writing table
Installation Mobile Mobile Mobile Mobile, wall,
ceiling
POWER REQUIRED, VAC 110/220 115-230 115-230 110/120/220/240

Auxiliary outlets 2 Yes Yes 2

BACKUP BATTERY Yes Yes Yes Yes
Type Rechargeable Ni-Cd Ni-Cd Not specified
Use per charge, hr 0.5 2 2 2
PURCHASE INFORMATION
Price Not specified $11,000-18,500 $11,000-35,000 $7,000-35,000 :
$9,000-37,000 :
$11,000-39,000
Warranty 18 months 1 year 1 year 1 year
Service contract Yes Yes Yes Optional

Delivery time, ARO 2-3 weeks 30 days 30 days Varies

OTHER SPECIFICATIONS Alternative gas Used by ambulance
supply per end- or military;
user requirements; portable
illuminated flow- partifion operating
meter; air/N2O unit and gas supply
selection valve. component suitable
for low flow-ratio
system and low-flow
circuit system;
optional
ventilator. Meets
requirements of
DIN 13252, DIN
13260, and EN 740.
Integrated main Integral O2 monitor
switch; low flow- with backlight and
ratio system; low- dimming facility;
flow breathing pull-out writing
system; MC table with pre-use
controller; ventila- checklist; storage
tor EVK-Funktion space for BleaSorb
(Expiratory-Volume- range of circle
Control). Meets absorbers; footrest;
requirements of footbrake; rear
DIN 13252, DIN handle; rear bumper;
13260, and EN 740. wipe-clean angled
gauges. Complies
with ANSI, ASTM, BS
5724, BSI, CSA, DIN,
IEC 601, and ISO
standards.

Colons separate data on similar models of a device.

* The dimensions for the 440 are 147 x 50 x 79 cm (57.9 x 19.7 x 31.1 in); for the 560, 147 x 62 x 79 cm
(57.9 x 24.4 x 31.1 in); for the 690, 147 x 79 x 79 (57.9 x 31.1 x 31.1 in).
** Without patient monitors.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 27
Healthcare Product Comparison System

Product Comparison Chart

MODEL DAMECA DAMECA DAMECA DAMECA

10590 10735 10750 10940

WHERE MARKETED Worldwide, except Worldwide, except Worldwide, except Worldwide, except
North America North America North America North America
FDA CLEARANCE No No No No
CE MARK (MDD) Yes Yes Yes Yes
YEAR 2000 COMPLIANT Yes Yes Yes Yes
PIPELINE GAS INLETS 3 or 4 3 or 4 3 or 4 3 or 4 (O2, N2O,
air, vacuum)
GAS CYLINDER YOKES 2 or 3 2 (O2, N2O) 1, 2, 3, 4, 5 3 (O2, N2O, CO2)

VAPORIZERS
Agents Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur-
ane, halothane, iso- ane, halothane, iso- ane, halothane, iso- ane, halothane, iso-
flurane, desflurane flurane, desflurane flurane, desflurane flurane, desflurane
Type Temperature Temperature Temperature Temperature
compensated compensated compensated compensated

Number 1 or 2 3 maximum 3 maximum 1 or 2

Interlock Yes Yes Yes Yes
SUCTION SYSTEM Optional Optional Optional Optional
O2 FAIL-SAFE Yes Yes Yes Yes

HYPOXIC MIXTURE
FAIL-SAFE Yes Yes Yes Yes

AUTOMATIC VENTILATOR Yes Optional Optional Yes

Bellows Yes Yes Yes Yes

Size Adult/pediatric Adult/pediatric Adult/pediatric Adult/pediatric
Type Ascending Ascending Ascending Ascending, bag in
bottle
Primary controls
Ventilation modes Manual, controlled, Manual, controlled, Manual, controlled, Manual, controlled,
mechanical mechanical mechanical mechanical
Tidal volume Yes Yes Yes Yes
Range, cc 0-350/0-1,500 0-350/0-1,500 0-350/0-1,500 0-350/0-1,500
Minute volume Yes Yes Yes Yes
Range, L/min 2-15 2-15 2-15 2-15

Frequency, bpm 6-40 6-40 6-40 6-40

Inspiratory flow,
L/min 2-15 2-15 2-15 2-15
I:E ratio 1:1, 1:2, 1:3 1:2 1:2 1:1, 1:2, 1:3

Inspiratory pause Not specified Not specified Not specified Not specified
Pressure-limit,
cm H2O 25-85 adjustable 25-85 adjustable 25-85 adjustable 25-85
PEEP, cm H2O Optional Optional Optional Optional

Other controls None specified None specified None specified None specified

System checks None specified None specified None specified None specified

Colons separate data on similar models of a device. This is the first of

three pages covering
the above model(s).
These specifications
continue onto the
next two pages.

28 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL DAMECA DAMECA DAMECA DAMECA

10590 10735 10750 10940

SCAVENGING SYSTEM Active/AGSS Active/AGSS Active/AGSS Active/AGSS

AUTO RECORD KEEPER Optional No No No

ANESTHESIA DATA
MANAGEMENT No No No No

MONITORS
Airway pressure Yes Optional Optional No
Where measured Y-piece Not specified Not specified NA
Hi-pressure alarm Yes Optional Optional NA

Subatmospheric
pressure alarm Yes Optional Optional NA

Continuing press
alarm Yes Optional Optional NA

Low pressure/apnea Yes/not specified Optional Optional NA

Other press alarms None specified None specified None specified NA

Expiratory vol/flow Yes Not specified Not specified No

Type of sensor Float Not specified Not specified NA
Where measured Not specified Not specified Not specified NA
Rate alarm Optional No No No
Apnea alarm Yes No No No

Reverse flow alarm No No No No

High/low min vol Yes Not specified Not specified Not specified
High/low flow Not specified Not specified Not specified Not specified
Other expir alarms None No None No

O2 concentration Yes Optional Optional No

Type of sensor Paramagnetic Not specified Not specified NA

Response time, sec 0.5 Not specified Not specified NA

CO2 concentration Yes No No No
Apnea alarm Yes NA NA No
N2O Yes No No No
Agent monitors Yes No No No
Type of agents Sevoflurane, enflur- NA NA NA
ane, halothane, iso-
flurane, desflurane
Auto ID Optional NA NA NA
Agent conc alarm Yes NA NA NA
ECG No No No No
Heart rate NA NA NA NA
ST segment NA NA NA NA
Noninvasive BP No No No No
Invasive BP No No No No
Temperature No No No No
Pulse oximeter Yes Not specified Not specified Not specified
Other monitors None specified None specified None specified None specified

Other features Stored trends None specified None specified None specified

Colons separate data on similar models of a device. This is the second of

three pages covering
the above model(s).
These specifications
continue onto the
next page.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 29
Healthcare Product Comparison System

Product Comparison Chart

MODEL DAMECA DAMECA DAMECA DAMECA

10590 10735 10750 10940

DISPLAYS Yes No No Not specified

Number 1 NA NA Not specified
Type 9" monochrome NA NA Not specified
Integrated Yes NA NA Not specified
Interface w/others Yes NA NA Not specified
DATA INPUT Keyboard NA NA Not specified

PRIORITIZED ALARMS Yes No No Not specified

PHYSICAL FEATURES
H x W x D, cm (in) 148 x 80 x 64 160 x 40 x 40 148 x 80 x 60 160 x 80 x 64
(58.2 x 31.5 x 25.2) (63 x 15.75 x 15.75) (58.2 x 31.5 x 23.6) (63 x 31.5 x 25.2)

Weight, kg (lb) 120 (264.6) 56 (123.5) 85 (187.4) 120 (264.6)

Shelves, cm 55 x 45 40 x 30 55 x 40 55 x 40

Drawers, cm 55 x 35 40 x 30 45 x 35 55 x 40

Writing shelf, cm 40 x 35 20 x 30 27 x 37 20 x 30

Installation Not specified Not specified Not specified Mobile

POWER REQUIRED, VAC 110/230 110/220 110/220 110/220

Auxiliary outlets 4 Optional Optional Not specified

BACKUP BATTERY Yes Yes Yes Yes
Type Rechargable Rechargable Rechargable Rechargable
Use per charge, hr 30 min 30 min 30 min 30 min
PURCHASE INFORMATION
Price $23,600; $40,800 $12,000 $7,500-13,700 $30,000
with MGM 590 monitor

Warranty 1 year 1 year 1 year 1 year

Service contract Not specified Not specified Not specified Not specified

Delivery time, ARO Not specified Not specified Not specified Not specified
OTHER SPECIFICATIONS Gas mixer; Gas mixer; Gas mixer; Gas mixer;
3 color options of 3 color options of 3 color options of 3 color options of
red, white, or blue; red, white, or blue; red, white, or blue; red, white, or blue;
manual ventilation manual ventilation manual ventilation manual ventilation
through optional through optional through optional through optional
bellows. Meets bellows. Meets bellows. Meets bellows. Meets
requirements of IEC requirements of IEC requirements of IEC requirements of IEC
601-1 and ISO 5358. 601-1 and ISO 5358. 601-1 and ISO 5358. 601-1 and ISO 5358.

Colons separate data on similar models of a device.

30 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL DATEX-OHMEDA DATEX-OHMEDA DATEX-OHMEDA DATEX-OHMEDA

AESTIVA 3000 AS/3 Anesthesia Excel 110 SE (Model Excel 110 SE (Model
Delivery Unit (ADU) 7000 ventilator) 7800 & 7900 vents)
WHERE MARKETED Worldwide Worldwide Asia, Canada, Latin Worldwide
America, Japan, USA
FDA CLEARANCE Yes Yes Yes Yes
CE MARK (MDD) Yes Yes No Yes
YEAR 2000 COMPLIANT Yes Yes Yes Yes
PIPELINE GAS INLETS 3 (O2, N2O, air) 3 (O2, N2O, air) 2 (O2, N2O) 2 (O2, N2O)

GAS CYLINDER YOKES Up to 5 (O2, N2O, 3 (2 O2, N2O) 3 (O2, N2O, air) 3 (O2, N2O, air)
air, CO2, heliox)
VAPORIZERS
Agents Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur-
ane, halothane, iso- ane, halothane, iso- ane, halothane, iso- ane, halothane, iso-
flurane, desflurane flurane, desflurane flurane, desflurane flurane, desflurane
Type See footnote * Electronically See footnote * See footnote *
controlled variable
bypass
Number 2 or 3 1 active, 3 storage 2 2
Interlock Yes NA Yes Yes
SUCTION SYSTEM Optional Optional Optional Optional
O2 FAIL-SAFE Pneumatic Yes Pneumatic Pneumatic

HYPOXIC MIXTURE
FAIL-SAFE Mechanical limit Maintains ~25% Mechanical limit Mechanical limit
O2 of total gas flow
AUTOMATIC VENTILATOR AESTIVA Smartvent Yes Model 7000 Model 7800 :
Model 7900
Bellows Yes Yes Yes Yes
Size 1,500 mL Adult/pediatric 1,500 mL 1,500 mL
Type Ascending (standing) ** Ascending ** Ascending (standing) ** Ascending (standing) **

Primary controls
Ventilation modes Volume, pressure Volume/pressure con- Volume Volume : Volume and
trol, SIMV, manual pressure
Tidal volume Yes Yes No Yes
Range, cc 20-1,500 20-1,400 NA 50-1,500 : 20-1,500
Minute volume No Yes Yes No
Range, L/min NA 0.1-30 2-30 NA

Frequency, bpm 4-100 2-60 6-40 2-100 : 4-100

Inspiratory flow,
L/min NA 80 maximum NA 10-100 : NA
I:E ratio 2:1 to 1:8 1:4.5 to 2:1 1:1 to 1:3 NA : 2:1 to 1:8

Inspiratory pause 5-60% Ti 0-60% insp time NA 25% Ti : 5-60% Ti

Pressure-limit,
cm H2O 12-100 8-80 adjustable 65 20-100 : 12-100
PEEP, cm H2O 4-30 integrated Off or 5-20 0-20 optional 0-20 optional :
4-30 integrated
Other controls Float-type flowmeter Sigh, tidal volume Float-type flowmeter Float-type flowmeter
compensation

System checks Manual pre-use test, Circuit leakage & Manual pre-use test, Manual pre-use test,
ventilator self-test compliance, hypoxic ventilator self-test ventilator self-test
mixture control

Colons separate data on similar models of a device. This is the first of

* Vaporizers include the Tec 5 (a temperature-, flow-, and pressure-compensated vaporizer) and the Tec 6 (a heated, constant three pages covering
temperature, pressure- and flow-compensated vaporizer used for desflurane only). the above model(s).
** Latex-free and autoclavable. These specifications
continue onto the
next two pages.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 31
Healthcare Product Comparison System

Product Comparison Chart

MODEL DATEX-OHMEDA DATEX-OHMEDA DATEX-OHMEDA DATEX-OHMEDA

AESTIVA 3000 AS/3 Anesthesia Excel 110 SE (Model Excel 110 SE (Model
Delivery Unit (ADU) 7000 ventilator) 7800 & 7900 vents)
SCAVENGING SYSTEM Active or passive Active or passive Active or passive Active or passive

AUTO RECORD KEEPER No Optional No No

ANESTHESIA DATA
MANAGEMENT No Optional No No

MONITORS
Airway pressure Yes Yes Yes * Yes
Where measured Inspiratory limb Y-piece, bellows blk Inspiratory limb Inspiratory limb
Hi-pressure alarm Yes Adjustable Yes Yes

Subatmospheric
pressure alarm Yes Yes Yes Yes

Continuing press
alarm Yes Yes Yes Yes

Low pressure/apnea Yes Yes Yes Yes

Other press alarms No Peak, PEEP ** No No

Expiratory vol/flow Monitoring pod Optional ** Monitoring pod 7800 : 7900

Type of sensor Different pressure Pitot tube at airway Vane Vane : Diff pressure
Where measured Expiratory port Y-piece Expiratory port Expiratory port
Rate alarm No Optional ** No No
Apnea alarm Yes Optional ** Yes Yes

Reverse flow alarm Yes Optional ** Yes Yes

High/low min vol Yes Optional ** Yes Yes
High/low flow Yes Optional ** Yes Yes
Other expir alarms No Disconnection, leak, No No
obstruction
O2 concentration Yes *** Optional ** Yes *** Yes ***
Type of sensor Fuel cell Paramagnetic Fuel cell Fuel cell

Response time, sec <35 <0.48 <35 <35

CO2 concentration Opt RGM:ACMS:AS/3 Optional ** Opt RGM:ACMS:AS/3 Opt RGM:ACMS:AS/3
Apnea alarm Yes Optional ** Yes Yes
N2O Opt RGM:ACMS:AS/3 Optional ** Opt RGM:ACMS:AS/3 Opt RGM:ACMS:AS/3
Agent monitors Opt RGM:ACMS:AS/3 Optional ** Opt RGM:ACMS:AS/3 Opt RGM:ACMS:AS/3
Type of agents Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur-
ane, halothane, iso- ane, halothane, iso- ane, halothane, iso- ane, halothane, iso-
flurane, desflurane flurane, desflurane flurane, desflurane flurane, desflurane
Auto ID No : Yes : Yes Optional ** No : Yes : Yes No : Yes : Yes
Agent conc alarm Yes Optional ** Yes Yes
ECG Optional ACMS:AS/3 Optional ** Optional ACMS:AS/3 Optional ACMS:AS/3
Heart rate Optional Optional ** Optional Optional
ST segment Optional Optional ** Optional Optional
Noninvasive BP Optional Optional ** Optional Optional
Invasive BP Optional Optional ** Optional Optional
Temperature Optional Optional ** Optional Optional
Pulse oximeter Optional Optional ** Optional Optional
Other monitors SvO2, cardiac output Optional respiration SvO2, cardiac output SvO2, cardiac output
and SvO2 modules
Other features Trends, printing, Trends, printing, Trends, printing, Trends, printing,
networking available networking available networking available networking available
with AS/3 monitoring with AS/3 monitoring with AS/3 monitoring with AS/3 monitoring

Colons separate data on similar models of a device. This is the second of

* The 7000 works in conjunction with a monitoring pod used to drive alarms, not to display a particular value. three pages covering
** Available with Datex-Engstrom AS/3 Anesthesia Monitoring system. the above model(s).
*** The Ohmeda Link 25 hypoxic guard precludes setting hypoxic O2 flow ratios. These specifications
continue onto the
next page.

