OSYPKA MEDICAL Asia

AESCULON

Complete Hemodynamic Monitoring System

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Product Description

Complete Hemodynamic Monitoring System. The AESCULON™ provides a 12’’ high resolution color display that works as a comprehensive, standalone hemodynamic monitor. It provides a complete hemodynamic monitoring system that provides user-defined hemodynamic parameters. With the help of Masimo’s pulse oximetry chipset, the AESCULON™ is able to measure SpO2 and is equipped with a non-invasive blood pressure cuff, which allows for the measurement of systemic vascular resistance (SVR) with the input of Central Venous Pressure.

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Furthermore, the AESCULON™ can be upgraded to include Masimo’s SET rainbow parameters, which measures absolute hemoglobin SpHB™. With the measurement of hemoglobin SpHB™, oxygen saturation SpO2, and cardiac output, the AESCULON™ is able to determine completely continuous and non-invasive measurement of Oxygen Deliver (DO2) and Oxygen Delivery Index (DO2I).

Pacemaker Clinic™AESCULON also syncs with our PACE pacemakers products line to provide a novel interface for the optimization of pacemaker timings, pre and post cardiac surgery. Pacemaker Clinic™ provides an easy, efficient and well documented way to optimize hemodynamics during cardiac resynchronization therapy.

Dual-chamber and in particular three-chamber i.e. bi-ventricular pacing systems may be most beneficial to the hemodynamics of a patient provided an optimal setup of pacing parameters. Usually this optimization process is performed employing echocardiography. Echo provides a costly and cumbersome method prone to significant variation between operators. Furthermore, this method is only two-dimensional. The resulting images require an experienced eye in order to make judgments with respect to the wall motions of the heart, which may or may not correlate with an improvement or decline in cardiac output.

The AESCULON® version Pacemaker Clinic™ allows a systematical and relatively fast approach to optimization along with excellent means of documentation.

Unlike continuous monitoring, the identification of the to the patient most beneficial pacing setup requires a brief measurement period (for example, 30 seconds) which is repeated for each permutation of pacing parameters of interest.

Comprehensive Analysis ScreensAESCULON™ comes equipped with a fluid management screen that can be used to target hemodynamic levels set by the physician during ionotropic and volume therapies in intraoperative and postoperative environments. This screen provides an easy to understand illustration of the hemodynamics of a patient, and continuously tracks the patient’s status toward the user defined goal of SV and MAP.

AESCULON™ also has the ability for user-defined trends of hemodynamic parameters. This allows for timely monitoring of hemodynamic changes throughout the course of treatment.

Unlimited Data StorageAESCULON™, with virtually unlimited data storage, provides an ideal research and clinical monitor for tracking hemodynamics continuously over a period of time for numerous amounts of patients. Patient data is stored at user defined intervals, and can be recalled on both the AESCULON™ itself, or through Waveform Explorer™ software.

Waveform Explorer™The Waveform Explorer™ offers a tabular and a graphical representation of results and signals previously measured and recorded by the AESCULON® device. Additionally, all waveforms from previous measurements can be analyzed to better understand the measurements done by the AESCULON™.

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AESCULON Specifications

Features

• Continuous monitoring of user-defined hemodynamic parameters
• 12’’ high resolution color display
• Non-invasive oscillometric blood pressure monitor
• Rechargeable battery backup for 20 minutes of operation
• Connectivity to Phillips systems through IntelliBridge and VueLink Interface
• USB interface for convenient backup of patient data and printing
• Operation with or without keyboard and mouse

Blood Flow / Electrical Cardiometry™

• Stroke Volume (SV) / Stroke Index (SI)
• Heart Rate (HR)
• Cardiac Output (CO) / Cardiac Index (CI)

Vascular System

• Non-invasive Blood Pressure (NIBP) measurement
• Systemic Vascular Resistance (SVR/SVRI) based on input of Central Venous Pressure (CVP)

Contractility

• Index of Contractility (ICON)
• Variation of Index of Contractility (VIC)
• Systolic Time Ratio (STR = PEP/LVET)

Fluid Status

• Thoracic Fluid Content (TFC)
• Stroke Volume Variation
• Dynamic Fluid Challenges
  1. Passive leg raising (PLR) tests
  2. Bolus fluid challenge tests

AESCULON Pacemaker Clinic

Optimization of cardiac pacing and resynchronization therapy (CRT)

• Sophisticated detection of pacemaker stimuli
• Digital interface to Cardiotronic® temporary pacemakers (PACE 203®, PACE 300™)
• Includes measurement of Oxygen Saturation (SpO2)

ICON

Portable Noninvasive Hemodynamic Monitor

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Product Description

The ICON™ monitor is a portable, cost-effective monitor for the measurement of cardiac output in neonates, pediatrics, and adults

PortabilityThe ICON monitor is the first and only portable battery-operated cardiac output monitor available in the world. The size of the ICON, at 8’’ x 4’’ x 1”, 3 lb, makes it the ideal monitor during medical emergencies, medical transport, and situations where space is limited.

