​The electronically controlled electrically driven piston ventilator technology of Atlan A350/XL anaesthesia machine helps to deploy lung protective ventilation measures that can be beneficial for perioperative lung function and may improve outcomes.

• Synchronised piston movement with the patient expiration flow reduces the expiratory resistance and can reduce work of breathing
• The set PEEP is maintained even in case of small leakage and during spontaneous breathing to reduce risk of atelectasis development
• High trigger sensitivity can detect even weak spontaneous breathing efforts of patients
• Fresh-gas decoupling ensures that changes to the fresh-gas flow have no influence on the applied tidal volume, ventilation pressures, and the accuracy of delivered VT even with very small VTs, e.g. down to 5 ml
• Features and functionalities optimise minimal- and low-flow application, which can contribute to improved humidity of anaesthetic gases, mucociliary clearance, maintenance of body temperature and reduced fluid loss. They include:
  – integrated active heating of breathing system to warm breathing gas and to reduce condensation
  – optimised breathing system architecture to enable fast changes in fresh-gas and agent concentrations
  – sample-gas recirculation to eliminate gas loss
• Lung recruitment maneuvers option* comprises one-step and multi-step recruitment methods, Insp./Exp. Hold function and reminder function to support recruitment manoeuvre deployment
• AutoFlow option ensures the delivery of the set tidal volume with the lowest required pressure to avoid pressure peaks and unintentional high tidal volumes
• Highly accurate APL valve with a nearly linear increase and decrease in pressure pattern

​To support you and your staff make informed decisions, our Atlan A350/XL anaesthesia machine can be fitted with multiple options and combinations with other Dräger products.

• Advanced Gas Monitoring option*:
  – Indicator and trend for efficiency of fresh-gas setting and anaesthetic agent consumption (Econometer and Low Flow Wizard (with no trend)) to support intuitive and convenient application of minimal- and low-flow anaesthesia
  – Access to gas and oxygen consumption and anaesthetic agent uptake data to analyse the low- and minimal-flow practices
  – MV x CO₂ parameter to monitor the qualitative display of CO₂ elimination
• Advanced Ventilation Monitoring option:
  – Display of patient lung compliance with trend, P-V and V-Flow loops to assess the ventilation quality and adapt ventilation settings accordingly
• Compilation of relevant ventilation and haemodynamic patient data in one view display to assess therapeutic effects of lung recruitment manoeuvre**
• Guidance for optimised and patient oriented anaesthetic agent delivery in combination with Dräger's SmartPilot^® View ***

​Breaking the chain of infection and complying with your hospital's hygiene protocols is critical in today's clinical environment. For this reason, during the development phase of Atlan anaesthesia machines, we designed them with infection prevention regulations in mind to support hygiene measures in the OR.

• Tool-free and quick disassembly of breathing system with few parts to be compliant with infection prevention regulations
• Smooth and rounded surfaces ease cleaning/wipe disinfection
• Cable ducts and channels reduce number of potential contamination sources
• Compatible with original Dräger single-use consumables support hygiene standards
• Generated message* reminds personnel about the replacement of the RFID technology-based consumables (Infinity ID breathing circuit, Infinity ID WaterLock 2 water trap, Infinity ID flow sensors, Infinity ID CLIC absorber) when their maximum period of use are exceeded
• Compliant with ISO 17664

​The design architecture of the Atlan A350/XL anaesthesia machines allows you flexibility to address customer tailored combinations as well as an ergonomic and user-friendly workplace for nearly every size of OR.

• Scalability among workstation set-up addresses various customer needs and meets spatial conditions of different OR spaces:
  – Compact or large trolley, ceiling or wall variants supports good patient access, ergonomic working environment, and low turnaround times with customised workplaces
  – Comes with or w/o integrated patient-gas measurement module to offer flexibility and avoid redundant cost for clinics with gas bench monitors
• Standardised Dräger user interfaces, operating principles, nomenclature, and accessories across other Dräger anaesthesia devices and ventilators reduce training efforts, optimise fleet management and reduce risk of errors
• Graphically illustrated walk-through pre-test checklist enables easy and intuitive preparation of the machine for self-test
• Fully automated system self-test* (no user interaction needed) enhances operational efficiency and saves staff time for other tasks
• Auto On** function enables an automatic system test and switching on of the tested device at a defined time that helps to reduce time for start-up
• Ex- and import of machine configuration via USB saves manual efforts and time**
• Large work surface, lockable drawer, and additional shelves (optional) for optimal working conditions and supply storage
• Workplace illumination improves readability during Minimally invasive surgery (MIS) cases
• Cable management channels reduce cable clutter, connection failures and cleaning efforts
• Improved manoeuvrability via combination with ceiling supply units simplifies positioning of machine in the OR
• Anaesthetic agent and gas consumption measurements help to analyse potential savings in agent and gas consumption
• Generates a message*** when the maximum period of use of the RFID technology-based accessories (Infinity ID breathing circuit, Infinity ID WaterLock 2 water trap, Infinity ID flow sensors, Infinity ID CLIC absorber) are exceeded to remind personnel about the required replacement of consumables
• Generates message* when the RFID technology-based Infinity ID breathing bag connector or breathing circuit is connected incorrectly and if the Infinity ID CLIC absorber is not firmly connected to avoid potential human errors
• Design flexibility enables different mounting positions of hardware components, e.g. patient monitors, IV pumps, IT hardware and shelves, etc., to offer customised workstation solutions

​The Atlan A350/XL anaesthesia machine was designed with security in mind to combat dangerous and damaging cyber-attacks.

We implemented measures considering the NIST security best practices framework.

