Breathe More

Naturally
The Puritan Bennett™ 980 ICU Ventilation System
 The new Puritan Bennett™ 980 ventilator enables patients to breathe
more naturally through some of the most innovative breath delivery
technology available.

Our simple, safe and smart design provides more natural ventilation
that may help clinicians improve patient comfort.1

2
Simple
Our innovative user interface features a
highly customizable display with intuitive
screen navigation.

Safe
The newly designed Puritan Bennett™ 980
ventilator provides a unique ventilator
assurance feature and an integrated
expiratory filtration system.

Smart
Advanced synchrony tools help clinicians
set the ventilator to adapt to their patients’
unique needs and help provide the
appropriate level of support throughout
the breath.

3
4
The Struggle to Lessen Discomfort in the ICU
Being in the ICU can be very unsettling and uncomfortable for patients.
With limited consciousness and ability to communicate, patients have
little control over their own comfort.2, 3

Distinguishing Help from Harm

Out of necessity, machines and caregivers assume These factors alone or in combination likely contribute
control over the most instinctive decisions patients to the overwhelming 71% of ICU patients who show
have made all their lives, like when to eat, move signs of agitation at least once during their ICU stay.
around, moderate their body temperature, and in the Out of compassion, clinicians often turn to sedation to
case of mechanically ventilated patients, when and relieve their patients’ distress.2
how they breathe.4
However, a growing body of research has confirmed
a strong link between sedation and poor patient
outcomes.3

When used inappropriately, sedation can lead to failure to

wean, prolonged ICU stays and increased cost of care.2

5
When Support Stands in the Way of Progress

Although a necessary intervention, the ability Without a better way to manage patient
of conventional modes of ventilation to match agitation, sedation can seem like the only option.
patient breathing patterns and properly manage Yet this increase in sedation can lead to longer
work of breathing is limited. One study reported ventilator dependency.2, 3
that 42% of all increases in sedation are in response
to patient-ventilator asynchrony.5, 6

1. 2.
Respiratory muscle atrophy Patient is mechanically Sedation is lightened
begins in as little as 18 hours.7
ventilated
Although there are multiple
reasons atrophy of the
diaphragm occurs, it appears
that a significant factor is
reduced activity.8, 9

A Vicious Cycle That

Could Affect Outcomes
5. 3.
Patient is at increased Patient becomes
risk for muscle atrophy agitated

One study showed that

42% of all increases in
sedation were response to
asynchrony during low tidal
4. volume ventilation.5, 6
Patient is sedated to
alleviate agitation

6
Engineered to Help Patients Breathe More
Naturally
The all new Puritan Bennett™ 980 ventilator was The ventilator conducts hundreds of calculations
designed to advance the Puritan Bennett brand’s every five milliseconds to stay in tune with patients’
legacy of providing more natural ventilation* that demand; helping to ensure that patients receive the
may allow clinicians to improve patient comfort. flow and volume they want—when they want it—
from breath to breath.
Advanced synchrony tools adapt to your patient’s
unique needs and provide the appropriate level of
support throughout the breath, from initiation to
completion.

* compared to conventional mechanical ventilation (VC, VC+, PC, PS and PSV-based modes)

Patients face enough challenges in the ICU.

trying to breathe shouldn’t be one of them.
7 7
 PAV™*+ software

PAV™*+ breath type enables the patient to dictate the breath he or she receives, and
helps clinicians more clearly understand the work required by the patient to complete
each breath.

• With PAV™*+ breath type, the patient defines rate, depth and timing of breathing.
• Flow is an indicator of demand. It tells the ventilator when the patient wants to begin inspiration, how deep the
breath should be, when to end the breath and how often the patient needs to breathe.
• PAV™*+ software continuously measures patient demand by measuring flow and pressure every 5 milliseconds.
• As patient demand changes, PAV™*+ software changes ventilatory support to meet the patient demand within
the same breath.

