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At Getinge we are passionate about patient safety and care efficiency. That’s why we have developed Dynamic Anaesthesia Delivery for our Flow Family anaesthesia machines – innovative technology that puts the clinician in control, providing personalised anaesthesia for any patient, case or situation.

 

Our unique anaesthesia technology makes the difference

With our flow anaesthesia technology – tailored ventilation performance to ICU
standards, precise dosage, gentle lung protection and active hypoxic prevention – you can easily ensure the perfect flow for each patient, finetuning anaesthesia delivery in real time, breath by breath. Enhanced patient safety and reliable care outcomes, that’s the firm focus of dynamic anaesthesia delivery.

Reduce your hospital's environmental footprint

 

Up to 58% reduction with Automatic Gas Control

A sustainable and economic approach without compromising patient safety.

Our unique Getinge anaesthesia innovation Automatic Gas Control (AGC) in Flow-i anaesthesia machine, can help to lower sevoflurane wastage by up to 58%[1].

Reliable and easy low-flow anaesthesia with Automatic Gas Control (AGC)

What Automatic Gas Control does

When patients are at their most vulnerable, Automatic Gas Control (AGC) gives you visibility, control and precision to provide low- and minimal-flow anaesthesia. With simple pre-settings, specifying the targeted inspired oxygen, end-tidal anaesthetic agent levels and required speed, AGC solves the rest. Our innovation offers high precision combined with improved comfort and increased safety. [2][3][4][5][6][7]

Reliable, cost-effective and convenient, AGC is engineered to improve forecasting and control of anaesthetic agents during the induction and emergence of anaesthesia.  

O₂Guard - active hypoxia prevention

Our O2Guard is the world’s only system for active hypoxia prevention. Should the inspired oxygen level drop below 21%, the O2Guard automatically overrules the settings and increases the flow of oxygen. [8]

MAC Brain - better anaesthetic agent dosing

For more precise control of the depth of anaesthesia, we created MAC Brain. A unique tool that visualizes the difference in agent concentration between the lungs and the target organ, the brain. [9][10][11]

Lung recruitment - gentle steps against atelectasis

Our lung recruitment maneuvers have become the tool of choice to counter
atelectasis, to improve oxygenation and help prevent postoperative complications. [12][13]

Ventilation performance to ICU standards

Innovative Flow Core Technology is designed to promote efficient agent usage, providing the power and precision to ventilate even the most challenging patients. [14][15][16]

Automatic Gas Control with Flow-i

Free up time for you patients

Automatic Gas Control (AGC) facilitates the control of oxygen delivery in all anaesthesia situations by a single FIO2 target setting. This FIO2 target setting has priority and is unaffected by anaesthetic agent speed selection, reducing the risk of hypoxia. [17]

It lets you adapt administration of agent to the patient’s status or surgical incision time, and reduces the risk of under- or overdosing.

AGC also features a unique EtAA speed control and prediction tool displayed in real time, which allows clinicians to determine time to end-tidal target, thus allowing more efficient gas delivery.

User-friendly anaesthesia workstations in the OR

The Flow family is our line-up of anaesthesia machines for a dynamic anaesthesia delivery and cover the needs of operating and emergency rooms. Developed together with clinicians, they are designed to facilitate a great scope for personalisation and patient safety. With an intuitive interface and emphasis on ease of use[18], they ensure a streamlined workflow and efficiency that offers enhanced cost control and resource management.

Flow-i anaesthesia machine - our intelligent model

Flow-i is the intelligent workstation, a highly advanced anaesthesia machine offering superior ventilation performance, decision support features, a wider range of settings of flows and pressures, and the innovative AGC option. Flow-i provides reliable, personalised and cost-efficient care, also for the most challenging patients. Available in three versions, it’s a dynamic solution, including a height-adjustable model, and a pendant model suspended from the ceiling.

Flow-c anaesthesia machine - our compact model

Flow-c is the compact, easy-to-use dynamic workstation, enabling reliable and cost-efficient treatment. The compact design is an advantage in a crowded OR with a busy schedule. Despite its small size, it has Flow Family advantages such as ventilation performance to ICU standards, precision agent dosing, hypoxia prevention technologies, an intuitive user interface, and several mounting possibilities.