32 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL DATEX-OHMEDA DATEX-OHMEDA DATEX-OHMEDA DATEX-OHMEDA

AESTIVA 3000 AS/3 Anesthesia Excel 110 SE (Model Excel 110 SE (Model
Delivery Unit (ADU) 7000 ventilator) 7800 & 7900 vents)
DISPLAYS AESTIVA Smartvent Yes Monitoring pod 7800 : 7900
Number 1 1 1 1
Type ICE Color LCD LCD LCD : ICE
Integrated Yes Yes Yes Yes
Interface w/others RS232 Yes HP ACMS, Omnicare 24 HP ACMS, Omnicare 24
DATA INPUT No Membrane switches, No No
ComWheel, flow knobs
PRIORITIZED ALARMS Yes 3 (caution, advi- No Yes
sory, warning)
PHYSICAL FEATURES
H x W x D, cm (in) 135.8 x 75 x 83 154 x 73 x 80 166.4 x 50.7 x 68 166.4 x 50.7 x 68
(53.5 x 29.5 x 32.7) (60.6 x 28.7 x 31.5) (65.5 x 20 x 26.8) (65.5 x 20 x 26.8)

Weight, kg (lb) 136 (300) 110 (242); 130 (286) 122 (269) 122 (269)
with AS/3 Monitoring
Shelves, cm [48/68/88/] x 35 or 62 x 40 (1) 54.5 x 36 (1); 54.5 x 36 (1);
[19/27/35] x 14 28 x 30 (1) 28 x 30 (1)
Drawers, cm 10.5 x 38.5 x 26; 11 x 42 x 36 (2, 39.4 x 26.7 x 10.2 39.4 x 26.7 x 10.2
14.5 x 38.5 x 26 opt optional) (2) (2)
Writing shelf, cm 38.5 x 26 51 x 30 (1) No No

Installation Mobile with locking Mobile with locking Mobile with locking Mobile with locking
casters, pendant casters, pendant casters casters
POWER REQUIRED, VAC 100/120; optional 110/240 100/120; optional 100/120; optional
220/240 220/240 220/240
Auxiliary outlets 4 3 4-6 4-6
BACKUP BATTERY In ventilator Yes No In ventilator
Type Gel cell Lead acid NA Ni-Cd; gel cell
Use per charge, hr 30 min ~0.5 NA 0.5
PURCHASE INFORMATION
Price $39,340-52,000 Not specified $12,200-35,000 $12,200-35,000

Warranty 1 year Not specified 1 year 1 year

Service contract Yes Not specified Yes Yes

Delivery time, ARO 4 weeks Not specified 4-8 weeks 4-8 weeks
OTHER SPECIFICATIONS Options include 2 or Trends of fresh gas, Options include Options include
3 in-line vapori- agent, & ventilator auxiliary O2 flow- auxiliary O2 flow-
zers, pendant or settings; measures meter, freestanding meter, freestanding
trolley, choice of fresh-gas & agent Bain circuit Bain circuit
ventilator display consumption; total adapter, GMS Bain adapter, GMS Bain
alarms, breathing fresh gas flow & O2/ circuit adapter, GMS circuit adapter, GMS
system bag alarms, N2O percentages dis- absorber, IV pole, absorber, IV pole,
number of cylinder played; automatic cable management cable management
yokes, auxiliary switch to secondary arm, shelf angle arm, shelf angle
common gas outlet, driving gas of vent- blocks, suction reg- blocks, suction reg-
CO2 bypass, gain ilator; software ulators, vaporizer ulators, vaporizer
module, integrated selects driving gas; storage brackets, storage brackets,
suction, O2 flowmet- service menu w/error mounting for mounting for
er, auxiliary light, log; service soft- monitors. Meets monitors. Meets
IV posts, mounting. ware. Meets requirements of requirements of
Meets requirements requirements of ASTM ASTM F1850, CSA, ASTM F1850, CSA,
of ASTM F1850, CSA, F29.01.09, ISO/DIS JIS, and UL. EN 740, JIS, and UL.
EN 740, JIS, and UL. 8835-1, and EN 740.

Colons separate data on similar models of a device.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 33
Healthcare Product Comparison System

Product Comparison Chart

MODEL DATEX-OHMEDA DATEX-OHMEDA DATEX-OHMEDA DATEX-OHMEDA

Excel 210 SE (Model Excel 210 SE (Model Excel MRI Modulus CD

7000 ventilator) 7800 & 7900 vents)
WHERE MARKETED Asia, Canada, Latin Worldwide See footnote * Latin America, USA
America, Japan, USA
FDA CLEARANCE Yes Yes Yes Yes
CE MARK (MDD) Yes Yes Yes No
YEAR 2000 COMPLIANT Yes Yes Yes Yes **
PIPELINE GAS INLETS 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (O2, N2O, air);
4 optional
GAS CYLINDER YOKES 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (O2, N2O, air) 4 (O2, N2O, air,
opt CO2 or heliox)
VAPORIZERS
Agents Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur-
ane, halothane, iso- ane, halothane, iso- ane, halothane, iso- ane, halothane, iso-
flurane, desflurane flurane, desflurane flurane flurane, desflurane
Type See footnote *** See footnote *** Tec 5 See footnote ***

Number 2 2 2 3
Interlock Yes Yes Yes Yes
SUCTION SYSTEM Optional Optional Optional Optional
O2 FAIL-SAFE Pneumatic Pneumatic Pneumatic Pneumatic

HYPOXIC MIXTURE
FAIL-SAFE Mechanical limit Mechanical limit Mechanical limit Mechanical limit

AUTOMATIC VENTILATOR Model 7000 Model 7800 : No Model 7850

Model 7900
Bellows Yes Yes NA Yes
Size 1,500 mL 1,500 mL NA 1,500 mL
Type Ascending (standing) † Ascending (standing) † NA Ascending (standing) †

Primary controls
Ventilation modes Volume Volume : Volume and NA Volume control
pressure
Tidal volume No Yes NA Yes
Range, cc NA 50-1,500 : 20-1,500 NA 50-1,500
Minute volume Yes No NA No
Range, L/min 2-30 NA NA NA

Frequency, bpm 6-40 2-100 : 4-100 NA 2-100

Inspiratory flow,
L/min NA 10-100 : NA NA 10-100
I:E ratio 1:1 to 1:3 NA : 2:1 to 1:8 NA NA

Inspiratory pause NA 25% Ti : 5-60% Ti NA 25% Ti

Pressure-limit,
cm H2O 65 20-100 : 12-100 NA 20-100 adjustable
PEEP, cm H2O 0-20 optional 0-20 optional : 0-20, optional 0-20, optional
4-30 integrated
Other controls Float-type flowmeter Float-type flowmeter Float-type flowmeter Float-type flowmeter

System checks Manual pre-use test, Manual pre-use test, Manual pre-use test Manual pre-use test,
ventilator self-test ventilator self-test system self-test,
ventilator self-test

Colons separate data on similar models of a device. This is the first of

* Marketed in English-speaking countries. three pages covering
** Correct date must be set manually on January 1, 2000 (or first use thereafter). the above model(s).
*** Vaporizers include the Tec 5 (a temperature-, flow-, and pressure-compensated vaporizer) and the Tec 6 (a heated, constant- These specifications
temperature, pressure- and flow-compensated vaporizer used for desflurane only). continue onto the
†
Latex-free and autoclavable. next two pages.

34 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL DATEX-OHMEDA DATEX-OHMEDA DATEX-OHMEDA DATEX-OHMEDA

Excel 210 SE (Model Excel 210 SE (Model Excel MRI Modulus CD

7000 ventilator) 7800 & 7900 vents)
SCAVENGING SYSTEM Active or passive Active or passive Active or passive Active or passive

AUTO RECORD KEEPER No No No Case-save feature

ANESTHESIA DATA
MANAGEMENT No No No Standard disk drive,
RS232 output
MONITORS
Airway pressure Yes * Yes Absorber gauge Yes
Where measured Inspiratory limb Inspiratory limb Inspiratory limb Inspiratory limb
Hi-pressure alarm Yes Yes NA Yes

Subatmospheric
pressure alarm Yes Yes NA Yes

Continuing press
alarm Yes Yes NA Yes

Low pressure/apnea Yes Yes NA Yes

Other press alarms No No NA No

Expiratory vol/flow Monitoring pod 7800 : 7900 Opt respirometer Yes

Type of sensor Vane Vane : Diff pressure Vane Vane
Where measured Expiratory port Expiratory port Expiratory port Expiratory port
Rate alarm No No No Yes
Apnea alarm Yes Yes No Yes

Reverse flow alarm Yes Yes No Yes

High/low min vol Yes Yes No Yes
High/low flow Yes Yes No Yes
Other expir alarms No No No No

O2 concentration Yes ** Yes ** Yes (5125) ** Yes **

Type of sensor Fuel cell Fuel cell Fuel cell Fuel cell

Response time, sec <35 <35 <35 <35

CO2 concentration Opt RGM:ACMS:AS/3 Opt RGM:ACMS:AS/3 No Yes
Apnea alarm Yes Yes NA Yes ***
N2O Opt RGM:ACMS:AS/3 Opt RGM:ACMS:AS/3 No Yes
Agent monitors Opt RGM:ACMS:AS/3 Opt RGM:ACMS:AS/3 No Yes
Type of agents Sevoflurane, enflur- Sevoflurane, enflur- NA Sevoflurane, enflur-
ane, halothane, iso- ane, halothane, iso- ane, halothane, iso-
flurane, desflurane flurane, desflurane flurane, desflurane
Auto ID No : Yes : Yes No : Yes : Yes NA Optional
Agent conc alarm Yes Yes NA Yes
ECG Optional ACMS:AS/3 Optional ACMS:AS/3 No Optional
Heart rate Optional Optional NA Optional
ST segment Optional Optional NA Optional
Noninvasive BP Optional Optional No Optional
Invasive BP Optional Optional No Optional
Temperature Optional Optional No Optional
Pulse oximeter Optional Optional No Yes
Other monitors SvO2, cardiac output SvO2, cardiac output No No

Other features Trends, printing, Trends, printing, None specified Alarm management
networking available networking available options
with AS/3 monitoring with AS/3 monitoring

Colons separate data on similar models of a device. This is the second of

* The 7000 works in conjunction with a monitoring pod used to drive alarms, not to display a particular value. three pages covering
** The Ohmeda Link 25 hypoxic guard precludes setting hypoxic O2 flow ratios. the above model(s).
*** The Modulus CD and Modulus CD-CV offer apnea monitoring from either expiratory volume or CO2 concentration. These specifications
continue onto the
next page.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 35
Healthcare Product Comparison System

Product Comparison Chart

MODEL DATEX-OHMEDA DATEX-OHMEDA DATEX-OHMEDA DATEX-OHMEDA

Excel 210 SE (Model Excel 210 SE (Model Excel MRI Modulus CD

7000 ventilator) 7800 & 7900 vents)
DISPLAYS Monitoring pod 7800 : 7900 Yes Yes
Number 1 1 1 2
Type LCD LCD : ICE LCD/5125 O2 monitor High-resolution CRT
Integrated Yes Yes No Yes
Interface w/others HP ACMS, Omnicare 24 HP ACMS, Omnicare 24 No HP ACMS, Omnicare 24
DATA INPUT No No No Standard disk drive

PRIORITIZED ALARMS No Yes NA Yes

PHYSICAL FEATURES
H x W x D, cm (in) 158.1 x 69.2 x 69.9 158.1 x 69.2 x 69.9 158 x 73.6 x 76 158 x 94 x 71
(62.3 x 27.3 x 27.5) (62.3 x 27.3 x 27.5) (62.2 x 29 x 29.9) (62.2 x 37 x 28)

Weight, kg (lb) 116 (255.8) 116 (255.8) 93.5 (206.1) 210 (463.1)

Shelves, cm 61.6 x 38.1 (1); 61.6 x 38.1 (1); 59.7 x 36 (1); 92.7 x 38 (1);
38.1 x 39.3 (1) 38.1 x 39.3 (1) 29 x 31 (1) 37 x 30 (1)
Drawers, cm 47.6 x 34.3 x 14 (up 47.6 x 34.3 x 14 (up 39.4 x 26.7 x 10.2 36 x 38 x 10.1 (2);
to 3 optional) to 3 optional) (2) 36 x 38 x 20.3 (1)
Writing shelf, cm 46.5 x 36.8, 46.5 x 36.8, No No
optional optional
Installation Mobile with locking Mobile with locking Mobile with locking Mobile with locking
casters casters casters casters
POWER REQUIRED, VAC 100/120; optional 100/120; optional None 100/120; optional
220/240 220/240 220/240
Auxiliary outlets 4-6 4-6 NA 4
BACKUP BATTERY No In ventilator No UPS; min system func
Type NA Ni-Cd; gel cell NA Gel cell
Use per charge, hr NA 0.5 NA See footnote *
PURCHASE INFORMATION
Price $14,300-40,000 $14,300-40,000 $20,500 $62,900-65,100

Warranty 1 year 1 year 1 year 1 year

Service contract Yes Yes Yes Yes

Delivery time, ARO 4-8 weeks 4-8 weeks 4-8 weeks 4-8 weeks
OTHER SPECIFICATIONS Options include Options include Options include Alert zones and
auxiliary O2 flow- auxiliary O2 flow- auxiliary O2 flow- trend advisories;
meter, freestanding meter, freestanding meter, freestanding 3.5" disk drive;
Bain circuit Bain circuit Bain circuit optional absorber
adapter, GMS Bain adapter, GMS Bain adapter, GMS Bain with latching fresh-
circuit adapter, GMS circuit adapter, GMS circuit adapter, GMS gas inlet; tilting
absorber, IV pole, absorber, IV pole, absorber, IV pole, top shelf; battery
cable management cable management add-on drawers, backup/failure
arm, shelf angle arm, shelf angle auxiliary shelves. alarm; output panel;
blocks, suction reg- blocks, suction reg- guarded O2 flush;
ulators, vaporizer ulators, vaporizer integral mounting
storage brackets, storage brackets, rail/footrest;
mounting for mounting for options: auxiliary
monitors. Meets monitors. Meets O2 flowmeter, free-
requirements of requirements of stand Bain circuit
ASTM F1850, CSA, ASTM F1850, CSA, adapter, GMS
JIS, and UL. EN 740, JIS, and UL. absorber, IV pole,
auxiliary shelves. **

Colons separate data on similar models of a device.

* The unit can operate for 0.5 hr with full system function on the first battery and for 0.5 hr with minimum system fuction on
the second battery.
** Also arrhythmia detection, a strip-chart recorder, a cable management arm, and event markers.