• Identify: Dedicated documents with security relevant information are provided for asset risk management (e.g. Software Bill of Material, MDS2 Form, comprehensive cybersecurity whitepaper).
• Protect:
  – A secure boot ensures the integrity of the software running on the device
  – Role-based authentication & authorisation prevents unauthorised access to critical settings and data
  – Hardened operating system by omitting all unnecessary software components and disabling all unused ports minimises attack surface
• Detect: Security relevant events are detected, logged in a tamper-proof security log file and IT-admin is notified via SNMP traps
• Respond: The system health monitor observes the system load carefully and reacts in case of suspected malicious events, i.e., disable network interface if load is unusually high.
• Recover: The system can reboot into last good known state if security event is detected. Dräger service can restore hard- and software quickly, clinical configuration can be transferred from other devices via USB drive

• Threat analysis to identify vulnerabilities during the development phase
• Automatic code analysis along software development
• Independent 3rd party penetration testing to discover residual vulnerabilities
• Execution only of signed (trusted) code on the device
• Release of patches if relevant vulnerability was detected
• Continuous vulnerability monitoring along the lifecycle of the product

​Together with Dräger Infinity Acute Care System** and the Dräger Connectivity Converter CC300, the Atlan A350/XL anaesthesia machine comprises a workstation with functionalities to help you enhance the efficiency and error reduction in anaesthesia. Our anaesthesia workstation is also able to connect to networked hospital systems, and functions as a data source:

• Time and date synchronisation: Identical date and time setting on all connected machines to enable consistent and accurate documentation
• Data export and EMR Integration: Collection of high-quality and standardised data from the Atlan workstations which is directly integrated into the patient’s electronic medical record system that reduces time spent on administrative tasks
• Cardiac bypass mode synchronisation: Activation of Cardiac bypass mode (CBM) on Atlan anaesthesia machine adapts alarm settings of all connected monitors simultaneously to allow patient monitoring without unnecessary alarms during extracorporeal oxygenation of the patient by heart-lung machine
• Day/Night mode synchronisation: Adapts the colours and luminance of all screens of the Atlan workstation simultaneously to the clinical scenario to reduce redundant and manual work steps
• Lung recruitment synchronisation*** provides contextual information on the Dräger IACS patient monitoring cockpit supports the evaluation of the effects after a lung recruitment manoeuvre is deployed
• Admission-Discharge-Transfer (ADT) data takeover: Imports available patient data (patient category, age, weight, and height) from the Electronic medical record (EMR) into Atlan workstation with the push of a button
• Mobile Patient Watch: Displays near real-time ventilation numeric parameters and gas analysis waveforms from connected Atlan anaesthesia workstations on a (remote) web-enabled mobile phone or desktop computer to enable remote clinical supervision

​Networked Atlan anaesthesia machines together with Dräger Connect, an innovative cloud-enabled digital business platform for digital solutions and services, can aggregate and process data into valuable information to optimise workflow and cost management:

Gas Consumption Analytics: A comprehensive view of the total consumption of used medical and anaesthetic gases from your connected Atlan workstations per OR and in each OR block.

• Visualises the consumption and related costs per anaesthetic agent used in one department
• Indicates the average fresh-gas flow as well as anaesthetic gas consumption and patient uptake ratio
• Displays average costs per minute and intervention function as economic performance indicators
• Displays the applied flow rates to support the implementation of low and minimal flow practices
• Displays the calculated CO₂ equivalent based on consumed anaesthetic gases to evaluate the environmental impact

Self-Test Tracker option:

• Enables remote check of the system test results of all Atlan workstations across departments to optimise and streamline workflows for nursing staff or biomedical engineers
• Provides a centralised overview of machine self-test results to inform staff about machine readiness, and together with the Auto On option of Atlan anaesthesia machine – which enables an automatic system test and switching on of the tested machine at a defined time – can help to reduce time for start-up and streamline staff workflows for the daily anaesthesia machines self-test procedure
• Acts as an assistance system and immediately provides staff with troubleshooting steps

• Gain insights of the utilisation of your networked Atlan to check its performance and improve efficiency
• View real-time online network status and operational state of each device
• Save costs through utilisation analyses and optimisation of the devices fleet with fundamental data insights
• Provides a comprehensive data basis to support purchase decision making
• Improves the transparency of software status and updates to avoid security gaps
• Enables insights into your networked Atlan workstations fleet to support maximum performance and to avoid operational malfunctions

• Help Ticket: Expert help about technical issues quickly by simply pressing a button at the device. Less onsite service, repair call avoidance, improved first-time fix rate, higher machine uptime
• Remote software distribution: Manages software updates efficiently and securely with minimal disruptions to clinical workflows
• Certificate Management: Medical devices and service tools kept safe and secure by automatic renewals

_{* Both are optional and subject to applicable/licence terms of use. Require compatible medical devices and additional IT infrastructure.}

​Our Atlan A350/XL machines offer you a wide range of functionalities to help make the anaesthesia process safer for both your patients and clinical staff.

• Backup manual mode (in case of ventilator, touch screen, or gas mixer failure) to allow manual ventilation while maintaining gas and ventilation monitoring as well as O₂ and anaesthetic agent delivery to continue anaesthesia at any time
• Generates message* when the RFID technology-based Infinity ID breathing bag connector or breathing circuit is connected incorrectly and if the Infinity ID CLIC absorber is not firmly connected to avoid potential human errors
• Intuitive start in emergency case to reduce waiting time in critical situations
• O₂ real gas test** checks to ensure oxygen is the delivered gas during the self-test
• Automatic xMAC monitoring** to alarm in case of an unintentional drop in concentration of volatile anaesthetics to avoid awareness
  
• In case of central gas supply failure and absence of spare gas cylinders, the mechanical ventilation of the patient can be continued with ambient air
• Automatic and time-controlled*** self-test, which includes all relevant components to ensure a safe-to-operate machine so as to enhance patient and personnel safety