Rating of the best ventilators for 2022

The need for special devices to support life with difficulty breathing has increased dramatically with the spread of a new type of coronavirus. According to the World Health Organization, a severe form of the disease affecting the human lungs was observed in about five percent of patients diagnosed with COVID-19. In such a situation, the patient often needs artificial ventilation to recover.

However, this caused an unhealthy stir. Despite warnings from the Russian Ministry of Health about the pointlessness of acquiring such equipment for private use, individuals began to purchase specialized devices for home use in case of coronavirus infection.At the same time, only doctors can make decisions on the need for artificial lung ventilation, because it is necessary to treat pneumonia using such devices in a complex manner using various treatment technologies available in intensive care units or intensive care. Moreover, only experienced infectious disease specialists and resuscitators with special training are allowed to treat coronavirus and maintain specific equipment.

What is it for and how does it work

An artificial lung ventilation apparatus (ALV) is a medical device that provides forced breathing in the absence of it, lack of it, or difficulty in carrying it out naturally.

After connection, a gas mixture with sufficient oxygen content and maintaining the required cyclicity is supplied to the patient's lungs in the required volume. Breathing phases are switched according to the set parameters - ventilation time, volume, pressure and air flow to maintain spontaneous breathing.

Connection methods:

• invasive - the supply of the mixture using an endotracheal tube, which is inserted into the tracheostomy or airways;

• non-invasive - with a respiratory mask.

The mix comes from:

• gas system of a medical institution;
• mini compressors;
• compressed air cylinders;
• oxygen generator.

The mixture must be heated to the set temperature with the required moisture content.

In what cases does it apply

• with pathological rhythms or the rapid development of a violation of the respiratory rhythm;
• with apnea - the cessation of spontaneous breathing;
• with rapid breathing (over 40 times / min), which is not associated with hyperthermia (more than 38.5ºС);
• with increasing hypoxemia and / or hypercapnia.

Main Modes

1. Forced - the activity of the patient does not affect the functioning of the device in any way, since there is no spontaneous breathing, ventilation of the lungs is carried out according to the specified parameters

Way to control the respiratory cycle:

• regulation by volume (CMV) - minute ventilation does not go beyond the set values. However, due to the lack of control of inspiratory pressure, the air flow through the lungs is not evenly distributed, which increases the risk of barotrauma;
• pressure regulation (PCV) – ensures uniform ventilation without guaranteed tidal volume. When the set value is reached, the device stops the air supply and switches to exhalation.

2. Forced-auxiliary - the combination of natural and hardware breathing, synchronized (SIMV) with each other according to a certain number of breaths specified by the doctor.

Synchronization is performed by a trigger device, which can be of three types:

• by volume - triggering a signal when a set volume of air is supplied;
• by pressure - response to a decrease in values;
• by airflow - triggering the signal when the airflow changes.

3. Auxiliary - forced artificial ventilation of the lungs is completely excluded, the device is synchronized with the patient's natural breathing and provides him with support:

• pressure (PSV) - creating a positive value with each breath to support natural breathing;
• volume (VS) - supply of a given volume of air when trying to inhale with automatic switching to exhalation;
• creating a constant positive pressure (CPAP);
• resistance compensation of the endotracheal tube (ATS).

Classification

Types of equipment according to the current standard GOST 18856-81.

Scope of application

1. General purpose - for anesthesiology and resuscitation, in the wards after operations for respiratory care for patients of any age, short-term or long-term.

2. Special purpose - for the revival of newborns, the provision of emergency assistance to victims of accidents or cataclysms, anesthesia or bronchoscopic surgery.

Patient's age

1. I-III groups - patients older than 6 years;

2. IV group - children from one year to six years;

3. Group V - infants under one year old.

 

Mode of action

1. Internal.
2. Outdoor.
3. Electrostimulators.

type of drive

1. Manual - actuation with the help of the operator's muscles. It is used in case of failure of the main equipment as a fallback.
2. Electric - with connection to an external power supply for use in an emergency car, medical facility or at home. You can receive and organize information about the patient's ventilation modes. However, the complexity of the design and noise create some inconvenience.
3. Pneumatic - autonomous use without external energy sources with the supply of a compressed gas mixture from external or internal devices.
4. Combined - electric control, and air supply to the patient's lungs from an external source, which simplifies the design of the device and ensures compactness.

purpose

1. Stationary.

2. Mobile (transportable).

Control unit type

1. Intelligent (on microprocessors).
2. Without microprocessors.

As a separate class of equipment, jet RF devices are distinguished to support a high-frequency cycle (more than 60 r/min). The risk of barotrauma is prevented by constant pressure control.

Composite Components

Regardless of the manufacturer or model, the design consists of blocks:

1. Management.

Includes keypad and display to show all relevant data when oxygen is being given. In older models, the cycling of the respiratory rate is determined using a cannula moving inside a transparent tube. They are also equipped with a manometer to control the pressure of the supplied mixture.

