ENLIGHT 2100 – HIGH-END EIT MONITOR

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ENLIGHT 2100 – HIGH-END EIT MONITOR

High-end EIT (Electrical Impedance Tomography) Monitor system
Model: ENLIGHT 2100
Brand: Timpel Medical / Brazil
Manufactured: Brazil
Certificates: ISO, CE

  • Description

Description

DMED - ENLIGHT 2100 EIT MONITORS

General information

Lung’s Electrical Impedance Tomography (EIT) monitor

Model: ENLIGHT 2100

Brand: Timpel SA – Brazil

Manufactured: Brazil

Certificate: ISO, CE

Enlight 2100 ENLIGHT 2100 is a bedside Electrical Impedance Tomograph (EIT) that provides clear, real-time and intuitive images of the regional distribution of ventilation of neonatal, pediatric and adult patients, allowing the assessment of regional lung volume changes.
ENLIGHT applies a harmless electrical current through an electrode belt placed around the patient´s thorax, allowing the visualization of:

  • Asynchronies and asymmetries with the percentage of ventilation distribution, unveiling the patient´s lungs heterogeneities and unique physiological responses to mechanical ventilation;
  • The behavior of Tidal Variation and End Expiratory Lung Impedance in different Regions of Interest;
  • Airway Pressure, Flow and Volume curves and pulmonary mechanics parameters side by side withV entilation Map and Dynamic Image;
  • EIT data displayed according to patient´s positioning, with instantaneous visual feedback of each patient’s response to ventilation;
  • Asynchronies, such as Double Trigger and Reverse Trigger, and the Breath-Stacking volume in mL/Kg;
  • PEEP Titration Tool, with automatic detection of PEEP changes and real time calculation of compliance, regional and accumulated hyperdistension and collapse, in PCV and VCV modes;
  • Trends data from up to 48 hours, being possible to analyze and compare moments and better understand patient´s individual response to the treatment.

The electrodes are built into the electrode belts, leading to a very thin and flat surface. They are easy to apply, requires only a slight lateral tilt in patient’s positioning. Adult/Pediatric belts are covered with Addere, a breathable cover that has an embedded gel, allowing a gentle contact and use for up to 48 hours, with no need for extra contact agents. The Neonatal belt has a layer of breathable gel embedded, allowing a safe and gentle contact to the skin. ENLIGHT has its own Flow Sensor, therefore can be used in connection with all ventilators.

Technical characteristic

I. Configuration (basic)

  • Main unit ENLIGHT 2100.
  • AC cable.
  • Electrode belts and cables (variety size).
  • Adderer (variety size).
  • Reference cable.
  • Neonatal belt adapter.
  • Flow sensor (2 types, Adu/Ped and Neo).
  • Shaper (2 sizes).

II. Product characteristics

1. Main features

  • Can be used for patients from neonates, pediatrics, and adults.
  • Continuous monitoring of real-time lung dynamic tomography.
  • Uses low amperage current for measurement, non-radiative, non-invasive.
  • The electrode parallel measurement mechanism improves spatial accuracy and resolution.
  • Animation resolution 32×32, frame rate 50Hz.
  • Electrode contact test screen: 5 signal levels, EMG, ECG noise detection and filtering, etc.
  • Many types of monitors: lung ventilation, expansion, trend, regional air distribution, layer distribution, and quadrant distribution.
  • Allow import, export, read, and saved data via USB.
  • There is a research mode for doctors who conduct research with EIT.
  • Support many file formats when exporting: Video, PDF report.

2. Details

MANY TOOLS TO SUPPORT PERSONALIZED PATIENT CARE

1-Ventilation monitoring tool:

  • Impedance variation waveform ∆Z (plethysmogram).
  • Dynamic tomography, real-time, 50frame/second.
  • Lung air distribution chart (ROIs: total, regional, layers).

2-PEEP titration tool (PEEP titration tool):

  • Used with descending PEEP detection.
  • Automatic reminder to reduce PEEP periodically.
  • Monitoring and statistics of 3 parameters: inflation, expansion, atelectasis.
  • Visualize PEEP detection results in 3 formats: shape, table, graph.

3-Trend analysis tools (Trends):

  • Supports 6 layouts and 14 parameter groups.
  • Compliance change comparison tool.
  • Gas distribution change comparison tool.
  • Bookmark events. Supports 3 quick bookmark buttons and many custom bookmarks.
  • Zoom in, zoom out the graphs.
  • Maximum tracking time to the nearest 48h.

