ABPM is a non-invasive method of obtaining blood pressure readings over a 24-hour period, whilst the patient is in their own environment (home and/or work), representing a true reflecton of their blood pressure.
The ABPM can be programmed to automatically measure the blood every 15 minutes, 30 minutes, 60 minutes, or more, based on the doctors discretion; one hour measurements are most commonly used.
ABPM is considered more accurate and reliable for determining who has hypertension (high blood) than the readings taken by the nurse or doctor in the clinic setting.
Who should be referred for ABPM?
- National Institute for Health and Care Excellence (NICE) recommends that if a clinic blood pressure (BP) is 140/90 mm Hg or higher, ABPM should be used to confirm the diagnosis of hypertension
- Poorly controlled hypertension (eg, suspected drug resistance, or inadequate dosing or medication)
- Patients who develop hypertension during pregnancy
- High-risk patients – eg, those with diabetes; high cholesterol
- Suspicion of white coat hypertension – high blood pressure readings in clinic which are normal at home
- Masked hypertension – high blood pressure at home or work, but normal in the clinic (diabetics; smokers; high cholesterol patients; high glucose patients are at risk of this form)
- Postural hypertension – increase in blood pressure when patient stands up
Accurate and objective Peripheral Arterial Disease diagnosis
From secondary to primary healthcare with the help of technology.
What is Peripheral Arterial Disease (PAD)?
Early diagnosis of PAD in primary healthcare is crucial.
Who must be screened for PAD?
70% of patients with PAD experience no symptoms and are not diagnosed.
Cardiology associations recommend Ankle-Brachial Index screening on complete PAD risk group for early detection of the disease.
Ankle-Brachial Index measurement Simple solution for diagnosing PAD
Ankle-Brachial Index (ABI) is a very simple comparison of blood pressures in legs and arms. It is non-invasive and painless. With MESI ABPI MD the procedure becomes reliable, objective and even possible to be performed as screening in first-contact healthcare. ABI screening is incredibly important for at least two reasons:
- It is a reliable predictor of occlusion of lower extremity arteries – PAD. Detection of PAD is even more important when we know, that over 70% of population is not aware of the occlusions at all.
- Because of high correspondence of PAD with Coronary Artery Disease (CAD) and Cerebrovascular Disease (CVD), patients diagnosed with PAD have a great chance of early diagnosis of CAD and CVD as well.
MESI ABPI MD World’s fastest ABI screening device
Compared to the handheld Doppler probe, MESI ABPI MD performs an automated ABI measurement. Innovative technology enables the device to provide accurate and objective results, based on which the physicians can diagnose Peripheral Arterial Disease with great confidence.
Advanced error detection system
Smart software prevents false results even in the case of critical ischemia or medial calcinosis, and gives physicians all the confidence they need.
Unique algorithm for ankle blood pressure calculation
It is not possible to measure blood pressure in ankles with a brachial blood pressure device. Therefore our algorithm is different, developed with human ankle anatomy in mind.
Cuff based technology
Plethismograpy sensors detect the smallest changes in volume. Ease-of-use excludes the possibility of human error as well as there is no need for additional training
Because blood pressure is constantly changing, simultaneous measurement is crucial to avoid error from blood pressure drift.
Accuracy is the key
Unique error detection without false results
Thanks to a unique error detection system, MESI ABPI MD will alert the operator of any irregularities, which have occurred during the measurement process.
If the cuffs have been poorly placed or if the patient has been moving during the measurement, the error message will be displayed on the screen.
Reliable even in the case of critical ischemia and medial calcinosis
It is crucial to provide a reliable measurement also when examining a patient with severe PAD.
Our improved plethysmographic sensors detect critical ischemia and medial calcinosis even when pressure oscillations are not available due to heavy occlusion.
Every measurement with MESI ABPI MD provides sufficient information for further actions.
While performing the measurement on a patient with severe PAD, it is possible that no pulse is detected. The obstruction of the artery is heavy, resulting in weak blood flow after the obstruction. The pressure is supressed and the difference between systolic and diastolic pressure vanishes.
PAD increases the risk of heart attack or stroke!
Elimination of blood pressure drift error
It is crucial to eliminate the delay between separate measurements on each extremity to achive maximum ABI accuracy.
MESI ABPI MD conducts simultaneous blood pressure measurements on all extremities.