Comprehensive service and support

The prerequisite for dynamic anaesthesia delivery is 100% reliability and flexibility. Getinge 360-degree Services will maximise uptime and the long-term value of your investment. We provide a service plan that includes proactive maintenance, easy troubleshooting and prompt service by our certified field reps – ensuring your equipment is operating to its full potential, all the time.

 

Avoid cancelling procedures

Connect and take control

The Getinge Online web portal connects you to any Getinge device, getting access to valuable data that will support biomeds and clinicians in their daily work. The portal is a powerful tool for enhancing uptime and efficient use of your hospital's resources. 

  • Improve uptime in your OR
  • Reduce costs and carbon footprint 

Quality consumables

The genuine Getinge consumables portfolio is specially developed for enhanced patient safety and ease of use. Our original accessories and consumables ensure the best performance and safety for the Flow Family anaesthesia delivery system.

One coherent offer

Getinge Services will maximise uptime and the long-term value of your investment. We provide a service plan that includes proactive maintenance, easy troubleshooting and prompt service by our certified field reps – ensuring your equipment is operating to its full potential, all the time.

Connectivity between devices

MSync makes it easy to connect the Flow machine to patient monitor, HIS and patient data management system with no need for a third party system. Patient data is transferred via HL7 (MSync) in real-time to support decision-making.

  1. 1. Carette R, De Wolf AM, Hendrickx JF. Automated gas control with the Maquet Flow-i. J Clin Monit Comput. 2016 Jun;30(3):341-6.

  2. 2. Getinge case story MX-7418, rev01: Agent savings with Flow-i AGC at Maria Middelare hospital, Belgium.

  3. 3. Lucangelo U, Garufi G, Marras E, et al. End-tidal versus manually-controlled low-flow anaesthesia. J Clin Monit Comput. 2014; 28: 117-121.

  4. 4. Brattwall M, Warrén-Stomberg M, Hesselvik F, Jakobsson J. Brief review: Theory and practice of minimal fresh gas flow anesthesia. Can J Anaesth. 2012 Aug;59(8):785-97

  5. 5. M. Bilgi, S. Goksu, A. Mizrak, et al. Comparison of the effects of low-flow and high-flow inhalational anaesthesia with nitrous oxide and desflurane on mucociliary activity and pulmonary function tests, Eur J Anaesthesiol 2011;28:279–283

  6. 6. Kalmar A. et al. Minimizing sevoflurane wastage by sensible use of automated gas control technology in the flow-i workstation: an economic and ecological assessment. J Clin Monit Comput. 2022 Jan 3. doi: 10.1007/s10877-021-00803-z.

  7. 7. Ghijselings IE, De Cooman S, Carette R, et al. Performance of an active inspired hypoxic guard. J Clin Monit Comput. 2016 Feb;30(1):63-8t.

  8. 8. Drews FA, Syroid N, Agutter J, Strayer DL, Westenskow DR. Drug delivery as control task: improving performance in common anesthetic task. Hum Factors 2006;48:85–94.

  9. 9. ECRI. The MAC Brain feature on Getinge anesthesia units: ECRI's view. Device Evaluation 2022 Jan5.

  10. 10. Internal report EVU-197031 - 01 - Flow 4.7 Enhanced Post Market Surveillance Report 2019

  11. 11. García-Fernández J, Romero A, Blanco A, et al. Recruitment manoeuvres in anaesthesia: How many more excuses are there not to use them? Rev Esp Anestesiol Reanim.2018 Apr;65(4):209-217

  12. 12. Yassen et al. Respiratory and Hemodynamic Effects of Prophylactic Alveolar Recruitment During Liver Transplant. Experimental and Clinical Transplantation (2021) DOı: 10.6002/ect.2020.0412

  13. 13. Internal test reports comparing Flow-i with vendor machines; EVU 125310, EVU-125312, EVU-125313

  14. 14. Case study contributed by Dr. Waltraud Bruchelt and Dr. Günter Baumann, Dept. of Anaesthesiology and Intensive Care Medicine, University Hospital Graz, Austria.

  15. 15. Lucangelo U, Ajčević M, Accardo A, et al. Flow-i ventilator performance in the presence of a circle system leak. J Clin Monit Comput. 2017 Apr;31(2):273 280.

  16. 16. Internal report EVU 205592 NPS Summary Anesthesia 2019