36 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL DATEX-OHMEDA DATEX-OHMEDA DRAEGER DRAEGER

Modulus CD-CV Modulus SE (Model Cato Cicero EM

7800 & 7900 vents)
WHERE MARKETED Latin America, USA See footnote * Worldwide, except Worldwide, except
North America North America
FDA CLEARANCE Yes Yes No No
CE MARK (MDD) No Yes Yes Yes
YEAR 2000 COMPLIANT Yes ** Yes Yes Yes
PIPELINE GAS INLETS 3 (O2, N2O, air); 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (O2, N2O, air)
4 optional
GAS CYLINDER YOKES 4 (O2, N2O, air, 4 (O2, N2O, air, 2 optional (O2, air) 2 optional (O2, air)
opt CO2 or heliox) opt CO2 or heliox)
VAPORIZERS
Agents Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur-
ane, halothane, iso- ane, halothane, iso- ane, halothane, iso- ane, halothane, iso-
flurane, desflurane flurane, desflurane flurane, desflurane flurane, desflurane
Type See footnote *** See footnote *** Variable bypass, Variable bypass,
heated (desflurane) heated (desflurane)

Number 3 3 1 or 2 1 or 2
Interlock Yes Yes Yes Yes
SUCTION SYSTEM Optional Optional Optional Yes
O2 FAIL-SAFE Pneumatic Pneumatic Acoustic alarm, Acoustic alarm,
N2O lock N2O lock
HYPOXIC MIXTURE
FAIL-SAFE Mechanical limit Mechanical limit O2 ratio controller O2 ratio controller

AUTOMATIC VENTILATOR Model 7850 Model 7800 : Electronically Electronically

Model 7900 driven/controlled driven/controlled
Bellows Yes Yes Yes Yes
Size 1,500 mL 1,500 mL Adult/pediatric Adult/pediatric
Type Ascending (standing) † Ascending (standing) † Piston unit Piston unit

Primary controls
Ventilation modes Volume control Volume : Volume and IPPV, SIMV, manual, IPPV, SIMV, manual,
pressure PCV, spontaneous PCV, spontaneous
Tidal volume Yes Yes Yes Yes
Range, cc 50-1,500 50-1,500 : 20-1,500 10-1,400 10-1,400
Minute volume No No Yes Yes
Range, L/min NA NA 0.06-25 0.06-25

Frequency, bpm 2-100 2-100 : 4-100 6-80 6-80

Inspiratory flow,
L/min 10-100 10-100 : NA 75 maximum 75 maximum
I:E ratio NA NA : 2:1 to 1:8 1:3 to 2:1 1:3 to 2:1

Inspiratory pause 25% Ti 25% Ti : 5-60% Ti Not specified Not specified

Pressure-limit,
cm H2O 20-100 adjustable 20-100 : 12-100 5-80 mbar adjustable 5-80 mbar adjustable
PEEP, cm H2O 0-20, optional 0-20 optional : 0; 2-15 mbar 0; 2-15 mbar
4-30 integrated
Other controls Float-type flowmeter Float-type flowmeter Tip:Ti 0-60% Tip:Ti 0-60%

System checks Manual pre-use test, Manual pre-use test, Leakage Leakage
system self-test, ventilator self-test
ventilator self-test

Colons separate data on similar models of a device. This is the first of

* Marketed in English-speaking countries. three pages covering
** Correct date must be set manually on January 1, 2000 (or first use thereafter). the above model(s).
*** Vaporizers include the Tec 5 (a temperature-, flow-, and pressure-compensated vaporizer) and the Tec 6 (a heated, constant- These specifications
temperature, pressure- and flow-compensated vaporizer used for desflurane only). continue onto the
†
Latex-free and autoclavable. next two pages.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 37
Healthcare Product Comparison System

Product Comparison Chart

MODEL DATEX-OHMEDA DATEX-OHMEDA DRAEGER DRAEGER

Modulus CD-CV Modulus SE (Model Cato Cicero EM

7800 & 7900 vents)
SCAVENGING SYSTEM Active or passive Active or passive Vacuum/exhaust, opt AGSS, active,
active, AGSS optional passive
AUTO RECORD KEEPER Case-save feature No Optional Optional
ANESTHESIA DATA
MANAGEMENT Standard disk drive, No Optional Optional
RS232 output
MONITORS
Airway pressure Yes Yes Piezoresistive Piezoresistive
Where measured Inspiratory limb Inspiratory limb Not specified Not specified
Hi-pressure alarm Yes Yes 5-98 mbar 5-98 mbar

Subatmospheric
pressure alarm Yes Yes Mean pressure Mean pressure
or airway pressure or airway pressure
Continuing press
alarm Yes Yes Yes Yes

Low pressure/apnea Yes Yes Apnea (0-35 mbar) Apnea

Other press alarms No No None specified None specified

Expiratory vol/flow Yes 7800 : 7900 Yes Yes

Type of sensor Vane Vane : Diff pressure Not specified Not specified
Where measured Expiratory port Expiratory port Not specified Not specified
Rate alarm Yes No Yes Yes
Apnea alarm Yes Yes Automatic Yes

Reverse flow alarm Yes Yes Yes Yes

High/low min vol Yes Yes Yes Yes
High/low flow Yes Yes No No
Other expir alarms No No High (0.1-39 L/min), Minute volume
low (0-38.9 L/min)
O2 concentration Yes * Yes * Yes Yes
Type of sensor Fuel cell Fuel cell Galvanic cell Galvanic cell

Response time, sec <35 <35 Not specified Not specified

CO2 concentration Yes Opt RGM:ACMS:AS/3 Sidestream IR Sidestream IR
Apnea alarm Yes ** Yes Automatic Yes
N2O Yes Opt RGM:ACMS:AS/3 Sidestream IR Sidestream IR
Agent monitors Yes Opt RGM:ACMS:AS/3 Yes Yes
Type of agents Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur-
ane, halothane, iso- ane, halothane, iso- ane, halothane, iso- ane, halothane, iso-
flurane, desflurane flurane, desflurane flurane, desflurane flurane, desflurane
Auto ID Optional No : Yes : Yes IDs vaporizer IDs agent/gas mix
Agent conc alarm Yes Yes Not specified Not specified
ECG Yes Opt RGM:ACMS:AS/3 Yes Yes
Heart rate Yes Optional Yes Yes
ST segment Yes Optional Yes Yes
Noninvasive BP Yes Optional Yes Yes
Invasive BP Up to 4 Optional Yes Yes
Temperature 2 Optional Resistive airway Yes
Pulse oximeter Yes Optional Yes Yes
Other monitors No SvO2, cardiac output Patient compliance Patient compliance

Other features Alarm management Trends, printing, None specified None specified
options networking available
with AS/3 monitoring

Colons separate data on similar models of a device. This is the second of

* The Ohmeda Link 25 hypoxic guard precludes setting hypoxic O2 flow ratios. three pages covering
** The Modulus CD and Modulus CD-CV offer apnea monitoring from either expiratory volume or CO2 concentration. the above model(s).
These specifications
continue onto the
next page.

38 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL DATEX-OHMEDA DATEX-OHMEDA DRAEGER DRAEGER

Modulus CD-CV Modulus SE (Model Cato Cicero EM

7800 & 7900 vents)
DISPLAYS Yes 7800 : 7900 Yes Yes
Number 2 1 3 2
Type High-resolution CRT LCD : ICE EL, LED CRT, LED
Integrated Yes Yes Yes Yes
Interface w/others HP ACMS, Omnicare 24 HP ACMS No Optional
DATA INPUT Standard disk drive No Rotary knob, Rotary knob,
softkeys, hardkeys softkeys, hardkeys
PRIORITIZED ALARMS Yes Yes 3 (alarm, caution, 3 (alarm, caution,
advisory) advisory)
PHYSICAL FEATURES
H x W x D, cm (in) 158 x 94 x 71 170 x 79.4 x 79.4 148 x 47 x 78.5 135 x 71 x 75
(62.2 x 37 x 28) (66.9 x 31 x 31) (58.3 x 18.5 x 31) (53.1 x 28 x 30)

Weight, kg (lb) 220 (485.1) 139.3 (309.5) 140 (308.7) 200 (441)

Shelves, cm 92.7 x 38 (1); 80.6 x 37 (1); Not specified (2) Not specified (2)
37 x 30 (1) 43 x 40 (1)
Drawers, cm 36 x 38 x 10.1 (2); 14 x 47.6 x 34.3 (up Not specified (1) Not specified (1)
36 x 38 x 20.3 (1) to 3 optional)
Writing shelf, cm No 47.6 x 36.8 (1, 37 x 42 37 x 42
optional)
Installation Mobile with locking Mobile with locking Mobile, pendant Mobile, pendant
casters casters
POWER REQUIRED, VAC 100/120; optional 110/120; optional 110/230 110/230
220/240 220/240
Auxiliary outlets 4 6 3 4
BACKUP BATTERY UPS; min system func In ventilator Optional Optional
Type Gel cell Ni-Cd; gel cell Not specified Not specified
Use per charge, hr See footnote * 0.5 1 1
PURCHASE INFORMATION
Price $75,750-77,950 $21,000-47,000 Not specified Not specified

Warranty 1 year 1 year 1 year 1 year

Service contract Yes Yes Yes Yes

Delivery time, ARO 4-8 weeks 4 weeks 40 days 50 days

OTHER SPECIFICATIONS Alert zones and Suction regulators; Compact Integrated
trend advisories; vaporizer storage anesthesia work- anesthesia work-
3.5" disk drive; brackets; mounting station; sample gas station; uniform
optional absorber for monitoring return; compliance transport concept
with latching fresh- equipment; top shelf compensation and with Parameterbox;
gas inlet; tilting angle blocks; GMS trends; uniform opt hierarchical
top shelf; battery absorber; standard transport concept data handling; sys-
backup/failure clock with dual up/ with Parameterbox tem communication
alarm; output panel; down time. Meets optional. w/anesthesia machine
guarded O2 flush; requirements of and infusion pumps;
integral mounting ASTM F1850, CSA, compliance
rail/footrest; EN 710, and UL. compensation; mean
options: auxiliary pressure trends;
O2 flowmeter, free- sample gas return.
stand Bain circuit
adapter, GMS
absorber, IV pole,
auxiliary shelves. **

Colons separate data on similar models of a device.

* The unit can operate for 0.5 hr with full system function on the first battery and for 0.5 hr with minimum system fuction on
the second battery.
** Also arrhythmia detection, a strip-chart recorder, a cable management arm, and event markers.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 39
Healthcare Product Comparison System

Product Comparison Chart

MODEL DRAEGER DRAEGER DRAEGER HEYER ANESTHESIA

Fabius Julian Physioflex MODULAR

3-Gas Version
WHERE MARKETED Worldwide, except Worldwide Asia, Europe Europe, Far East,
North America Middle East, Russia
FDA CLEARANCE No Yes No Not specified
CE MARK (MDD) Yes Yes Yes Not specified
YEAR 2000 COMPLIANT Yes Yes Yes Not specified
PIPELINE GAS INLETS 3 (O2, N2O, air) 3 (O2, N2O, air) 4 (O2, N2O, air, 3 (O2, N2O, air)
vacuum)
GAS CYLINDER YOKES 2 or 4 optional 2 (O2, N2O) 2 optional (O2, N2O) 2 (O2, N2O)
(O2, N2O)
VAPORIZERS
Agents Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur- Halothane, sevo-
ane, halothane, iso- ane, halothane, iso- ane, isoflurane, flurane, isoflurane,
flurane, desflurane flurane, desflurane halothane enflurane
Type Variable bypass, Variable bypass, Direct injector Variable bypass
heated (desflurane) heated (desflurane)

Number 1 or 2 2 3 1
Interlock Yes Yes NA Yes
SUCTION SYSTEM Optional Yes Optional Optional
O2 FAIL-SAFE Acoustic alarm, Acoustic alarm, Acoustic alarm, Acoustic with N2O
N2O lock N2O lock N2O lock shutoff
HYPOXIC MIXTURE
FAIL-SAFE O2 ratio controller O2 ratio controller Minimal setting Ratio system, O2
O2 20% >20% in fresh gas
AUTOMATIC VENTILATOR Electronically Electronic controls, Computer controlled Yes
driven/controlled pneumatically driven
Bellows Yes Yes Yes Yes
Size Adult/pediatric Adult/pediatric Adult/pediatric Adult/pediatric
Type Piston unit Descending, bag in 4-membrane chamber Descending, bag in
bottle bottle
Primary controls
Ventilation modes IPPV, manual, spont, PCV, IPPV, manual, IPPV, PCV, manual, Manual, CMV
pressure limited spontaneous spontaneous
Tidal volume Yes Yes Yes Yes
Range, cc 50-1,400 50-1,400 20-2,000 50-1,500
Minute volume Yes Yes Yes No
Range, L/min 0.3-25 0.3-45 0.12-25 NA

Frequency, bpm 6-60 6-60 6-80 6-60

Inspiratory flow,
L/min 75 maximum 5-75 adjustable 9-90 0.5-40
I:E ratio 1:3 to 2:1 1:4 to 2:1 1:4 to 4:1 1:3 to 2:1

Inspiratory pause 5-50% of T1 0-50% of insp time Not specified 5 sec

Pressure-limit,
cm H2O 10-70 mbar adjust 5-80 mbar adjustable 15-65 adjustable 20-60 adjust
PEEP, cm H2O 0-15 variable 0-20 mbar 0; 1-20 adjustable 0-15 variable
electronic
Other controls None specified Low fresh-gas None specified None specified
detection

System checks None specified Compliance, leaks System test, leakage None specified
compensation,
compromise, volume

Colons separate data on similar models of a device. This is the first of

three pages covering
the above model(s).
These specifications
continue onto the
next two pages.

40 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL DRAEGER DRAEGER DRAEGER HEYER ANESTHESIA

Fabius Julian Physioflex MODULAR

3-Gas Version
SCAVENGING SYSTEM AGSS, active Vacuum/exhaust, AGSS NA, closed system Passive vacuum, NGA

AUTO RECORD KEEPER Optional Yes Yes Not specified

ANESTHESIA DATA
MANAGEMENT Optional Optional Optional No

MONITORS
Airway pressure Piezoresistive Piezoresistive Yes Yes
Where measured System pressure Gas inlet System Inspiratory side
Hi-pressure alarm 5-78 mbar 5-98 mbar 0-75 cm H2O 20-80 mbar

Subatmospheric
pressure alarm Airway pressure Mean pressure or Not specified No
airway pressure
Continuing press
alarm Yes Yes Yes 2.5-60 mbar

Low pressure/apnea Apnea Apnea (0-35 mbar) Yes Yes

Other press alarms None specified None specified 2nd pressure monitor No

Expiratory vol/flow Yes Yes Yes Yes

Type of sensor Not specified Not specified Membrane chamber Electrical
Where measured Not specified Not specified Circuit Expiratory valve
Rate alarm Yes Yes No No
Apnea alarm Yes Yes Yes Yes

Reverse flow alarm No No NA No

High/low min vol Yes Yes Yes Yes
High/low flow No No Not specified No
Other expir alarms Sensor inoperation Sensor disconnect, 2nd minute volume No
sensor fail monitor
O2 concentration Yes Yes Yes Yes
Type of sensor Galvanic cell Galvanic cell Paramagnetic Fuel cell

Response time, sec Not specified 0.5 <10 1

CO2 concentration Optional Sidestream IR Sidestream IR No
Apnea alarm Optional Yes Yes No
N2O Optional Sidestream IR Sidestream IR No
Agent monitors Optional Yes Yes No
Type of agents Not specified Sevoflurane, enflur- Sevoflurane, enflur- NA
ane, halothane, iso- ane, isoflurane,
flurane, desflurane halothane
Auto ID Not specified IDs agent/gas mix Yes NA
Agent conc alarm Not specified Yes Yes NA
ECG Optional No Optional No
Heart rate Optional NA Optional NA
ST segment Optional NA Optional NA
Noninvasive BP Optional No Optional No
Invasive BP Optional No Optional No
Temperature Optional Optional Optional No
Pulse oximeter Optional Optional Optional No
Other monitors None specified None specified None specified No

Other features None specified Stored trends, hard- Quantitative anes- None
copy printouts thesia; end-tidal
control, ALICE, BB

Colons separate data on similar models of a device. This is the second of

three pages covering
the above model(s).
These specifications
continue onto the
next page.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 41
Healthcare Product Comparison System

Product Comparison Chart

MODEL DRAEGER DRAEGER DRAEGER HEYER ANESTHESIA

Fabius Julian Physioflex MODULAR

3-Gas Version
DISPLAYS Yes Yes Yes Yes
Number 1 1 2 3
Type LCD EL CRT, LED LED
Integrated Yes Yes Yes Yes
Interface w/others Optional Not specified Yes No
DATA INPUT Rotary knob, Rotary knob, Softkeys, hardkeys Knobs
softkeys, hardkeys softkeys, hardkeys
PRIORITIZED ALARMS 3 (alarm, caution, 3 (alarm, caution, 3 (alarm, caution, No
advisory) advisory) advisory)
PHYSICAL FEATURES
H x W x D, cm (in) 128 x 96 x 62 135 x 70 x 70 133 x 100 x 74 45 x 42 x 20
(50.4 x 37.8 x 24.4) (53.1 x 27.5 x 27.5) (52.4 x 39.4 x 29.1) (17.7 x 16.5 x 7.8)
or 93 x 64 x 42
(36.6 x 25.2 x 16.5) *
Weight, kg (lb) 82 (180.8) 90 (198), mobile; 180 (397) Not specified
75 (165), pendant
Shelves, cm 43 x 30 45 x 29 (1) Not specified (2) 40 x 35 (1)

Drawers, cm Not specified (2) 44 x 18 x 30 (1) Not specified (1) On request

Writing shelf, cm 39 x 27.5 34 x 34 (1) Not specified No

Installation Mobile, pendant, Mobile, pendant, Mobile, pendant Mobile, pendant,

wall-fixed wall-fixed wall-mounted
POWER REQUIRED, VAC 100-240 90-265 110/230 115/230

Auxiliary outlets No 2-3 1-2 Not specified

BACKUP BATTERY Yes Yes Yes Not specified
Type Lead gel Lead gel Lead gel Not specified
Use per charge, hr 1.5 0.5 0.5 Not specified
PURCHASE INFORMATION
Price Not specified Not specified Not specified Not specified

Warranty 1 year 1 year 1 year 1 year

Service contract Yes Yes Yes Yes

Delivery time, ARO 50 days 50 days 50 days 30 days

OTHER SPECIFICATIONS Modular. Sample gas return
(not in USA);
automatic calibra-
tion of all sensors;
optional integration
of hemodynamic
monitoring system;
compliance
compensation.
Integrated work- Meets requirements
station for quanti- of DIN 13252,
tative anesthesia; DIN 13260, EN 740,
computer controlled; and IEC 601.
optional: integra-
tion of hemodynamic
monitor, xenon (11-
1999) automatic
calibration of all
sensors
samples; sample gas
return.

