Medtronic - Ventilator - PB560 Portable Ventilator
Non Technical/Terms
- Lead Time - 4 - 8 weeks
- Warranty - 2 years
- Note on price - Price quoted EXW
- Payment - 40% Advance Payment / 60% payment on shipping. Payments to be made by Bank Direct Payment.
Shipping options
- CIP – if the product is supplier from abroad
- EXW – if product is supplied within the Borrower’s country
Shipping costs
On return of the ROI, Medtronic will obtain actual shipping costs per product based on quantity and destination as per the applicable Incoterm. Actual shipping costs will be in addition to the quoted prices below and will be detailed in the contract.
Inspection
Medtronic products have recognized regulatory approvals/certificates. Medtronic will provide the Borrower with a copy of these or other documentary evidence of the approval/certification, prior to shipment. An independent pre-shipping inspection at the place of leaving will be undertaken. This can be arranged by Medtronic and the costs passed-through to the Borrower, or by the Borrower.
Service
Support and maintenance are most often part of the warranty on the device.
Manuals
Printed user and service manuals will be provided with each piece of equipment. In addition, all product manuals can be obtained at: https://www.medtronic.com/covidien/en-us/support/product-manuals.html
Training
Clinical training is part of the Medtronic responsibility and will be provided. Medtronic has online training resources on its website. Depending on specific needs, Medtronic education team can arrange tailored videoconferences with users. Medtronic recommends that these only be arranged, after the online training has been completed.
The demand for ventilators world-wide exceeds the available supply. In response to the scarcity of traditional intensive care ventilators, Medtronic proposes a modified home care ventilator that provides many ventilation options and feature to treat COVID-19 patients with acute respiratory distress syndrome (ARDS).
The PB560 ventilator is very similar to an intensive care ventilator and it can operate under the following modes: volume control, pressure control, SIMV, SMMV, and PSV. Using the WHO criteria for an intensive care ventilator it lacks the following features:
- Inspiratory pressure up to 80 cm H2O (PB560 achieves 56 cm H2O)
- Inlet gas supply (O2) pressure range 35 psi to 65 psi (PB560 accepts up to 7 psi)
- Air and externally supplied oxygen mixtures ratios fully controllable
The key consideration on whether the PB560 is a viable option for the purchaser is that, unlike most ventilators designed for hospital use, it does not accept high pressure oxygen and it lacks an internal air/oxygen blender. Therefore, the air/oxygen supply must be analyzed using an oxygen analyzer to ensure the desired oxygen concentration is being delivered.
Based on its technical and clinical review, ECRI believes that, if the flow rate and air/O2 mixture can be accurately adjusted, the PB560 ventilator will meet the needs of patients with severe respiratory distress and it can be used to treat COVID-19 patients that require mechanical ventilation.
Medtronic (www.medtronic.com) is one of the largest medical device companies in the world with operations in 150 countries, and products to treat 70 health conditions that include cardiac devices, cranial and spine robotics, insulin pumps, surgical tools, patient monitoring systems, and more. Medtronic’s BFP Offer relates only to devices to treat COVID-19. Medtronic has its operational headquarters in Minneapolis, Minnesota, USA and legal headquarters in Dublin, Eire.
Ventilators
Ventilators are pieces of medical equipment that provide ventilatory support to patients who cannot maintain adequate ventilation or oxygenation on their own due to illness, trauma, congenital defects or drugs.
Ventilators typically consist of a flexible breathing circuit, a pneumatic system, a control system, monitors and alarms. Depending on the type and complexity of the ventilator, the gas is delivered either using a single or dual limb breathing circuit. Most ventilators are microprocessor controlled to control the pressure, volume, and Fi02. Power is supplied from either an electrical wall outlet and/or a battery.
All ventilators require a source of oxygen. Critical care ventilators always require a source of oxygen at high pressure (approximately 4 Bar) while other ventilators require a high pressure or low flow (2-15 l/m) source of oxygen, depending on the individual ventilator. Mechanical ventilators have several operating modes which are chosen by clinicians to define breath initiation and end (i.e., cycle) as well as adjustable parameters such as pressure and flow. Different modes can also provide either full or partial ventilatory support, depending on the individual patient’s condition and clinical requirements.
High Flow Delivery Devices
High-flow oxygen delivery systems, commonly referred to as a High Flow Nasal Cannula (HFNC) supply a given oxygen concentration at a higher than normal flow rate to the patient. These systems generally consist of three parts: the flow generator, an air-oxygen blender, and a heated humidifier. The heated and humidified air-oxygen is delivered to the patient via a specially designed nasal cannula.
The benefits of high-flow oxygen include the improvement of gas exchange and the decrease in the work of breathing. High-flow devices are capable of delivering a maximum flow of 60 l/min and all require a high-pressure source of air and oxygen at approximately 4 bars.