Evaluation of the Puritan Bennett™ 980 Ventilator System Safety and Performance in the Real-World Setting.

PB980 complications critical care respiratory distress safety ventilation

Journal

Medical devices (Auckland, N.Z.)
ISSN: 1179-1470
Titre abrégé: Med Devices (Auckl)
Pays: New Zealand
ID NLM: 101566041

Informations de publication

Date de publication:
2024
Historique:
received: 08 08 2023
accepted: 12 01 2024
medline: 29 1 2024
pubmed: 29 1 2024
entrez: 29 1 2024
Statut: epublish

Résumé

Mechanical ventilation is a life-supporting intervention but is associated with known risks and complications. To improve the efficacy and safety profile of mechanical ventilation, manufacturers have developed advanced ventilator settings, modes, and alarm strategies to optimize ventilation for patient needs while avoiding complications. However, there is little real-world data published on the deployment of ventilator technology. The main objective of this study was to assess the clinical safety and performance of the Puritan Bennett™ 980 Ventilator System (PB980) using real-world clinical data collected from a diverse, global patient population. This was a multi-center, post-market registry study that included nine sites: four in the United States of America, one in Europe, and four in China. Patients were enrolled into the registry if they were intended to be treated with a PB980. Data collection began at the start of ventilation and continued until extubation off the ventilator or up to seven days of ventilation, whichever occurred first. Subjects were divided by age into three categories: infants (0-365 days), pediatric (1-17 years), and adult (18 years and older). The primary outcome was device-related complication rate. Two-hundred-and-eleven subjects were enrolled (41 infants, 48 pediatric, and 122 adults). Sixteen deaths, unrelated to device deficiency, occurred during the data collection timeframe (relative frequency: 7.58, 95% CI: 4.40, 12.0). Only one device-related adverse event was reported (relative frequency: 0.47% 95% CI: 0.01%, 2.61%). Ventilation by the PB980 was delivered safely in this multi-center observational study, which included a diverse sample of patients with broad ventilatory needs.

Identifiants

pubmed: 38282718
doi: 10.2147/MDER.S433900
pii: 433900
pmc: PMC10821633
doi:

Types de publication

Journal Article

Langues

eng

Pagination

37-45

Informations de copyright

© 2024 Roshon et al.

Déclaration de conflit d'intérêts

The study was sponsored and funded by Medtronic. All authors (or their institutions) received research support from Medtronic to conduct this study. Michael Roshon serves as a director on USACS’ National Clinical Governance Board.

Auteurs

Michael Roshon (M)

Department of Emergency Medicine, Penrose-St. Francis Health Services, Colorado, Springs, CO, USA.

Paras B Khandhar (PB)

Pediatric Critical Care Medicine, Beaumont Children's Hospital, Royal Oak, MI, USA.

Manoj Biniwale (M)

Division of Neonatology, University of Southern California Keck School of Medicine, Los Angeles, CA, USA.

Rangasamy Ramanathan (R)

Division of Neonatology, University of Southern California Keck School of Medicine, Los Angeles, CA, USA.

T Patrick Frazier (TP)

Department of Medicine, University of Alabama at Birmingham, Heersink School of Medicine, Birmingham, AL, USA.

Feng Xu (F)

Department of Intensive Care, Children's Hospital of Chongqing Medical University, Chongqing, People's Republic of China.

Linlin Zhang (L)

Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing, People's Republic of China.

Xiangdong Guan (X)

Department of Critical Care Medicine, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, People's Republic of China.

Dai Wenling (D)

Department of Critical Care Medicine, Yancheng First People's Hospital, Yancheng, People's Republic of China.

Bernard Lambermont (B)

Department of Intensive Care, University Hospital of Liege, Liege, Belgium.

Classifications MeSH