2. Performance.

Includes a chamber for mixing purified oxygen with other gases coming from various sources - a microprocessor, a cylinder, an oxygen generator or a central gas pipeline. The flow rate of the gas mixture is adjusted by tightening the screw that changes the diameter of the oxygen tube.

What are the main parameters

1. The number of breaths per minute.
2. Respiratory volume.
3. Time of expiration and inhalation.
4. Medium pressure.
5. Oxygen content in the exhalation mixture.
6. The ratio of the phases of exhalation-inhalation.
7. The volume of exhaled air per minute.
8. Ventilation volume per minute.
9. The rate of intake of the mixture on inspiration.
10. Pause after exhalation.
11. Maximum inspiratory pressure.
12. Inspiratory pressure at plateau.
13. Positive pressure after expiration.

Criterias of choice

Application of the equipment can be required anywhere at any time. Therefore, the equipment is produced convenient for use under any conditions. For example, stationary models are preferred for resuscitation equipment, while portable devices are preferred for mobile teams and emergency vehicles.

In the selection process, it is necessary to comprehensively analyze the features of the functionality and ease of management. The most important criterion is the type of compressor, so that it is light, silent and compact.

A prerequisite should be the equipment with a sensor for signaling a decrease in the permissible temperature of the mixture, pressure surges or power outages, so that medical personnel intervene in a timely manner and save the patient's life.

The presence of the backup ventilation function from the built-in autonomous batteries should provide energy for at least an hour in case of turning off the main power source. Moreover, this may be necessary if the patient is transported to a ventilator to another place.

For neonatal equipment, the following modes should be provided:

• with swelling of the lung cavity;
• controlled, trigger;
• intermittent and mixing air mixture;
• manual.

The patient's life is affected by the timeliness and quality of artificial lung ventilation!

Where could I buy

In simple stores, budget ventilators are not sold. They should be looked for in retail outlets that are purposefully engaged in the sale of medical equipment, or in representative offices of companies that manufacture such equipment.Consultant managers with special training will competently advise, give valuable advice and recommendations - which company is better to buy, how much it costs, what to look for in order to avoid mistakes when choosing.

In addition, the best models can be ordered online in the online store, where there are many product cards presenting descriptions, characteristics and photos of medical products, as well as customer reviews.

The best ventilators for 2022

The rating of high-quality models of equipment for artificial ventilation is based on customer reviews of the largest domestic Internet portals selling medical equipment, such as Bimedis.ru, PromPortal.su, etc. The popularity of models is due to versatility, functionality, reliability, ease of use and long service life . The review presents a rating of ventilators from the best manufacturers with a description and main characteristics, divided into stationary and portable devices according to buyers. Unfortunately, due to various circumstances, Russian-made medical equipment was not included in the rating.

TOP 5 best stationary ventilators

Mindray SV300

Brand - Mindray (China).
The country of origin is China.

Portable universal device with a wide range of modes and a powerful compressor, suitable for adults and children with respiratory problems. The basic equipment includes a 10.4-inch color touchscreen monitor, a transport trolley, a respiratory mask, a holder for breathing circuits, and a set of additional accessories. It is equipped with standard functionality, including the latest ventilation modes to support patients of different ages with various pathologies both during transportation and next to the bed.Through six external connectors, you can save and share data in several ways. Fast data transfer is ensured by the use of Mindray eGateway technology.

The design allows installation on a console or bracket, which allows it to be used in various conditions. It is offered under the order at a price of 1 million rubles.

• support for up to 12 modes;
• universality;
• extensive monitoring capabilities;
• volumetric determination of carbon dioxide;
• indicators of weaning from artificial ventilation;
• oxygen therapy;
• compactness and lightness;
• simple setup;
• intuitive interface;
• compatible with Mindray Benelink monitors;
• excellent value for money.

• not identified.

Video review of the device:

Philips Respironics V680

Brand - Philips (Netherlands).
The country of origin is the USA.

Top-of-the-line equipment with an excellent solution for a dual-circuit system for critically ill patients in the ICU and single-circuit non-invasive ventilation. You can easily switch between circuits to provide the required therapy at the appointed time, taking into account the characteristics of any patient. Dynamic resistance and elasticity of the lungs in invasive and non-invasive modes with different contours are measured continuously. The function of backup ventilation in case of apnea is supported. Automatic adaptation to the patient's breathing with a high level of synchronization for non-invasive therapy using Auto-Trak + technology. Possibility of connection to a general hospital network and additional displays.

The built-in battery provides power for four hours, preventing the ventilator from stopping in the event of power outages or intra-hospital patient transfers.During emergency operation, the alarm is given as loudly as possible to immediately alert personnel.