ICUThe handheld ICON comes equipped with a 2 hour battery life that can be used for continuous monitoring, or for routine spot-checks during clinical rounds on multiple patients in the ICU.

ORThe ICON’s portability is ideal for maximizing the space available during preoperative and intraoperative settings. Often in the OR, wires become bundled or entangled; ICON’s patient cable follows a grouping system that allows for easy arrangements for a clutter-free operating room.

EmergencyThe size of the ICON allows it to be easily incorporated into any ground or air transport units. Additionally, the 2 hour battery life allows for continuous measurement throughout the transport, as well as for interdepartmental transport/transfers.

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Intuitive User InterfaceICON provides an easy-to-use plug and play type interface that is easily understood in stressful situations. Typically, less than one day of training is required for all personal, nurses and doctors alike, to master the use of the ICON Monitor.

There are 4 easy steps to measuring cardiac output:

• Attach electrodes
• Press “Menu” to access patient management screen
• Enter the patient’s height, weight, age
• Press “Measure” to start (the green button)

Simple Data Management

iControliControl is a dedicated PC program which facilitates the exporting of data, management of ICON software updates, and customization of features.

BluetoothICON provides a wireless connection with any PC that is Bluetooth compatible, which can be used to export data through iControl software. Furthermore, the ICON status report can be printed wirelessly with any compatible Bluetooth printer.

Data LoggingData logging feature allows for the ICON to streamline data in realtime to a PC at specified intervals of beat to beat, 10s, 30s, 1min or 5min.

Data Integration

VueLinkUtilizing the VueLink technology provided by Phillips, the ICON can sync with most models of IntelliVue patient monitoring systems. This allows for the measurements from the ICON to be displayed alongside other conventional parameters on central patient monitors.

Electronic Medical Records EMRWith a VueLink interface, the ICON parameters can be directly exported out of the patient monitoring system in the universal EMR language HL7.

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ICON Specifications

Features

1. Continuous monitoring of user-defined hemodynamic parameters
2. 3.5” high resolution color display
3. Rechargeable battery backup for 2 hours of operation
4. Portability
5. Sophisticated detection of pacemaker stimulis

Blood Flow / Electrical Cardiometry™

• Stroke Volume (SV) / Stroke Index (SI)
• Heart Rate (HR)
• Cardiac Output (CO) / Cardiac Index (CI)

Contractility

• Index of Contractility (ICON)
• Variation of Index of Contractility (VIC)
• Systolic Time Ratio (STR = PEP/LVET)

Fluid Status

• Thoracic Fluid Content (TFC)
• Stroke Volume Variation
• Dynamic Fluid Challenges
  1. Passive leg raising (PLR) tests
  2. Bolus fluid challenge tests

Digital Interfaces

• Communication with medical networks and hosptial information systems (HIS) using HL7 standard
• Connectivity to Phillips systems through IntelliBridge and VueLink Interface
• Internal data storage and wireless transmission to PC
• iControl PC-Software allows data export to Microsoft Excel
• Wireless printing and data transfer with Bluetooth

PACE 300

Three Chamber Temporary Cardiac Pacemaker

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Product Description

The PACE 300™ is the world’s first three-chamber temporary cardiac pacemaker featuring biventricular (biV) pacing capability. The PACE 300 temporary cardiac pacemaker is designed to be used with cardiac pacing lead systems for temporary atrial, ventricular, A-V sequential, or biV pacing. The PACE 300 has applications where such pacing modes are indicated for therapeutic, prophylactic, and/or diagnostic purposes.

The PACE 300 is currently pending US market approval.

The novel technology and pacing options of the PACE 300 makes it the only choice for biV temporary pacing in the OR, ICU, and for electrophysiology studies:

• Three dedicated pacing terminals
• Fast access to three, dual, or single chamber pacing modes
• Auto Sense function automatically tracks P/R wave amplitudes and adjust atrial and ventricular sensitivities accordingly
• Statistical recording and analysis of pacer activity
• Interface with Pacemaker Clinic™ for automatic CRT optimization

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Intuitive User Interface The user friendly interface of the PACE 300 allows for effortless patient management for atrio-ventricular synchronous pacing supplemented by two individually programmable ventricular pacing channels and a programmable inter-ventricular delay (VVD). The dedicated pacing terminals allow for untangled and easy identification of pacing leads into the heart, as well as having dedicated dial knobs to set individual amplitude and sensitivity settings for each chamber.

Statistical Results The PACE 300 has the capability to records and analyzes the activity of the pacer, including overall sensed cycles, paced cycles, and the percentage of paced cycles. Clinicians can use these statistical results to help determine the patient’s dependency on pacing.

