Equipment options

Chassis:
With bottle holder
Without bottle holder

Measuring modules:
Agas with CO2
Agas with CO2 + O2

Prolungs system:
Prolungs
Prolungs with patient metabolic

Humidiers:
Willamed PHM1000
Willamed PHM5000
Willamed Aircon Prolungs

Willamed PHM1000 Willamed PHM5000 Willamed AIRcon

CHIRANA s.r.o.
Nmestie Dr. A. Schweitzera 194
916 01 Star Tur
Slovak Republic

tel.: +421 (32) 775 2257

fax: +421 (32) 775 2218
e-mail: chirana@chirana.eu

www.chirana.eu

Registered trade marks:

Chirana /2013/11
The production company CHIRANA s.r.o., Stara Tura
The production company CHIRANA s.r.o., Stara Tura is part of a group of companies MOC Stara Tura. Parent company M.O.C. Stara Tura was established in 2001 as a project of preservation
and further development of manufacturing medical equipment brands CHIRANA in Stara Tura. Milestones of mechanical engineering tradition and CHIRANA brand development in Stara Tura:
1935 - Czech industrialist Frantiek Michera laid the foundations of machinery production in Stara Tura. New factory focusing on production of components for water meters and gas
meters was established.
1947 - Manufacture of injection technique from a disposed factory Injecta Kraslice in the Czech border region was delimited to the factory in Stara Tura. Its product range has gradually
expanded to include sterilization, inhalation and investigative techniques, surgical instruments and other medical equipment products.
1958 - Under the then name of Precise Mechanics - PREMA Stara Tura the factory reached one of the rst international successes at the World Expo in Brussels (Grand Prix was awarded
to its world novelty - Big bronchoscopic set).
1963 - Merge of all manufacturers of medical equipment in the Czech Republic and Slovakia to one production-economic unit. Factory in Stara Tura became the leading national company
with aliated national factories CHIRANA PRAGUE and CHIRANA BRNO.
1965 - The manufacturers of medical technology were integrated into a single entity which was named CHIRANA factories of medical technology, trade union enterprise Stara Tura.
1967 - the rst production series of dental units under the brand Chiradent was produced in Stara Tura in 3rd quarter of 1967.
1968 - The department of development and production of respiratory and anesthetic techniques also underwent dynamic development.
1988 - Expansion of the production plan, inclusion of dental tools assortment (initially produced on the basis of licenses by KaVo), later replaced by products from its own developmental
workshops.
1991 - Transformation from state company to public limited company. Privatization and division of the company into several separate business units.
2001 - Establishment of employee-management company M.O.C. and formation of the group M.O.C. Stara Tura.
2002 - M.O.C. becomes exclusive owner of the international and national CHIRANA.
During the full history of Stara Tura nearly 75.000 respiratory and anesthetic devices (N5, N6, N7, N8, Chirolog, Venar, Chirana AURA) were produced under the brand CHIRANA.
More than 100,000 dental units (ErgoStart, practices, SMILE and Chirana CHEESE) were produced in CHIRANA brand Stara Tura by 2013.
Chirana AURA
Servoventilator Chirana AURA is a modern modular device for
articial lung ventilation suitable for adults, children, infants
and neonatal patients. It represents the connection
of high level of security with wide range of advanced
features. It has all the modes of mechanical ventilation
available in the world so far. In addition to the usual
breathing modes, it is the only one in the world with
multilevel programming mode ventilation (MLV), ventilatory
support by continuous ow (CFV) and also the unique
solution to maintain the desired minute ventilation of
patients for each ventilation mode implemented by
servocontrol minute ventilation (MVs).
Chirana AURA
Unique concept for unique solutions!
Chirana AURA is a device developed to meet all your Chirana AURA oers a variety of standard and unique modes of mechanical ventilation:
requirements in order to considerably facilitate the process CMV volume control
of human life rescue. In the device Chirana AURA there are SCMV synchronized volume control
implemented parameter values that are totally comprehen- PCV pressure-controlled ventilation
sive in terms of real applications on patients, not only in SPCV synchronized pressure-controlled ventilation
the range but also in terms of content, covering the entire SIMV-v synchronized intermittent mandatory ventilation with volume control
spectrum of patients ranging from neonates to adults with SIMV-p synchronized intermittent mandatory ventilation with pressure control
a possibility of application in patients with the most severe SIMV-PS synchronized intermittent mandatory ventilation with pressure support
lung damage. The algorithm of ventilation control is based PS Pressure Support
on pulmonary mechanics analysis. In practice it rescues APRV (BiPAP) Airway pressure release ventilation
human lives in situations where other modes of ventilation 2-level two level ventilation
are no longer able to provide gas exchange in the lungs. 2-level + PS two level ventilation with pressure support
MLV provides new, more acceptable and protective CPAP continuous positive airway pressure
alternative of lungs opening for the patients. SIGH depth breath (sigh)
Our solution is an intelligent, mobile, considerate! MLV multilevel ventilation
MLV-HFM high frequency modulated multilevel ventilation
CFS continuous ow support
MVs auto-adaptive control system based on compliance with the chosen MV
NIV noninvasive ventilation
Chirana AURA
Innovative solutions !
Unique version of PCV mode is implemented in the device,
which is not just a standard pressure mode, but also features
automatic detection of spontaneous breathing eorts,
identied by the ventilator as wanting to breathe and in
order to allow the patient to do so, the mode switches to
mode 2-Level ventilation (BiLevel, BiPAP).
This mode has also PS - pressure support available for
assisting spontaneous breathing on PEEP level, the size
of which is optional. In the same basic mode (PCV) with 80%
Ti setting the device uently switches to APRV. Chirana AURA
thus caters to the needs of the patient basically
automatically, what is a great advantage assisting the doctor.

