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Deltex Medical’s oesophageal Doppler monitoring ODM+ system (and its predecessor, ODM) changes the way hospital clinicians can care for surgical and critical care patients. Used to guide Intraoperative Fluid Management (IOFM), the system has been proven to reduce complications, shorten length of stay and cut hospital costs.

Deltex’s ODM technology is recommended by NICE (MTG3) which asserts that it should be considered for use in patients undergoing major or high-risk surgery or other surgical patients in whom a clinician would consider using invasive cardiovascular monitoring.

The NHS Operating Framework 2012 and the NHS Innovation Health & Wealth Review 2011 named ODM as one of six high impact innovations and called for its widespread implementation for fluid management in surgery.

Oesophageal Doppler, PPWA and HD-ICG in one monitoring solution

Deltex Medical’s ODM+ is the world’s first fluid management and cardiac output monitoring system to directly measure both flow and pressure in adults and paediatrics. Exciting new upgrades see the addition of “best-in-class” Pulse Pressure Waveform Analysis (PPWA) and High Definition Impedance Cardiography (HD-ICG) to the proven ODM Doppler flow-based platform.

Oesophageal Doppler

The ODM+ system monitors an unparalleled range of functional haemodynamic parameters. The system is purpose-designed for clinicians to guide fluid and drug administration during surgery and critical care.

The monitor is highly responsive in tracking changes in Stroke Volume and Cardiac Output during intervention. Indeed only oesophageal Doppler has been shown to have the precision to drive the 10% Stroke Volume Optimisation algorithm, widely acknowledged as the basis for Intraoperative Fluid Management (IOFM).

Patients can be continuously monitored for extended periods between intervention and calibration episodes.

PPWA

The Pulse Pressure Waveform (PPWA) mode is quickly and easily calibrated from the Doppler signal and provides continuous monitoring in postoperative and medical patients in critical care. The highly sensitive “Flow Monitoring Mode” guides intervention, combined with the simpler calibration of a “Pressure Monitoring Mode” for extended continuous monitoring.

In sedated patients, the PPWA algorithm can be recalibrated at any time from the Doppler waveform.

HD-ICG

In yet another first, Deltex has added High Definition Impedance Cardiography (HD-ICG), a non-invasive central blood flow monitoring option for the awake patient. HD-ICG provides continuous, accurate and sensitive measurements of cardiac output and other haemodynamic parameters.

HD-ICG disposable electrodes are placed on the neck and chest. The electrodes transmit and detect electrical and impedance changes in the thorax. After stabilising, using HD-Z signal filter technology, these electrical currents are then utilised to measure and calculate haemodynamic parameters.

Deltex’s ODM+ leads the haemodynamic monitoring field by combining the real-time accuracy of oesophageal Doppler with PPWA and HD-ICG.

In surgery the CardioQ-ODM+ offers the following advantages:
  • Only surgical CO monitor offering both ODM & PPWA
  • Ease of PPWA calibration and recalibration
  • Continuous monitor ‘bridge’ during diathermy episodes
  • ‘Bridge’ in surgical cases where oesophagus is displaced or removed
  • Only device able to guide 10% SVO (Doppler guided)
  • Offers fluid responsiveness parameters including:
    • Corrected flow time (FTc)
    • Stroke volume variation (SVV –  flow and pressure)
    • Pulse pressure variation (PPV)
  • Provides post operative monitoring for 6 to12 hrs in awake patients in recovery/ICU (dependent on probe type)
In the Intensive Care Unit CardioQ-ODM+ offers the following advantages:
  • Only critical care monitor offering both ODM & PPWA
  • Ease of PPWA calibration and recalibration
  • Continuous monitor capability
  • Only device able to guide 10% SVO (Doppler)
  • Offers fluid responsiveness parameters including:
    • Corrected flow time (FTc)
    • Stroke volume variation (SVV flow and pressure)
    • Pulse pressure variation (PPV)
  • Offers Cardiac power output (CPO) and Cardiac power index (CPI), combined flow and pressure parameters (German regulations indicate a benefit in managing and monitoring patients at risk of Cardiogenic shock)

For further information or for any sales enquires please contact Customer Services quoting part code 9051-7104.

