Nov-Dec 2008
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Siemens launches molecular CT

In October Siemens Healthcare introduced a molecular CT scanner, with sophisticated integrated imaging capabilities. The Biograph mCT is a CT with molecular capabilities and a PET scanner with advanced capabilities in CT.

Dr Bernd Montag, CEO, Siemens Healthcare, Imaging and IT Division, said: “As the inventor of positron emission tomography-computed tomography (PET-CT), Siemens wants to lead the evolution of hybrid imaging to maximise innovations and make them available where they will have the most impact.”

The Biograph mCT is designed to obtain functional, anatomical and molecular information from one, noninvasive diagnostic exam, and adapts to virtually any patient and any clinical need with higher resolution, contrast and speed. The clinician has the option of using one of the industry’s highest resolution CT scanners in conjunction with highdefinition PET technology or as a standalone CT.

Depending on the case, molecular contrast can be used for additional metabolic information. Siemens says that from an investment standpoint, using one, all-encompassing scanner is a highly efficient means of making the most of an institution’s imaging equipment and strengthening the existing workflows between radiology and molecular imaging. “Biograph mCT is the quintessential definition of efficiency; one team, one room, one machine, and one comfortable patient,” said Montag.

“It offers the potential of diagnosing disease earlier and more effective management of disease at reduced costs. Speaking directly to the bottom line, with Biograph mCT, an institution may only need to purchase one imager instead of two, representing a huge cost-savings potential in a time when healthcare budgets are tight.”

With a small footprint, large bore, a short tunnel and an extra-wide, 227-kg-capacity bed, Biograph mCT is designed to accommodate all kinds of patients – including paediatric, bariatric and geriatric – comfortably and easily. The ability to complete studies in less time can reduce patients’ anxiety.

Biograph mCT’s large 78 cm bore can also help to alleviate patients’ sense of claustrophobia and allows better positioning of RTP devices, such as breast boards, and makes scanning of obese patients easier.

According to Siemens its unmatched isotropic resolution in CT, combined with its industry-best rotation time, brings out the finest anatomical details in every scan – routine and advanced – limiting motion artifacts. It is available in detector configurations of 40-, 64-, and 128-slices, a first in integrated scanners.

Biograph mCT’s powerful HD-PET technology delivers highly detailed images with up to four times as much contrast. It is the world’s only PET technology that offers 2 mm uniform resolution throughout the field of view. Siemens TrueV extended field of view (FOV) technology enables 70% more counts with 30% less bed positions. Siemens says the Biograph mCT is the only imaging device to offer whole-body PET-CT scanning in just five minutes, a revolutionary feature that optimises flexibility and efficiency.

The Biograph mCT can achieve this unprecedented fiveminute PET acquisition time by leveraging the combination of ultraHD-PET technology and TrueV extended FOV. For more information visit: www.medical.siemens.com

Ambulatory blood pressure monitoring

The Ambulo 2400 24-hour ambulatory blood pressure monitoring system from USbased Tiba Medical helps physicians to better diagnose and treat hypertensive patients.

Hypertension or high blood pressure is a silent disease that affects nearly 1 billion people worldwide. Left untreated, it can lead to heart attack, kidney failure and stroke.

Traditional blood pressure measurements are typically performed by a physician or nurse in the clinic or obtained by patients at home. Ambulatory blood pressure monitoring (ABPM) provides an alternative to these two methods by obtaining a thorough picture of the patient’s blood pressure variability over a full 24-hour circadian rhythm.

A small and portable device, the Ambulo 2400 automatically obtains blood pressure measurements during set intervals while the patient goes about daily activities including nighttime sleep. Measurements are later downloaded through a USB port and analysed by the physician using the Hypertension Diagnostics Suite software.

By obtaining a complete picture of each person’s blood pressure fluctuations during the day and night and correlating it to their daily activities, diet and medication, GP’s, cardiologists and nephrologists can better diagnose and treat patients using thorough blood pressure measurements.

The Ambulo 2400 can help rule out the “white coat” hypertension effect, identify “non-dippers” during sleep, and assist in diagnosing and managing patients with resistant, labile and postural hypertension as well as those with hypotensive episodes. Made in the USA, the Ambulo 2400 system comes complete with the ambulatory BP device, rechargeable AA batteries, four cuffs, software, USB cable and all accessories needed to perform studies.

Clinically validated to the stringent requirements of the British Hypertension Society’s protocols, the Ambulo 2400 has FDA 510(k) clearance from the United States FDA as well as CE Mark according to the Medical Device Directive of the European Union. Visit:
www.tibamedical.com

Keep a check on CT dose

Swedish company RTI Electronics has announced a new simple method for measuring CT Dose Index (CTDI) on multi-slice CT scanners.