When the %Support is set BY THE CLINICIAN within THE PAV™*+ SOFTWARE,
the patient and the ventilator are sharing the total work of breathing.

Calculates work of
Measures R (resistance) Provides visual indicator
breathing with R (resistance)
and C (compliance) of patient’s WOB
and C (compliance) data

PAV™*+ software measures resistance When R (resistance) and C (compliance) are Once %Support is set, clinicians can use
and compliance every 4-10 breaths known, it’s possible to calculate patient- the work of breathing (WOB) bar for
generated pressure (Pmus) and work of real-time feedback on how much work
breathing in real time using the equation the patient is doing
of motion
PMUS + PVENT = (flow x resistance) +
(volume/compliance)

Providing real-time feedback on work of breathing enables the clinician to keep the patient at a sustainable
level of work—reducing the risk for respiratory muscle atrophy, while potentially off-loading enough work
to avoid fatigue.10

8
 Leak Sync software

Leak Sync software helps prevent auto-triggering and asynchrony caused by leaks.

• Leaks due to mask interface or uncuffed endotracheal tube are common during mechanical ventilation.11-13

• Leak Sync software detects changes in breathing system leak, and compensates for the leak, adjusting
effective trigger sensitivity in the presence of a leak helping clinicians better manage the patient’s inspiratory
work of breathing.5, 10

Key Findings

Puritan Bennett™ Leak Compensation Performance During Both Invasive

and Noninvasive Ventilation14, 15

Invasive mechanical • The Puritan Bennett™ 840 ventilator outperformed all other tested ventilators by requiring
ventilation14 fewer breaths to achieve synchronization during increasing and decreasing leaks.
• The Puritan Bennett 840 ventilator required fewer breaths to synchronize during increasing
and decreasing leaks in both obstructive and restrictive lung models and with PEEP 5 cm
H2O and 10 cm H2O compared with all other ventilators (p < 0.0001) tested.

Noninvasive • The Puritan Bennett 840 and Philips Respironics®* V60 ventilators were the only ventilators
ventilation15 that adapted well to increasing or decreasing leaks.
• The Puritan Bennett 840 ventilator required the fewest number of breaths to synchronize
under all test conditions.

99
Advancing the Legacy
The Puritan Bennett™ 980 ventilator was built on the reliability and
sophisticated breath delivery technology clinicians have come to expect
from Puritan Bennett™ ventilation.

Software You Depend On

• NeoMode 2.0 software – Helps clinicians provide ventilatory support to neonates weighing as little as 300
grams by delivering tidal volumes as small as 2 mL.

• Noninvasive software – Allows versatile options including noninvasive SIMV and CPAP.

• Bi-Level software – Permits spontaneous breathing at all times and supports biphasic or airway pressure release
ventilation for extra flexibility.

• Proximal Flow Sensor – Measures lower flows, pressures, and tidal volumes right at the patient wye in neonate
applications.

• Volume Control Plus – Enables the patient to take spontaneous breaths to achieve a targeted tidal volume, and
pressure is automatically adjusted.

• Respiratory Mechanics software – Enables monitoring of key respiratory parameters for easy assessment of
patient status.

• Tube Compensation software – Acurately overcomes the work of breathing imposed by the artificial airway.

Security for You and Your Patients

Our new ventilator assurance program includes:
Backup ventilation status
• In the event of certain system failures, the ventilator will continue to deliver ventilatory support in a safe
manner, as close to the preset settings as feasible.

Status Display
• There is an additional screen located on the gas delivery unit (BDU) with data display even if the graphic user
interface (GUI) is unavailable.

Standby MODE
• This feature pauses ventilation while the patient is disconnected and preserves settings; auto-detects patient
upon reconnection and resumes ventilation.

10
Service You Can Trust
The Covidien Service Difference

Quality
The Covidien Service team worked hand-in-hand with design engineers during the development of the
Puritan Bennett™ 980 ventilator to ensure they are able to service the ventilator with the high level of quality
that our customers have come to expect.

