HDiag 37 - Vascular Assist 03 27/4/07 17:11 Page 1. Vascular Assessment Systems and Electronic Patient Record Software. DIAGNOSTIC Products Division

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1 HDiag 37 - Vascular Assist 03 27/4/07 17:11 Page 1 Vascular Assessment Systems and Electronic Patient Record Software DIAGNOSTIC Products Division

2 HDiag 37 - Vascular Assist 03 27/4/07 17:12 Page 2 The New Dopplex Assist Series of Advanced Vascular Assessment Systems Huntleigh Healthcare is one of the leading manufacturers of Vascular Assessment and diagnostic equipment. It is renowned for designing innovative world beating products that fit the purpose and budget of busy clinicians. Modular options to suit many requirements Bi-lateral Vascular Module 4 & 8MHz Probes Arterial PPG1 x 2 Arterial PPG2 x 2 Venous PPG x 2 Dopplex AR2 Software Docking Station Electric Pump Cuff Kit x 2 T-tube Box of VPPG Pads Carry Bag Vascular Vascular Module 4 & 8MHz Probes Arterial PPG x 1 Venous PPG x 1 Docking Station Electric Pump Cuff Kit Box of VPPG Pads Spectral Spectral Module 4 & 8MHz Probes Manual Pump Cuff Kit Additional sensors or accessories can be purchased with any of the above mo

3 HDiag 37 - Vascular Assist 03 27/4/07 17:13 Page 3 Dopplex AR2 software quirements Diabetic PPG Module Arterial PPG1 x 1 Arterial PPG2 x 1 Manual Pump Cuff Kit Neuropen above modules. See back page for details. Venous PPG Module Venous PPG x 2 Tourniquet Cuff x 2 Manual Pump T-Tube Box of VPPG Pads The Dopplex Assist series is a compact, portable, easy to use vascular tool which can undertake most physiological measurements by the bedside, in a clinic or hospital. Now seen as the product of choice by many clinicians worldwide, the Dopplex Assist series is more robust and easier to use. Rapid, bi-lateral measurements can be taken and stored on the unit or transferred to the Dopplex AR2 software for archiving and reporting. Traces can then be ed to a central location for specialist review or networked around a hospital. This makes the Dopplex Assist series a comprehensive easy to use system for vascular measurements in primary and secondary care settings and is ideal for leg ulcer assessment, diabetic foot screening, detection of peripheral arterial disease and venous assessment.

4 HDiag 37 - Vascular Assist 03 27/4/07 17:13 Page 4 NEW Extended Applications Ankle & Toe Pressure Index (ABPI / TBPI) One of the latest applications is a dedicated ABPI/TBPI function. This allows the rapid measurement of brachial and pedal systolic pressures using either Doppler or bi-laterally using arterial photoplethysmography (PPG). The user can then move on and measure toe pressures if calcified arteries are present. The ABPI s and TBPI s are automatically calculated and can be saved and printed as a report. Exercise Test The exercise test has been introduced so that intermittent claudicants can be correctly assessed. It records the resting pressures from the ABPI test and provides a timer to record the duration and distance of the exercise. Following the exercise, pressures can be recorded and are plotted to show the recovery time. Alternatively Doppler waveforms and pressures can be recorded pre and post exercise providing valuable data to aid the clinician s diagnosis. General Test The new general test allows the clinician to record Doppler waveforms and pressures up to 14 sites. Each site can be customised to undertake complete extracranial studies or those requiring mixed arterial and venous measurements.

5 HDiag 37 - Vascular Assist 03 27/4/07 17:14 Page 5 Principal Applications Leg Ulcer Assessment and Lymphoedema The Dopplex Assist series is ideal for leg ulcer assessment and is now the product of choice for Tissue Viability Nurses, Clinical Nurse Specialists and clinicians involved in wound care. It can also be used to assess the arterial status of the lymphatic limb. (Doherty et al, 2006) The new ABPI/TBPI application allows rapid measurement of systolic pressures in brachial and pedal vessels using Doppler. The ABPI is then calculated automatically and all data can be stored and printed for patient notes. The level of arterial disease can be determined and the appropriate bandaging regime can be applied. In the case of calcified arteries being present then toe pressures can be measured using arterial PPG sensors. The TBPI is then calculated automatically to determine the level of arterial perfusion in the foot and allow the appropriate referrals to be made. Diabetic Foot Assessment Assessment of the diabetic foot is an important part of the annual review of a diabetic patient. It is now recommended to undertake a sensation test using a 10g monofilament and a complete vascular assessment on high risk patients. (NICE, 2004; ETRS, 2003). This takes the form of ABPI s and the recording of Doppler waveforms. Toe pressures and TBPI s should also be measured on any diabetic with calcified arteries. (Stuart, 2004) The diabetic package enables a clinician to undertake a complete assessment on neuropathic, ischemic or neuro-ischemic limbs to determine the appropriate care pathway. Assessing Peripheral Vascular Disease (PVD) Various studies have shown that the ABPI is a good indicator of the presence of arterial disease and can stratify the severity. Patients with an ABPI < 0.9 are twice as likely to have CHD as those with normal ABPI, and with increased risk of MI, stroke and death. Patients with mild to moderate PVD can now be given exercise regimes and prescribed antiplatelet therapies to extend their life expectancy. Many of these patients are intermittent claudicants and their severity of PVD is unclear unless an exercise test is performed. This can be readily performed to determine the extent of the disease, permitting appropriate referrals or treatment. Assessing Venous Leg Ulcers Following the measurement of ABPI to exclude significant arterial disease, it is now recommended to undertake venous assessment of recurrent or non-healing ulcers. (ETRS, 2003). This can be easily and rapidly achieved by using the venous package to determine the degree of venous incompetence in the whole leg. By using tourniquets appropriately placed on the legs, the level of superficial or deep venous incompetence can be determined. This information can help to progress the patient onto the correct clinical pathway and refer patients with superficial disease for surgery or sclerotherapy. References and testimonials available on request