Colons separate data on similar models of a device.

* The first set of dimensions is for the mobile unit; the second set is for the wall- or ceiling-mounted unit.

42 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL HEYER ANESTHESIA HILL-ROM IMI KIMURA

NARKOMAT Falcon VP-100 KF-5000V

WHERE MARKETED Worldwide, except Worldwide Japan Worldwide, except

USA USA
FDA CLEARANCE No Yes No Not specified
CE MARK (MDD) Yes Yes No Not specified
YEAR 2000 COMPLIANT Yes Yes Yes Not specified
PIPELINE GAS INLETS 3 (O2, N2O, air) 3 (O2, N2O, air) 2 or 3 (O2, N2O, 2 (O2, N2O); 3 opt
air) (O2, N2O, air)
GAS CYLINDER YOKES 2 (O2, N2O) opt 3 or 4 (O2, N2O, 2 (O2, N2O) 3 (2 O2, N2O)
air, CO2)
VAPORIZERS
Agents Sevoflorane, enflur- Sevoflorane, enflur- Halothane, sevo- Not specified
ane, halothane, iso- ane, halothane, iso- flurane, enflurane,
flurane, desflurane flurane, desflurane isoflurane
Type Variable bypass Temperature Variable bypass Not specified
compensated

Number 2 3 maximum 2 2
Interlock Yes Not specified Yes Yes
SUCTION SYSTEM Optional Yes No Not specified
O2 FAIL-SAFE Acoustic with N2O Yes Pneumatic Yes
shutoff
HYPOXIC MIXTURE
FAIL-SAFE Ratio system, O2 Pneumatic Yes Minimum 30% O2
>20%
AUTOMATIC VENTILATOR Yes Yes Optional (AV-500) Yes

Bellows Yes Yes Yes Not specified

Size Adult/pediatric Adult/pediatric Adult/pediatric Not specified
Type Descending, bag in Ascending, bag in Ascending, bag in Not specified
bottle bottle bottle
Primary controls
Ventilation modes Manual, CMV, spont; Manual, IMV, PCV, CMV, standby Not specified
(S)CMV, PCV opt SIMV
Tidal volume Yes Yes Yes Yes
Range, cc 20-1,400 20-1,300 300-1,500; 50-300 150-1,990
Minute volume Yes No Yes Not specified
Range, L/min 1-20 NA 2-33.9 Not specified

Frequency, bpm 4-60 4-60 6-37 8-30

Inspiratory flow,
L/min 1-80 Yes No 1.2-15
I:E ratio 1:1, 1:1.5, 1:3, 3:1 to 1:9 1:1 to 1:4 1:1.5, 1:2, 1:3
2:1, 3:1
Inspiratory pause 5 sec Yes No Not specified
Pressure-limit,
cm H2O 20-80 adjustable Yes 7 fixed Not specified
PEEP, cm H2O 0-20 4-20 No Optional

Other controls Plateau sigh, 30 sec None specified Float-type flowmeter None specified
expiratory pause,
volume constant
ventilation
System checks Not specified Complete circuit, None None specified
pre-use test for
leaks

Colons separate data on similar models of a device. This is the first of

three pages covering
the above model(s).
These specifications
continue onto the
next two pages.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 43
Healthcare Product Comparison System

Product Comparison Chart

MODEL HEYER ANESTHESIA HILL-ROM IMI KIMURA

NARKOMAT Falcon VP-100 KF-5000V

SCAVENGING SYSTEM Optional Passive AGSS Exhaust, active Optional vacuum or

exhaust
AUTO RECORD KEEPER External option No No No
ANESTHESIA DATA
MANAGEMENT Digital output No No Not specified
RS232; IRDA opt
MONITORS
Airway pressure Yes Yes Yes Yes
Where measured Inspiratory side Y-piece, exp limb Y-piece Circuit
Hi-pressure alarm Yes Yes Yes Yes

Subatmospheric
pressure alarm Yes (pressure-relief No No No
valve included)
Continuing press
alarm Yes Yes No No

Low pressure/apnea Yes Yes Yes Not specified

Other press alarms None specified None specified No None specified

Expiratory vol/flow Yes Yes No Not specified

Type of sensor Hotwire PITOT static NA Not specified
Where measured Expiratory valve Circuit, exp limb NA Not specified
Rate alarm Yes Yes NA No
Apnea alarm Yes Yes NA Not specified

Reverse flow alarm No Yes NA Not specified

High/low min vol Yes Yes NA Not specified
High/low flow No Yes NA Not specified
Other expir alarms None specified Yes NA None specified

O2 concentration Yes Yes No Yes

Type of sensor Galvanic cell, Galvanic cell NA Galvanic cell
paramagnetic opt
Response time, sec Not specified Not specified NA Not specified
CO2 concentration Sidestream IR opt No No No
Apnea alarm Not specified No NA Not specified
N2O Sidestream IR opt No No Not specified
Agent monitors Optional NA No Not specified
Type of agents Sevoflurane, enflur- NA NA Not specified
ane, halothane, iso-
flurane, desflurane
Auto ID No NA NA Not specified
Agent conc alarm Optional NA NA Not specified
ECG External option No No Not specified
Heart rate External option NA NA Not specified
ST segment External option NA NA Not specified
Noninvasive BP External option No No No
Invasive BP External option No No Not specified
Temperature External option No No Not specified
Pulse oximeter External option No No Not specified
Other monitors None specified None specified No None specified

Other features None specified None specified None None specified

Colons separate data on similar models of a device. This is the second of

three pages covering
the above model(s).
These specifications
continue onto the
next page.

44 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL HEYER ANESTHESIA HILL-ROM IMI KIMURA

NARKOMAT Falcon VP-100 KF-5000V

DISPLAYS Yes Yes No Not specified

Number 1 1 NA Not specified
Type EL LCD NA Not specified
Integrated Yes Yes NA Not specified
Interface w/others RS232 Yes NA Not specified
DATA INPUT Rotary mouse, Knob No Not specified
keyboard
PRIORITIZED ALARMS Caution, warning, Yes No Not specified
advisory
PHYSICAL FEATURES
H x W x D, cm (in) 154 x 91.5 x 79.5 146 x 81 x 64 153 x 61 x 72 140 x 60 x 61
(60.6 x 36 x 31.3) (57.5 x 31.9 x 25.2) (60.2 x 24 x 28.3) (55.1 x 23.6 x 24)

Weight, kg (lb) 170 (375) 150 (330.8) 60 (132) 100 (220.5)

Shelves, cm Not specified Not specified 37 x 43 (1) Not specified

Drawers, cm Not specified (2) Not specified 37 x 44; 37 x 33 (2) Yes

Writing shelf, cm Yes Not specified 50 x 35 (1) No

Installation Mobile Not specified Mobile Not specified

POWER REQUIRED, VAC 100-115, 60 Hz or 110/220 100 110/220

230, 50 Hz
Auxiliary outlets 2 4 4 Not specified
BACKUP BATTERY Yes Yes No Not specified
Type Not specified Ni-Cd NA Not specified
Use per charge, hr 0.5 30 min NA Not specified
PURCHASE INFORMATION
Price $15,000-30,000 £15,000-17,000 Not specified Not specified
(US$24,177-27,400)

Warranty 1 year 1 year 1 year 1 year

Service contract Yes Yes Yes Not specified

Delivery time, ARO 4-6 weeks 6 weeks Not specified Not specified
OTHER SPECIFICATIONS Automatic compensa- SIMV; PCV; total None specified. None specified.
tion for patient circuit compliance.
system compliance;
O2 flush; fresh-gas
decoupling; auto
Vt constant; patient
circuit; integrated
compact block
heating device to
avoid condensation;
low-flow ability;
minimal-flow
ability.

Colons separate data on similar models of a device.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 45
Healthcare Product Comparison System

Product Comparison Chart

MODEL MEGAMED MEGAMED MERCURY MEDICAL NORMECA
FAILED TO RESPOND *
Megamed 707 Mivolan ANODYNE CC MP-1 : MP-2

WHERE MARKETED Worldwide, except Worldwide, except North America Worldwide, except
USA USA North America
FDA CLEARANCE No No Yes Not specified
CE MARK (MDD) Yes Yes Yes Not specified
YEAR 2000 COMPLIANT Yes Yes Yes Not specified
PIPELINE GAS INLETS 3 2 or 3 3 (O2, N2O, air) Draw-over :
2 (O2, N2O)
GAS CYLINDER YOKES 2 (O2, N2O) 2 (O2, N2O) 4 (2 O2, N2O, air) No

VAPORIZERS
Agents Sevoflorane, enflur- Sevoflorane, enflur- Sevoflorane, enflur- Halothane,
ane, halothane, iso- ane, halothane, iso- ane, halothane, iso- enflurane, trilene,
flurane, desflurane flurane, desflurane flurane, desflurane isoflurane
Type Variable bypass Variable bypass Variable bypass, Variable bypass
heated desflurane

Number 1 1 3 1
Interlock Yes Yes Yes No
SUCTION SYSTEM Optional Optional Yes No
O2 FAIL-SAFE Yes Yes Acoustic with N2O No
shutoff
HYPOXIC MIXTURE
FAIL-SAFE With alarm With alarm Ratio system O2, No
<20% in fresh gas
AUTOMATIC VENTILATOR Yes Yes Yes No

Bellows Yes Yes Yes NA

Size Adult/ped (1 size) Adult/ped (1 size) Adult/pediatric NA
Type Bag with pneumatic Ascending, step Descending NA
cylinder motor
Primary controls
Ventilation modes IPPV, manual, spon- IPPV, manual, spon- Standby, manual, CMV NA
taneous ** taneous, SIMV ** child and adult
Tidal volume Yes Yes Yes NA
Range, cc 20-1,200 25-1,500 50-140 NA
Minute volume No No Yes NA
Range, L/min NA NA 1-16 NA

Frequency, bpm 5-65 6-60 2-60 NA

Inspiratory flow,
L/min 0-90 Not specified 0.5-80 NA
I:E ratio 1:3 to 2:1 1:3 to 3:1 1: 4, 1:3, 1:2, 1:1, NA
2:1, 3:1
Inspiratory pause Yes 0-30% of insp time 20/30% insp time NA
Pressure-limit,
cm H2O 5-90 0-80 10-100 NA
PEEP, cm H2O 0-20 mechanical 0-20 mechanical 0-20 electronic NA

Other controls Float-type flowmeter Float-type flowmeter Sigh, 30 sec expir NA

pause, 5 sec insp
hold, fresh-gas
decoupled
System checks None Fresh-gas flow Circuit compliance, NA
leak test, automatic
system check

Colons separate data on similar models of a device. This is the first of

* Specifications current as of January 1998. three pages covering
** Also assisted IPPV and pressure control. the above model(s).
These specifications
continue onto the
next two pages.

46 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL MEGAMED MEGAMED MERCURY MEDICAL NORMECA
FAILED TO RESPOND *
Megamed 707 Mivolan ANODYNE CC MP-1 : MP-2

SCAVENGING SYSTEM Vacuum and/or Vacuum and/or Vacuum, active, No

exhaust exhaust passive
AUTO RECORD KEEPER Optional Optional No No
ANESTHESIA DATA
MANAGEMENT Optional RS232 Yes Optical or RS232 No
interface
MONITORS
Airway pressure Yes Yes Yes No
Where measured Inspiratory airway Inspiratory airway Inspiratory side NA
Hi-pressure alarm 0-90 mbar 0-90 mbar 20-100 NA

Subatmospheric
pressure alarm No No 2 mbar NA

Continuing press
alarm Yes Yes Yes NA

Low pressure/apnea Yes Yes Yes NA

Other press alarms No No No NA

Expiratory vol/flow Yes Yes Yes No

Type of sensor Vane Vane Electronic pneumotec NA
Where measured Expiratory valve Expiratory valve Expiratory NA
Rate alarm 0-25 L/min 0-99 L/min Yes NA
Apnea alarm Yes Yes Yes NA

Reverse flow alarm No No No NA

High/low min vol Yes Yes Yes NA
High/low flow No No No NA
Other expir alarms No Minimal fresh gas Low volume NA
alarm
O2 concentration Yes Yes Yes No
Type of sensor Fuel cell Fuel cell Fuel cell NA

Response time, sec <20 <20 0.2 NA

CO2 concentration No No No No
Apnea alarm NA NA 15, 30, 60 sec NA
N2O No No No No
Agent monitors Optional Yes No No
Type of agents Halothane, Halothane, NA NA
enflurane, enflurane,
isoflurane isoflurane
Auto ID No No NA NA
Agent conc alarm Yes Yes NA NA
ECG No No No No
Heart rate NA NA NA NA
ST segment NA NA NA NA
Noninvasive BP No No No No
Invasive BP No No No No
Temperature No No No No
Pulse oximeter No No No No
Other monitors Optional Optional No No

Other features None specified None specified None None specified

Colons separate data on similar models of a device. This is the second of

* Specifications current as of January 1998. three pages covering
the above model(s).
These specifications
continue onto the
next page.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 47
Healthcare Product Comparison System

Product Comparison Chart

MODEL MEGAMED MEGAMED MERCURY MEDICAL NORMECA
FAILED TO RESPOND *
Megamed 707 Mivolan ANODYNE CC MP-1 : MP-2

DISPLAYS Yes Yes Yes No

Number 4 10 1 NA
Type Green LED Red and green LED EL/ICE NA
Integrated Yes Yes Yes NA
Interface w/others No RS232 No NA
DATA INPUT Knobs Key Rotary mouse, No
hot keys
PRIORITIZED ALARMS No 3-level audio alarm Message form and No
audio
PHYSICAL FEATURES
H x W x D, cm (in) 137 x 59 x 63 145 x 57 x 78 146 x 103.9 x 67 43 x 35.5 x 24.5
(54 x 23.2 x 24.8) (57.1 x 22.4 x 30.7) (57.5 x 40.9 x 26.4) (16.9 x 14 x 9.6)

Weight, kg (lb) 120 (264.6) 138 (304.3) 170 (375) 6.6 (14.5) :
10.8 (23.8)
Shelves, cm 54 x 39 (1) 54 x 30 (1) 652" No : 19 x 36 (1)

Drawers, cm 38 x 39 (2) 47 x 36 (1) Not specified (4) No

Writing shelf, cm Optional Optional Not specified (yes) No

Installation Mobile Mobile On wheels Not specified

POWER REQUIRED, VAC 230 230 110/220 NA, pneumatic

Auxiliary outlets 4 4 4 NA
BACKUP BATTERY No Yes Yes NA, pneumatic
Type NA Lead acid Lead acid NA
Use per charge, hr NA 1 30 min NA
PURCHASE INFORMATION
Price Not specified Not specified Not specified Not specified

Warranty 1 year 1 year 1 year 1 year

Service contract Yes Yes Yes At variable cost

Delivery time, ARO Not specified Not specified Not specified 4-8 weeks
OTHER SPECIFICATIONS Proportional Microprocessor Fresh gas decoupled; Specially designed
flowmeter for O2 controlled; tidal volume cons- for use in field
(ORC); one bellows proportional flow- tant; compliance- hospitals and
type for adults and meter for O2 (ORC); compensated system similar locations;
children; pressure- one bellows type for and circuit; inte- MP-1 is a basic
controlled IPPV. adults and children; grated absorber/ draw-over machine;
Meets requirements SIMV and assist mode bellows; heated MP-2 includes by-
of DEKRA, IEC 601-1, ventilation patient module pass valve and
MedGV, SEV, TUV, and included. Meets (inspiratory/expira- rotameter box.
VDE. requirements of tory); autoclavable;
DEKRA, IEC 601-1, software driven; MS-
MedGV, SEV, TUV, and DOS-based ventilator
VDE. design; sample gas
recirculation inlet;
low-flow capability.
Meets requirements
of CSA and
UL 2101-1.

Colons separate data on similar models of a device.

* Specifications current as of January 1998.