The One Shot method, along with other improvements, is included in the new release of the CT Dose Profile Analyser software, used exclusively with the CT Slice Detector from RTI.

This method saves time and avoids needless exposures in the QA procedure. Only one exposure is required to obtain the CT Dose Index. The One Shot method is based on scientific experience and knowledge about the relationship between dose in the centre and the periphery holes of CTDI phantoms.

The CT Dose Profile Analyser software analyses the CT dose profile and indicates how much more dose is given in modern multi-slice CTs, compared with the traditional CTDI100 measured with a CT pencil ion chamber. The resulting analysis is of great importance due to increasing dose contribution to the population coming from CT examinations.

The CT Slice Detector, CTSD16, is used with the Piranha or Barracuda X-ray multimeters and is conveniently controlled by the CT Dose Profile Analyser software. This RTI software provides evaluation of CT dose profile, CT dose, CTDI, CTDIvol, CTDIw, DLP, AEC and tube current variations. The probe is robust and fits into standard phantoms used for CTDI measurements. For more information visit:
www.rti.se

AvantGuard bed puts patient first

Hill-Rom’s newest AvantGuard bed addresses a large variety of requirements in acute care.

The AvanteGuard 1600 bed’s unique 3-position mobility-guard side rails , onebutton EasyChair control and series of seven coordinated movements helps achieve an ergonomic posture and maintain the patient’s position when the bed is articulated, reducing the need for staff to reposition patients in bed.

For nursing staff Point-of- Care controls reduce the walking around the bed each day. Clocking side rails and the one-hand side rail release allow the caregiver to not consume space and to quickly lower the rail. Smooth surfaces and removable panels facilitate easy cleaning and decontamination.

To ensure patient safety the bed has Intelligent indicators such as ‘Lowest Height’, ‘Brake-off alarm’ and ‘automatic lock-out’ of the caregiver controls after 60 seconds. By incorporating the Hospital Bed Safety Workgroup guidelines into the AvantGuard 1600 bed design, Hill-Rom has implemented the latest know-how in hospital bed safety. For more information visit:
www.hill-rom.com

FiltaMask helps prevent cross-infection

There is a growing concern in the world market about the possibility of major viral infections that may be transmitted via the respiratory tract.

Therefore there is a need to provide a protective mask for patients undergoing oxygen therapy to prevent viral contamination from the patient into the clinical environment and to reduce the risk of cross infection.

Conventional oxygen masks can generate a plume of particles from their exhalation ports, which can travel a considerable distance. The FiltaMask from Intersurgical combines an oxygen delivery mask with a filter media that offers excellent filtration performance against aerosolised infectious pathogens.

The mask is designed for patients with respiratory infections who may become a source of aerosolised infectious pathogens and who also require supplementary oxygen. It also reduces the risk of infection to paramedics, hospital staff and visitors.

Visit Intersurgical at: Medica - Hall 11, Stand A59 Arab Health, Dubai, 26-29 January 2009. For more information visit
www.filtamask.com

Médipréma introduces Mobi bloo phototherapy projector

French company Médipréma has recently launched Mobi bloo Médipréma phototherapy projector. Based on the LED technology this device enables high-end treatment of hyperbilirubinemia.

The Médipréma blue diodes have been carefully selected to match emission centred on the absorption spectrum of the bilirubin (DIN5031). With a minimum irradiance of 3mW/cm˛, (equivalent 47 μW/cm˛/nm), Mobi bloo becomes an important tool for any medical team in special care areas.

The Mobi bloo can be easily positioned next to the newborn without disturbing it, saving space, reducing heat dispersion, increasing life and performance of the light source. The baby can remain visible and reachable for care givers while exposed to an intensive phototherapy.

Médipréma is marketing several versions – a clamp version (to be fixed to a rail); a wall-mount version; and a selfsupporting mobile stand version. Since 1976 Médipréma has been delivering the highest possible care to neonates.

The company designs and manufactures a full range of products dedicated to neonatology, such as ICU incubators, infant warmers, transport incubators, radiant warmers and phototherapy equipment.

The company has been exporting to the Middle East for the past 25 years. It is a highly specialised and reputable brand that has a strong reputation for high quality medical devices. Visit: Médipréma at: Medica – Hall 17 B20 Arab Health – French Pavilion

For more information visit:
www.mediprema.com

GE launches ultrasound that fuses images with CT, MR

GE Healthcare has launched a new ultrasound system for radiology and vascular applications that fuses ultrasound images with images from other imaging modalities like CT and MR.

