Just provide a few details and we will get back to you
Use this form to reserve with us iSAVE ventilator expansion systems your hospital/care facility to support COVID-19 Pandemic patient care.
Contact Person Name*
Enter the full name of the facility the device should be shipped to
How many devices do you require?*
One device can double the capacity of one ventilator. Select based on how many ventilators you'd like this device for
Name of an individual we can coordinate with for order*
Main Point of Contact
Main Point of Contact Email*
Main Point of Contact Phone Number*
Please include country code
Include full address, street address, city, state, zip/postal codes, country
Please Read: iSAVE is a ventilator expansion device that can enable the use of one ventilator for two patients, while having the ability to digitally monitor each patient, track their respiratory function. iSAVE is not a replacement for a ventilator but a device to use to expand the number of patients you can use per ventilator. The device should ONLY be used on sedated patients. Each device costs Rs.150,000 including shipping and taxes. We working as hard as we can to ship devices to your facility and are targeting a 3-week lead time for shipment. In case we expect delays, we will contact you. Please indicate below if you fully understand and agree to these terms and conditions.
I have read and fully understand the intended use and conditions for iSAVE
I do not agree
How do you plan to purchase the devices?
Each device is Rs.150,000 incl. shipping and taxes. Cost covers manufacturing and distribution of devices only. Please note that devices will not be shipped until payment is accepted
Will directly pay for devices for immediate shipping
Working with our donors to help purchase devices
Do not have sufficient funding and require help
Who can we connect with to coordinate payment?*
Payment Contact Email*
if you are making donation from outside India
if you are making donation from India