Expiratory intelligent assistance is of great benet to

patients and doctors in situations where the patient ghts
with the ventilator, what leads to exceeding the limit line
pressure (for example coughing). In these situations, most
ventilators release the pressure into the atmosphere and
ground the circuit, thereby causing the set PEEP drop to
zero value and collapse of the alveoli (derecruitment)
unfortunately occurs in damaged lungs . The solution For noninvasive ventilation (NIV) the in-built automatic com-
integrated in the device Chirana AURA is much more advan- pensation for gas leakage around the mask function Leakage
ced. In situations where there is an overshoot limit line pres- Leakage should be emphasized.
sure, the ventilator, after evaluation of the situation by clever Compensation for pressure (ow) losses in endotracheal tube
algorithm, releases the excess pressure so that PEEP remains is solved by tubus compensation function.
preserved at all times during procedure, thus preventing
collapse of the alveoli and it is not necessary to re-implement Apnea Backup - a standard feature.
recruitment.

Automatic compensation of parameters of compliance

and resistance of the ventilator circuit. If any hoses or
humidier are used, the device identies and automatically
compensates for changes in compliance and resistance
of the ventilator circuit.
Chirana AURA
MLV - multilevel ventilation mode represents a worldwide
unique method of programmed ventilation control on three
dierent pressure levels with dierent ventilation frequencies
operating at one time, leading to signicant gas exchange
improvement in severely damaged lungs. Ventilation control
algorithm is based on the analysis of pulmonary mechanics.
The benets that MLV provides are proven in practice not only
in cases of severely aected lungs (with signicant
inhomogeneity of distribution - ARDS, pneumonia, viral
pneumonia, Diusion confusion, H1N1 Inuenza virus etc.) are
indisputable, and in case of its early deployment in practice, this
mode rescues human lives in situations where other ventilation
modes are no longer able to provide gas exchange in the lungs.
without the need for operator intervention, or lung ventilation
interruption. Besides the standard parameters (static and
dynamic compliance, resistance) alveolar pressures (Pai, Pae),
auto PEEP (PEEP), inspiratory and expiratory time constants,
modied P01, as well as other derived parameters are also
monitored.
The device have inbuilt mixer of inspired mixture with accurate
analysis of oxygen concentration FiO2 (%). All ventilatory activity
parameters are stored in the device memory for 24 hours
(system of trends).

MVs method implemented in the device represents a unique

solution for intelligent control of all ventilation modes by
changes in ow, pressure, volume and frequency, using a special
algorithm that ensures the protective ventilation and operator
selected minute ventilation. Proportional control of ow,
pressure, volume and frequency to achieve the chosen
minute ventilation is ensured even during patients spontaneous
respiration. In this method of protective ventilation, automatic
adaptation of ow is also available in pressure-controlled modes
(AUTO-FLOW). Automatic adaptation of pressure in
pressure-controlled modes (AUTO-PRESSURE), automatic
compensation of the eects of changes in the mechanical
properties of the lungs (Static compliance, airway resistance)
during pressure modes of mechanical lungs ventilation
(AUTO-COMPENSATION).

