Evaluating New Technology

EvaluatingNew Technology

.. MonitorECGSpO2CapnographyArterial Pressure-based Cardiac Output (APCO)Defibrillator Network ECG & Spirometry

Adult/Pediatric/NeonateBasic monitorECGNIBPSpO2Advanced monitorCapnography (CO2 monitor)MonitorECGLead 3-lead 12-lead EASI method : 5 electrodes Conventional method : 10 electrodes Arrhythmia detection Ventricular arrhythmias, asystole, bradycardia, etc Ischemia detectionST-segment analysisSpO2Conventional Pulse Oximetry provides inaccurate monitoring or signal dropout during:Patient Motion or Movement Low Perfusion (low signal amplitude) Intense Ambient Light (lighting or sunlight) Electro surgical Instrument Interference Advanced technology : Masimo SET Masimo SET uses Adaptive Filter, DST, FST and SST, in parallel processing mode (all patented by Masimo). Masimo SET's four unique algorithms, along with conventional red over infrared algorithm allows for unprecedented fidelity, sensitivity and specificity

Masimo SET

Masimo SET

Masimo SET

Masimo SET

Masimo Rainbow SET

Masimo Rainbow SETCapnography (CO2 monitor)

MainstreamSidestreamMicrostream

Mainstream Capnography

Mainstream Capnography

Sidestream Capnography

Sidestream Capnography

Microstream Capnography

Microstream Capnography

Microstream Capnography

Microstream Capnography

Arterial Pressure-based Cardiac Output (APCO)Measurement of cardiac output Intermittent CO (ICO) Swan-Ganz thermodilution catheter Continuous CO (CCO) Swan-Ganz continuous cardiac output catheter Less invasive CCO: APCO FloTrac sensor Vigileo monitor

Arterial Pressure-based Cardiac Output (APCO)

Arterial Pressure-based Cardiac Output (APCO)

Arterial Pressure-based Cardiac Output (APCO)

Arterial Pressure-based Cardiac Output (APCO)

Arterial Pressure-based Cardiac Output (APCO)

Arterial Pressure-based Cardiac Output (APCO)

Arterial Pressure-based Cardiac Output (APCO)

Arterial Pressure-based Cardiac Output (APCO)

Arterial Pressure-based Cardiac Output (APCO)

Arterial Pressure-based Cardiac Output (APCO)

Arterial Pressure-based Cardiac Output (APCO)

Defibrillator Monophasic waveformvary in the speed with which the waveform returns to the zero voltage point- either gradually (damped sinusoidal) or instantaneously (truncated exponential) Biphasic waveformfirst flows in a positive direction for a specified duration, in the second phase the device reverses the direction of current so that it flows in a negative direction adjusts the amount and duration of current delivered based on impedance measurements performed twice during every shock provides equivalent defibrillation success at lower energy levels than those of monophasic shocks and eliminates the need to increase the energy for persistent VF

DefibrillatorBiphasic waveformTruncated exponential RectilinearMultipulse Biowave TruncatedexponentialRectilinearHigh impedanceLow impedanceBiphasic waveform-200102030405004812-10-200102030405004812-10-200102030405004812-10-200102030405004812-10

Biphasic waveformMultipulse Biowave

The Schiller Biphasic Defibrillation Waveform (Multipulse Biowave)DefibrillatorTo be effective the defibrillation shock has to provide an adequate level of current 22 Amperein a very precise period of time 4 ms and with the lowest possible energy Energy (Joules) is harmful and causes burns

t[s]00.5102004006008001000No currentThere is NO CURRENT and so NO ENERGY half of the time !CurrentThe defibrillation shock is pulsed

High current is so obtained but with only half energy

The duration of the 2 pulses is always fixed to 4 ms, corresponding to the excitation time of the cardiac cells

Amplitude of the negative pulse is adapted in order to eliminate charges built up by the first phase and will so prevent from a possible refibrillation

t[ms]Vd Vm Negative pulse amplitude is well adjustedElectrical charges built up by the positive shock are totally eliminatedDefibrillator: Options12 ECG leads on the screen (*with interpretation)SpO2NIBPRecorderPacemaker

Network ECG & Spirometry Conventional 12-leas ECG with interpretation on thermal paperNetwork ECG & Spirometry12-lead ECG & Spirometry stored and accessed via NetworkSave cost of expensive thermal paperCan be accessed any time for comparing with previous tracingCan be printed out on standard A4 paper by any laser printerCan be accessed thru internetSEMA Light vs. SEMA-200SEMA is equally effective for single user and multi user operation in a networked environmentTwo versions are available: SEMA LightOffice installations with a maximum of 5 users Minor requirements of interfacing to other systemsSEMA-200Larger offices, private clinics, or hospitalsHigh demands on connectivity and interfacesExtended functionality for analysis and increased productivitySEMA LightSEMA-200Maximum Number of Usersup to 5no limitExamination ReviewsResting ECG (with QT Dispersion and Late Potential)Exercise ECGSpirometryResting RhythmSerial Comparison of Resting ECGVector AnalysisIntegration with MT-200 (Holter) and MT-300 (ABP)Extended Search (Examination Search)Batch EditingE-mail ExaminationPDF Report Generation and ExportElectronic Medical Record (EMR) System Interface (GDT)HL7 Interface Module (additional module)()SEMA Light vs. SEMA-200

SEMA System ComponentsPDF Report Generation and ExportSEMA-200 (v2.3) contains a built-in PDF report generatorThe PDF report generator is also available for CS-200 and as an option for new versions of AT-104PDF reports are generated on demand & can be:manually or automatically exportedmanually generated and opened by a PDF reader(such as Acrobat Reader)All print-out formats in SEMA-200 are supportedThe filename of the exported PDF file can be fully customized to contain information such asPatient NamePatient IDExamination Date and Time

HL7 Interface Module

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