Cuffs are essential for the ABI measurement
Conical shape of the cuffs provides perfect fitting to patient’s extremities, providing the best accuracy.
Different colours indicate where to place each cuff.
The red cuff should be positioned on the upper arm, green on the right and yellow on the left ankle.
Each cuff is clearly labelled and includes a diagram to ensure correct placement. No training is needed as comprehensive guidelines are provided.
Cuffs are available in medium and large sizes.
Low ABI indicates the narrowed arteries and reliably predicts PAD.
With attention to user experience
2 in 1 : ABI and BP measurements
Expertly developed MESI ABPI MD enables two measurement modes:
- Simultaneous measurement of left ABI, right ABI, brachial pressure and heart rate.
- Stand-alone measurement of brachial blood pressure and heart rate.
Stand supplements MESI ABPI MD
The place for MESI ABPI MD is next to the examination bed. A stand with magnetic base has been designed to hold both – the device and the cuffs.
The stand enables the device to be easily portable and significantly helps with the durability of the device and the cuffs respectively.
Long lasting battery for maximum portability
During the measurement, patient needs to be lying down.
Examination beds are not always next to the electrical sockets, which is why MESI ABPI MD is equipped with a long lasting rechargeable battery.
Save ABI measurement with MESIresults
MESIresults application comes free with the device. MESI ABPI MD can be connected to a computer to provide an electronic copy or a printout of the ABI result.
MESIresults also enables information such as name, address and logo of the healthcare institution to be imported into every measurement report.
ABI should be measured in primary healthcare as a standard method of diagnosing and monitoring PAD.
Simple ABI measurement procedure
Added value of MESI ABPI MD
Spirometry is a common office test used to assess how well your lungs work by measuring how much air you inhale, how much you exhale and how quickly you exhale.
It may also be used to periodically to check whether a treatment for a chronic lung condition is helping you breathe better.
Your doctor may suggest a spirometry test if he or she suspects your signs or symptoms (acute or chronic cough; difficulty breathing; shortness of breath) may be caused by a chronic lunch condition such as:
- COPD (A life threatening lung disease that interferes with normal breathing)
- Most common symptoms re breathlessness, excessive sputum production and chronic cough
- Chronic bronchitis
- Pulmonary fibrosis
- Or to check how well your medications are working if you were previously diagnosed with one of these conditions
Candidates for Spirometry
- Smoker with symptoms
- Shortness of breath
- Shortness of breath during exercise or other physical exertion
- Chronic cough (> 8 weeks)
- Frequent colds
- Allergic rhinitis
- Known or possible asthma
- Known or possible bronchitis
- Known or possible COPD
- Exposure to environmental air pollution (very common in Manila)
A holter monitor is a battery-operated portable device that measures and records your heart’s activity (ECG) continuously for 24 to 48 hours or longer depending on the type of monitoring used. The device is the size of a small camera. It has wires and small electrodes that attach to your skin. The holter monitor records your ECG as you go about your daily activities.
- You may be asked to wear a holter monitor to see if you have a slow, fast or irregular (uneven) heartbeat.
- Or your doctor may use it to see how well your medications are working to treat these problems
- It will help you and your doctor decide if you need more tests or medicines for our heart, or if you need a pacemaker or cardioversion procedure to restore a regular heart rhythm.
- Can show your doctors why you are having symptoms such as dizziness, faithness or the feeling that your heart is racing or skipping a beat (palpitations).
- Doctor may want to see if your heart is getting enough oxygen to meet its needs.
There are no risks to wearing one and it causes no pain or discomfort. Removing of electrodes after monitoring can cause some mild skin irritation.
What is an echocardiogram?
A test that uses high frequency sound waves (ultrasound) to make pictures of your heart. The test is also called echocardiography or diagnostic cardiac ultrasound.
- An echo uses sound waves to create pictures of your heart’s chambers, valves, walls and the blood vessels (aorta, arteries, veings) attached to your heart.
- A probe called a transducer is passed over our chest. The probe produces sound waves that bounce off your heart and “echo” back to the probe. These waves are changed into pictures viewed on a video monitor.
- An echo cannot harm you.
Why do people need an echo test?
Your doctor may use an echo test to look at your heart’s structure and check how well your heart functions. The test helps our doctor find out:
- The size and shape of your heart, and the size, thickness and movement of your heart’s walls.
