USCOM noninvasive cardiac output monitor

USCOM 1A NONINVASIV CARDIAC OUTPUT MONITOR

 

A unique non-invasive, beat to beat,
real time cardiac output monitor.

 

 

 

USCOM 1A er en non-invasiv spesialisert ultralyd enhet konstruert for måling av kardiovaskulær funksjon med høy nøyaktighet. Den gir rask, trygg og nøyaktig måling og er enkel å bruke. 

  • Enkel å bruke
  • Portabelnoninvasiv cardiac output
  • Trygg, nøyaktig og nøye validert
  • Kan betjenes av leger, sykepleiere og paramedics
  • Kostnadseffektiv med ingen forbruksvarer.

USCOM er en enkel, nøyaktig enhet for å overvåke og håndtere hemodynamikk.

USCOM monitoren er utstyrt med et intutivt brukergrensesnitt med berøringsskjerm som tillater umiddelbar tilgang til både real-time data samt opptak av informasjon.

Med en stor harddisk kan USCOM monitoren lagre ti-tusentalls pasientfiler. I tillegg til å vise real-time hemodynamikk gir USCOM mulighet til å trende målekort,  et detaljert opptak og overblikk over slag-for-slag kardial funksjon. Ved nøyaktig måling av endring er USCOM et ideelt verktøy for pasientbehandling. 

Vekt er kun 6 kilo og med tilgjengelig rullestativ er USCOM systemet meget portabelt. Ideelt for å bringe med seg fra pasient til pasient og fra avdeling til avdeling. 

 

USCOM Parametere

USCOM brukere kan veillede diangose og terapi basert på et antall forskjellige målinger av sirkulasjonen, alt med ett tastetrykk og alt er non-invasivt..
Parametere inkluderer:

  • Cardiac output
  • Stroke volume
  • Systemic vascular resistance
  • Oxgyen delivery

 

 Studier:

  1. Evolution_of_haemodynamics_and_outcome_of_fluid_refractory_septic_shock_in_children - Intensive Care Med (2013) 39:1602–1609
  2. Intra_and_inter_observer_reliability_using_a_noninvasive_ultrasound_cardiac_output_monitor_in_healthy_anesthetized_children - Pediatric Anesthesia (2011 1–7) 
  3. Mechanical_ventilation_with_positive_end-expiratory_pressure_in_critically_ill_patients - Acta Cardiol (2012)
  4. Non-invasive_method_for_rapid_bedside_estimation_of_inotropy._Theory_and_preliminary_clinical_validation - British Journal of Anaesthesia (May 2013)
  5. Non_invasive_stroke_volume_measurement_and_passive_leg_raising_- Critical Care (2009, 13:R111)
  6. Clinical evaluation of USCOM ultrasonic cardiac output monitor in cardiac surgical patients in intensive care unit - British Journal of Anaesthesia 94 (3): 287–91 (2005)

 

Flere tilgjengelige nye studer >> Current Evidence

 

HVORDAN VIRKER USCOM >> VIDEO 

Products - Parameters

USCOM accurately measures cardiac flow, either from the suprasternal notch, where aortic flow is measured or parasternally, where we measure flow through the pulmonary valve. By adjusting the location and angle of the USCOM transducer, the operator optimizes the signal, by following both visual and audible cues from the USCOM display.
The system displays real-time, beat-to-beat data across many parameters of cardiac function using FlowTracer's automatic signal tracking.

USCOM transducer bluegrip

Vpk: Peak Velocity of flow
vti: Velocity Time Integral
HR: Heart Rate
MD: Minute Distance
ET%: Ejection Time Percent
SV: Stroke Volume
SVI: Stroke Volume Index
SVV: Stroke Volume Variability
CO: Cardiac Output
CI: Cardiac Index
SVR: Systemic Vascular Resistance
SVRI: Systemic Vascular Resistance Index
Pmn: Mean Pressure Gradient
FT: Flow Time
FTc: Flow Time Corrected
SW: Stroke Work
CPO: Cardiac Power

With the addition of the OXYCOM product the following additional parameters are available:

SpO2: Oxygen Saturation
DO2: Oxygen Delivery
SVS: Stroke Volume Saturation

Trend information for any one of the parameters is displayed in graph form, providing a graphic easy to read assessment of changes in cardiac function, brought about by a change in the patient's condition, the impact of therapy or the impact of fluids management.
The parameters are displayed as the value, the difference to the previously saved value and the average of all values within the examination.
Measurements can be performed beat-to-beat or grouped over a number of beats.

 

 

Products - Applications

USCOM is an exciting, non-invasive device specialized for high resolution measurement of the hemodynamic circulation.

USCOM is designed to measure normal and abnormal circulation at the level of the heart and vessels. The hemodynamic information and trending can assist the physician to guide therapies such as fluid, inotropes and vaso-active drugs. USCOM is validated from 0.12 l/min to 17 l/min and from 26 weeks gestational age to 85 years. One method for all subjects in all conditions.

USCOM has many applications across multiple clinical disciplines. 
However there are a large number of emerging and very specific clinical problems where USCOM is useful.

USCOM on stand
PRIMARY APPLICATIONS
PEDIATRICS Sepsis, resuscitation, surgery, post-surgical (cardiac and other)
ED Triage, sepsis, hypotension, hemorrhage, resuscitation, heart failure and hypertension, retrieval
ICU ICU post-surgical, post MI, heart failure, outreach/stepdown management, dialysis
OTHER APPLICATIONS
ELECTROPHYSIOLOGY Optimization of pacemaker timings (AV, VV delay)
LIVER TRANSPLANTATION High blood loss surgery requires monitoring of CO
PREGNANCY Eclampsia and pre-eclampsia. Often hypertension complicates pregnancy, management of this hypertension is improved by directing therapy to stroke volume/SVR information
ANESTHESIA Pre-anesthesia assessment. Normal function is associated with an improved anesthetic outcome. Post-surgical recovery.
DRUG and DEVICE TRIALS Any trial to assess effectiveness of a drug or device should include measurement of CO, to ensure that CO remains unaffected during implantation of a device or administration of drugs (non-cardiac drugs - cancer), or to quantify the effectiveness of cardiac drugs. Because of its high sensitivity to circulatory change, USCOM can reduce the number of subjects to achieve statistical significance, thereby reducing experimental costs
HEMODIALYSIS Blood filtration is associated with a shifting fluid balance in chronic/critically ill patients so the need to optimize is crucial
BURNS Burns are associated with high levels of fluid loss which can reduce CO and frequently require fluid. USCOM can guide fluid administration and optimization
PSYCHIATRY Schizophrenics are commonly treated with Clozapine, which is associated with a relatively high incidence of cardiomyopathy resulting in reduced CO. The patients are generally recommended to have echocardiography performed every three months to exclude this complication.
HEART FAILURE CLINICS or HYPERTENSION CLINICS Hypertension and heart failure management is improved by directing therapy to SV/SVR information.
VETERINARY
PRACTICE
USCOM is an ethical alternative to current methods of measuring circulation in animals and is highly sensitive across the range of interventions identified in humans such as fluid resuscitation, inotropes and vaso-active therapies.
ANIMAL RESEARCH USCOM is an ethical alternative to current methods of measuring circulation in animals. The high sensitivity of the method increases the sensitivity of the studies, while reducing the cost of the studies and animal discomfort

USCOM BROSJYRE