Vivatmo – System Overview
FeNO in medical practice & FeNO at home
Adapted from Global Initiative for Asthma (GINA): Continuous cycle of personalized asthma management consisting of assessment, adjustment of treatment, and review.
All steps are under the supervision of the treating physician.
FeNO measurement
FeNO measurement can significantly improve the diagnosis and therapy of asthma – this is evident from numerous studies, guidelines and case reports. Bosch Vivatmo measures the biomarker FeNO in exhaled breath simply and precisely. The Vivatmo system consist of:
- Vivatmo pro – maintenance-free FeNO measurement device for use in practice and clinic
- Vivatmo me – the world’s first FeNO home measurement device for patients and studies
- Vivatmo app – asthma diary for patient’s FeNO values and other relevant asthma data
- Vivatmo oxycap – disposable mouthpieces to ensure maximum hygiene and reliable results
Regarding FeNO, the combination of point-of-care and home measurement opens up completely new dimensions in asthma management: Home monitoring provides the treating physician with more FeNO values over time and additional context information. This can enable more precise medication dosing as well as better control of adherence and exacerbations in dialogue with the patient.
Ideal Duo: Point-of-care and Home Measurement
Vivatmo pro is engineered for FeNO measurements in demanding clinical environments. It combines the reliability and accuracy of German engineering with a smart, user-centric de-sign. The result is an effortless and maintenance-free device for seamless daily workflows.
What makes Vivatmo special?
The maintenance-free FeNO system connecting physicians and patients for better asthma management.
Holistic system approach
Unique combination: FeNO in medical practice & FeNO at home for individual, need-based therapy in dialogue with the patient – for precise medication, better control of adherence and exacerbations.
Exceptional cost-efficiency
The Vivatmo system requires no recalibration, maintenance, or sensor exchange during the entire lifetime due to high-precision Bosch technology made in Germany.
Flexible operation
Portable, wireless handheld allows mobile measurements. Data is subsequently transmitted to Vivatmo app or basestation via Bluetooth.
Bosch Sensor Technology: Precision for Life
Vivatmo System: No sensor replacement. No recalibration. For the entire product lifetime.
The Bosch Group produces around 4 million sensors every day. With more than 50 years of experience in high-volume manufacturing and over 10,000 patents in microsensor technology, it is one of the world’s leading providers.
The sensor technology inside the Vivatmo devices is completely maintenance-free. For your practice or clinic, this means less effort and fewer interruptions in daily routines: No one needs to replace or recalibrate the sensor. The measurement module is calibrated once at the factory – using Bosch’s advanced reference system. After that, Vivatmo measures consistently and reliably throughout the entire product lifetime.
Bosch has developed a new, patented measurement concept for FeNO after years of pioneering work. Unlike conventional sensors, the Vivatmo sensor does not wear out as it does not suffer from chemical ageing. The sensor cleans itself and automatically checks its operational readiness. In addition, smart algorithms ensure reliable results by detecting user errors early and taking environmental conditions into account.
Benefits of Vivatmo pro
Higher throughput and seamless integration into daily routines
No maintenance: Bosch engineering excellence
Exceptionally cost-efficient system requiring no recalibration, maintenance, or sensor exchange during the entire lifetime (up to 5000 measurement trials) due to high-precision Bosch technology made in Germany.
Usability: intuitive and easy
- Ergonomics similar to playing a flute: Patient exhales against light pressure through the mouthpiece into the handheld.
- Two measurement modes: 10 seconds for adults and 6 seconds for children (7-11 years).
- Two visualizations available to guide the user quickly and intuitively through the measurement maneuver.
- FeNO values available right after the measurement.
- If first attempt fails, Vivatmo pro is ready to measure again within 10 seconds.
- Winner of the Red Dot Design Award.
Connectivity: smart and secure
- Remote software updates available via Vivasuite connectivity solution.
- Common interfaces and data exchange standards enable seamless IT integration: Wifi, USB, Ethernet, HL7, and GDT.
- Patient data management system of up to 10,000 patient files, including export function and immediate printing.
- Backups and optional user login to support data security in clinical environment.
- Portable handheld can perform stand-alone measurements when not paired to basestation. Data is subsequently transmitted via Bluetooth.
Hygiene: highest standards
- Reduced infection risk due to easy cleaning, no inhalation through device, and highly efficient germ filter in disposable mouthpiece.
- Cleaning with alcohol disinfectant wipes (max. 30%).
- Bacterial filtration efficiency (BFE): 99.998%.
- Viral filtration efficiency (VFE): 99.960%.
Sustainability: CO2 neutral
- The entire Vivatmo system is climate-neutral through carbon offsets.
How does the FeNO Measurement Work?
Whether in medical practice or at home: FeNO measurement always works the same way – fast, simple, repeatable and not stressful. The video shows the procedure on the Vivatmo me patient device: The user exhales consistently through the mouthpiece into the handheld. After successful measurement, the result is immediately available.
Vivatmo oxycap for optimal hygiene
The Vivatmo oxycap is a high-quality disposable mouthpiece. It contains several complex filter layers. These reliably trap unwanted particles, bacteria, viruses and moisture before the breath reaches the measuring device. In this way, the mouthpiece optimally prepares the breath sample for the measurement process and ensures that the Vivatmo device remains clean and hygienic inside (BFE/VFE > 99.9%). Thanks to the natural ergonomics, using Vivatmo feels like playing the flute.
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