Screen size: 15-inch color touch screen combined with knob design.
Ventilation modes: 7 ventilation modes including IPPV, PSV, and SIMV.

Application Scenario

Surgery, anesthesiology, operating room, etc.

Features

1. Advanced flow control module: adopts electronic flow display + equipotential flow meter design to safely control the flow of fresh gas, accurately reflect flow information, and provide double security for flow data display.
2. Comprehensive security protection strategy: The two types of operating modes respectively limit the parameter setting range in the mode; the multi-channel monitoring waveform diagram and 15 wide-area monitoring parameters displayed on the same screen can fully protect the safety of patients.
3. Innovative integrated metal circuit: universal bellows for children and adult surgery, breathing circuit for preventing water accumulation, design of carbon dioxide absorption tank that supports online replacement during surgery, etc., to meet various surgical needs, simplify use procedures, and improve work efficiency.
4. Precise evaporation tank module: It has pressure, flow, temperature compensation functions and lifetime calibration-free technology. It also has zero-position self-locking and double-tank interlocking devices to ensure accurate and safe operation of the module.
5. Outstanding ergonomic design: The corrosion-resistant integrated noise reduction rack is equipped with three sets of large-capacity drawers and a large workbench. At the same time, LED soft light work lights and one-button central brake system are added to the humanized design for medical work. Create a good environment.
6. Innovative anesthesia ventilator module: 7 ventilation modes that adapt to various scenarios are equipped as standard, the new main screen structure is clear at a glance, and the clear option arrangement is one-key setting, which effectively improves the efficiency of intraoperative work.

Masimo Rad-57 Features

• You can customize the default power on settings
• Provide more than 10 hours of continuous battery life
• Up to 72 hours of trend data storage
• FastSat can track the rapid changes of arterial O2 with unparalleled fidelity
• SmartTone buzzes synchronously with the pulse (even when the patient is moving)
• The three sensitivity options of APOD, “normal” and “”, can flexibly support various clinical applications
• Almost all false alarms can be ruled out without omitting real clinical events

Pleth variability index (PVI) is a breakthrough measurement technology, which can help clinicians to evaluate the infusion status of patients noninvasive and continuously, effectively conduct fluid management, evaluate the perfusion status of patients to reflect the patient’s volume level, and monitor the trend and effect of liquid therapy. Under the condition of mechanical ventilation or intubation, the PVI value should be between 9 and 14, and under normal conditions, the PVI value should be between 14 and 25.
MAXIME CANNESSON, associate professor of anesthesiology in the Department of Anesthesiology and Perioperative Nursing at the University of California, Irvine, put forward: “It has been proved that PVI has a high accuracy in distinguishing between those who respond to infusion and those who do not, which is the only opportunity to improve the cardiac function and organ blood flow perfusion level by better managing the infusion volume of patients.”

• Infusion management is very important to improve the condition of patients
• The traditional methods to guide infusion management are usually unable to predict infusion reaction
• Newer methods can accurately predict responses, but are invasive or costly
• It has been proved that PVI can help clinicians predict the infusion reaction of patients receiving mechanical oxygen transfusion during surgery, intensive care and general anesthesia
• It has been proved that PVI can help clinicians improve infusion management and reduce lactic acid level compared with standard nursing care

Clinical advantages of PVI

As shown in the figure, PVI has a similar accuracy (0.94) of pulse pressure changes measured during invasive arterial intubation (0.93 area below the curve), which is higher than the heart index (0.56), central vein pressure (0.42) and pulmonary capillary wedge pressure (0.40).
It is confirmed that according to the definition that the cardiac output increases significantly after infusion management, PVI can help clinicians predict the infusion reaction of patients receiving mechanical oxygen infusion under general anesthesia.

• If PVI before capacity expansion> 14%, it can be predicted that the patient will have infusion reaction (81% sensitivity)
• If PVI before capacity expansion< 14%, it can be predicted that the patient will not have infusion reaction (100% specificity)

The higher the PVI value, the more likely the patient is to have infusion reaction. The PVI threshold is 14%. If it is greater than 14%, you can take more active steps to replenish albumin or colloidal solution; If the infusion rate is less than 14%, the infusion rate should be slowed down.

Clinical application of PVI

PVI can effectively assist doctors in fluid management, evaluate patients’ perfusion status to reflect patients’ capacity level, and monitor the trend and effect of fluid therapy through single site monitoring. It can be observed in cooperation with PI.
——Noninvasive monitoring tool for continuous evaluation of local tissue perfusion and systemic circulation perfusion.