Guided fluid and drug administration during surgery and critical care

Now succeeded by ODM+, ODM (also known as CardioQ-ODM) enables hospital clinicians to deliver accurate, real-time, guided Intraoperative Fluid Management (IOFM). It is an important aid in avoiding the dangers of reduced oxygen delivery.

The ODM monitor is highly responsive in tracking changes in Stroke Volume and Cardiac Output during surgical intervention and in the critical care setting. Only oesophageal Doppler has been shown to have the precision to drive the 10% Stroke Volume Optimisation algorithm, widely acknowledged as the basis for IOFM.

Uniquely, oesophageal Doppler monitoring (ODM) directly measures blood flow in the central circulation. It is highly sensitive to changes in flow and measures them immediately and accurately. The system offers a high degree of precision (low repeatability error), which allows it to recognise the small changes in Stroke Volume, which is the basis of published Stroke Volume Optimisation protocols.

Extensive clinical trials have demonstrated that with direct measurement of blood flow, clinicians can correct individual patient circulating blood volume. It has been reported that 70% of patients have hypovolaemia (low blood volume) when they are prepared for surgery. This hypovolaemia can result from the combined effects of poor diet, dehydration, preoperative fasting, and the the vasodilatory effects of anaesthetic agents. It can be compounded by blood loss during the surgical procedure.

ODM guided fluid management is a cornerstone of Enhanced Recovery, delivering better quality and more cost-effective care as it means patients recover from their surgery faster and leave hospital sooner and in better health than they otherwise would.

Additional information

ODM Product Brochure

View the full range of mounting arms available from GCX which attach the monitor to anaesthesia stations, here.

For further information relating to this product or for any sales enquires please contact Customer Services quoting part code 9051-7103.

 

Information and guidance*

The ODM+ system uses Doppler ultrasound technology to measure a patient’s blood flow and fluid status directly from the descending aorta. Easy to use and quick to focus, Deltex oesophageal Doppler probes generate a low frequency ultrasound signal which is highly sensitive to changes in flow. The result is accurate, real-time monitoring which can be used to guide fluid and drug administration.

Probe placement into the oesophagus can be either oral** or nasal and is similar to insertion of a nasogastric tube.

Probes are dedicated to either surgical or critical care use.

*Important: Always consider any underlying medical or physiological issues before insertion of a probe.
Probes can be inserted nasally or orally in sedated or anaesthetised adult patients.
**For awake or waking adult patients, it is recommended that the probes be placed nasally.

Ordering information

Single-use oesophageal Doppler probes dedicated to Surgical application.

Surgical ProbesProbe descriptionFor use onProduct code
DP66-hour oral/nasal Patients under anaesthesia or full sedation9070-7001
DP1212-hour oral/nasalPatients under anaesthesia or full sedation9070-7003
I2S6-hour oral/nasalPatients who are anaesthetised, sedated or awake9090-7012
I2P24-hour oral/nasalPatients who are anaesthetised, sedated or awake9090-7013

Single-use oesophageal Doppler probes dedicated to a Critical Care application.

Critical Care Probes Probe descriptionFor use onProduct code
I2C72-hour oral/nasal Patients who are anaesthetised, sedated or awake9090-7014
DP24010 day oral/nasalPatients under anaesthesia or full sedation9070-7005

Single-use oesophageal Doppler probe dedicated to Paediatric application.

KDP72 Paediatric probe for use only with CardioQ ODM, CardioQ ODM+, CardioQP and CardioQP ODM. 72 hour paediatric oral Doppler probe for patients 3Kg and above. Product code 9081-7001 

Download the free ‘Deltex Guide’ App for further information.

app uk web

For further information relating to probes or for any sales enquires please call +44 (0) 1243 774 837 or email Customer Services

High Definition Impedance CardioGraphy (HD-ICG), for non-invasive cardiac output and fluid status monitoring

HD-ICG for ODM+

The ODM+ system already delivers true flow-based measurement of Stroke Volume and Cardiac Output through oesophageal Doppler and now includes non-invasive, easy-to-use, cost-effective HD-ICG. Both oesophageal Doppler and HD-ICG systems measure blood flow centrally to avoid some of the limitations associated with peripheral arterial pressure-based technologies.

