By Adem Lewis / in , , , , , , , , , , , /

Hi. I’m Chris Kiple, and I’m part of the team
at Ventec Life Systems that helped create VOCSN. Our team, consisting of more than 30 engineers,
who have dedicated their life to creating next-generation medical-device technologies,
and hundreds of medical professionals, care-givers and patients that provided their feedback
to help make VOCSN truly simple and easy to use. At its core, VOCSN is a critical-care ventilator
that combines additional therapies, including an internal oxygen concentrator that can generate
the equivalent of six liters a minute of oxygen. Cough therapy at the touch of a button that
you can literally activate in seconds instead of minutes. A suction system that is equivalent to what
you’re used to using in the hospital, by providing high-flow suction throughout the
entire suction experience, and a high-performance nebulizer that automatically compensates with
the ventilator. Let’s orient you to VOCSN. On the front side, you’ve got the alarm
silence button and the power button. Spinning to the back, you have the dove tail
for easy mounting to a roll stand, wall mount, bed rail and wheelchair, external high-pressure
oxygen port, external low-pressure oxygen port, remote alarm port for nurse-call cables,
USB ports, air and fan filters and the power connection port. VOCSN is designed to be used across the entire
continuum of care, from a hospital to the home, and it’s designed for patients five
kilograms and above. Everything we did in VOCSN was designed to
make it easy and simple to use. We designed it to work much more like your
cell phone than a typical confusing medical device. If you look at VOCSN, on the operating system
here, it’s easy to see the batteries in the upper right-hand corner. Those batteries represent nine hours of internal
on-board battery power. VOCSN, which combines more than 55 pounds
of equipment, creates true everyday mobility, and those nine hours allow you to go outside
and enjoy your everyday life. If you need to go longer than nine hours,
we have simple hot-swappable batteries that are easy to put back in and continue moving
VOCSN forward. VOCSN is completely customizable. You can get all five therapies or just the
mix of therapies the patient needs. In this example, we’ve removed the suction
and the nebulizer therapy, leaving only ventilation, oxygen and cough. The VOCSN critical-care ventilator is designed
to bring the best of invasive, non-invasive and mouthpiece ventilation into one system. We provide a comprehensive set of ventilation
modes and settings to help you customize the patient’s breath for breathing comfort. We also provide circuit compensation and advanced
leak compensation to make sure the patient is comfortable at all times. To adjust any of the settings within the ventilation
therapy, it’s easy. Simply go to the therapy screen and tap on
the ventilation icon. By tapping the ventilation icon, you will
see three different presets. I’ve programmed those three presets for
a normal day in the life of a patients. For example, you have the day mode, the night
mode and the mobile mode. If I want to adjust any of the settings that
you’re seeing on the three presets, all I’d have to do is go to the settings and
alarm icon here. By tapping the settings and alarm icon, I
can see all the different presents available to the patient. If I want to change any of the settings, all
I have to do is scroll down and find the setting that I want to change. For example, the patient’s breath rate is
currently set at 10 breaths per minute. If I want to change that to 12 breaths per
minute, all I’d have to do is hit the EDIT button, adjust to 12 breaths per minute, hit
ACCEPT and the setting has been changed and implemented. If I wanted to change the ventilation mode
that VOCSN offers, and VOCSN offers a full complement of ventilation modes, including
pressure, volume and spontaneous modes of ventilation, you can simply do so by hitting
the EDIT button here. Once you’ve adjusted the patient’s ventilation
settings, you can simply exit the settings screen and exit the ventilation screen and
you’re back to the therapy screen. VOCSN is capable of providing three different
sources of oxygen. I have the internal oxygen concentrator that,
again, can do six liters per minute of oxygen equivalent. I also have the ability to access high-pressure
oxygen, which you can get from the wall or a tank, and you can also hook up a low-pressure
oxygen concentrator to VOCSN. By clicking on the oxygen therapy icon, I
can see again three different presents. To adjust any of the oxygen concentrator settings,
all I have to do is click again on the settings and alarm icon. By going into the setting and alarm icon,
I can adjust all the patient’s oxygen settings. For example, here, I’m currently set up
to an external high-pressure source. If I want to adjust the FIO2 that the patient
is receiving, I simply hit the EDIT and I can select the FIO2 the patient is about to
receive. For example, let’s say I want to change
it from 100 percent, which I had labeled as max O2, down to 75 percent FIO2. I just type in 75. I click ACCEPT and I’ve adjusted the preset. I can now exit out of the oxygen settings
screen and I go back to the three preset screen. Now let’s activate oxygen. I’m going to activate the internal oxygen
concentrator so you can hear what it sounds like. By simply selecting the START button, I have
activated the oxygen concentrator. As you can hear, the VOCSN internal oxygen
concentrator is three times quieter than any other oxygen concentrator currently on the
market. The oxygen concentrator alone took our team
over eight years to develop and design, but it’s designed to be very simple and easy
to use. If I want to stop the oxygen concentrator,
all I have to do is simply hit the STOP OXYGEN. I’ll confirm that I’ve stopped oxygen,
and now I can go on to activating another therapy. If I exit the oxygen screen, I can go into
the cough therapy screen here. By selecting the cough icon, you’ll see
three presets again. Those three presets are going to look very
similar to what you saw within ventilation and oxygen concentrator. In this example, I’ve programed three presets,