Pacer Optimization The PACE 300 can interface directly with Cardiotronic’s AESCULON® hemodynamic monitor (not included) using the Pacemaker Clinic™ application for fast and easy pacer optimization. With just one button push, Pacemaker Clinic automatically cycles through timing combinations and recommends optimal timing adjustments based on hemodynamic assessments for each combination. Data is displayed in a tabular format and can be printed as a report or exported to a PC.

Improvement of Using Cardiac Output and Biventricular Pacing Post-Cardiac Surgery Recent clinical publications have shown the added benefit in using temporary biventricular pacing, as opposed to standard dual chamber pacing in post-cardiac surgery patients.1,2,3 Furthermore, the optimization of temporary biV pacing has been shown to help treat patients with low output states.4,5

The increasing evidence pointing to benefits such as decreased morbidity and mortality rates in post cardiac surgery patients creates the perfect platform for the PACE 300.

Specific Ations:

PACE 203

Dual Chamber (DDD) Temporary Cardiac Pacemaker

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Product Description

The PACE 203™ is the third generation of the Cardiotronic line of dual-chamber temporary cardiac pacemakers, designed for safe and dependable temporary stimulation of the heart for peri/post-operative pacing and/or therapy for conduction defects and rhythm disturbances. Relying on over 25 years of experience in cardiac pacing, the PACE 203 represents today's standard in temporary pacing technology.

The advanced technology and features of the PACE 203 make it the ideal choice for dual chamber temporary pacing in the OR or ICU:

• Superior processing speed
• Extended battery life
• Stimulation rate of up to 220 ppm
• Rapid atrial pacing rate up to 1000 ppm for managing atrial tachyarrhythmias

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Intuitive User InterfaceThe intuitive dial interface allows programming AV delay or atrial/ventricular sensitivities through only one touch compared to the three key presses needed for the Medtronic Model 5388. Clinicians can now select new parameters using the PACE 203 with just a simple twist of a dial, instead of repeated button pressing required for the Medtronic device.

By one push of a button, the PACE 203 can temporarily pause pacing to automatically measure and display the patient’s intrinsic h eart activity, including atrial/ventricular rates, their corresponding intervals, P/R waves amplitudes, and AV interval.

Statistical ResultsThe PACE 203 allows for statistical recording and analysis of pacer activity, to aid in determining the patient’s dependency on pacing.

Indications for UseThe PACE 203 temporary cardiac pacemaker is designed to be used with cardiac pacing lead systems for temporary atrial or ventricular or A-V sequential pacing. The PACE 203 has applications where such pacing modes are indicated for therapeutic, prophylactic, or diagnostic purposes:

• Sick Sinus Syndrome
• Bradycardia with congestive heart failure
• Complete heart block
• Acute myocardial infarction complicated by heart block
• Sinus bradycardia
• Cardiac arrest with ventricular asystole
• Atrial and/or ventricular ectopic arrhythmia
• Postoperatively after cardiac surgery
• Temporary application during implantation or exchange of permanent pacemaker.
• Supra-ventricular tachycardia (atrial overdrive stimulation)

Specifications

PACE 101

Single Chamber (SSI) Temporary Cardiac Pacemaker

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Product Description

The PACE 101™ single chamber cardiac pacemaker is designed for safe and reliable temporary stimulation of the heart in cases of rhythm disturbances and conduction defects. Specifically, the PACE 101 is intended for temporary atrial or ventricular pacing and supports synchronous (VVI, AAI) and asynchronous (V00, A00) operating modes.

The features and straightforward design of the PACE 101 make it the ideal choice for physicians and nurses when speedy setup of temporary pacing is required in the OR or ICU:

• Durable and light in weight
• Large control dials promote ease of use
• Two rapid atrial stimulation modes (x2 and x4)
• Battery life of up to 38 days of continuous pacing

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Intuitive InterfaceThe PACE 101 provides simple access to pacer settings having four large control dials to manipulate the pacemaker mode, rate, amplitude and sensitivity settings. Sensed intrinsic and paced activities are indicated by an LED and audible tones.

Indications for UseThe PACE 101 is designed to be used with cardiac pacing lead systems for temporary atrial or ventricular pacing. The device can be employed for therapeutic as well as diagnostic and prophylactic purposes:

• Complete (third degree) or intermittent heart block
• Symptomatic sinus bradycardia
• Atrail or ventricular ectopic arrhythmia
• Sick sinus syndrome (SSS)
• Atrial tachyarrhythmia
• Acute myocardial infarction-induced heart block
• Stimulation during a ventricular asystole
• Use during the replacement of an implantable pulse generator
• Stimulation and monitoring before the implantation of a cardiac pulse generator

Specifications