HD-ICG is suitable for a wide range of clinical applications:

  • Awake surgery
  • Pre/Postoperative monitoring
  • Intensive Care
  • Emergency sugery
  • Ward

HD-ICG provides continuous, accurate and sensitive measurements of cardiac output and other haemodynamic parameters. The system is stabilised using HD-Z signal filter technology.

HD-ICG disposable electrodes are placed on the neck and chest. The electrodes transmit and detect electrical and impedance changes in the thorax which are then utilised to measure and calculate haemodynamic parameters, including:

  • Stroke Volume/Stroke Volume Index
  • Cardiac Output/Cardiac Index
  • Heart Rate
  • Contractility
  • Ventricular Ejection Time, corrected for heart rate (VETc)

HD-ICG Brochure

HD-ICG Technical Information

 

 


FORE-SIGHT ELITE Absolute Tissue Oximetry

In today’s healthcare environment, products and technologies must provide evidence of clinical benefit and economic value for clinicians and hospitals. FORE-SIGHT® Absolute Tissue Oximetry provides both. FORE-SIGHT has been the pillar of multiple clinical studies showing the benefits of accurate cerebral oxygen saturation monitoring and the importance of early detection of cerebral desaturation events to prevent adverse outcomes and reduce hospital length of stay (LOS).

The Facts
Cardiovascular surgery complications or adverse postoperative outcomes can lead to longer LOS, translating to potential higher operating costs.

Clinical Value of FORE-SIGHT ELITE

Cerebral Oximetry has become the standard of care in many health care centers, allowing clinicians to treat cerebral desaturation events that are known to be associated with complications and additional use of hospital resources.  For use on Paediatrics, Neonates and Adults in ICU and Surgical settings.

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Main Features:

  • Reduces patient variability using 5 wavelengths of near infrared light
  • Improves accuracy to unprecedented levels (3.05% Arms)
  • Eliminates pre-induction baseline reading requirement
  • Detects otherwise unnoticed cerebral desaturation events
  • CASMED Clinical reference list

 

When it comes to brain protection and patient safety, hindsight is never good enough.

For further information on this product, email: uksales@deltexmedical.com

Casmed_Logo

 

 

VLS 6630 Edge Plus Portable Video Laryngoscope

FLEXIBLE RECORDING6600

Record both still images and high quality video.
Option for automatic video recording of every intubation. Download files by cable or removable mini SD card.

FLEXIBLE CONFIGURATIONS

Available in fixed or removable/rotatable mount. Video handle operates all IntuBrite blade systems.

SUPERIOR VISUALIZATION

Large Screen: 40% larger than any competitor device. Patented IntuBrite White/UV LED illumination.
High resolution camera and display.

Sapphire lens with proprietary anti-fog heating system.

 

VLS 6610 Edge Portable Video LaryngoscopeIntubrite-80

Patented IntuBrite White/UV LED combination for enhanced airway illumination.

Modular design allows custom component setup for any video laryngoscopy need, in any environment.

Attachable handle-mounted monitor/DVR with tilt and 360 degree swivel capability.

Still picture and video recording capability via removable SD card for documentation and retention.

Sapphire lens with proprietary anti-fog heating system.

 

VLS 8800 Video Laryngoscope8800cart copy

Patented IntuBrite White/UV LED combination for enhanced airway illumination.

Modular design allows custom component setup for any video laryngoscopy need, in any environment.

Still picture and video recording capability via removable SD card for documentation and retention.

Sapphire lens with proprietary anti-fog heating system.

DISPOSABLE BLADES:Intubrite Blades

IntuBrite’s patented dual lighting system (cool, bright white and ultraviolet LEDs) produces a custom light waveform that enables optimized illumination of the airway, with maximum definition and minimal glare.

Blades available in sizes MAC (1, 2, 3, 3PLUS, 4) and MILLER (00, 0, 1, 2, 3, 4).

 

DISPOSABLE HANDLESIntubrite Handles

Constructed of high quality aluminum, IntuBrite’s disposable handles will power all Intubrite blades at their optimum level.

Handles are available in standard, stubby and pediatric sizes.