The new LOGIQ E9 includes Volume Navigation, an innovative tool which incorporates two key components to maximise the system’s new agile ultrasound architecture: ‘Fusion’ to combine the advantages of real-time ultrasound imaging with the high spatial and contrast resolution of CT, MR or PET; and a ‘GPS-like technology’ to track and mark a patient’s anatomy during the ultrasound exam, bringing confidence and productivity to both diagnostic and interventional studies.

Terri Bresenham, GE’s Vice President of Diagnostic Ultrasound and Information Technology, said: “GE’s new LOGIQ E9 helps address the biggest challenge in ultrasound radiology and vascular care – how to leverage clinical images from previous diagnostic imaging studies for interventional or diagnostic ultrasound procedures.”

This new GE architecture, called Agile Ultrasound, replaces old assumptions of conventional ultrasound systems with new, modular mathematical models that provide more accurate measurements of how sound interacts with different body tissue types.

The result of the LOGIQ E9 architecture is an improved, more life-like image without a lot of manual adjustments to view specific anatomy.

For more information visit:
www.gehealthcare.com

Pharmax introduces mobile hand sanitizer system

In the United States, there are approximately 2.2 million nosocomial infections annually, resulting in more than 80,000 fatalities.

Healthcare providers are well aware of the significant role that proper hand hygiene can play in reducing the spread of these infections, yet the problem persists.

Clinical staff are aware of WHO guidelines yet, in observation studies, the compliance is shown to be less than 50%. Pharmax has identified two reasons for these unacceptably low compliance rates:

1. Clinical staff are reluctant to sanitize as frequently as required, because soap and water, as well as alcohol hand sanitizers, cause drying and, in some cases, serious skin damage with prolonged, repeated use.

2. Clinical staff do not have readily available access to either soap and water or a hospital-grade hand sanitizer for three reasons: placement, time constraints, and interruptions. Pharmax has found a way to overcome these two major obstacles.

The company has formulated the first skinfriendly, non-alcohol hand sanitizer that is proven effective against both gram-negative and gram-positive organisms and achieves a 5-log10 reduction against the requisite organisms, utilising prEN 1500 testing methodology.

In instances where clinicians do not have ready access to hand washing stations or wallmounted hand sanitizer dispensers, Pharmax has designed the first body-worn device that is suitable for dispensing either alcohol or non-alcohol, hospital-grade hand sanitizers in the prescribed dosage to guarantee appropriate hand hygiene.

Our Sprixx bodyworn dispensing system enables clinicians to have sanitizer at their fingertips. In locations where this unique, body-worn device has been trialed, compliance rates have doubled.

For more information visit:
www.pharmax.ca

Spray-on plastic skin for wounds, burns ...

Laboratorios Inibsa has developed PLASTOSPRAY, a plastic skin dressing spray.

It has multiple uses at a professional and domestic level. Some of them are: wounds, superficial burns, post-operative use, fixation of catheters, punctures, fistulas, warts and vaccinations.

PLASTOSPRAY is elastic, transparent, waterproof, microporous and quick and easy to apply. Laboratorios Inibsa is a pharmaceutical company with 60 years of experience, comprising a team of professionals who develop, manufacture and commercialise products offering efficient solutions for healthcare.

The company is positioning itself to become a global benchmark in the manufacture and commercialisation of local anaesthetics and medical devices.

For more information visit: www.inibsa.com

Philips launches cost-efficient HD15 ultrasound system.

Philips says the HD15 “is a new platform designed to deliver an advanced level of image clarity and broad application support for everyday use in small hospitals, clinics and private practices.

The system may be used as a primary system for some users, particularly those in emerging markets who require a feature-rich system but may not need all of the features of a high-end ultrasound solution”.

The HD15 contains multiple usability features to improve workflow, as well as versatile capabilities for a wide range of exam types including general imaging, cardiac, vascular and OB/GYN applications.

In addition, advanced features like contrast enhanced ultrasound and PureWave transducer technology allow users to perform real-time guidance and evaluation of minimally-invasive treatment procedures and provide more diagnostic confidence on technically challenging patients and pathologies.

Advanced Philips technologies such as QLAB quantification software, XRES image processing and PureWave transducer crystal technology have been integrated into the HD15 to provide clinicians a robust system that assures ease of use and productivity.