6 HDiag 37 - Vascular Assist 03 27/4/07 17:14 Page 6 Dopplex AR2 Reporting and Archiving Software Dopplex Assist Reporter (AR2) is an Electronic Patient Record system for the Dopplex Assist series of products. It is a software package that runs on a PC and allows the transfer of patient files using a serial link, wireless network or memory card. This NEW version also allows the reporting and archiving of patient records recorded by the new extended applications of the Dopplex Assist series. It also enables data to be sent from a remote clinic by to a hospital for review by a specialist. Patient records can also be reviewed by other departments via a hospital network in a client/server configuration. Standard connection from the Dopplex Assist to a PC is by a serial cable. A wireless LAN option is available providing portability and rapid transfer of data from one or more Dopplex Assist units to a central PC running Dopplex AR2. The optional wireless LAN package requires an Ethernet port and includes a PCMCIA wireless card and a Wireless router. Dopplex AR2 requires a PC running Windows 2000, XP and Vista with a RS232 serial or USB port. Note: The wireless LAN package has MAC address filtering for security and will not support WEP. Check with your IT department before purchasing. Consultants Office Wireless transfer of data Client 1 Client 2 transfer of patient records and waveforms

7 HDiag 37 - Vascular Assist 03 27/4/07 17:14 Page 7 Options Flexible modular options to compliment your practice The versatility of the Dopplex Assist series is evident with the availability of application specific modules to suit your requirements, making the Dopplex Assist series even more cost effective. New Vascular Assist Bi-Lateral Package Client 3 The NEW bi-lateral package has been introduced to simplify the purchasing process. The package includes all the sensors, probes, electric pump and cuffs for rapid bi-lateral measurements of lower limb arterial and venous disease. The Dopplex AR2 software and cables are now included. Vascular Assist Package The Vascular Assist package is configured as a single channel system for measurements using Doppler, PPG and PVR. It is supplied with the Electric Pump as standard. It is ideal for comprehensive measurements in the primary and secondary care settings. It can also be configured as a bi-lateral unit by the addition of extra sensors and cuffs. Spectral Assist Package This Doppler only package allows the user to record Doppler waveforms and measure systolic pressures. Using the integral patient database the measurements can be stored and printed at a later date or at a different location. Patient records can also be transferred to Dopplex AR2. The ideal tool for rapid ABPI assessment with automatic calculations. Diabetic Assist Package Community / Out-reach Clinic This PPG only package is supplied with all the sensors to record individual ABPI s, TBPI s and waveforms from the digits and toes (Stuart, 2002; Stuart et al, 2004). By adding optional sensors and cuffs, blood pressures in two limbs can be measured simultaneously. This unit is an ideal tool for rapid assessment of the diabetic foot and leg ulceration. It also has the facility to communicate with Dopplex AR2 software. Venous Assist Package The Venous Assist package is a PPG only unit and is configured for dual channel VPPG measurements. This allows the rapid assessment of venous haemodynamics in both legs simultaneously, to determine the degree of venous incompetence and screen for the absence of DVT.

8 HDiag 37 - Vascular Assist 03 27/4/07 17:11 Page b Product Applications Module Order Code Bi-Lateral VAS7 Vascular VAS1 Spectral VAS6 Diabetic ABPI for PVD Diabetic Foot Venous Insufficiency Screening for DVT Venous reflux Penile blood flow Exercise test Dual PPG Capability Assist Reporter compatible General Test = standard = optional Accessories VAS8 Venous VAS9 The Pole Stand allows the Assist, when mounted in its docking station, to be moved easily around the bed. The height adjustable stand has a 5- wheel base and includes a basket for storing cuffs and other accessories. The Docking Station provides flow separated stereo sound, recharging and USB printing capability. It is ideal for desktop use or in a clinic when mounted on the pole stand. 4MHz and 8MHz High Sensitivity Doppler Probes can detect flow in deep lying or superficial vessels. A Carry Case is available for portable applications to protect the Assist in transit. Arterial PPG sensors are available for dual channel applications. A new, small APPG sensor is now available for small or disfigured toes, allowing easier measurement of toe pressures. The T Adaptor is required when undertaking bi-lateral arm and toe pressures using PPG sensors. Venous PPG sensors are available for dual channel applications. The Cuff Kit comprises: Standard Arm/Ankle Cuff Large Arm/Ankle Cuff Thigh Cuff Digit Cuff Large Digit/Penile Cuff Tourniquet Cuff 1 metre Extension Tube Electric Pump is now available as an option in the spectral, diabetic and venous packages. It provides rapid inflation of cuffs at a touch of a button. Other Accessories A variety of other accessories are available including video output and printer cables, memory and network cards. HUNTLEIGH HEALTHCARE LIMITED Diagnostic Products Division 35 Portmanmoor Road, Cardiff, CF24 5HN, United Kingdom Tel: +44 (0) Fax: +44 (0) sales@huntleigh-diagnostics.co.uk Website: Registered No: England Huntleigh Healthcare Limited 2006 and are trademarks of Huntleigh Technology Limited As our policy is one of continuous improvement, we reserve the right to modify designs without prior notice. GENLIT 017/01 LIT