The new device is offered under the order at a price of 3.5 million rubles, used from 1.65 million rubles.

• ease of development and operation;
• reducing the likelihood of unwanted pressure surges;
• battery backup for four hours;
• high reliability;
• simple maintenance;
• inexpensive contours;
• the software is automatically updated;
• availability of spare parts;
• ergonomic design.

• high price.

Puritan Bennett 840

Brand - Medtronic (Ireland).
The country of origin is the USA.

Expert class equipment to support natural breathing of patients of any age and weight for hospitals and clinics. The equipment is equipped with a large Dual View touch display with a Russified version, two microprocessors and an efficient pneumatic system. PAV+ unique technological solutions are used to manage the patient's breathing with high adaptation to the needs of patients with pressure support modes (PSV). The "ideal weight" function simplifies the control process after setting the patient's weight.

Can be easily upgraded and upgraded with additional options depending on your needs. Modular design for easy service. Installed by the SmartAlert alarm system.

It is offered at a price of 1,153,840 (Used) to 2,180,290 rubles.

• high sensitivity to changes in the patient's breathing;
• breath support accuracy;
• a wide range of monitored parameters;
• intuitive interface;
• simple control;
• with the "ideal weight" function;
• high reliability;
• durable body material;
• operating economy.

• not detected.

graphnet

Brand - Neumovent (Argentina).
Producer – TECME S.A. (Argentina).

Universal ventilator with nCPAP and capnography functions. Manufactured using the latest technology in accordance with strict quality standards with a wide range of regimens for patients of any age. The latest innovations in pneumatic and electronic program control and design are used in production. It is characterized by excellent clinical parameters and reliability. Simultaneous setting of alarm limits and parameters, control of pressure, flow and volume curves, volume-pressure and volume-flow loops is provided by a 2 MB video processor and a 12.1-inch SVGA color monitor. Equipped with a built-in oxygen monitor, nebulizer and battery for two and a half hours of operation. Designed for an average of seven years of operation.

The popular advance, neo, ts, ts/neo models are available for all ages, newborns only, as well as adults and children with an option for newborns. The average price is 2244000 rubles.

• the most advanced functionality with a wide range of respiratory support modes;
• high-precision gas injection system;
• large graphic display;
• a complete set of respiratory mechanics;
• ergonomic design;
• a wide range of alarms;
• ease of development;
• economy of operation;
• pneumatic drive;
• excellent value for money.

• not detected.

Drager Evita XL

Brand - Dräger (Germany).
The country of origin is Germany.

Universal German-made system with a large set of modes.Suitable for children and adults for mechanical ventilation using tracheostomy and endotracheal tubes. Efficient options are available for mask ventilation and newborns. A wide range of features combined with advanced functionality ensures excellent performance by selecting the best parameters. Provides a simplified process of weaning from the device with the optimization of the work of medical personnel.

Non-invasive ventilation is possible in all modes. An advanced dynamic leak replenishment feature is provided by NIV plus mask-assisted technology adapting the trigger with a stable tidal volume.

The equipment is additionally equipped with a 15-inch TFT color monitor with six configurable display types. The presence of interactive tips helps in working with the equipment. Data export is carried out through the RS-232 port using the MEDIBUS protocol. In case of failures and violations, visual and audible alarms are activated. Continuity in an extreme situation is supported by a built-in battery. Product weight 29 kilograms, dimensions 53x31.5x45 cm.

Offered at prices ranging from 584,616 (Used) to 4,457,000 rubles.

• remote control equipment;
• a wide range of operating modes;
• detection of spontaneous breathing;
• application of NIV Plus technology;
• large touchscreen monitor with convenient display of curves and graphs;
• intuitive interface;
• the presence of interactive tips;
• possibility of transportation on a compact trolley;
• built-in port for pneumatic inhaler;
• high reliability.

• compressor required.

Video review.

TOP 5 best portable ventilators

ReSmart BPAP GII T-30T

Brand - BMC (China).
The country of origin is China.

Compact model for non-invasive ventilation. Special triggers carry out eight step recognition of the process of exhalation and inhalation. A separate setting of each allows you to synchronize medical automation with the needs of the body as accurately as possible. Five levels of adjustment of the humidification system further optimize the quality of operation. The device is easy to set up, it can be quickly switched between different types of treatment, regardless of the number of patients and the complexity of the disease. The individual breathing pattern is set by setting the inspiratory time, respiratory rate. The air volume is determined automatically. Provides a smooth exit to therapy mode.

All parameters can be written to an SD card. Data is transmitted via iCode and WiFi. Saturation logging and pulse oximetry sensor connections are available.

You can buy at a price of 149,000 rubles. Warranty period 12 months.

• automatic compensation of losses from under the mask;
• automatic normalization of pressure;
• compactness;
• noiselessness;
• color 3.5-inch display;
• alarm for mask detachment and power off;
• ease of maintenance.