Consistency
The Covidien Service team operates on a solid foundation of experience and expertise, with more than 50 years
as a qualified provider of service for Puritan Bennett ventilators.

Responsiveness
Covidien Service has more than 40 Customer Support Engineers across the country. Our fully integrated Sales,
Service and Clinical Support team enable us to respond quickly to your service and account needs.

Integrity
Strict compliance with industry standards for Quality Management Systems and with our manufacturer-
recommended service maintenance schedule is a priority for our Service team. Satisfying your needs with steadfast
integrity enables us to build our relationship with you as a valued customer.

11
 References
1. Grasso S, Puntillo F, Mascia L, et al. Compensation for increase in respiratory workload during mechanical ventilation.
Pressure-support versus proportional-assist ventilation. Am J Respir Crit Care Med. 2000;161(3 Pt 1):819-26.
2. Siegel MD. Management of agitation in the intensive care unit. Clin Chest Med. 2003;24(4):713-725.
3. Tate JA, Devito Dabbs A, Hoffman LA, Milbrandt E, Happ MB. Anxiety and agitation in mechanically ventilated
patients. Qual Health Res. 2012;22(2):157-173.
4. Patak L, Gawlinski A, Fung NI, Doering L, Berg J, Henneman EA. Communication boards in critical care: patients’
views. Applied Nursing Research. 2006;19:182-190.
5. Epstein SK. Optimizing patient-ventilator synchrony. Semin Respir Crit Care Med. 2001;22(2):137-152.
6. Pohlman et al Excessive tidal volume from breath stacking during lung-protective ventilation for acute lung injury.
Crit Care Med. 2008;36(11):3019-23.
7. Levine S, Nguyen T, Taylor N, et al. Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans. N
Engl J Med. 2008;358(13):1327-1335.
8. Hermans G. Increased duration of mechanical ventilation is associated with decreased diaphragmatic force: a
prospective observational study. Crit Care. 2010;14:R127.
9. Haitsma JJ. Diaphragmatic dysfunction in mechanical ventilation. Curr Opin Anaesthesiol. 2011;24(2):214-218.
10. Puritan Bennett™ 840 ventilator operations manual.
11. Mahmoud RA, Proquitté H, Fawzy N, Bührer C, Schmalisch G. Tracheal tube airleak in clinical practice and impact on
tidal volume measurement in ventilated neonates. Pediatr Crit Care Med. 2011;12(2):197-202.
12. Main E, Castle R, Stocks J, James I, Hatch D. The influence of endotracheal tube leak on the assessment of respiratory
function in ventilated children. Intensive Care Med. 2001;27(11):1788-1797.
13. Vignaux L, Vargas F, Roeseler J, et al. Patient-ventilator asynchrony during non-invasive ventilation for acute
respiratory failure: a multicenter study. Intensive Care Med. 2009;35(5):840-846.
14. Oto J, Marchese A, Kacmarek M. A comparison of leak compensation in acute care ventilators during non-invasive
ventilation: a lung model study. Respir Care. 2012;57(10):1801. [Abstract] 1414436.
15. Oto J, Marchese A, Kacmarek M. A comparison of leak compensation in acute care ventilators during invasive
ventilation: a lung model study. Respir Care. 2012;57(10):1740. [Abstract] 1414451.

COVIDIEN, COVIDIEN with logo, Covidien logo and positive results for life are U.S. and internationally
registered trademarks of Covidien AG. *Proportional Assist and PAV are registered trademarks of
The University of Manitoba, Canada. Used under license. Other brands are trademarks of a Covidien
company. © 2013 Covidien. 13-VE-0026 VE31013

Covidien 103 Penang Road + (65)6482 0100 [t]

Private Limited #10-01 Visioncrest + (65)6482 0300 [f]
Commercial
12 Singapore 238467 www.covidien.com