New Microfine EX focusing provides sharper images and improved tissue uniformity. Active native data allows clinicians to manipulate exam parameters and image settings even after the patient has left. Images and Cineloops can receive further investigation by manipulating the original image to see new detail.

Live compare allows the clinician to compare a previous exam side-by-side with an active exam in order to immediately see changes in structure or blood flow. This can be particularly helpful in comparing changes in cardiac and vascular anomalies.

For more information visit:
www.philips.com/HD15

Tracoe tracheostomy kit improves patient safety

The most common type of modern percutaneous dilatational tracheostomy (PDT is based on a technique introduced by Pasquale Ciaglia in 1985 using a number of serial dilators to create the tracheostoma.

Modern kits like the new Tracoe experc kit, based on the same dilation technique, only depend on one single-step dilator.

After the creation of the tracheostoma the tracheostomy tube is inserted over an introducer instrument (inserter).

A focus of critique of conventional kits has been the step between the inserter and the tip of the tracheostomy tube which may cause tissue injury during the process of insertion.

The Tracoe experc kit eliminates this source of trauma by a soft silicone sleeve on the tip of the inserter which ensures a stepless transition between the inserter and the tip of the tracheostomy tube.

The kit includes a Tracoe twist tracheostomy tube premounted on this tailormade atraumatic inserter. The tube is individually packaged and also available separately.

This modular approach is a significant economic benefit if during the operation it turns out that the patient may need a tube of a different size than the one included in the kit. In this case there is no need to open a complete new kit but simply select a new tube. A challenge frequently reported in relation with the PDT is the recannulation when the tube needs to be exchanged.

A tracheostoma created by PDT has an increased tendency to shrink as opposed to one created by surgical techniques with the consequence for the medical staff to face increased difficulties during un-aided recannulation.

To avoid the risk of such a “via falsa” placement each Tracoe twist tube premounted on its atraumatic inserter comes with a flexible reinsertion tube to reform the way according to the Seldinger guide wire technique. The tapered tip of the inserter is an additional feature to assure safe and atraumatic reinsertion.

For more information visit:
www.tracoe.com

UriSed analyses urine sediment

The UriSed is supplied by 77 Elektronika, which was established 22 years ago to manufacture blood glucose meters and urine analysers.

Products of the company are supplied to nearly 100 countries under the brand 77 Elektronika. OEM is also available. Key points about UriSed: Revolutionary new method for investigation of urine samples.

Images are stored in a database; in that way evaluation is also possible any time after the measurement without manual microscopy. UriSed does not need any special reagent material for operation.

UriSed can be easily connected to LabUMat fully automated Urine Chemistry Analyzer from the same manufacturer; the combined system provides a complete urine analysis report. Visit 77 Elektronika at: MEDICA - stand H1, E36 Arab Health - stand H8, MB11.

For more infoirmation visit:
www.e77.hu

Völker micro-stimulation relieves patients of pressure sores

Völker has a micro-stimulation system to relieve inactive patients of pressure sores.

The Völker MiS pressure reduction system, which has been standard in Völker hospital and healthcare beds since 2003, also supports pneumonia and thrombosis prophylaxis, as well as therapeutic nursing of stroke patients, MS patients, CCI patients and rehab patients suffering from perception disorders due to an underlying neurological disease.

The objective of “basal stimulation”, a long-standing healthcare concept, is to foster perceptivity, movement and communication among patients. It feeds back to them experiences of their own bodies and their environment. With regard to pressure sore prophylaxis, the promotion of movement is the most important aspect of basal stimulation.

At the end of the 1990s parts of this concept were translated into a technical system, a micro-stimulation system. Based upon that system Völker developed the technical conditions for the use of a micro-stimulation system in institutional healthcare. The result is the Völker MiS.

This pressure reduction system is applied to patients in a prone position. Its individual elements are arranged in such a fashion that they continually trigger incentives to move.

The microstimulation system registers even the smallest movement made by patients, which is then fed back to the body as tactile stimuli. This constant feedback leads to an increased rate of movement and/or more pronounced movement. Microcirculation in the tissue is increased, which makes a huge contribution to pressure sore prophylaxis.

This MiS Activ was developed as an active upgrade in which the suspension elements under the body’s risk areas are supported by electromotive activators. In lieu of the patient’s very deficient selfinduced movements a tiny raising and lowering triggers tactile and vestibular stimuli and thus stimulates the patient’s perceptivity.

An effective use of the basic version requires some residual mobility among patients. If a patient is immobile, and also if a pressure sore therapy is indicated, the Völker MiS Activ system is used. For more information visit:
www.voelker.de




 Date of upload: 16th November 2008

                                  
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