Intensive Care Ventilator ZislineMV200/MV300

Professor Boris Zislin, Doctor of Medicine, Honored doctor of RussianFederation.

One of the founders of Ural anesthesiology school and Triton Electronic Systems.

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TREATON

WHO WE ARE

Triton Electronic Systems Ltd. is a world-leading manufacturer of medical devices for Intensive Care and Anesthesiology.

Decades ago, a large scientific and technical cluster was formed in the Urals. This region of Russia has accumulated scientific knowledge and R&D experts from different sectors – from medical industry to aerospace. As a result, the Ural Scientific School was founded. Triton Electronic Systems was founded in 1989 by biomedical engineers and physicians from the Ural Scientific School.

Our greatest achievements are closely connected with the name of Prof. Boris Zislin, MD, PhD, DSci, who was the Chief Anesthesiologist of the Ural region for 37 years. Due to his novel ideas, we implement innovative medical technologies and produce a range of medical devices for anesthesiology and intensive care.

In biomedical signal processing,gas monitoring and respiratory support since 1989

Anesthesiology

• Multigas monitors• Depth of anesthesia

and sedation monitors

Intensive Care

• Ventilators forintensive care

ОЕМ‐solutions

• Capnography• Gas monitoring• Sedation control

OUR PRODUCTS

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Human's life is the highest value, themost important public property.

By developing and manufacturingadvanced medical equipment, we help

doctors save lives.

We aspire to ease the work of doctors, to make it more productive and

successful. We equip medical facilities with necessary medical devices with

high consumer characteristics and provide accessible and high quality

service support.

We are fully responsible for thequality, because a human life

depends on our product.

Triton Electronic Systems Ltd. is a member of The Patient Safety Movement Foundation, which founded to confront large problems with actionable ideas and innovations that can transform the process of care and dramatically improve patient safety. We have pledged to make the physiological parameters displayed on our medical devices, subject to all applicable privacy laws, available to anyone or any entity that wants to use them to improve patient care and help reverse the tide of preventable patient deaths.

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OUR MISSION

CERTIFICATES

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CanadaCOVID-19 Medical Device

Authorization for Importation or SaleAuthorization Reference Number: 326828

Issue Date: 2021-05-19

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EXPORT GEOGRAPHY

Over 40 countries around the world

24/7 Customer Support

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Hotline for physicians is available at our website www.treat-on.com

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RESPIRATORY CARE IS AN ART BASED ON PHYSIOLOGY

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What doctor expects from ICU ventilator?

1. One ventilator for different types of patients.2. Monitoring of respiratory mechanics, CO2.3. Wide range of ventilation modes, including NIV.4. Operation in case of gas / mains supply problems.5. Operation from different O2 sources.6. Simple and convenient user interface.7. Advanced specialized functions for different applications.8. Low cost of operation.

What could TREATON offer?

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Zisline. ALL-IN-ONE

Folded display

12.1/15” touch screen(MV200/ MV300)

Built-in turbine

Backup battery (4-6 h)

Universal accessories

Reliable mobile trolleywheels w/brackets

Any O2 sources:pipeline, cylinder, O2

concentrator

Autoclavable reusable expiratory valve &

integrated flow sensor

Patient types: adult, pediatric, neonatal (from 10 ml)

Zisline MV200/ MV300 Options and controls

Alarm indicator

Fast access buttons

Handles

Encoder

CO2

Assessment of metabolic (energy) needs

Auxiliary pressure

SpO2

Ethernet-connection

UP TO 11

VENTILATION

MODES

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Interface

Patientdata

Monitoredparameters

Controls

Alarms

Monitored parameters

Graphs & Loops

Special functions

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Features and OptionsAdaptive ventilation (iSV) Mode of intellectual adaptive ventilation - intended to support of with

any level of spontaneous breathing. iSV provides breaths with optimal values of VТ and RB, depending of patient’s parameters and breathing activity.

Mainstream CO2 Analysis of the gas in the breathing circuit - monitoring of EtCO2 , FiCO2 , respiratory rate (RR), capnogram.

Module for monitoring of cardiac output by the Fick method

Calculation of the cardiac output parameter (CO) based on the data of alveolar ventilation monitoring module.

Gas analysis with metabolism evaluation

The method of indirect calorimetry without the use of disposables. Continuous measurement: oxygen consumption (VO2 ), carbon dioxide elimination (VСO2 ), respiratory quotient (RQ), resting energy expenditure (REE).

Auxiliary pressure module Measurement of esophageal pressure/trachea via the catheter. Displaying on the screen curves of auxiliary pressure Paux.

Pulse oximetry Allows to monitor an oxygen saturation of hemoglobin in arterial blood SpО2 , peripheral pulse rate PR, photoplethysmogram.

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MAINSTREAM CO2

Proprietary original

capnometrytechnology

QuRETM

does not require calibration by

reference gases

ensures stable

operationno influence of anesthetics on measurement

results

suitable for HF ventilation up to 200 bpm

response time < 30 ms

Airway adapters produced by Triton ElectronicSystems Ltd.

