Bladder Outlet Obstruction in Women - Diagnostics and Therapy
Medical Devices for Sleep Diagnostics and Therapy ... · Medical Devices for Sleep Diagnostics and...
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Medical Devices for Sleep Diagnostics and Therapy Intercostal EMG Best for recording respiratory effort signals Standard effort belts No representation of the direct breathing effort Signals depend strongly on the muscles’ ability to contract (exhausted respiratory pump) Belt positioning determines the correct abdomen/ thorax effort signal Costs per application • Individual belt sizes needed • Disposable belts or time-consuming cleaning of re-usable belts Intercostal EMG Direct recording of breathing stimulation Signal reflects muscle activity directly (electrical signal) Monitoring tool for respiratory insufficiency / muscle dysfunction 3,4 Simplicity • One sensor size for all patients • Disposable electrodes, no disinfection / cleaning of the sensor IC-EMG raw data IC-Effort processed – + + + + – – – • A proven and recommended technology 1,2 • Validated in leading laboratories 5 • Based on improved Signal-to-Noise-Ratio • Data pre-processing/filtering leads to clear IC-Effort signal Data pre-processing Elimination of ECG signal
Transcript of Medical Devices for Sleep Diagnostics and Therapy ... · Medical Devices for Sleep Diagnostics and...
Medical Devices for Sleep Diagnostics and Therapy
Intercostal EMGBest for recording respiratory effort signals
Standard eff ort beltsNo representation of the direct breathing eff ortSignals depend strongly on the muscles’ ability to contract (exhausted respiratory pump)Belt positioning determines the correct abdomen/thorax eff ort signalCosts per application • Individual belt sizes needed• Disposable belts or time-consuming cleaning of re-usable belts
Intercostal EMGDirect recording of breathing stimulationSignal refl ects muscle activity directly (electrical signal)Monitoring tool for respiratory insuffi ciency /muscle dysfunction 3,4
Simplicity• One sensor size for all patients• Disposable electrodes, no disinfection / cleaning of the sensor
IC-EMG raw data
IC-Eff ort processed
– +
+
+
+
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–
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• A proven and recommended technology 1,2
• Validated in leading laboratories 5
• Based on improved Signal-to-Noise-Ratio • Data pre-processing/fi ltering leads to clear IC-Eff ort signal
Data pre-processingElimination of ECG signal
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SOMNOmedics GmbH Am Sonnenstuhl 63-65 97236 Randersacker Germany Tel: +49-931/359094-0 [email protected] www.somnomedics.eu
Best distinction between central and obstructive apneas
for SOMNOscreen™ plus, SOMNO HD™
for SOMNOscreen™ plus, SOMNO HD™
for SOMNOtouch™ NIBP
Single IC-EMG sensor
Double IC-EMG sensor
Combined ECG and IC-EMG sensor
Available as....
• For the central apneas cardiac oscillations in the thorax channel may lead to faulty obstruc-tive scoring. For obstructive apnea, as shown in this example, there is no clear eff ort activity for thorax and abdomen channel visible. In contrast the IC-EMG indicates a clear eff ort obst-ruction.
• With a specialized algorithm ECG artefacts are removed and the IC-Eff ort curve is generated.• The calculated IC-Eff ort signal enables a clear distinction between central and obstructive
apnea. The oscillations of the IC-Eff ort signal diff er signifi cantly for both cases.
1 The AASM manual for the scoring of sleep and associated events. American Academy of Sleep Medicine, 2007.2 Principles and Practice of Sleep Medicine, M.H. Kryger et al., Elsevier Ltd; 6th Edition., 2016, p. 1604.3 M.L. Duiverman et al., J. Appl. Physiol. 2004, 96, 1723-1729.4 E. J. W. Maarsingh,et al., J. Appl. Physiol. 2000, 88, 1955-1961.5 Clinique & Maternité St. Elisabeth Namur, Laboratoire du Sommeil, Belgium, J.-B. Martinot.
CENTRAL APNEAS OBSTRUCTIVE APNEASPressure Flow
Pressure Flow
Thorax Thorax
IC Eff ort IC Eff ort
IC-EMG IC-EMG
Abdomen Abdomen
for SOMNOscreen™ plus, SOMNO HD™Double IC-EMG sensor
Available as....
for SOMNOscreen™ plus, SOMNO HD™
for SOMNOscreen™ plus, SOMNO HD™
for SOMNOtouch™ NIBPCombined ECG and IC-EMG sensor