4-Report export tool (Export Center):

  • Support export PDF report for all screens, functions, tools.
  • Record and output ventilation screen video, duration 30s.
  • Manage output files by patient to avoid confusion.
  • System management tool (System configuration screen).
  • Adjust, check in-depth on signal acquisition and processing.
  • Check operating information of the system (voltage, current, machine temperature,…).
  • View the user manual directly on the machine.
  • Advanced settings for technicians.

5-(option) Ventilator asynchronous monitoring tool (Asynchrony Tool):

  • Two types of screens: real-time and summary.
  • Generate reports for each display screen.
  • Monitor real-time monitoring: 30s, 60s and 120s.
  • Monitor statistics for 1 to 6 hours.
  • Tracking parameters: Double Trigger, Reverse Trigger, Breath Stacking, Breath Stacking Volume, Normal Vt, Asynchory Index (AI).
  • AI asynchronous stats update every 2 minutes as %.

II. Technical information

  • All-in-one PC, compact and versatile
  • Weight: <12.5 kg (<38 kg with Trolley)
  • Main machine dimensions:< 350 x 470 x 150 mm
  • Main power Nominal voltage: 100 – 240V (automatic CB). AC power frequency: 50/60Hz
  • Maximum power consumption during operation 60W
  • Normal power consumption, during operation 45W
  • Battery backup 30 minutes
  • Maximum current consumption of 0.6A at 100V; 0.3A max at 230V
  • Frame rate (time resolution) 50 real frames per second
  • Power supply frequency 125kHz
  • 5-inch medical grade color screen, 1366×768 pixels, multi-touch.
  • Allows screen sharing to the network via the Ethernet port.
  • Data connection port: USB, Ethernet.

III. Monitoring parameters:

1. Ventilation screen

  • Vt (ml): The tidal volume.
  • Pdriving (cmH2O): Driving pressure.
  • PIP (cmH2O): Peak inspiratory pressure.
  • PplatAlv (cmH2O): Maximum alveolar pressure at the end of inspiration (equal to Paw if Tpause ≤0.5 s)
  • PEEP (cmH2O): Positive end-expiratory pressure.
  • AutoPEEP (cmH2O): Endogenous PEEP. By the difference between the measured PEEP and the set PEEP
  • RR (bpm): Respiratory rate in 1 minute.
  • CRS (mL/cmH2O): Expansion of the respiratory system. It has an approximate value of static expansion.
  • RAW(cmH2O/L/s): Airway Obstruction.

2. PEEP titration tool screen

  • PEEP (cmH2O): Positive end-expiratory pressure.
  • Hyperdistension (%): % of over inflated lungs.
  • Collapse (%): % collapsed lung.
  • Compliance (ml/cmH2O): Pulmonary compliance.
  • Countdown time (s): count down the time between PEEP lowering.
  • Step (cmH2O): PEEP lowering detection threshold per step down.
  • A/P Ratio (%): Anterior/posterior ventilation ratio.
  • R/L Ratio (%): Right/left ventilation ratio.

3. Trends screen

  • Global Plethysmogram: electrical impedance variation of the whole lung.
  • Regional Plethysmogram (different ROIs): Variation of impedace according to region of interest.
  • Global Tidal Variation Z: Variation of air circulation by impedace Z.
  • Regional Tidal Variation Z (different ROIs): variation of airflow by Z by region.
  • Global EELZ: The global EELZ index.
  • Regional EELZ (different ROIs): EELZ index by region of interest.
  • Peak Pressure: Peak pressure.
  • Alveolar Plateau: End-inspiratory peak alveolar pressure (plateau pressure)
  • PEEP: Positive end-expiratory pressure.
  • Driving Pressure: Driving pressure.
  • Compliance of the Respiratory System: The compliance of the respiratory system (lungs and thorax).
  • Airway Resistance: The degree of resistance to the airway.
  • Compliance Z: Variation of impedace by area
  • Respiratory Rate: Respiratory rate.
  • Respiratory Rate z: Respiratory rate in signal from EIT.
  • Tidal Volume: The volume of circulating air.
  • A/P Ratio: The ratio of ventilation of Anterior/Posterior.
  • R/L Ratio: The ratio of ventilation of Right/Left.
  • Double Trigger: double triggering of breath.
  • Reverse Trigger: reversed trigger.
  • Breath-Stacking: Breathe stacking.
  • Asynchrony Index: Asynchronous Index.

4. (Option) Asynchory Tool screen

  • Double Trigger (DT, %): double triggering of breath.
  • Reverse Trigger (RT, %): reversed trigger.
  • Breath- Stacking (B-S, %): Breathe stacking.
  • Breath-Stacking Volume (mL/kg): The volume of air that is over-breathed.
  • VT normal cycle (mL/kg): The tidal volume of a normal rhythm.
  • Asynchrony Index (AI, %): Asynchronous index.