• cases of allergic reactions were noted;
• If air leaks, the noise level may increase, making it difficult to sleep.

Prisma25ST

Brand - Weinmann (Germany).
The country of origin is Germany.

A compact model for non-invasive ventilation that allows you to treat obesity hypoventilation, complex sleep apnea. The monitor with the TouchScreen function has Russian-language settings. At the first breath, the automatic start of the device, removing the mask, shutdown after five seconds.The level of leaks and incorrect mask placement are shown on the display for correction. Comfort is also ensured with a 0.4 liter humidifier with heating function. If there is no water, the humidifier will turn off. Software with Russian version.

The mobile kit includes the main device, a battery for continuous operation for 20 hours, a bag and a trolley to take the device for a walk.

Sold at a price of 189,000 rubles. Warranty two years.

• wide pressure range;
• flexible therapy settings due to a variety of parameters;
• automatic backup frequency for added security;
• high resolution touch monitor;
• silent operation;
• humidifier with a capacity of 0.4 liters;
• simple and comfortable operation;
• "soft start" and a gradual increase in pressure;
• self-checking by the patient of the degree of fit of the mask;
• software in Russian;
• quality manufacturing;
• light weight;
• ergonomic design;
• compactness;
• excellent value for money.

• if the mask covers most of the face, panic attacks may occur in persons suffering from claustrophobia;
• without the support of invasive therapy;
• no built-in battery.

Video - clearly about the use of the device:

Puritan Bennett 560

Brand - Medtronic (Ireland).
The country of origin is the USA.

Compact model for permanent long-term or periodic mechanical support of patients in the hospital or at home, as well as during transportation. Suitable for adults and children weighing at least five kilograms requiring invasive or non-invasive ventilation.Long-term operation up to 11 hours is provided by an internal lithium-ion battery. The correct mode is set using the automatic valve detection function. Alert system and linked modes reduce the risk of setting incorrect parameters. Inspiratory effort is reduced by a sensitive and adjustable flow trigger. The data is stored on a USB stick.

You can buy at a price of 550,000 rubles.

• compactness;
• universality;
• light weight;
• simple setup;
• easy control;
• modern software with Russian-language support;
• low noise level;
• the ability to connect to a wheelchair;
• apnea detection;
• battery life indication.

• small display;
• limitation to five kilograms of the patient's weight;
• high price.

Video review of the device:

VENTIlogic Plus

Brand - Weinmann (Germany).
The country of origin is Germany.

Versatile model for non-invasive and invasive ventilation with various monitoring options. The device is equipped with eight levels of sensitivity, separately for exhalation and inspiration. Pressurization with six speed levels, depressurization in a leaky circuit with six speed levels, in a circuit with a valve one level. Equipped with two batteries - external for six hours and built-in for three hours.

Official dealers offer at a price of 608,000 rubles.

• comfortable use due to extensive functionality;
• rotary knob control;
• graphical demonstration of parameters;
• safety thanks to the built-in battery and the system of sound and visual alarms;
• sensitive monitoring;
• night mode;
• remote control;
• high quality workmanship;
• leakage compensation with high flow dynamics up to 300 liters per minute, ensuring constant pressure.

• small display;
• high price.

Video demonstration of the device:

BiPAP S/T System One

Brand - Philips (Netherlands).
Country of origin - Philips Respironics (USA).

Compact model for non-invasive ventilation with a simple user interface. Heated Tube technology adapts the humidity level. A single System One unites all accessories for respiratory support. Synchronization of the patient's breathing with the device is ensured by using Digital AutoTrak technology to detect leaks. Thresholds for switching the phases of breathing and triggering are automatically adjusted.

• wide pressure range with separate adjustment of breathing phases;
• automatic activation with a deep breath;
• automatic shutdown after removing the mask;
• low noise level 27 dB;
• large amount of internal memory;
• definition of events by an improved algorithm;
• improved resistance control;
• sound signal when the mask is accidentally removed;
• the amount of internal memory for recording up to three months;
• connecting pipe rotates 360 degrees.

• some time getting used to the mask;
• if the belts are incorrectly adjusted, chafing of the skin and squeezing at the points of contact may occur.

If a patient who has stopped breathing on his own is not connected to the device, then the internal organs will not receive the right amount of oxygen. Then the heart stops beating, blood circulation stops, and the person dies. Only the timely and high-quality use of ventilators can save him, significantly increasing the chances of survival.

However, it is better for ordinary buyers not to worry about how to choose and where to buy modern ventilators in Russia. Conscientious sellers and the best manufacturers interact exclusively with public procurement, legal entities and directly with medical institutions. On the “grey market”, there is a high probability of running into rogues selling, under the guise of ventilators, varieties of completely different equipment that will not help save a person’s life.

Take care of yourself and your loved ones!