• Evaluation of local tissue perfusion:
  PI will change when the local blood flow changes due to the contraction or expansion of skin vessels at the monitoring site. PI can confirm the analgesic effect of epidural anesthesia

• Evaluate systemic perfusion:
  Real time monitoring of physiological conditions is conducted by observing the trend change of PI. The significant decrease of patients’ peripheral circulation indicates clinically important physiological changes, including potential hypothermia, hypovolemia, shock and sepsis.
  For example: evaluation of circulatory function of severed fingers or limbs, limb vascular injury or infarction, vasculitis, vascular stenosis, edema, Raynaud’s disease, regional block, etc

• The greater the PI value, the better the perfusion condition
• PI Normal> 1.0%； Masimo SET can measure 0.02%~20%

PVI measurement technology platform — pulse carbon oxygen blood oxygen detector

Masimo rainbow SET technology is a globally recognized “gold standard” technology for pulse blood oxygen. It has high sensitivity and specificity for antibody movement, anti hypothermia and low perfusion. In addition to providing Masimo SET Plus Oximeter for measurement under the condition of body movement and low blood perfusion, it is also a non-invasive monitoring platform, which can be used to evaluate a variety of blood components and physiological parameters. Previously, invasive or complex processes were required for evaluation.
Masimo SET technology (basic three parameters)

• SpO2
• PR
• PI (blood flow perfusion index)

Rainbow SET technology (Rainbow parameter)

• SpOC
• SpMet
• PVI
• SpHb (non-invasive total hemoglobin)
• SpCO

With the upgradable rainbow SET platform, you can now choose the appropriate rainbow measurement parameters without worrying about the investment in patients.

• More than 100 independent and objective studies have confirmed that the pulse oximeter using Masimo SET technology can provide accurate and reliable readings under the conditions of exercise and low blood perfusion
• The accuracy of Masimo SET pulse oximeter has been proved by facts. It can reduce 95% of false alarms without omitting real clinical events
• The simple and easy-to-use interface is convenient for quick setting and alarm management with touch programming
• Large LED color display is convenient for reading data from a long distance
• The compact and lightweight design is ideal for acute care and other care environments, including long-term care institutions, home care and sleep laboratories

Product Functions

• Sleep mode is easy to configure the system for clinical research
• Second average sleep mode
• Home mode allows safe, accurate monitoring and trending at home
• RadNet ? And RadLink ? Multi patient remote monitoring interface function
• Perfusion index (PI) indicates the arterial pulse signal strength, which can be used as a diagnostic tool in low permeability 1
• Low signal IQ ? (SIQ) indicators highlight the conditions of low signal quality
• FastSat Tracking rapid changes with high fidelity and other arterial oxygen pulse oximeters
• APOD (Adaptive detector detection) provides three sensitivity modes for Masimo’s probe detection – APOD, normal and sensitivity
• Adjustable average interval time is 2 to 16 seconds
• Nurse call interface
• Battery life at 7 hours of internal full charge
• 72 hour trend memory
• Can be configured horizontally and vertically
• Compatible with Philips Vuelink device interface module

• Through clinical verification, it can provide accurate pulse blood oxygen measurement in the process of body movement and low blood flow perfusion
• Lightweight and convenient handheld device with long battery life
• Support quick measurement at startup
• The indicator bar can identify the signal and indicate the signal quality when the patient has body movement and low signal to noise ratio
• The blood perfusion index (PI) indicates the strength of the arterial pulse signal and can assist in the selection of the detection site
• Multiple sensor options for various clinical applications
• The battery indicator provides visual power notification

Masimo Radical-7 Application

• Operating room: assess anemia status and conduct blood transfusion management
• ICU: assess anemia status, confirm hemoglobin changes, and timely detect bleeding
• Emergency room: assess the anemia status and determine the treatment plan needed
• Neonatology: neonatal congenital screening

Masimo new generation brain function monitoring system approved by FDA

Masimo is a global leader in non-invasive monitoring technology, trying to improve patient conditions at a lower cost. Joe Kiani, founder and CEO of Masimo, said that he expected the new generation SedLine to play an important role as another Masimo product, the SET blood oxygen detector.

SedLine equipment has been listed in the United States for more than 10 years, and was acquired by Masimo in 2010. Masimo first worked with Massachusetts General Hospital (MGH) to develop multiple brain wave analysis. In 2016, it reached technical cooperation with Philips, combining with Philips IntelliVue display, to highlight the brain response of patients after anesthesia.