Monitoring the mechanical properties of the lungs online DATA

represents unique advantage for the doctor who constantly has
information about the state of the patients respiratory organs
and their trend. Monitoring runs automatically in all modes,
Prolungs
Computer-assisted ventilation !
ProLungs software is the rst in the world to allow for computer processed data, which signicantly improves the
interactive processing of data not only from the servoventi- patients lung function diagnosis and assists the doctor
lator, but also from respiratory organs of the patient. Data to decide on further treatment strategy. Thanks to Prolungs
can be evaluated, optimized, archived and certain data and module, information about ventilation of the patient can
procedures can be monitored in detail. Most importantly, the be transmitted for further processing, for example
Auto-Start function allows for almost automatic adjustment to Chirana central monitoring.
of the device in very short time, presenting a huge benet
especially in stressful emergency situations. The operator
controls the computer through touch screen.

The possibility of Optimizing f, VT, MV represents a truly

unique process which optimizes gas exchange and reduces
peak airway pressures that would unnecessarily traumatize
patients lungs. When using the ProLungs module,
signicant expansion of the system of monitoring and
evaluation of trends is available without any time limit. In the
Prolungs system there is an option of unlimited tracking of
trends in terms of time, not only as regards parameters, but
also events - (alarm, warning) and also each individual change
of parameters of ventilation mode, or mode as a whole.
Stating the exact date and time of the event and also mode
changes that are recorded in well-arranged graphic, allow
for very easy checks of previous events and provide
a comprehensive overview of the state of the patient and the
method of treatment used by the doctor.

Chirana AURA device with in-built ProLungs system

represents technology that as the rst in the world presents
computer assisted ventilation and optimization of patients
lung ventilation. Superstructure communicating directly with
AURA ventilator evaluates ventilation parameters, but mainly
respiratory organs diagnostics and provides the doctor with
Chirana AURA Basic
Basic model of the device for adults, children and infants,
which in its price range taking into consideration its
parameters, achieves competitive position on the market.
The device has all world-standard modes of ventilation
features, including MVs (APMV), which is a unique solution
of intelligent control of all the ventilation modes through
changes in ow, pressure, volume and frequency according
to a special algorithm that ensures ventilation protection
and operator-selected minute ventilation.

Thanks to the original technical solution based on patented

technology, the device does not require a source
of compressed air and operates with low noise.

Ventilation modes
CMV, SCMV, PCV, SPCV, SIMV-v, SIMV-p, SIMV-PS PS, APRV
(BiLevel), 2-level, 2-level+PS, CPAP, SIGH, MVs.
Chirana AURA
represents high standard breathing device for adults, children
and infants, which in addition to normal breathing
modes oers as the only one in the world also the MLV mode
(programmed multilevel ventilation), ventilatory continuous
ow support CFS (continuous ow) and also a unique solution
for keeping the required minute ventilation of the patient
in each realized ventilation mode through the so called MVs
(servo minute ventilation). It also provides the option
of integrating additional module Prolungs that extends
monitoring and evaluation parameters of the basic unit
Chirana AURA, but in particular brings the customer
a number of automatic features as regards the control and
adjustment process of controlled or supported breathing.

Thanks to the original technical solution based on patented

technology, the device does not require a source of
compressed air and operates with low noise. On request
the device can be equipped with CO2 monitoring. When
completed with the Prolungs module in the version with
metabolic monitoring of the patient, it is recommended
to retrot the device with paramagnetic O2 monitoring
module.

Ventilation modes
CMV, SCMV, PCV, SPCV, SIMV-v, SIMV-p, SIMV-PS PS, APRV
(BiLevel), 2-level, 2-level+PS, CPAP, SIGH, MLV, MLV-HFM, CFS,
MVs.
Chirana AURA V
is the latest model of Chirana AURA series. It is an advanced
breathing device for all types of patients, from neonates to
adults. The use of new original construction solution leads
to signicant expansion of limits of CHIRANA brand
servoventilators use in patients in the lowest weight
category, roughly from 500 grams thus signicantly
widening the range of satised users of CHIRANA brand devi-
ces. Besides normal breathing modes, it has similarly
to AURA the MLV mode (programmed multilevel ventilation),
ventilatory continuous ow support CFS (continuous ow)
and also a unique solution to maintain the desired minute
ventilation of patients for each realized ventilation through
MVs mode (servo minute ventilation). It also provides the
option of integrating additional module Prolungs, which
extends the monitoring and evaluation of the basic
parameters of the device, but in particular brings the
customer a number of automatic features as regards the
control and adjustment process of the controlled
or supported breathing.
The technical solution of the device requires an external
source of compressed air, unlike previous versions of devices
AURA. This makes the device much lighter. It works with
minimal noise level to meet high standard parameters from
the point of view of both patients and operators.

Ventilation modes
CMV, SCMV, PCV, SPCV, SIMV-v, SIMV-p, SIMV-PS PS, APRV
(BiLevel), 2-level, 2-level+PS, CPAP, SIGH, MLV, MLV-HFM, CFS,
MVs.