Prevent sleep-related traffic accidents! Screen for sleep apnea!

Obstructive sleep apnea syndrome (OSAS), a sleep-related breathing disorder, is not only an independent risk factor for hypertension, but it also raises the risk of both traffic accidents and cardiovascular mortality.
Screen for OSAS with Meditech apneABP, an ambulatory blood pressure monitor with OXY (SpO₂) module, which can be used for early recognition in primary care.

Meditech apneABP features and benefits

–         full 24-hour blood pressure profile for diagnosing hypertension
–         full SpO2  profile for diagnosing apneic episodes
–         full actigraphy profile for monitoring physical activity levels
–         pulse waveforms for an insight on artery conditions

In around 30% of all patients undergo a polysomnography, no apnea is detected. Meditech apneABP is a reliable and inexpensive tool to screen for apnea in your hypertensive patients in primary care.
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There is a range of different surgical approaches and techniques in therapy for benign enlargements of the prostate (BPH). On the one hand, an enlargement of the prostate can be treated by bipolar Transurethral Resection of the Prostate (TURP). On the other hand, minimally invasive laser procedures can be used to provide treatment. Richard Wolf supplies the appropriate equipment for both techniques with the latest system solutions. The company’s latest system for bipolar enucleation of the prostate was presented by Professor Thorsten Bach, Chief Physician at the Urological Centre of the Askelpios Hospital Hamburg, in a pre-recorded video showing the intervention during the European Association of Urology (EAU) 2017 Congress in London. Richard Wolf has developed a special electrode to meet the diverse requirements of bipolar enucleation. This electrode was used for this intervention. The geometry of the new bipolar enucleation electrode has been provided with a number of special features. A very small electrode head with a wedge-shaped contact surface at the distal end enables very delicate working whether using mechanical enucleation or with effective vaporization and incision using HF current. The "doughnut" footprint of the distal tip permits an efficient vaporization with reduced bleeding, and coagulation. Together with the refined Shark resectoscope and the highly efficient Piranha Morcellator, the electrode in the system offers a cost-effective alternative to laser enucleation but naturally also for standard procedures such as TUR. Richard Wolf also presented its new Holmium:YAG Laser MegaPulse 70+ for minimally invasive laser enucleation at the EAU Congress. The HoLEP (Holmium Laser Enucleation of the Prostate) can be easily carried out with a 70 watt power. Its high frequency and power means that it can also be used for fast and effective stone therapy. This therefore provides users with a high-speed system for stone lithotripsy. A new, special 200 μm "power" laser fibre generates the power output of a 272 μm laser fibre. The automatic laser fibre recognition using an RFID antenna provides the user with very convenient and efficient identification of the laser-fibre size. Recognition can also be carried out in the packed sterile status of laser fibres. A flexible ureterorenoscopic lithotripsy with the COBRA vision and the new MegaPulse 70+ laser was also presented at the EAU Congress in a pre-recorded video carried out by Dr. Michael Straub, Managing Senior Physician and Head of the Urinary Stone Centre at the Clinic and Policlinic for Urology, Rechts der Isar Hospital, Munich.
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The fully motorized MobiEye 700 is suitable for any complex diagnostic environment. Mindray’s innovative dual-mode power management technology, mega-capacitors circuit and superior-capacity battery enable the MobiEye 700 to overcome the power limitations of conventional mobile radiology devices. The dual-mode power management utilizes power extraction from the long-life battery and wall current for all functions. The rapid-charging function delivers up to 80% battery capacity after 2hr charging while enabling 20 times exposure after only 5 minute charging. Mega-capacitors technology regulates the strength of the current and reduces the burden on the battery while extending the battery lifespan. Attention to details is one of the most significant aspects to ensure a highly efficient workflow and comfortable operation for technicians. A number of innovative and humanized features have been incorporated into the MobiEye 700. The anti-collision design combines 270° implanted sensors for emergency stop and double ultrasound sensors for motion buffering. Detector security is ensured by a detector lock on the control panel. A LED indicator displays the exposure and operational status. Both auto and manual motion modes are available, with the manual mode ensuring the device is fully usable in emergency situations. To help mobility, a specially designed bionic manipulator and multiple control mode bring definite advantages in terms of motion and positioning. The enhanced mobility includes 12° slope-climbing, 360° rotation with one-hand operation and intelligent speed regulation. The bionic manipulator offers an optimized bionic design while the multiple control mode features an ergonomically designed handle and a RF remote control for advanced movement. The unit measures only 47cm in width and weighs 370 kg.  Mindray’s lightweight (3.3 kg) MPX wireless detector is liquid and dust resistant and is available with optional gird for maximum flexibility. The Mind-Home concept ensures automatic detector charging as well as detector security and protection. 5G wireless detector conjugation is possible by means of innovative antenna technology for 5G WIFI connection and allows ultra-high speed data acquisition and transmission.