48 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL NORMECA NORTH AMERICAN NORTH AMERICAN NORTH AMERICAN
FAILED TO RESPOND * DRAGER DRAGER DRAGER
MP-3 Fabius Julian Narkomed 6000

WHERE MARKETED Worldwide, except Worldwide, except Worldwide North America

North America North America
FDA CLEARANCE Not specified No Yes Yes
CE MARK (MDD) Not specified Yes Yes No
YEAR 2000 COMPLIANT Not specified Yes Yes Yes
PIPELINE GAS INLETS 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (2 O2, N2O or air)

GAS CYLINDER YOKES No 2 or 4 optional 2 (O2, N2O) 3 (2 O2, N2O or air)

(O2, N2O, air)
VAPORIZERS
Agents Halothane, Halothane, sevoflur- Halothane, sevoflur- Halothane, sevoflur-
enflurane, trilene, ane, enflurane, iso- ane, enflurane, iso- ane, enflurane, iso-
isoflurane flurane, desflurane flurane, desflurane flurane, desflurane
Type Variable bypass Variable bypass Variable bypass Variable bypass,
heated (desflurane)

Number 1 1 or 2 2 2 plus 1 in park

Interlock No NA Yes Yes
SUCTION SYSTEM Yes Optional Optional Optional
O2 FAIL-SAFE No Yes Yes Yes

HYPOXIC MIXTURE
FAIL-SAFE No Yes Yes Yes

AUTOMATIC VENTILATOR Yes Yes Yes Yes

Bellows Yes Yes Yes Piston unit

Size Adult/pediatric Adult/pediatric Adult/pediatric Adult/pediatric
Type Ascending, bag in Ascending Descending NA
bottle
Primary controls
Ventilation modes CMV IMV, manual, IMV, manual, Manual, spontaneous,
spontaneous spontaneous, PCV IPPV, PCV, SIMV
Tidal volume Yes Yes Yes Yes
Range, cc 50-1,500 50-1,400 50-1,400 10-1,400
Minute volume No Yes Yes Yes
Range, L/min NA Not specified Not specified Not specified

Frequency, bpm 6-40 6-60 6-60 6-80; 3-80 in SIMV

mode
Inspiratory flow,
L/min 0-50 75 maximum 5-75 5-75
I:E ratio 1:2 1:3 to 2:1 1:4 to 2:1 1:3 to 2:1

Inspiratory pause Not specified 5-50% of T1 0-50% of insp time 0-60%

Pressure-limit,
cm H2O 25-85 adjustable 10-70 10-70 10-80
PEEP, cm H2O 0-20 optional 0-15 variable 0-20 0-20
electronic
Other controls Float-type flowmeter None specified None specified SIMV rate

System checks No Pre-use system check Automated self-test, Pre-use leak/compli-

pre-use leak and ance test w/contin-
compliance test uous leak monitoring

Colons separate data on similar models of a device. This is the first of

* Specifications current as of January 1998. three pages covering
the above model(s).
These specifications
continue onto the
next two pages.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 49
Healthcare Product Comparison System

Product Comparison Chart

MODEL NORMECA NORTH AMERICAN NORTH AMERICAN NORTH AMERICAN
FAILED TO RESPOND * DRAGER DRAGER DRAGER
MP-3 Fabius Julian Narkomed 6000

SCAVENGING SYSTEM Optional AGSS, active AGSS, vacuum/exhaust Active, optional

passive
AUTO RECORD KEEPER No Optional Optional Optional
ANESTHESIA DATA
MANAGEMENT No Not specified Not specified Saturn Information
System
MONITORS
Airway pressure No Piezoresistive Piezoresistive Yes
Where measured NA System pressure Gas inlet Gas inlet
Hi-pressure alarm NA 5-78 mbar 5-98 mbar Yes

Subatmospheric
pressure alarm NA Yes Yes Yes

Continuing press
alarm NA Yes Yes Yes

Low pressure/apnea NA Yes Yes Apnea

Other press alarms NA None specified Sensor fault Sensor disconnect

Expiratory vol/flow No Yes Yes Yes

Type of sensor NA Not specified Hot-wire anemometer Ultrasonic
Where measured NA Not specified Expiratory limb Expiratory limb
Rate alarm NA Yes No Yes
Apnea alarm NA Yes Yes Yes

Reverse flow alarm NA No No Yes

High/low min vol NA Yes Yes Low minute volume
High/low flow NA No No No
Other expir alarms NA Sensor inoperation Flow sensor fault Sensor disconnect

O2 concentration No Yes Yes Yes

Type of sensor NA Galvanic cell Galvanic cell Galvanic cell
(fast O2)
Response time, sec NA Not specified <500 msec Not specified
CO2 concentration No Not specified Yes Yes
Apnea alarm NA Not specified Yes Yes
N2O No Not specified Yes Yes
Agent monitors No No Yes Yes
Type of agents NA NA Sevoflurane, enflur- Sevoflurane, enflur-
ane, halothane, iso- ane, halothane, iso-
flurane, desflurane flurane, desflurane
Auto ID NA NA Yes Yes
Agent conc alarm NA NA Yes Yes
ECG No No No No
Heart rate NA NA NA NA
ST segment NA NA NA NA
Noninvasive BP No No No No
Invasive BP No No No No
Temperature No No No No
Pulse oximeter No No No No
Other monitors No Optional No No

Other features None specified None specified Stored trends log, Stored trends log,
low fresh gas alarm, low fresh gas alarm,
compliance trend compliance trend

Colons separate data on similar models of a device. This is the second of

* Specifications current as of January 1998. three pages covering
the above model(s).
These specifications
continue onto the
next page.

50 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL NORMECA NORTH AMERICAN NORTH AMERICAN NORTH AMERICAN
FAILED TO RESPOND * DRAGER DRAGER DRAGER
MP-3 Fabius Julian Narkomed 6000

DISPLAYS No Yes Yes Yes

Number NA 1 Not specified 2
Type NA LCD Not specified LED, CRT, color LCD
Integrated NA Yes Yes Yes
Interface w/others NA Yes Yes Yes
DATA INPUT No Rotary knob, Rotary knob, Touchscreen,
softkeys softkeys rotary knob
PRIORITIZED ALARMS No Warning, caution, Warning, caution, Warning, caution,
advisory advisory advisory
PHYSICAL FEATURES
H x W x D, cm (in) 57 x 78 x 32 128 x 96 x 62 135 x 70 x 70 86.4 x 144.8 x 83.8
(22.4 x 30.7 x 12.6) (50.4 x 37.8 x 24.4) (53.1 x 27.5 x 27.5) (34 x 57 x 33)

Weight, kg (lb) 16 (35.3) 92 (202.9) 90 (198.5) 226.8 (500)

Shelves, cm 25 x 43 (1) 2 2 Not specified

Drawers, cm No 2 1 1

Writing shelf, cm No Not specified Not specified 1

Installation Not specified Mobile Mobile Mobile

POWER REQUIRED, VAC 230 100-240 90-265 100-240, 50/60 Hz

Auxiliary outlets None No 2 (opt power strip) 1

BACKUP BATTERY No Yes Yes Yes
Type NA Lead gel Lead gel Lead acid
Use per charge, hr NA 1.5 0.5 0.5
PURCHASE INFORMATION
Price Not specified Not specified Not specified Not specified

Warranty 1 year 1 year 1 year 1 year

Service contract At variable cost Yes Yes Yes

Delivery time, ARO 4-8 weeks 30 days 30 days 30 days

OTHER SPECIFICATIONS Specially designed Modular; Sample gas return Optimized for low-
for use in field electrically driven (not in USA); flow anesthesia;
hospitals and ventilator. automatic calibra- warmed breathing
similar locations; tion of all sensors; circuit; color
includes bypass compliance compensa- touchscreen monitor-
valve, rotameter tion; fresh-gas ing interface with
box, ventilator, decoupling; auto- flat navigation
bag in bottle, and matic leak detect- design;
suction unit. ions; circuit- centralized
compliance measure- alarm annuncia-
ment; electronic gas tion and control;
delivery. compliance compensa-
tion; fresh-gas de-
coupling; auto leak
detection; circuit-
compliance measure-
ment; integrated
calculator/timer.

Colons separate data on similar models of a device.

* Specifications current as of January 1998.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 51
Healthcare Product Comparison System

Product Comparison Chart

MODEL NORTH AMERICAN NORTH AMERICAN NORTH AMERICAN OXIGEL
DRAGER DRAGER DRAGER
Narkomed M Narkomed M/Mobile Narkomed MRI Model 2000

WHERE MARKETED Worldwide Worldwide Worldwide Africa, Latin

America
FDA CLEARANCE Yes Yes Yes No
CE MARK (MDD) No No No No
YEAR 2000 COMPLIANT Yes Yes Yes No
PIPELINE GAS INLETS 3 (O2, N2O, air) 3 (O2, N2O, air) 2 (O2, N2O); 3 opt 3 (O2, N2O, air)
(O2, N2O, air)
GAS CYLINDER YOKES 1 (O2) 2 (N2O and O2 or 2 (O2, N2O) 1 (O2)
2 O2)
VAPORIZERS
Agents Halothane, sevo- Halothane, sevo- Halothane, sevo- Halothane, sevo-
flurane, enflurane, flurane, enflurane, flurane, enflurane, flurane, isoflurane,
isoflurane isoflurane isoflurane enflurane
Type Variable bypass Variable bypass Variable bypass Thermocompensable

Number 1 1 1 2
Interlock NA NA NA Yes
SUCTION SYSTEM Optional Optional Optional Yes
O2 FAIL-SAFE Yes Yes Yes Servomatic type

HYPOXIC MIXTURE
FAIL-SAFE Yes Yes Yes SF-25

AUTOMATIC VENTILATOR Yes Yes Yes Yes

Bellows Yes Yes Yes Yes

Size Adult/pediatric Adult/pediatric Adult/pediatric Adult; others opt
Type Ascending Ascending Ascending Not specified

Primary controls
Ventilation modes IPPV, manual, IPPV, manual, IPPV, manual, Manual, mechanical/
spontaneous spontaneous spontaneous spontaneous
Tidal volume Yes Yes Yes Yes
Range, cc 50-1,500 20-1,500 50-1,500 0-1,000
Minute volume Yes Yes No Yes
Range, L/min Not specified Not specified Not specified 2-40

Frequency, bpm 1-99 1-99 1-99 Not specified

Inspiratory flow,
L/min 10-100 10-100 10-100 Not specified
I:E ratio 4:1 to 1:4.5 4:1 to 1:4.5 4:1 to 1:4.5 Not specified

Inspiratory pause Not specified Not specified No Not specified

Pressure-limit,
cm H2O 15-120 adjustable 15-120 adjustable 15-120 adjustable Not specified
PEEP, cm H2O 2-15 adjustable 2-15 adjustable No Not specified

Other controls None specified None specified None specified Retroillumination,

direct O2 (flush
button)

System checks Pre-use system check Pre-use system check None Manometers with
O2 alarm illuminated

Colons separate data on similar models of a device. This is the first of

three pages covering
the above model(s).
These specifications
continue onto the
next two pages.

52 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL NORTH AMERICAN NORTH AMERICAN NORTH AMERICAN OXIGEL
DRAGER DRAGER DRAGER
Narkomed M Narkomed M/Mobile Narkomed MRI Model 2000

SCAVENGING SYSTEM Active, optional Active, optional Active, optional Optional

passive passive passive
AUTO RECORD KEEPER Optional Optional Optional No
ANESTHESIA DATA
MANAGEMENT Not specified Not specified No No

MONITORS
Airway pressure Yes Yes Yes Yes (O2)
Where measured Absorber/Y-piece Absorber/Y-piece Absorber Not specified
Hi-pressure alarm Yes Yes Yes Not specified

Subatmospheric
pressure alarm Yes Yes Yes Not specified

Continuing press
alarm Yes Yes Yes Not specified

Low pressure/apnea Yes Yes Yes Not specified

Other press alarms Sensor disconnect Sensor disconnect Sensor disconnect None specified

Expiratory vol/flow Yes Yes Yes Not specified

Type of sensor Spiromed Ultrasonic Not specified Not specified
Where measured Expiratory limb Expiratory limb Expiratory limb Not specified
Rate alarm Yes Yes Yes Not specified
Apnea alarm Yes Yes D/P cell, expiratory Not specified
limb
Reverse flow alarm Yes Yes Yes Not specified
High/low min vol Low minute volume Low minute volume Low minute volume Not specified
High/low flow No No No Not specified
Other expir alarms Sensor disconnect Sensor disconnect Sensor disconnect None specified

O2 concentration Yes Yes Yes Not specified

Type of sensor Galvanic cell Galvanic cell Galvanic cell Not specified

Response time, sec Not specified Not specified Not specified Not specified
CO2 concentration Not specified Not specified No Not specified
Apnea alarm Not specified Not specified NA Not specified
N2O Not specified Not specified No Not specified
Agent monitors No No No Not specified
Type of agents NA NA NA Not specified

Auto ID NA NA NA Not specified

Agent conc alarm NA NA No Not specified
ECG No No No Not specified
Heart rate NA NA NA Not specified
ST segment NA NA NA Not specified
Noninvasive BP No No No Not specified
Invasive BP No No No Not specified
Temperature No No No Not specified
Pulse oximeter No No No Not specified
Other monitors None specified None specified None specified None specified

Other features None specified None specified None specified None specified

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Healthcare Product Comparison System

Product Comparison Chart

MODEL NORTH AMERICAN NORTH AMERICAN NORTH AMERICAN OXIGEL
DRAGER DRAGER DRAGER
Narkomed M Narkomed M/Mobile Narkomed MRI Model 2000

DISPLAYS Yes Yes Yes No

Number 2 2 2 NA
Type LED, EL LED, EL LCD, LED NA
Integrated Yes Yes Yes NA
Interface w/others Yes Yes Yes NA
DATA INPUT Touchpanel, knobs Touchpanel, knobs Touchpanel, knobs No

PRIORITIZED ALARMS Warning, caution, Warning, caution, Warning, caution, Not specified
advisory advisory advisory
PHYSICAL FEATURES
H x W x D, cm (in) 53 x 128 x 41 60 x 136 x 62 80 x 135.2 x 68.6 145 x 68 x 58
(20.9 x 50.4 x 16.1) (23.6 x 53.5 x 24.4) (31.5 x 53.2 x 27) (57 x 26.8 x 22.8)

Weight, kg (lb) 47 (103.6) 74 (163.2) 90.7 (200) 97 (214)

Shelves, cm 1 1 2 Not specified

Drawers, cm Basket 1 Not specified Not specified

Writing shelf, cm Not specified Not specified Not specified Not specified

Installation Mobile Mobile Mobile Not specified

POWER REQUIRED, VAC 100-240, 50/60 Hz 100-240, 50/60 Hz 100-120, 200-240, 110, 220
50/60 Hz
Auxiliary outlets No No No 4
BACKUP BATTERY Yes Yes Yes No
Type Lead acid Lead acid Lead acid NA
Use per charge, hr 90 min 90 min 6 NA
PURCHASE INFORMATION
Price Not specified Not specified Not specified $7,100

Warranty 5 years, limited 1 year 1 year 1.5 years

Service contract Yes Yes Yes No

Delivery time, ARO 30 days 30 days 30 days 30 days

OTHER SPECIFICATIONS Tippable and spill- Venturi technology; Electronic ventila- None specified.
proof vaporizer; O2/air selector tor; VPO monitor;
detigned to be switch allows for integrated main
disassembled and O2-only or air-only switch; no distance
shipped in cases. operation. limitations.