- How your heart moves.
- The heart’s pumping strength (measured in ejection fraction or EF)
- If the heart valves are working correctly.
- If blood is leaking backwards through your heart valves (regurgitation).
- If the heart valves are too narrow (stenosis).
- If there is a tumor or infectious growth around your heart valves.
The test also will help your doctor find out if there are:
- Problems with the outer lining of your heart (the pericardium).
- Problems with the large blood vessels that enter and leave the heart.
- Blood clots in the chambers of your heart.
- Abnormal holes between the chambers of the heart.
Mayo Clinic states
A stress test gathers information about how your heart works during physical activity. Because exercise makes your heart pump harder and faster than usual, an exercise stress test can reveal problems within your heart that might not be noticeable otherwise.
It usually involves walking on a treadmill or riding a stationary bike while your heart rhythm, blood pressure and breathing are monitored.
Your doctor may recommend a stress test if he or she suspects:
- You have coronary artery disease (blockage due to buildup of deposits cholesterol and other substances or plaque)
- Irregular heart rhythm (arrhythmia)
It may also be used to guide your treatment if you’ve already been diagnosed with a heart condition previously.
REMOTE DIAGNOSTIC MONITORING
Bluetooth Blood Pressure monitor is a top-selling device and a favorite of care givers to remotely monitor a patient
- Spoken reminders (in English, Arabic, Dutch or Spanish) or flashing lights to remind when to take BP tests.
- Spoken announcement of BP readings aloud in many languages – particularly helpful to vision impaired people.
Bluetooth transmission from the monitor, sent securely through the hub to the patient’s charts.
Easy as slipping into the arm cuff and pushing the Start button, the BP monitor is a rare model of simplicity. Across the room, the hub repeats the systolic, diastolic, and pulse readings recorded.
- Upper Arm Blood Pressure Monitor
- With Oscillometric Method
- Displays Systolic, Diastolic, Pulse readings
- Large LCD Digital Display (70X80cm)
- Fully automatic
- 2 sets of 60 memories (total 120)
- Bi-directional detection
- Unique figure display
- FDA 510(K) approved
- CE 0434 certified
- Accessories: instruction manual, storage bag,
AA (no mercury) Alkaline Batteries (x4)
- Optional AC adapter at minimal charge.
The pillbox/hub can be programmed to remind the user to take readings. Together with medication records, readings will be automatically uploaded and logged to the patient’s private, secure charts. Blood pressure charts are integrated with the appropriate Rx charts, showing relationships.
Pulse Oximeter provides cordless ease instantly with our new portable Pulse Oximeter
Pulse oximeters are becoming a staple in home vital sign monitoring. Moving well past respiratory conditions, measuring oxygen saturation is now a first-line measure in many diseases.
For the patient at home, remembering to capture those scores – where did I leave my diary?—and then to bring them to the next doctor’s appointment is a challenge.
What was missing until lately was a Bluetooth pulse oximeter that sends readings instantly to the care providers – particularly when the user is scoring below acceptable levels.
An early warning system and a full alerting system! Plus, it is highly affordable for self-paying families wanting instant knowledge when a loved one is in danger. This newest addition is easy, affordable, and highly-accurate.
When paired with the hub, its best-in-class features include:
- Instant Bluetooth® transmission from monitors to the hub to the cloud to patient SmartCharts™
- Spoken reminders –in many languages—when it is time to test.
- SpO2 and pulse readings announced aloud.
- Instant alerts to your care team when you are below acceptable parameters
Our model has other great features:
- Equipped with a 65K color LED display — animated pulse rate waveform and bar graph display
- Advanced technology that is very easy to use – results with the click of a button
- A small in size, wireless, and portable
- A digital technology with low power consumption
MONITORING BLOOD GLUCOSE LEVELS HELPS CONTROL DIABETES
Collaborates with best-of-class manufacturers worldwide to provide reliable, affordable, wireless vital sign monitors. We then pair meters with the hub, the Adherence Engine and your personal SmartCharts™ to deliver reports to concerned care givers.
- Instant Bluetooth transmission from monitors to the hub — fully integrated with your record of using insulin or diabetes drugs,
- Spoken reminders –in many languages—when it is time to test.