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Sphere Medical’s Proxima patient-dedicated blood gas analysis system can now be connected into the Conworx family of laboratory information system interfaces and data management solutions. This is a significant development since it ensures the seamless transfer of blood gas and electrolyte test results from Proxima directly into laboratory information systems and electronic patient records – a key requirement for the successful implementation of point of care (POC) testing. With the availability of the new software drivers, users will be able to directly import all diagnostics data from Proxima at the patient’s bedside into Conworx’s POCcelerator, UniPOC middleware data management products. In addition, the new interface will allow direct connectivity into CliniSys laboratory information management systems (LIMS) through the CliniSys PoCT Solutions interface. Both Conworx and CliniSys software solutions are widely used in hospitals internationally, ensuring that data transfer from this novel blood gas analyser can be easily implemented, and its use and performance also readily monitored remotely. Conworx’s middleware solutions provide connectivity, management and integration for more than 150 different POCT device types, as well as all relevant information and patient record systems. The Conworx customer base includes 1800 hospitals in 25 countries. Conworx compatibility allows customers to use one middleware solution for all of their POC connectivity needs and greatly simplifies the implementation of Proxima within the hospital. CliniSys software systems are used in over 2500 laboratories in 35 countries. Moreover, CliniSys products are utilized in 40percent of NHS Trusts in England and Scotland, with a further significant presence in Germany, Netherlands, Belgium, France and Spain. The CE-marked Proxima supports proactive patient care, particularly at critical times, since it enables rapid and frequent blood gas and electrolyte measurements without the clinician leaving the patient. This is possible as the Proxima sensor is a miniaturized version of a blood gas analyser that is integrated directly into the patient’s arterial line, meaning that all blood analysed is returned to the patient. Using a dedicated bedside monitor with touch screen interface, simple, clear routines guide the user through operating the Proxima system. Patient results are then displayed on this monitor, as well as seamlessly transferred for permanent record within information management systems.
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The new 31" and 55" 4K UHD displays and a 26" high-brightness, full-HD display complete Barco’s latest surgical display product line. By expanding its range of 4K, high-brightness and high-resolution displays, the company aims to offer a premium imaging experience in the OR. Enriched with brand-new features for surgical applications, all three surgical displays offer state-of-the-art image quality, wide colour gamut and visual accuracy. Both new 4K displays (MDSC-8231, MDSC-8255) now allow image mirroring and rotation to present images per the surgeon’s perspective. Screen cloning on DVI out is also possible, with resolution downscaled from 4K to FHD for easy recording.
The MDSC-8231 is the second generation of Barco’s near-patient 31" 4K surgical display, which now comes in a slimmer and lighter design while maintaining its high-quality image capabilities. Designed for 4K endoscopy imaging and the digital operating room, it offers highly realistic images. It is a high-brightness display capable of resolutions 4x greater than HD, presenting surgeons with rich detail and colour-correct images with excellent depth perception while enabling them to operate with confidence with MDSC-8231’s automated failover feature with backup signal.
The 55" 4K MDSC-8255 is perfect for multi-imaging within the OR and can be integrated on or into walls. It can display the equivalent of the information shown on four 27" full HD monitors on a single screen. It is the large size, medical-grade referral display for showing 4K endoscopy camera output or a multi-source image composition to improve workflow during procedures.
Barco’s 26" Full HD MDSC-2326 display boasts the brightness and superior imaging needed for near-patient applications in conditions with high ambient light. Delivering up to 900 cd/m2 luminance, it is also extremely durable, featuring guaranteed lifetime protection with easy-to-clean, high quality, scratch-resistant optical glass. The display combines full connectivity with a smart cable management system to minimize clutter, and is easily mounted on surgical booms and spring arms.
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