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 Anesthesia Units

Product Comparison Chart

MODEL PENLON PENLON PENLON PENLON

MRI IM 500 PRIMA 100 PRIMA 101 PRIMA 102

WHERE MARKETED Worldwide Worldwide Worldwide Worldwide

FDA CLEARANCE Not specified No Submitted Submitted

CE MARK (MDD) Not specified Yes Yes Yes
YEAR 2000 COMPLIANT Not specified Yes Yes Yes
PIPELINE GAS INLETS 2, 3, or 4 (O2, 2 or 3 (O2, N2O, 2, 3, or 4 (O2, 2, 3, or 4 (O2,
N2O, air, CO2) air, CO2) N2O, air, CO2) N2O, air, CO2)
GAS CYLINDER YOKES 4 maximum 2 maximum 3 maximum 5 maximum

VAPORIZERS
Agents Halothane, sevo- Halothane, sevo- Halothane, sevo- Halothane, sevo-
flurane, isoflurane, flurane, isoflurane, flurane, isoflurane, flurane, isoflurane,
enflurane enflurane enflurane enflurane
Type Plenum Plenum Plenum Plenum

Number 1, 2, or 3 1, 2, or 3 1, 2, or 3 1, 2, or 3
Interlock Yes Yes Yes Yes
SUCTION SYSTEM Optional Optional Optional Optional
O2 FAIL-SAFE Yes Yes Yes Yes

HYPOXIC MIXTURE
FAIL-SAFE Mechanical Mechanical Mechanical, paramag- Mechanical, paramag-
netic, or fuel cell netic, fuel cell
AUTOMATIC VENTILATOR Optional (V200) Optional (AV800) * Optional (AV800) * Optional (AV800) *

Bellows No No Yes Yes

Size NA NA Adult/pediatric Adult/pediatric
Type NA NA Ascending Ascending

Primary controls
Ventilation modes Flow, inspir/exp Flow, inspir/exp Volume, pressure Volume, pressure
time time
Tidal volume Yes Yes Yes Yes
Range, cc 10-2,000 (adult) 50-2,000 (adult) 20-1,600 (adult) 20-1,600 (adult)
Minute volume 1-30 1-30 No No
Range, L/min Not specified Not specified NA NA

Frequency, bpm 10-125 10-125 4-60 4-60

Inspiratory flow,
L/min 0.25-1 L/sec 0.25-1 L/sec NA NA
I:E ratio Variable Variable 1:0.3 to 1:6 1:0.3 to 1:6

Inspiratory pause No No 25% Ti 25% Ti

Pressure-limit,
cm H2O 60 set 60 set 10-70 adjustable 10-70 adjustable
PEEP, cm H2O Optional Optional 0-20 optional Optional 0-20

Other controls None specified None specified Standby, spontan- Standby, spontan-
eous mode, print eous mode, print
button, spirometry button, spirometry

System checks None specified None specified Ventilator self-test Ventilator self-test

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Healthcare Product Comparison System

Product Comparison Chart

MODEL PENLON PENLON PENLON PENLON

MRI IM 500 PRIMA 100 PRIMA 101 PRIMA 102

SCAVENGING SYSTEM Optional vacuum or Optional vacuum or Optional vacuum or Optional vacuum or
exhaust exhaust exhaust exhaust
AUTO RECORD KEEPER No No No No
ANESTHESIA DATA
MANAGEMENT Optional Optional Optional Optional

MONITORS
Airway pressure Yes Yes Yes Yes
Where measured Inspiratory limb Inspiratory limb Inspiratory limb Inspiratory limb
Hi-pressure alarm Yes Yes Variable Variable

Subatmospheric
pressure alarm Yes Yes Yes Yes

Continuing press
alarm Yes Yes Yes Yes

Low pressure/apnea Yes Yes Yes Yes

Other press alarms No Yes Yes Yes

Expiratory vol/flow No No Yes Yes

Type of sensor NA NA Differential press Differential press
Where measured NA NA Expiratory limb Expiratory limb
Rate alarm NA NA No No
Apnea alarm NA NA Yes Yes

Reverse flow alarm No No Yes Yes

High/low min vol NA NA Yes Yes
High/low flow NA NA Yes Yes
Other expir alarms No No No No

O2 concentration Optional Optional Yes Yes

Type of sensor Accessory Accessory Paramagnetic, Paramagnetic,
fuel cell fuel cell
Response time, sec Not specified Not specified 10-20 10-20
CO2 concentration No No No No
Apnea alarm NA NA NA No
N2O No No No No
Agent monitors No No No No
Type of agents NA NA NA NA

Auto ID NA NA NA NA
Agent conc alarm NA NA NA NA
ECG Not specified Not specified Not specified Not specified
Heart rate Not specified Not specified Not specified Not specified
ST segment Not specified Not specified Not specified Not specified
Noninvasive BP Not specified Not specified Not specified Not specified
Invasive BP Not specified Not specified Not specified Not specified
Temperature Not specified Not specified Not specified Not specified
Pulse oximeter Not specified Not specified Not specified Not specified
Other monitors None specified None specified None specified None specified

Other features None specified None specified None specified None specified

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 Anesthesia Units

Product Comparison Chart

MODEL PENLON PENLON PENLON PENLON

MRI IM 500 PRIMA 100 PRIMA 101 PRIMA 102

DISPLAYS Not specified Not specified AV800 O2 monitor AV800 O2 monitor

Number Not specified Not specified 2 2
Type Not specified Not specified LED LED
Integrated Not specified Not specified Modular Modular
Interface w/others Not specified Not specified Spacelabs, others Spacelabs, others
DATA INPUT No No No No

PRIORITIZED ALARMS No No Yes Yes

PHYSICAL FEATURES
H x W x D, cm (in) Not specified 148 x 62 x 23 148 x 45 x 62 148 x 58 x 62
(58.3 x 24.4 x 9.1) (58.3 x 17.7 x 24.4) (58.3 x 22.8 x 24.4)

Weight, kg (lb) Not specified 30 (66.2) 70 (154.4) 75 (165.4)

Shelves, cm None None 48 x 40, 24 x 32 61 x 40, 37 x 32

(3), 45 x 37 (3), 61 x 37
Drawers, cm None None 15 x 38 x 43 (3 max) 15 x 38 x 43 (3 max)

Writing shelf, cm None 22 x 30 (1) 22 x 30 (1) 22 x 30 (1)

Installation Not specified Wall-mounted rail Mobile Mobile

POWER REQUIRED, VAC Not specified Not specified 110/240, universal 110/240, universal
power supply power supply
Auxiliary outlets 4 4 4 4
BACKUP BATTERY None No Yes Yes
Type NA NA Sealed lead-acid Sealed lead-acid
Use per charge, hr NA NA 0.5 0.5
PURCHASE INFORMATION
Price Not specified Not specified Not specified Not specified

Warranty 1 year 1 year 1 year 1 year

Service contract Yes Yes Yes Yes

Delivery time, ARO 4-8 weeks 4-8 weeks 4-8 weeks 4-8 weeks
OTHER SPECIFICATIONS Modular system with Modular system with Modular system with Modular system with
monitoring options; monitoring options; monitoring options; monitoring options;
options include options include options include options include
vaporizer, A100 vaporizer, A100 vaporizer, A100 vaporizer, A100
absorber, coaxial absorber, coaxial absorber, coaxial absorber, coaxial
circuits, IV pole, circuits, IV pole, circuits, IV pole, circuits, IV pole,
cable management cable management cable management cable management
system, suction system, suction system, suction system, suction
regulator and regulator and regulator and regulator and
receivers. Meets the receivers. Meets the receivers. Meets the receivers. Meets the
requirements of BS, requirements of BS, requirements of BS, requirements of BS,
CSA, DIN, ISO, CSA, DIN, ISO, CSA, DIN, ISO, CSA, DIN, ISO,
JIS, and TUV. JIS, and TUV. JIS, and TUV. JIS, and TUV.

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Healthcare Product Comparison System

Product Comparison Chart

MODEL PENLON ROYAL MEDICAL ROYAL MEDICAL ROYAL MEDICAL

PRIMA 103 Delta Multiplus Royal 77

WHERE MARKETED Worldwide Worldwide Worldwide Worldwide

FDA CLEARANCE Submitted Submitted Submitted Submitted

CE MARK (MDD) Yes Submitted Submitted Submitted
YEAR 2000 COMPLIANT Yes Yes Yes Yes
PIPELINE GAS INLETS 2, 3, or 4 (O2, 3 (O2, N2O, air) 2 (O2, N2O) 2 (O2, N2O)
N2O, air, CO2)
GAS CYLINDER YOKES 5 max 4 max optional 2 max 4 max optional

VAPORIZERS
Agents Halothane, sevo- Halothane, sevo- Halothane, sevo- Halothane, sevo-
flurane, enflurane, flurane, enflurane, flurane, enflurane, flurane, enflurane,
isoflurane isoflurane isoflurane isoflurane
Type Plenum Variable bypass Variable bypass Variable bypass

Number 1, 2, or 3 2 or 3 1 or 2 optional 2 or 3
Interlock Yes Yes Yes Optional
SUCTION SYSTEM Optional Optional Optional Optional
O2 FAIL-SAFE Yes Audible alarm Audible alarm Audible alarm

HYPOXIC MIXTURE
FAIL-SAFE Mechanical, paramag- Oxygen ratio Oxygen ratio Oxygen ratio
netic, fuel cell controller controller controller
AUTOMATIC VENTILATOR Optional (AV800) * Yes Yes Yes

Bellows Yes Yes Yes Yes

Size Adult/pediatric Adult/pediatric Adult/pediatric Adult/pediatric
Type Ascending Ascending, bag in Ascending, bag in Ascending, bag in
bottle bottle bottle
Primary controls
Ventilation modes Volume, pressure CMV, manual CMV, manual CMV, manual

Tidal volume Yes Yes Yes Yes

Range, cc 20-1,600 (adult) 100-1,500; 0-300 ped 100-1,500; 0-300 ped 100-1,500; 0-300 ped
Minute volume No No No No
Range, L/min NA NA NA NA

Frequency, bpm 4-60 10-80 10-80 10-80

Inspiratory flow,
L/min NA Not specified Not specified Not specified
I:E ratio 1:0.3 to 1:6 1:1 to 1:3 1:1 to 1:3 1:1 to 1:3

Inspiratory pause 25% Ti Not specified No Not specified

Pressure-limit,
cm H2O 10-70 adjustable 0-99 0-99 0-99
PEEP, cm H2O Optional 0-20 0-30 0-30 0-30

Other controls Standby, spontan- Float-type flowmeter Float-type flowmeter Float-type flowmeter
eous mode, print
button, spirometry

System checks Ventilator self-test Tidal volume compli- Tidal volume compli- Tidal volume compli-
ance, pre-use check ance, pre-use check ance, pre-use check
for leaks for leaks for leaks

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 Anesthesia Units

Product Comparison Chart

MODEL PENLON ROYAL MEDICAL ROYAL MEDICAL ROYAL MEDICAL

PRIMA 103 Delta Multiplus Royal 77

SCAVENGING SYSTEM Optional vacuum or Active or passive Active or passive Active or passive
exhaust
AUTO RECORD KEEPER No No No No
ANESTHESIA DATA
MANAGEMENT Optional No No No

MONITORS
Airway pressure Yes No No No
Where measured Inspiratory limb NA NA NA
Hi-pressure alarm Variable NA NA NA

Subatmospheric
pressure alarm Yes NA NA NA

Continuing press
alarm Yes NA NA NA

Low pressure/apnea Yes NA NA NA

Other press alarms Yes NA NA NA

Expiratory vol/flow Yes No No No

Type of sensor Differential press NA NA NA
Where measured Expiratory limb NA NA NA
Rate alarm No NA NA NA
Apnea alarm Yes NA NA NA

Reverse flow alarm Yes NA NA NA

High/low min vol Yes NA NA NA
High/low flow Yes NA NA NA
Other expir alarms No NA NA NA

O2 concentration Yes No No No
Type of sensor Paramagnetic, fuel NA NA NA
cell
Response time, sec 10-20 NA NA NA
CO2 concentration No No No No
Apnea alarm NA NA NA NA
N2O No No No No
Agent monitors No No No No
Type of agents NA NA NA NA

Auto ID NA NA NA NA
Agent conc alarm NA NA NA NA
ECG Not specified No No No
Heart rate Not specified NA NA NA
ST segment Not specified NA NA NA
Noninvasive BP Not specified No No No
Invasive BP Not specified No No No
Temperature Not specified No No No
Pulse oximeter Not specified No No No
Other monitors None specified No No No

Other features None specified None None None

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Healthcare Product Comparison System

Product Comparison Chart

MODEL PENLON ROYAL MEDICAL ROYAL MEDICAL ROYAL MEDICAL

PRIMA 103 Delta Multiplus Royal 77

DISPLAYS AV800 O2 monitor Yes Yes Yes

Number 2 1 1 1
Type LED LED LED LED
Integrated Modular Yes Yes Yes
Interface w/others Spacelabs, others No No No
DATA INPUT No Knobs, keys Knobs, keys Knobs, keys

PRIORITIZED ALARMS Yes Not specified Not specified Not specified

PHYSICAL FEATURES
H x W x D, cm (in) 148 x 70 x 62 159 x 64 x 68.5 142 x 45 x 60 138 x 62.5 x 23.6
(58.3 x 27.5 x 24.4) (62.6 x 25.2 x 27) (55.9 x 17.7 x 23.6) (54.3 x 24.6 x 9.29)

Weight, kg (lb) 80 (176) 130 (286.7) 100 (220.5) 100 (220.5)

Shelves, cm 72 x 40 x 48 x 32 Not specified 30 x 40 Not specified

(3), 72 x 37
Drawers, cm 15 x 38 x 43 (3 max) Not specified 15 x 40 (2) Not specified

Writing shelf, cm 22 x 30 (1) Not specified No Not specified

Installation Mobile; can be Not specified Mobile Mobile

wall-mounted
POWER REQUIRED, VAC 110/240, universal Not specified Not specified Not specified
power supply
Auxiliary outlets 4 4 None 2
BACKUP BATTERY Yes Yes Yes Yes
Type Sealed lead-acid Lead acid Lead acid Lead acid
Use per charge, hr 0.5 1 1 1
PURCHASE INFORMATION
Price Not specified Not specified Not specified Not specified

Warranty 1 year 1 year 1 year 1 year

Service contract Yes Yes Yes Yes

Delivery time, ARO 4-8 weeks 30 days 30 days 30 days

OTHER SPECIFICATIONS Modular system with None specified. None specified. None specified.
monitoring options;
options include
vaporizer, A100
absorber, coaxial
circuits, IV pole,
cable management
system, suction
regulator and
receivers. Meets the
requirements of BS,
CSA, DIN, ISO,
JIS, and TUV.

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60 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL ROYAL MEDICAL SAMED SIARE SIARE

Roytech Anesthesia Unit PERSEO Pulmotron

WHERE MARKETED Worldwide Worldwide, except Worldwide, except Worldwide, except

USA USA USA
FDA CLEARANCE Submitted No Not specified Not specified
CE MARK (MDD) Submitted Submitted Not specified Not specified
YEAR 2000 COMPLIANT Yes No Not specified Not specified
PIPELINE GAS INLETS 3 (O2, N2O, air) 2 or 3 3 (O2, N2O, air) 3 (O2, N2O, air)

GAS CYLINDER YOKES 4 max optional 2 2 (O2, N2O) 2 (O2, N2O)

VAPORIZERS
Agents Halothane, sevo- Halothane, Sevoflurane, enflur- Sevoflurane, enflur-
flurane, enflurane, enflurane, ane, halothane, iso- ane, halothane, iso-
isoflurane isoflurane flurane, desflurane flurane, desflurane
Type Variable bypass Variable bypass Variable bypass Variable bypass

Number 2 or 3 3 maximum 1, 2 1
Interlock Optional Yes Optional No
SUCTION SYSTEM Optional Optional Optional Optional
O2 FAIL-SAFE Audible alarm Audible Audible Audible and visual

HYPOXIC MIXTURE
FAIL-SAFE Yes No Audible and visual Audible and visual

AUTOMATIC VENTILATOR Yes Yes VR 2000 Yes

Bellows Yes Yes Yes Yes

Size Adult/pediatric Adult/pediatric Adult/pediatric Adult/pediatric
Type Ascending, bag in Ascending Horizontal Ascending
bottle
Primary controls
Ventilation modes CMV, manual IMV, manual, Manual, IPPV, SMV, Manual, IPPV,
electronic assisted IPPV assisted IPPV
Tidal volume Yes Yes Yes Yes
Range, cc 0-1,500 0-1,500 50-1,500 5-160; 100-1,500
Minute volume No Yes No Yes
Range, L/min NA 3-30 NA 0.2-20

Frequency, bpm 10-80 6-60 0-99 5-99

Inspiratory flow,
L/min Not specified 3-75 1-90 0.2-70
I:E ratio 1:1 to 1:3 1:4 to 2:1 1:4 to 4:1 1:4 to 4:1

Inspiratory pause Not specified No Yes Not specified

Pressure-limit,
cm H2O 0-99 70 adjustable 0-100 0-80 adjustable
PEEP, cm H2O 0-30 0-15 0-20 variable 0-20 optional,
variable
Other controls Float-type flowmeter Float-type flowmeter Trigger, effort Trigger, effort,
and manometer electronic flow
control

System checks Tidal volume compli- Block N2O, audible No Pre-use

ance, pre-use check alarm, patient dis-
for leaks connect, stenosis

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Healthcare Product Comparison System

