Vicorder sales pres 12 10 shrt engl
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© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!1
Your CompleteYour CompleteVascular LabVascular Lab
Welcome!
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!2
Your Complete Vascular Lab
Most comprehensiveArterial and venous testing
Vascular stiffness testing - central aortic pressures
Photo-Plethysmography
Pulse Volume Recording
Spectral CW Doppler
Bilateral testing
Totally portableFast USB-adapter to PC/notebook
No external power supply needed
Size of a palm
Weight 0.6 kg
Integrated remote control
Complete system with notebook fits into one normal briefcase
Configurations tailored to your application
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!3
Most Important Arterial Tests
Ankle-Brachial-Index (ABI)Most significant in peripheral obstructive disease (PAD)
Bilateral test in less than 5 minutes
No operator dependence – easily done by tech or nurse
Segmental PressuresBilateral arm, thigh, ankle, toe pressure
Choice of PPG or Doppler test modalities
Protocols for upper and lower body, fingers and toes
Pulse Volume Recording (PVR)Recording of plethysmographic pulse wave
Superior resolution of waves
Protocols for upper and lower body, fingers and toes
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!4
Most Important Arterial Tests
Doppler SonographyPeripheral vascular and cerebro-vascular testingHigh resolution spectral analysis5 or 8 MHz CW probes
Pulse Wave VelocityEarly indicator of arterial stiffnessIndispensable in cardio-vascular risk assessmentDirect measurement, highly reproducible in all agesNo operator dependence – easily done by tech or nurse
Central Aortic Pulse Wave AnalysisDetermination of central aortic pressuresGeneralized Transfer Function from brachial pressuresAugmentation pressures and Augmentation IndexDiastolic perfusion (SEVR)Cardiac output, stroke volume
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!5
Additional Arterial Testing Capabilities
Toe pressures and wave forms
ABI with PPG, iPPG, oscillometry, Doppler
Stress testing
Provocation testing
Penile pressures
Reactive testing (Raynaud Syndrome)
Testing of Thoracic Outlet Syndrome
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!6
Most Important Venous Tests
Bilateral venous reflux testTesting of venous flap patency
Venous outflow testTesting of venous obstructive disease
Plethysmographic test unilateral
Venous Doppler augmentation test
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!7
Ankle-Brachial-Index ABI
1, 2, 3 - finishedPlace cuff at arm Place PPG on index finger
Place cuff at anklePlace PPG sensor on toe
Start Test Cuff will inflateWhen target pressure is reached cuffs will deflate
Press space barRead and document ABI
2 min
1 min
3 min
4 min
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!8
ABI Clinical Relevance
Most important parameter in the detection ofperipheral artery occlusive disease PAOD
Prevalence in German private office patients is 18%(n=6880, age>65 yrs, ABI<0.9)
After 1 year mortality was 2.8% in PAOD patients (ABI<0.9) and 0.9 in all other patients
After 3 years risk of death was 3.6 times higher with ABI<0.5 as compared to ABI≥1.1
Literature:Diem, getABI Study, Eur Heart J 2006
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!9
Pulse Wave Velocity
1, 2, 3 - finishedPlace neck pad* or arm cuffPlace cuff at thigh*Only contains a small bladder placed above the carotid artery.
Start Test Cuffs will inflateWave form will be displayed
Press space barEnter distance
Read, save or document PWV
2 min
1 min
3 min
4 min
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!10
Pulse Wave Analysis – Central Aortic Pressure
1, 2, 3 - finishedPlace cuff at arm.Start test.
Cuff inflates.Watch Pulse Wave on screen.Wait for several beats.
Stop Test. Cuff will deflate.Watch test results on screen.Document results.
2 min
1 min
3 min
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!11
Past Vascular Testing Technology
Bulky equipment
Hybrid technologyAnalogue signal conditioning
Low resolution analog/digitalconversion (12 bit ADC)
Constant rate bleed valve
Sensitive strain gauge sensors
ExpensiveInvestment
Service
No PWV or PWA
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!12
Innovative Vicorder Technology
Palm size instrumentDigital technology
Most advanced sensor technologyMini-electronicsHigh resolution analogue/digitalconversion (22 bit ADC)Fast switching “digital” valves
InexpensiveFair investmentPractically no serviceCombines conventional tests withPWV and optional PWA
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!13
Most Advanced Signal Conditioning
22 bit signal resolution >4 million points
More than 1,000 better than conventional 12 bit AD
60.0
60.1
mmHG
0
Conventional resolution 1-2 bit
Vicorder resolution >1.000 bit
Conventional devices require complex electronic signal switching
require analog/electronic signal gain
need analog filtering
Vicorderno electronic signal switching or amplification
optimum signal condition at all times
digital signal filtering only
Result:Best Oscil lometryavailable today
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!14
Wave Form Resolution
Vicorder original tracing
Example: Sphygmocor original tracing
Resolution x 1000Resolution x 1000
ca. 50 mmHg
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!15
Most Advanced Design
High speed valvesJuddering allows for digital controlBleeding rate adjustableExtremely reliable
Less moving partsService friendly – fewer down timesLower service cost
Mini-ElectronicsNo analog signal conditioningNo analog gain controlFewer (manual) switchesMore reliable - fewer down times
Reliable SensorsSolid state high resolution pressure transducerNovel photo pulse plethysmograph PPGNo strain gauge sensor needed – less service cost
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!16
Model Configurations
Vascular ModelVascular Model Art. Sti ffness - Art. Sti ffness - Central Pressures Central Pressures
ModelModel
Vascular Complete Vascular Complete InstrumentInstrument
Peripheral Arterial TestsVenous Tests
Doppler Option
Art. Stiffness Central Pressures
Option
Art. Stiffness Central Pressures
Tests
Peripheral VascularDoppler Option
Art. Stiffness Central Pressures
Tests
Peripheral Arterial TestsVenous Tests
Doppler
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!17
Vicorder Markets
Conventional Vascular MarketsAngiology – part of Internal Medicine
Vascular Lab
Phlebology
Vascular Surgery
Epidemiology
Main CompetitorsElcat, Vasolab 5000
Spead, Angiolab 2
© 2008-2012 SMT medical GmbH&Co., Wuerzburg - Confidential Company Information!18
Vicorder Markets
Hypertension/Vascular StiffnessCardiology
Hypertensiology
Diabetology
Nephrology – Adult and Pediatric
Public and Corporate Health Programs
Epidemiology
Pulmonary Medicine
Main CompetitorsAtcor, Sphygmocor
Tensiomed, Arteriograph
Enverdis, Vascular Explorer
Diatecne, PulsePen