- l sign scores spoken aloud – especially helpful to vision-impaired users
- Timely reports to your care team, assuring them when you are OK or reporting when you are out-of-range (beyond your defined acceptable parameters)
Our chosen glucose meter offers other major benefits:
- Rapid Testing Results– available In 3 seconds,
- The Smallest Blood Sample Size (.3μl) of Any Meter
- Automatic Coding Of Test Strips.
Vital sign monitors have no speech capability—they cannot alert “TIME TO TEST!” But this device can. When a test is due, the device voice reminds you periodically to test in many languages.
And, a reminder appears on the LCD screen and periodically recurs until you have tested.
When you have tested, the device will announce aloud (optionally) the values it received.
Paired with your medication records, glucose test results are automatically sent your secure page in combined charts.
Scale Built with Bluetooth Connectivity
– Accurate and automated weight monitoring
The Precision Scale is the first affordable, highly accurate, high weight capacity, wireless bathroom scale. The scale uses the most technically advanced wireless communications to work automatically in conjunction with MedSignals, providing audible weight readings, then forwarding readings to users’ files online. Maximum weight is 400 pounds.
The scale applies short-range Bluetooth wireless transmission for interoperability. (Bluetooth is a popular wireless standard offering hands-free automated uploads.) The scale itself has a large easy-to-read display locally and a state-of-the-art communications infrastructure from the home that is automatically triggered when patients weigh themselves. Bluetooth® transmission is received by the VitalSignals® pillbox/hub and sent to servers via analog landlines.
The scale currently has no speech capability, but the pillbox/hub can alert when to take readings. It can optionally announce weights aloud (in English or Spanish) – a huge benefit to vision impaired or morbidly obese patients who cannot see the scale. Together with medication records, weights recorded will be automatically sent to the patient’s private, secured page and integrated into charts, showing relationships with other key vital signs and medication records.
Wireless scales completely eliminate manual logging of test results, improves data accuracy, and removes the opportunity for inaccurate entries.
The scale has a maximum weight of 400lbs, 180kgs.
- A fully integrated Bluetooth® upload system to transmit readings through the hub from the home in real time
- Rapid reading stabilization with accurate results (available in under 3 seconds)
- A large 4.3″ LCD with blue backlight
- Supported by a pillbox/hub to voice-announce when time to weigh
- Optional verbal announcements of weight by the pillbox/hub
- Integrated charts, showing weight related to other vital signs and medications taken.
Remote monitoring of vital signs and medication use by home-based patients.
Bluetooth-communicating VitalSignals monitors report self-test results to the MedSignals pillbox / hub / monitor. Currently integrated with:
•Weight (Others used experimentally and can integrate new monitors).
Multi-function pillbox designed to:
•Improve adherence with dosing reminders, verbal instructions. Keeps patients healthier with safer self management.
•Upload data through embedded 3G cellular SIM to cloud server to report status to care team.
•Capture data from VitalSignals devices and relay to patient’s chart where integrated with medications and reported to care team.
All devices paired and integrated to improve and report patient’s status
Alerts to family and health providers:
•By method preferred
•Set separate rules for each drug and vital sign
•One low monthly service fee for unlimited alerts from multiple monitors
•Can integrate with electronic medical records
•Signals when patient should go to ambulatory clinic
Securely Push & Pull MedSignals® Event Data to and from your EMR
Patient data can continually upload to EMR and send to care team by preference of alerts and triggering conditions.
World-class dashboard aids care team members in managing groups or individuals
Patient: Gets local signals and first alerts to correct gaps before others are alerted; has access to own charts, alerts, and device settings.
Care Giver : Engages family and friends with access to charts of one or more individuals. Set conditions and method of notifications, assuring peace of mind when OK or early warnings and faster response when not OK.
Call Center : Access to dashboard to efficiently oversee a network and respond to priority cases. Various tiers of access assure they oversee only patients they manage.
Ambulatory Clinic Scheduler: Can be alerted to a network of patients and identify high-risks for hospitalization; can intervene and schedule appointment early to avoid costlier hospital visit.
Pharmacist: Gets refill notices when medications are down to 5-day supply based on actual use, not automated and often premature monthly shipments
Program Manager : Access to all aggregate charts or individual network charts and reports
Care team sees caseload prioritized by risk, assuring timely response.
Set Default Boundaries by Group and Customize by Individual
Set each bin as Critical or Non-Critical