a low, medium and high cough, just like what you and I might experience. We have a small cough sometimes and we have
a big cough sometimes. In our example, I’m going to go ahead and
activate the small cough. By activating the small cough, I’ll click
the low icon here, and you can see all I have to do is hit the START button. By hitting START button, the cough therapy
is automatically activated at a natural point in the patient’s breathing cycle. The cough therapy will continue, I’ve set
it to two cough cycles here, until the cough therapy is complete. The great thing about how the VOCSN cough
therapy works is you literally go from ventilation to cough therapy and back to ventilation. No more disconnecting the patient from different
circuits or setting up another device. The VOCSN cough therapy can be implemented
literally with the touch of a button in seconds. It’s much easier to use, and it’s much
more comfortable. By exiting back into the cough therapy, if
I want to adjust any of the settings within the cough therapy, all I have to do is go
to the settings icon here. By selecting the settings icon, I can see
all the traditional settings that you’re used to interacting with in traditional cough
therapy. For example, if I wanted to change the exsufflation
time from one point five seconds to one second, I’d select exsufflation time, hit the EDIT
button, and I would simply type in one second. I’d then hit ACCEPT, and I’ve changed
the exsufflation time from one point five seconds to one second. I can then simply exit back. I can see the three presets again, and I’ve
completed my cough therapy for the patient. The VOCSN hospital-grade suction system is
designed to travel with you wherever you go. We’ve redesigned the suction canister to
make it easy to attach to VOCSN and to make secretions a little more discreet. To attach the suction canister, simply slide
it in to the suction hole, lock the suction canister, take your traditional suction tube
that you’re used to using, attach it to the back. Once you’ve set up the suction system for
use, you can connect the end of the tube to any suction system that you’re used to using,
including an open and closed suction catheter, as well as Yankauers or anything else that’s
comfortable for the patient to help clear their airways. To adjust the patient’s suction settings,
I’d go back to the VOCSN therapy screen. I’d simply look for the suction icon. I’d select the suction icon, and as you
can see here, I’ve got the traditional suction gauge. If I want to increase the patient’s vacuum
pressure, all I’d have to do is find the up arrow and increase it from what is right
now 140, for example, to 175. To activate the suction system, I just hit
the start icon here. By hitting the start icon, I’ve activated
a very precise suction flow. As you can see, the suction is activated and
working. To turn off the suction, I just hit the STOP
button here. Once you select the nebulizer icon, you’ll
immediately see a timer. To adjust the treatment duration, look for
the up and down arrows. If I want to increase the nebulizer treatment
time, all I would have to do is look for the up arrow. In this case, we’re already set to five
minutes. I’m going to adjust the treatment duration
to 10 minutes. Now I’m ready to activate the nebulizer
treatment. The next step is to connect the nebulizer
teacup to VOCSN. VOCSN is adaptable with any nebulizer cup
that you’d like to use. You can simply connect the nebulizer to the
nebulizer port on the other side of VOCSN. You can then connect it to the patient’s
circuit. In our example, we’ll keep the nebulizer
outside of the patient’s circuit, so you can see how it actually works. I’m going to go ahead and start the nebulizer
treatment. As you can see here, the VOCSN has activated
the nebulizer. Once the nebulizer is activated, the ventilation
automatically compensates for the increased flow of the nebulizer. That’s just to make it a little bit more
comfortable for the patient. Typically, once the 10-minute treatment duration
is complete, VOCSN would automatically turn off the nebulizer to save you an extra step. In this case, we’ll save a little time and
I’ll go ahead and hit the STOP button. Once you’ve completed using all five VOCSN
therapies, let’s check on our patient and see how they’re doing. To do that, simply use the monitors tab located
on the VOCSN screen. Moving from the therapy screen to the monitors
tab, I can see nine visual monitors currently available. These nine monitors can all be customized. VOCSN also features waveform monitoring. To view the waveforms, simply go into the
upper right-hand corner and select the waveforms icon. Once you’re in the waveforms screen, you
can select between three different waveform options. I’m currently showing you the flow and the
pressure. To change the waveforms that you’re seeing,
I can select this bottom left-hand button to see the pressure, flow and volume waveforms. VOCSN’s waveforms are very accurate. As you can see here, as I play with the patient’s
lung, that information is immediately conveyed and displayed to VOCSN. To exit the waveform screen, all you have
to do is hit the EXIT button. VOCSN includes comprehensive therapy tracking. Because VOCSN integrates all five therapies,
we can literally track and see how the patient is using each therapy, at what setting and
when. For example, if I go into the events log,
I can scroll down and see everything that’s happened on VOCSN. For example, I recently initiated a cough
therapy. Let’s see how that cough therapy was used. I can see at what preset, what the flow was,
the date and the time. This helps you monitor patient compliance
with what the doctor’s orders are, and it helps you see if there are any trends as you
use different therapies. VOCSN is simple mobile and care changing. It takes all the different operating systems
that was five different devices and puts them into one easy-to-use operating system. It’s 75% lighter you don’t have as many power
cords and cables a lot easier to transport. And it’s care changing, it’s peace of mind. It allows both the caregiver and the patient
to live a happier and easier life.

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