Main benefits:• dead space < 5 ml (adult), < 1 ml (neonatal);

• reusable adapters can be autoclaved up to 100 times;

• number of chemical sterilizationcycles is not limited;

• 3 times cheaper than analogues.

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MAINSTREAM CO2

Optionally the device may be equipped with thefunction of volume capnometry, which operates onlytogether with mainstream capnometer.

Volume capnometer enables to define the followingparameters:• elimination of CO2 per minute (VCO2), which

characterizes the metabolism rate (e.g., high value indicates sepsis etc.), and reflects the effectiveness of applied respiratory therapy in dynamics;

• functional dead space (Vd);• minute alveolar ventilation (MValv)

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VOLUMETRIC CAPNOMETRY

The function for cardiac output calculation by Fick operatestogether with the volume capnometry.For the calculation of cardiac output CO it is necessary to know:• the elimination of carbon dioxide VCO2 ,• alveolar concentration of CO2.

Monitoring of cardiac output is recommended for allpatients subjected to ventilation, as the artificial ventilationitself leads to induced inhibition of cardiac output.

The accuracy of the cardiac output calculation by Fick is strongly influenced by the following conditions:• the presence of pulmonary shunts,• the non-ventilated areas of the lung• other abnormalities of ventilation-perfusion ratios.

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MONITORING OF CARDIAC OUTPUT BY THE FICK METHOD

The calculation of cardiac output (CO) is performed by Fick equation:

For displaying of the digital values of cardiac output and minute CO2 elimination select CO/VCO2 for the one of the modules of the measurement parameters.

Also it is necessary to enter the value of the venous (PvCO2) and/or arterial (PaCO2) CO2 concentration obtained using one of the laboratory techniques.

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MONITORING OF CARDIAC OUTPUT BY THE FICK METHOD

METABOLIC EVALUATION FUNCTION

Ventilator can be equipped with the option of indirect calorimetry measurement. It can measure metabolic parameters: • oxygen consumption VO2, ml/min• elimination of CO2 per minute VCO2, ml/min

According to the measured values the module calculates:• respiratory quotient RQ, relative units• resting energy expenditure REE, kcal/day

RQ = VCO2 / VO2

REE (kcal/day) = (3.941 VO2 + 1.106 VCO2) N

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AUXILIARY PRESSURE OPTION

Tracheal catheter is intended for the monitoring of the actual pressure in the trachea and the actual PEEP regardless of the ventilation parameters.

Esophageal balloon catheter in intended mainly for the monitoring of esophageal pressure for the calculation of the transpulmonary pressure on the inspiration and expiration.

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Auxiliary pressure option measures pressure in the trachea and esophagus.

PULSE OXIMETRY FUNCTION

Optionally the device can be equipped with built-in pulseoximetry module which allows monitor to obtain: oxygen saturation of arterial blood hemoglobin SpО2; peripheral pulse rate PR; Photoplethysmogramm.

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Different types of pulse oximetry sensors can be used

Parameter Description

AutoPEEP Residual pressure levelin lungs

Residual pressure in lungs that occurs due to the incompleteness of expiration. It is not measured in the CPAP mode.

SI Stress index Index characterizes the correctness of PEEP and VТ selection. It is determined in the CMV/VCV and SIMV/VC modes for hardware breaths at the rectangular shape of the flow waveform

RSBI Rapid shallow breathingindex

The dimensionless quantity characterizing the depth of patient’s breathing. Measured in CPAP, BiSTEP, APRV modes

P0.1 Respiratory effort index

Index characterizes the strength of the patient's breathing attempts. It is measured in cmH2O

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EXTENDED RESPIRATORY MONITORING

Parameter Description

Tinsp Inspiratory time, including spontaneous breath

Time of the last inspiration made by ventilator or patient

Tinsp/Ttot Factor of breathing cyclefilling

The ratio of inspiratory time to total duration of the respiratory cycle

MVe_sp / MVe Factor of spontaneousbreathing

The ratio of spontaneous breathing minute volume to the total tidal volume

Rexp Resistance to the exhalation Total respiratory resistance during expiratory phase

E Elasticity of respiratoryways (elastance)

Reverse value of static compliance. Measured in mmHg in CMV, SIMV, PCV‐VG modes

Rcirc Resistance of the breathing circuit The resistance of the breathing circuit, measured at breathing circuit calibration

Ccirc Compliance of the breathing circuit The compliance of the breathing circuit, measured at breathing circuit calibration

Cdyn Dynamic compliance The indicator of compiance of the lungs, chest and respiratory tract. Dynamic characteristic, calculated during the respiratory cycle

EXTENDED RESPIRATORY MONITORING

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12/5 Sibirsky Trakt, Ekaterinburg620100 Russian Federation

Tel: +7 (343) 304-60-57E-mail: info@treat-on.com

www.treat-on.com

Importer, Distributor, Regulatory Correspondent in Canada:Neuronix Inc.

219 Ridgemont Dr, Ashton, ON K0A1B0 CanadaTel +1-613-253-3243 Toll-free 1-833-449-7979 Fax +1-613-253-5521

Email contact@neuronix.ca Web www.neuronix.ca

Canada