Electronically capturing and transmiting patient data to the EMR, the Connex Electronic Vitals Documentation (EVD) System provides clinicians in non-critical care settings with immediate access to accurate vital signs at any time and location. The system includes the Connex Vital Signs Monitor (CVSM), Accessory Cable Management Stand, Connex VM Software, and the new Welch Allyn Partners in Care Services programme that provides personalised support and installation. The CVSM is a full-colour, touch screen device that acts as three devices in one, providing comprehensive patient documentation on a single display. This documentation includes automatic measurements such as heart rate, blood pressure, temperature and pulse oximetry; manual parameters such as respiration, height, weight and pain level; and modifiers such as body position, O₂ therapy details and others. Alarms, patient data and monitoring can be controlled in a customised manner for each patient, and these data can be documented right on the device, eliminating the need to locate a PC and transcribe data later. The CVSM also enables two-way wireless communication from the bedside. It associates ID numbers to names to help clinicians properly identify patients and allows them to customise which ID fields are required and how they are displayed, including simultaneous display of multiple forms of ID. The wireless technology is built right into the system allowing the monitor to act as a true mobile device; it works with current wireless networks to deliver up-to-date patient demographics. The Accessory Cable Management Stand, with its unique accessory storage and cable routing system, is ergonomically designed for ease of use. All system components have their own compartment to allow quick identification and easy access. All supplies are on-board, and the stand is designed for ease of cleaning. The accompanying software automates the vitals documentation process eliminating errors. Users can document accurate patient data right from the bedside, and have instant access to data at any time or location.
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The V2 ventilation mask is available in both disposable and reusable formats. The seal of the mask has been completely redesigned to maximise the mask’s ability to seal to many different types of faces, and there is no cumbersome forehead cushion or hard plastic frame. Masks can be used for different applications, which are differentiated by the colour of the port on the front of the mask (CPAP/BiLevel, NIV, BiLevel Hybrid).
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Ideally suited to the hybrid OR working environment, the innovative robot-supported Artis pheno angiography system was developed for use in minimally invasive surgery, interventional radiology and interventional cardiology. The zen40HDR flat panel detector and the GIGALIX X-ray tube give the Artis pheno outstanding image quality. Resolution for 2D imaging is four times higher – compared to the company’s prior systems – in all recording processes thanks to the system’s new 2k recording technology. The StructureScout feature can adapt and optimize imaging parameters to best suit the material structure of the area being X-rayed, which enables even less radiation to be used compared to the company’s prior systems . Artis pheno is designed to support treatment of multimorbid patients and can be fitted with a comprehensive range of optional software applications to deal with complex cases. Thanks to the hygiene approach developed especially for Artis pheno, the system has large, sealed surfaces with fewer spaces, which helps customers with system cleaning. An antimicrobial coating prevents bacteria and viruses from multiplying on the system.
Because it can scan up to 15 percent faster in the body area – compared to prior systems – , syngo DynaCT is able to produce 3D images that need less contrast agent for the imaging process. If the patient is sensitive to the contrast agent, Artis pheno can also support CO2 imaging of the extremities. The system follows the tilted table and increases CO2 visibility using the new StructureScout. The C-arm is 13 centimeters wider and has a free inner diameter of 95.5 centimeters, which offers more space for handling adipose patients and means longer instruments can be used without difficulty. The Siemens Healthineers multi-tilt table is also designed to accommodate patients weighing up to 280 kilograms. The end of the table can be tilted both up and down, to stabilize the patient’s blood pressure, for example, or to make breathing easier when necessary. The robotic construction of the Artis pheno gives it a flexible isocenter that it shares with its predecessor, the Artis zeego. This means the angiography system can follow all table positions and provide the best possible imaging support for the patient’s treatment, while representing the target area of the body from virtually any angle. Artis pheno can also be combined with surgical tables from Maquet und Trumpf which enable patients to be specially positioned for operations. Typical positions involve patients lying on their side, stretched out on their side, or even sitting. Surgeons can move the easy-float tabletop on the new multi-tilt table with minimal effort, regardless of how much the tabletop has been tilted on either of its axes, or how heavy the patient is. Artis phenol recognizes the position of the tabletop at all times, and automatically aligns itself to the tabletop with every movement. The memory positions let the system move the C-arm out of the operating area quickly if necessary, giving the surgeon and the operating team free access to the patient, and then move it back to exactly the same position again for further imaging. This means results can be checked directly, even while the operation is still in progress.
Many additional optional application packages can be used with the Artis pheno. In spinal fusion procedures, for example, up to ten vertebrae can be visualized in 3D imaging using syngo DynaCT Large Volume. Syngo Needle Guidance then makes it possible to plan extensive procedures using screws or needles. Screw paths can be planned with precision, and the Automatic Path Alignment function automatically aligns the C-arm to follow them. The laser integrated in the image detector shows the surgeon the planned path, which helps improve both accuracy and speed in the OR. Using this software application can help minimize the rate of screw positioning errors in the spine and also speed up the work process in this area.
A number of applications on the Artis pheno support transarterial chemoembolization (TACE) of tumours. TACE involves supplying embolic particles coated with a chemotherapeutic drug via a catheter directly into the arteries leading to the tumour. Using syngo DynaCT 360, it takes just six seconds for the Artis pheno to generate a large-volume image of the liver or lung, for example, including the anatomy of the tumour and the vessels leading to it. Rapid rotation is vitally important in reducing movement artifacts, since the patients are given only local sedation for the TACE procedure. The syngo Embolization Guidance application renders arterial vessels visible and helps distinguish the vessels and treatment paths using colour-coding. Graphic overlaying of the selected vessel paths with the real-time X-ray images makes the vessels that supply the tumour visible for simplified microcatheter navigation which can save on the dose of both radiation and contrast agent.
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Every year, millions of CVCs are used by clinicians to deliver medications and fluids to patients in surgical and intensive care (ICU) settings. Major risks seen among ICU patients include hyperglycaemia, hypoglycaemia and glycaemic variability, and the lack of glycaemic control has been independently shown to be associated with morbidity and mortality. To monitor glucose levels, ICU patients are therefore typically subjected to frequent glucose controls, commonly by use of manual and labourintensive blood draws and off-line analysis. The Eirus TLC is now available, a 7 French, 16 cm triple lumen CVC which provides vascular access and the ability to provide simple, continuous and accurate glucose monitoring. It can be used as a standalone CVC but is also approved for use with the Eirus system for second-by-second analysis of central venous blood glucose and lactate. The catheter has an integrated semi-permeable membrane, proximal to the infusion ports, which continuously collects and analyses plasma glucose and lactate. The system does not pull any blood from the patient, it does not require any heparin nor does it require a separate additional line into the patient.
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