Product Comparison Chart

MODEL ROYAL MEDICAL SAMED SIARE SIARE

Roytech Anesthesia Unit PERSEO Pulmotron

SCAVENGING SYSTEM Active or passive Optional, venturi, Active optional Optional active
O2 pump
AUTO RECORD KEEPER No No No No
ANESTHESIA DATA
MANAGEMENT No No No No

MONITORS
Airway pressure No Analogic Electronic Electronic
Where measured NA Not specified Y-piece Y-piece
Hi-pressure alarm NA Yes 0-100 cm H2O 0-80 cm H2O

Subatmospheric
pressure alarm NA No No No

Continuing press
alarm NA Yes No No

Low pressure/apnea NA Not specified Yes Yes

Other press alarms NA None specified No No

Expiratory vol/flow No Electronic Optional Yes

Type of sensor NA Not specified Electronic Electronic
Where measured NA Not specified Expiratory limb Expiratory limb
Rate alarm NA Yes No No
Apnea alarm NA Optional Yes Yes

Reverse flow alarm NA No No No

High/low min vol NA Not specified Yes Yes
High/low flow NA Not specified No No
Other expir alarms NA No No No

O2 concentration No Yes Yes Yes

Type of sensor NA Not specified Galvanic cell Galvanic cell

Response time, sec NA Not specified Not specified Not specified

CO2 concentration No Yes Optional Optional
Apnea alarm NA Optional Yes Yes
N2O No No Optional Optional
Agent monitors No Yes Optional Optional
Type of agents NA Halothane, ethrane, Sevoflurane, enflur- Sevoflurane, enflur-
forane ane, halothane, iso- ane, halothane, iso-
flurane, desflurane flurane, desflurane
Auto ID NA No Yes Yes
Agent conc alarm NA Not specified Yes Yes
ECG No No Yes Yes
Heart rate NA NA Yes Yes
ST segment NA NA Yes Yes
Noninvasive BP No Oscillometric Yes Yes
Invasive BP No Yes Optional Optional
Temperature No Yes (probe YSI) Optional Optional
Pulse oximeter No Not specified Yes Yes
Other monitors No None specified None specified None specified

Other features None None specified None specified None specified

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 Anesthesia Units

Product Comparison Chart

MODEL ROYAL MEDICAL SAMED SIARE SIARE

Roytech Anesthesia Unit PERSEO Pulmotron

DISPLAYS Yes Not specified Optional Yes

Number 1 Not specified 1 1
Type LED Not specified LCD LCD
Integrated Yes Not specified Yes Yes
Interface w/others No Not specified No No
DATA INPUT Knobs, keys Not specified Knobs, keyboard Knobs, keyboard

PRIORITIZED ALARMS Not specified Not specified No Yes

PHYSICAL FEATURES
H x W x D, cm (in) Not specified 53 x 53 x 170 63 x 153 x 69 140 x 65 x 65
(20.9 x 20.9 x 67) (24.8 x 60.2 x 27.2) (55.1 x 25.6 x 25.6)

Weight, kg (lb) Not specified 75-140 (165-309) 70 (154) 70 (154)

Shelves, cm Not specified 50 x 35 (3) 50 x 37 45 x 13 x 20 (3)

Drawers, cm Not specified 41 x 33 x 14.2 48 x 40 x 25 40 x 30 (2)

Writing shelf, cm Not specified Not specified No 42 x 25

Installation Mobile Mobile (on wheels) Mobile, pendant Mobile, pendant

POWER REQUIRED, VAC Not specified 110-220 110/220 110/220

Auxiliary outlets 4 Yes No No

BACKUP BATTERY Yes No Yes Yes
Type Lead acid NA Lead acid Lead acid
Use per charge, hr 1 NA 4 4
PURCHASE INFORMATION
Price Not specified ~ITL 16,000,000 Not specified Not specified
(US$8,880)

Warranty 1 year 1 year 1 year 1 year

Service contract Yes Yes Yes Yes

Delivery time, ARO 30 days 30 days 20-30 days 20-30 days

OTHER SPECIFICATIONS None specified. Absorber; electrical Low-flow system. Electronic flowmeter
failure alarm; Meets box; designed for
structure entirely requirements of adults and infants;
in stainless steel. IEC 601-1. 24 different alarms;
Complies with IEC 2 microprocessors.
601. Meets requirements
of IEC 601-1.

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Healthcare Product Comparison System

Product Comparison Chart

MODEL SIARE SIEMENS SIEMENS SIEMENS

Ulisse 710 KION Servo Anesthesia

System 900 C/D
WHERE MARKETED Worldwide, except Worldwide, except Canada, Europe Worldwide
USA USA
FDA CLEARANCE Not specified No No Yes
CE MARK (MDD) Not specified Yes Yes Yes
YEAR 2000 COMPLIANT Not specified Yes Yes Yes
PIPELINE GAS INLETS 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (O2, N2O, air)

GAS CYLINDER YOKES 2 (O2, N2O) 4 (2 O2, N2O, air) 4 (2 O2, N2O, air) 4 (2 O2, N2O, air)

VAPORIZERS
Agents Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur-
ane, halothane, iso- ane, halothane, iso- ane, halothane, ane, halothane,
flurane, desflurane flurane, desflurane isoflurane isoflurane
Type Variable bypass Not specified Injection vaporizer Injection vaporizer

Number 1 2 3 4*
Interlock No Yes Yes NA
SUCTION SYSTEM Optional Optional Optional Optional
O2 FAIL-SAFE Audible Yes Audible and visual Yes
alarm
HYPOXIC MIXTURE
FAIL-SAFE Audible and visual Yes Continuous monitor Yes
with audible alarm
AUTOMATIC VENTILATOR Yes Yes Yes Yes

Bellows Yes Yes Yes No

Size Adult/pediatric Adult/pediatric Adult/ped/neonate NA
Type Horizontal Neutral Ascending, bag in NA
bottle
Primary controls
Ventilation modes Manual, IPPV, IMV, Manual, volume con- Manual, PRVC, volume Manual, SIMV, volume
SIMV, assisted IPPV trol, spontaneous & pressure control ** & pressure control
Tidal volume Yes No Yes Not specified
Range, cc 50-1,500 NA 20-1,500 Not specified
Minute volume No Yes Yes Yes
Range, L/min NA 2,000-18,000 0.5-45 0.5-40

Frequency, bpm 5-99 6-60 6-99 5-120

Inspiratory flow,
L/min 1-90 4-72 180 max 0.5-96
I:E ratio 1:4 to 4:1 1:3, 1:2, 1:1 1:3 to 4:1 4:1 to 1:4

Inspiratory pause Yes Yes Yes Yes

Pressure-limit,
cm H2O 1-100 adjustable 0-100 adjustable 0-90 adjustable 20-120 adjustable ***
PEEP, cm H2O 0-20 variable 2-20 adjustable 0-20 0-50 variable,
electronic
Other controls Trigger, effort Float-type flowmeter Gas mixture and Expiratory pause,
total fresh gas flow pressure support
selectors, electr-
onic flowmeters
System checks No None specified Leakage, circuit None specified
compliance, volume
compensation

Colons separate data on similar models of a device. This is the first of

* 1 vaporizer connected to the ventilator and up to 3 in parking. three pages covering
** Also volume and pressure support. the above model(s).
*** The pressure-limit valve opens for exhalation when needed. These specifications
continue onto the
next two pages.

64 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL SIARE SIEMENS SIEMENS SIEMENS

Ulisse 710 KION Servo Anesthesia

System 900 C/D
SCAVENGING SYSTEM Optional active Vacuum and/or Vacuum and/or Vacuum and/or
exhaust exhaust exhaust
AUTO RECORD KEEPER No No Optional Optional
ANESTHESIA DATA
MANAGEMENT No No Yes Yes

MONITORS
Airway pressure Electronic Yes Yes Yes
Where measured Y-piece Inspiratory limb Insp and exp limbs Insp and exp limbs
Hi-pressure alarm 0-100 cm H2O Yes Yes Yes

Subatmospheric
pressure alarm No No No No

Continuing press
alarm No No Yes Yes

Low pressure/apnea Yes Yes Yes Yes

Other press alarms No None specified High/low gas None specified
cylinder pressures
Expiratory vol/flow Yes Yes Yes Yes
Type of sensor Electronic Electronic Electronic Electronic
Where measured Expiratory limb Circuit Circuit & exp limb Expiratory limb
Rate alarm No No No No
Apnea alarm Yes Yes Yes Yes

Reverse flow alarm No Yes No No

High/low min vol Yes Yes Yes Yes
High/low flow No Yes Yes Yes
Other expir alarms No None specified High/low O2 High/low O2
concentration concentration
O2 concentration Yes Yes Yes Yes
Type of sensor Galvanic cell Galvanic cell Paramagnetic Galvanic cell

Response time, sec Not specified Not specified Not specified Not specified
CO2 concentration Optional See footnote * Yes See footnote *
Apnea alarm Yes Not specified Yes Not specified
N2O Optional Not specified Yes Not specified
Agent monitors Optional See footnote * Yes See footnote *
Type of agents Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur- Sevoflurane, enflur-
ane, halothane, iso- ane, halothane, iso- ane, halothane, ane, halothane,
flurane, desflurane flurane isoflurane isoflurane
Auto ID Yes See footnote * Yes See footnote *
Agent conc alarm Yes See footnote * Yes See footnote *
ECG Yes See footnote * Yes See footnote *
Heart rate Yes See footnote * Yes See footnote *
ST segment Yes See footnote * Yes See footnote *
Noninvasive BP Yes See footnote * Yes See footnote *
Invasive BP Optional See footnote * Yes See footnote *
Temperature Optional See footnote * Yes See footnote *
Pulse oximeter Yes Not specified Yes Not specified
Other monitors None specified Cardiac output, resp Cardiac output, resp Cardiac output, resp
loops, tcO2, tcCO2 loops, tcO2, tcCO2 loops, tcO2, tcCO2
Other features None specified Stored trends, up to Stored trends, up to Stored trends, up to
8 channels of hemo- 8 channels of hemo- 8 channels of hemo-
dynamic monitoring dynamic monitoring dynamic monitoring

Colons separate data on similar models of a device. This is the second of

* SIRECUST SC9000/SC7000. three pages covering
the above model(s).
These specifications
continue onto the
next page.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 65
Healthcare Product Comparison System

Product Comparison Chart

MODEL SIARE SIEMENS SIEMENS SIEMENS

Ulisse 710 KION Servo Anesthesia

System 900 C/D
DISPLAYS Yes See footnote * Yes See footnote *
Number 1 1 1; 2 optional 1
Type LCD LCD, color, TFT TFT, color LCD, color, TFT
Integrated Yes Optional Yes Optional
Interface w/others No Yes Yes Yes
DATA INPUT Knobs, keyboard Turnknob Knobs Turnknob

PRIORITIZED ALARMS No Yes 3 (emergency, Yes

serious, advisory)
PHYSICAL FEATURES
H x W x D, cm (in) 164 x 77 x 70 180 x 70 x 65 164 x 70 x 59 180 x 70 x 65
(64.6 x 30.3 x 27.6) (70.9 x 27.6 x 25.6) (64.6 x 27.6 x 23.2) (70.9 x 27.6 x 25.6)
or 170 x 55 x 50
(66.9 x 21.6 x 19.7)
Weight, kg (lb) 150 (330) 100-160 180 (396) 100-155
(220.5-352.8) (220.5-341.8)
Shelves, cm 51 x 31 (1) 49 x 45 (1-3); 60 x 48 (1); 63 x 45 (1-3)
63 x 45 (1-3) 43 x 33 (1)
Drawers, cm 17 x 48 x 40 (2) 49 x 8 (1); 49 x 12 45 x 40 x 12 (1) 63 x 8; 63 x 12;
(1); 49 x 20 (1) 63 x 25 (1-5)
Writing shelf, cm 51 x 31 (1) 49 x 45 (1); 70 x 59 (1) 63 x 49 (1)
63 x 49 (1)
Installation Mobile, pendant Mobile Mobile Mobile

POWER REQUIRED, VAC 110/220 100/110, 220/240, 100-240, 50/60 Hz 100, 110, 220, 240,
50/60 Hz 50/60 Hz
Auxiliary outlets No 4 optional 4 optional 4 optional
BACKUP BATTERY No Yes Yes Yes
Type NA Lead acid Lead acid Lead acid
Use per charge, hr NA 1 2 1
PURCHASE INFORMATION
Price Not specified Not specified Not specified Not specified

Warranty 1 year 1 year 1 year 1 year

Service contract Yes Yes Yes Yes

Delivery time, ARO 20-30 days Not specified Not specified Not specified
OTHER SPECIFICATIONS Low-flow system. Close-attached Modular system; same Servo feedback
Meets requirements breathing system bellows used for control of volume
of IEC 601-1. with low compression adults and children. and pressure;
volume; optional pressure support and
agent monitoring. control; assist
(900 C), volume, and
manual control
modes; computer
interface (print,
plot, and trend);
optional lung
mechanics calculator
(compliance and
resistance); agent
monitoring.

Colons separate data on similar models of a device.

* SIRECUST SC9000/SC7000.

66 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL SIMS PNEUPAC SIMS PNEUPAC SIMS PNEUPAC SIMS PNEUPAC

110 330 : 550 770 880 MRI

WHERE MARKETED Worldwide, except Worldwide, except Worldwide, except Worldwide, except
USA USA USA USA
FDA CLEARANCE No No No No
CE MARK (MDD) Yes Yes Yes Yes
YEAR 2000 COMPLIANT Yes Yes Yes Yes
PIPELINE GAS INLETS 2 (O2, N2O) 3 (O2, N2O, air) 3 (O2, N2O, air) 3 (O2, N2O, air)

GAS CYLINDER YOKES No 4 (O2, N2O) No 3 (O2, N2O, air)

VAPORIZERS
Agents Halothane, sevo- Halothane, sevo- Halothane, sevo- Halothane, sevo-
flurane, isoflurane, flurane, isoflurane, flurane, isoflurane, flurane, isoflurane,
enflurane enflurane enflurane enflurane
Type Variable bypass Variable bypass Variable bypass Variable bypass

Number 1 max 1 max : 2 max 2 max 1 max w/opt parking

Interlock NA NA : Yes Yes NA
SUCTION SYSTEM Optional Optional Optional Optional
O2 FAIL-SAFE Audio and visual Audio and visual Audio and visual Audio and visual

HYPOXIC MIXTURE
FAIL-SAFE Yes Yes Yes Yes

AUTOMATIC VENTILATOR Optional Optional Optional Optional

Bellows Optional Optional Optional Optional

Size 350 or 1,500 mL 350 or 1,500 mL 350 or 1,500 mL 350 or 1,500 mL
Type Ascending, bag in Ascending bag in Ascending, bag in Ascending, bag in
bottle bottle bottle bottle
Primary controls
Ventilation modes CMV, manual CMV, manual CMV, manual CMV, manual

Tidal volume No No No No
Range, cc 5-2,000 5-2,000 5-2,000 5-2,000
Minute volume No No No No
Range, L/min NA NA NA NA

Frequency, bpm 5-50; 8-60 5-50; 8-60 5-50; 8-60 5-50; 8-60

Inspiratory flow,
L/min 0-60 0-60 0-60 0-60
I:E ratio Infinitely Infinitely Infinitely Infinitely
adjustable adjustable adjustable adjustable
Inspiratory pause No No No No
Pressure-limit,
cm H2O 60 60 60 60
PEEP, cm H2O Optional Optional Optional Optional

Other controls None APL valve APL valve APL valve

System checks None specifed None specified None specifed None specified

Colons separate data on similar models of a device. This is the first of

three pages covering
the above model(s).
These specifications
continue onto the
next two pages.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 67
Healthcare Product Comparison System

Product Comparison Chart

MODEL SIMS PNEUPAC SIMS PNEUPAC SIMS PNEUPAC SIMS PNEUPAC

110 330 : 550 770 880 MRI

SCAVENGING SYSTEM No Optional Optional Optional

AUTO RECORD KEEPER No No No No

ANESTHESIA DATA
MANAGEMENT No No No No

MONITORS
Airway pressure With ventilator With ventilator With ventilator With ventilator
Where measured Ventilator output Ventilator output Ventilator output Ventilator output
Hi-pressure alarm Yes Yes Yes Yes

Subatmospheric
pressure alarm No No No No

Continuing press
alarm Optional Optional Optional Optional

Low pressure/apnea Optional Optional Optional Optional

Other press alarms No No None None

Expiratory vol/flow No No No No
Type of sensor NA NA NA NA
Where measured NA NA NA NA
Rate alarm NA NA NA NA
Apnea alarm NA NA NA NA

Reverse flow alarm NA NA NA No

High/low min vol NA NA NA NA
High/low flow NA NA NA NA
Other expir alarms No No No No

O2 concentration No No No No
Type of sensor NA NA NA NA

Response time, sec NA NA NA NA

CO2 concentration No No No No
Apnea alarm NA NA NA NA
N2O No No No No
Agent monitors No No No No
Type of agents NA NA NA NA

Auto ID NA NA NA NA
Agent conc alarm NA NA NA NA
ECG No No No No
Heart rate NA NA NA NA
ST segment NA NA NA NA
Noninvasive BP No No No No
Invasive BP No No No No
Temperature No No No No
Pulse oximeter No No No No
Other monitors No No No No

Other features None None specified None None specified

Colons separate data on similar models of a device. This is the second of

three pages covering
the above model(s).
These specifications
continue onto the
next page.

