J. Marschinke Production Leon, Leon plus, etc. Central office Bad Ems Anesthesia Workstation for Pediatric and Adult care • • • • Ventilator is working with an pneumatic drive and hanging bellows Inhalant anesthetic in a rebreathing system Inhalant anesthetic in a semi-closed system Low flow range Minimal flow range Non-rebreathing system Bain Magill Jackson Rees Kuhn Ventilation Modes • (S) IMV (Synchronized) Intermittend Mandatory Ventilation • (S) PCV (Synchronized) Pressure Controlled Ventilation • PSV Pressure Supported Ventilation • Man. Manual Ventilation • Spont. Spontaneous Ventilation System Description Patientmodul • Fresh gas decoupled • Tempered: preventing condensation warming respiratory gas • APL decoupled during controlled ventilation Patientmodul • Switch to semi-open system • Inspiratory and expiratory flow sensors • Absorber can be exchanged during operation • Can be fully sterilized • Compliance compensated Features • • • • • • • 15“ TFT color display Operation via touchscreen and/or control knob Electronic fresh gas blender One-hour rechargeable battery buffering Interface to control monitors of other manufacturers Ethernet interface Gas monitor (choose between mainstream and sidestream) with automatic detection of anesthetic gas and anesthetic gas mixture Features • Receptacle for two anesthetic vaporizers • Undercarriage with 4 antistatic rollers, all with brakes • 4 Drawers • 1 cupboard reserve bottle connections for O² and N²O • Pull out writing surface, DIN A4 • Rails on right and left to fit support arms and other accessories O² Emergency Control • O² Emergency control • Settings between 0 – 15 l/min. • Use for fail of fresh gas blender • Use for quick start • Use for device is turned off Gas Management • Sidestream Monitor with real time measurement and real time graphs • Paramagnetical O² measurement • Different water trap for exactly measures in patient category „child“ • Optional: Main stream monitor Configuration of the options panel • Solution for half open breathing system (Kuhn, Jackson Rees, Magill, Bain) Configuration of the options panel • Solution „external O² outlet“ Pressure gauges and control elements O² flush Vacuum dosing Turn switch for vacuum dosing Vacuum pressure O² bottle pressure N² O bottle pressure New Ventilation Mode PSV Pressure Supported Ventilation Psv provides pressure support during insufficient spontaneous breathing. If the Leon plus is not triggered by the patient after the adjustable apnoe time, the Leon plus initiates inspiration on ist own. In addition, you can use a button to start a manual breath, not activated by the patient. Real time graphs and complete Measurement Fresh gas control • Air or N²O as carrier gas • Set percent oxygen to total fresh gas flow • Set total fresh gas flow • Setting range 200 ml / min. – 18 l / min. • Ensure O² concentration in O² / N²O mixture of 25 % • Option: 10 l Reserve gas bottle with the pressures on the display Real time graphs Values as real time graphs • • • • • • • • • • • Airway pressure Flow Volume CO² (% or mmHg) O² N²O Halothane Enflurane Isoflurane Sevoflurane Desflurane Values displayed in numerical form • Real time measurement: Minute volume, tidal volume, Peak / Plateau / Mean pressure, PEEP, Frequency • Calculated values like MAC, Compliance, C20/C, Resistance Numerical display on two pages Loops One Loop at a time can be displayed in full screen Loops Loop window Three loops can be displayed in the Loops window • Volume over pressure • Flow over pressure • Flow over volume One Loop at a time can be displayed in full screen Alarm Limits • Alarm limits for monitoring (adjustable) • Function of „Autoset“ • Alarms with three different priorities (high, medium, informal) • Complete history of alarms in the Log • Adjustable loudness of alarm tone Different Solutions Ceiling swingarm mount Wall mount More Solutions