68 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL SIMS PNEUPAC SIMS PNEUPAC SIMS PNEUPAC SIMS PNEUPAC

110 330 : 550 770 880 MRI

DISPLAYS No No No No
Number NA NA NA NA
Type NA NA NA NA
Integrated NA NA NA NA
Interface w/others NA NA NA NA
DATA INPUT No No No No

PRIORITIZED ALARMS No No No No

PHYSICAL FEATURES
H x W x D, cm (in) 50 x 40 x 26 140.5 x 52 x 44 50 x 60 x 26 150 x 56 x 53
(19.7 x 15.7 x 10.2) (55.3 x 2 x 17.3) : (19.7 x 23.6 x 10.2) (60 x 22 x 20.9)
146 x 67 x 67
(57.5 x 26.4 x 26.4)
Weight, kg (lb) 14 (30.9) 30 (66) : 75 (165) 16 (35.3) 60 (132)

Shelves, cm No 52 x 42 : 58 x 31 60 x 24 47 x 40

Drawers, cm No 42.5 x 130 x 300 : No No

50 x 40 x 12.5
Writing shelf, cm 40 x 19 46 x 31 : 53 x 31 60 x 19 49 x 23

Installation Hand, portable Mobile : Transport- Wall-mounted unit MRI machine

machine able (both w/wheels)
POWER REQUIRED, VAC None None None None

Auxiliary outlets None Optional (4-110/220) None Optional (4-110/220)

BACKUP BATTERY Not required Not required Not required Not required
Type NA NA NA NA
Use per charge, hr NA NA NA NA
PURCHASE INFORMATION
Price Not specified Not specified Not specified Not specified

Warranty 1 year Available 1 year 1 year

Service contract Available Not specified Available Available

Delivery time, ARO 60 working days 60 working days 60 working days 60 working days
OTHER SPECIFICATIONS Portable unit Mobile, modular Wall-mounted unit; Designed for use in
with handles; unit; use in smaller for use in MRI suite; mobile.
pipeline gauges. ORs, casualty anesthesia rooms, Meets requirements
Meets requirements departments, field casuality depart- of BS 4272 and
of BS 4272 and hospitals, and ments, maternity ISO 5369.
ISO 5369. anesthetic rooms : suites, and plaster
Modular, rooms. Meets
transportable unit requirements of
designed for appli- BS 4272 and
cations within OR, ISO 5369.
induction
rooms, and casualty
departments.
Both meet the
requirements of BS
4272 and ISO 5369.

Colons separate data on similar models of a device.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 69
Healthcare Product Comparison System

Product Comparison Chart

MODEL SPACELABS MEDICAL F STEPHAN K TAKAOKA K TAKAOKA
FAILED TO RESPOND * FAILED TO RESPOND *
Ultraview 2001/2002 ARTEC : PORTEC FUJI : ORIGAMI PLUS NIKKEI-EVO 4

WHERE MARKETED Worldwide Asia, Europe Asia, Latin America Asia, Latin America

FDA CLEARANCE Yes Not specified Not specified Not specified

CE MARK (MDD) Submitted Yes Not specified Not specified
YEAR 2000 COMPLIANT Yes Yes Not specified Not specified
PIPELINE GAS INLETS 4 (O2, N2O, air, 3 (O2, N2O, air) 2 (O2, N2O) 3 (O2, N2O, air)
vacuum)
GAS CYLINDER YOKES 2 (O2, air), 3 (O2, 2 optional (O2, N2O) None 1 (O2)
N2O, air) optional : 2 (O2, N2O)
VAPORIZERS
Agents Sevoflurane, enflur- Sevoflurane, enflur- Halothane, sevo- Halothane, sevo-
ane, halothane, iso- ane, isoflurane, ha- flurane, enflurane, flurane, enflurane,
flurane, desflurane lothane, desflurane ** isoflurane isoflurane
Type Variable bypass, Variable bypass, Heated blender Heated blender
heated blender temperature compen-
sated
Number 2 2:1 1 1
Interlock Yes Yes : Yes No No
SUCTION SYSTEM Optional Yes : Optional Yes Yes
O2 FAIL-SAFE Pneumatic whistle Audible alarm Yes Audible
with N2O cut-off
HYPOXIC MIXTURE
FAIL-SAFE Yes Ratio system, Yes Audible
minimum 25% O2
AUTOMATIC VENTILATOR Yes Yes Yes Yes

Bellows Yes Yes Yes Yes

Size Adult/pediatric Adult; opt pediatric Adult/pediatric Adult/pediatric
Type Bag in bottle Bag in bottle Ascending Ascending

Primary controls
Ventilation modes CMV, manual/ CMV, SCMV, PVC, IMV, CMV, IMV CMV, SMV, PCV
spontaneous SPVC, IPPV, CPAP
Tidal volume Yes Yes Yes Yes
Range, cc 100-1,500; 10-150 0-1,500; 0-400 ped 50-1,000 20-600
Minute volume Yes Yes Yes Yes
Range, L/min 0-20 0.5-451 2-50 2-75

Frequency, bpm 6-36; 12-72 6-60 30 60

Inspiratory flow,
L/min Not specified 4.0-1001 50 75
I:E ratio 4:1 to 1:4 1:4 to 2:1 1:1 to 1:5 2:1, 1:3

Inspiratory pause Adjust 10-100/0-90 No Yes Not specified

Pressure-limit,
cm H2O 0-20 (user setting) 5-60 mbar adjustable 12-65 0-80
PEEP, cm H2O Backlit float-type 0-12 mbar variable 0-15 0-15
flowmeter, O2 alarm
Other controls Auto self-test Float-type flowmeter None specified None specified
: None

System checks Leaks, resistance, Electronic system None specified Complacency correct-
compliance, check of ventilator ion, leak check
compensation

Colons separate data on similar models of a device. This is the first of

* Specifications current as of January 1998. three pages covering
** Desflurane is an optional agent for use with the PORTEC. the above model(s).
These specifications
continue onto the
next two pages.

70 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL SPACELABS MEDICAL F STEPHAN K TAKAOKA K TAKAOKA
FAILED TO RESPOND * FAILED TO RESPOND *
Ultraview 2001/2002 ARTEC : PORTEC FUJI : ORIGAMI PLUS NIKKEI-EVO 4

SCAVENGING SYSTEM Active Vacuum Exhaust, active Exhaust, active

AUTO RECORD KEEPER Yes No No Yes

ANESTHESIA DATA
MANAGEMENT Yes No No Yes

MONITORS
Airway pressure Yes Yes No Yes
Where measured Patient circuit Y-piece, gas inlet NA Not specified
Hi-pressure alarm 10-100 cm H2O Yes NA Yes

Subatmospheric
pressure alarm Measures real-time No NA Yes

Continuing press
alarm Measures Yes NA Yes
continuously
Low pressure/apnea Yes Yes NA Yes
Other press alarms No No No None specified

Expiratory vol/flow Yes Yes No Yes

Type of sensor Electronic Electronic NA Float
Where measured Circuit Expiration NA Circuit
Rate alarm No Yes NA No
Apnea alarm Yes Yes NA Yes

Reverse flow alarm Yes No NA Yes

High/low min vol Yes Yes NA Yes
High/low flow Yes Yes NA Yes
Other expir alarms None specified No NA No

O2 concentration Yes Yes No Yes

Type of sensor Galvanic cell Micro fuel-cell NA Galvanic cell

Response time, sec <30 ~1 NA 13

CO2 concentration Yes No No Yes
Apnea alarm Yes No NA Yes
N2O Yes No No Yes
Agent monitors Yes Yes No Yes
Type of agents Sevoflurane, enflur- Sevoflurane, enflur- NA Halothane, sevo-
ane, halothane, iso- ane, isoflurane, flurane, enflurane,
flurane, desflurane desflurane isoflurane
Auto ID Yes No NA Optional
Agent conc alarm Yes Yes NA Yes
ECG Yes No No Yes
Heart rate 3-, 5-, or 12-lead NA NA Yes
ST segment Yes NA NA Yes
Noninvasive BP Yes No No Yes
Invasive BP 2 or 4 No No No
Temperature 2 No No 2
Pulse oximeter Yes No No Yes
Other monitors BIS, EEG, CO, SvO2 None No None specified

Other features Stored trends, None None None specified

hard-copy printouts

Colons separate data on similar models of a device. This is the second of

* Specifications current as of January 1998. three pages covering
the above model(s).
These specifications
continue onto the
next page.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 71
Healthcare Product Comparison System

Product Comparison Chart

MODEL SPACELABS MEDICAL F STEPHAN K TAKAOKA K TAKAOKA
FAILED TO RESPOND * FAILED TO RESPOND *
Ultraview 2001/2002 ARTEC : PORTEC FUJI : ORIGAMI PLUS NIKKEI-EVO 4

DISPLAYS Yes Yes Yes Yes

Number 2 3 Not specified Not specified
Type CRT, LCD LED LCD LCD
Integrated Yes Yes Yes Yes
Interface w/others Yes Optional : No With PC Yes
DATA INPUT Knobs, touchscreen, Knobs Knobs, keyboard Knobs, keyboard
keyboard, mouse
PRIORITIZED ALARMS Yes No Yes Yes

PHYSICAL FEATURES
H x W x D, cm (in) 158 x 90 x 82 140 x 60 x 75 147.8 x 63 x 56.3 150 x 59 x 58
(62.2 x 35.4 x 32.3) (55.1 x 23.6 x 29.5) (58.2 x 24.8 x 22.2) (59.1 x 23.2 x 22.8)
: 121 x 50 x 55 : 143 x 62.5 x 58.5
(47.6 x 19.7 x 21.6) (56.3 x 24.6 x 23)
Weight, kg (lb) 162 (357.2) without 85 (187) : Not 112 (246.4) : 140 (308)
patient monitor specified 64 (140.8)
Shelves, cm Not specified 52 x 30 (1) : 37 x 54.6 (1) 59 x 39 (1)
48 x 35 (1)
Drawers, cm 1 41 x 50 (3) : 35.4 x 33.2 x 10.5 Not specified
41 x 40 (3) (3)
Writing shelf, cm 1 45 x 32 (1) : None No No

Installation Mobile (on wheels) Mobile, wall mounted Mobile Mobile

POWER REQUIRED, VAC 100-240 230 110/220 110/220

Auxiliary outlets 4 4 4 None

BACKUP BATTERY Optional Optional No Yes
Type Ni-Cd Sealed lead-acid NA Lead acid
Use per charge, hr 30 min 0.5 NA 2
PURCHASE INFORMATION
Price Not specified See footnote ** $8,400 : $6,200 $38,000

Warranty 1 year 1 year 1 year 1 year

Service contract Yes See footnote ** Yes Yes

Delivery time, ARO Not specified 30 days 45 days 45 days

OTHER SPECIFICATIONS Optional integration ARTEC has optional None specified. None specified.
to Spacelabs Medical integrated O2 and
patient monitoring compressed-air
and clinical generator with
information systems; internal suction
USA release 4th system, scavenging
quarter 1999. system, and auto-
matic change to
reserve cylinders.
Both have
Ghost
certificates.

Colons separate data on similar models of a device.

* Specifications current as of January 1998.
** DM 18,000-36,000 (US$9,754-19,508) : DM 15,000-35,000 (US$8,129-18,967); service contract DM 262-831 (US$142-450) :
DM 262-569 (US$142-308).

72 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL ULCO
FAILED TO RESPOND *
Elite : Signet FG

WHERE MARKETED Asia, Australia,

Europe
FDA CLEARANCE Not specified
CE MARK (MDD) Not specified
YEAR 2000 COMPLIANT Not specified
PIPELINE GAS INLETS 3 (O2, N2O, air)

GAS CYLINDER YOKES 1 (O2, N2O, or air)

VAPORIZERS
Agents Halothane, ethrane,
isoflurane, sevo-
flurane
Type Variable bypass

Number 1
Interlock Yes
SUCTION SYSTEM Optional
O2 FAIL-SAFE Pneumatic with
N2O cutoff
HYPOXIC MIXTURE
FAIL-SAFE Ratio control,
25% O2
AUTOMATIC VENTILATOR Yes

Bellows Yes
Size Adult/infant
Type Ascending, bag in
bottle
Primary controls
Ventilation modes Manual, CMV, IMV,
SIMV, PEEP, CPAP
Tidal volume Yes
Range, cc 50-1,300
Minute volume Yes
Range, L/min 2-32

Frequency, bpm 3-100

Inspiratory flow,
L/min 2-100
I:E ratio 0.5:1, variable up
to 1:4
Inspiratory pause Not specified
Pressure-limit,
cm H2O 2-80 adjustable
PEEP, cm H2O 2-30

Other controls Flowmeter

System checks Leaks, compliance;

FG compensates for
compliance

Colons separate data on similar models of a device. This is the first of

* Specifications current as of January 1998. three pages covering
the above model(s).
These specifications
continue onto the
next two pages.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 73
Healthcare Product Comparison System

Product Comparison Chart

MODEL ULCO
FAILED TO RESPOND *
Elite : Signet FG

SCAVENGING SYSTEM Active

AUTO RECORD KEEPER Optional

ANESTHESIA DATA
MANAGEMENT Yes

MONITORS
Airway pressure Yes
Where measured Not specified
Hi-pressure alarm Yes

Subatmospheric
pressure alarm Below 6 cm H2O
or as selected
Continuing press
alarm Yes (noncycle)

Low pressure/apnea Yes

Other press alarms AC failure

Expiratory vol/flow Yes

Type of sensor Not specified
Where measured Circuit
Rate alarm Not specified
Apnea alarm 6-60 adjustable

Reverse flow alarm No

High/low min vol Yes
High/low flow Not specified
Other expir alarms No

O2 concentration No
Type of sensor NA

Response time, sec NA

CO2 concentration No
Apnea alarm NA
N2O No
Agent monitors No
Type of agents NA

Auto ID NA
Agent conc alarm NA
ECG No
Heart rate NA
ST segment NA
Noninvasive BP No
Invasive BP No
Temperature No
Pulse oximeter No
Other monitors No

Other features No

Colons separate data on similar models of a device. This is the second of

* Specifications current as of January 1998. three pages covering
the above model(s).
These specifications
continue onto the
next page.

74 ©2000 ECRI. Duplication of this page by any means for any purpose is prohibited.
 Anesthesia Units

Product Comparison Chart

MODEL ULCO
FAILED TO RESPOND *
Elite : Signet FG

DISPLAYS Yes
Number 1
Type Color LCD
Integrated Yes
Interface w/others Yes
DATA INPUT Touchscreen,
keyboard
PRIORITIZED ALARMS Yes

PHYSICAL FEATURES
H x W x D, cm (in) 72 x 65 x 140
(28.3 x 25.6 x 55.1)

Weight, kg (lb) 120 (264)

Shelves, cm 56.2 x 40 (1)

Drawers, cm 56.5 x 42 x 15 (2)

Writing shelf, cm 56 x 32, working

table (1)
Installation Mobile

POWER REQUIRED, VAC 110/240

Auxiliary outlets 4
BACKUP BATTERY Yes
Type Not specified
Use per charge, hr 1
PURCHASE INFORMATION
Price AU$42,000-48,000
(US$27,325-31,223)

Warranty 1 year
Service contract Not specified

Delivery time, ARO Not specified

OTHER SPECIFICATIONS Modular unit;
monitoring of
physiologic param-
eters dependent on
monitoring system
chosen by customer.
Meets requirements
of IEC 601 and TGA.

Colons separate data on similar models of a device.

* Specifications current as of January 1998.

©2000 ECRI. Duplication of this page by any means for any purpose is prohibited. 75