In today’s operating room, clinicians are faced with an increasingly complex patient population and the need to monitor these patients efficiently and effectively without increasing risk. Yet, patients are often monitored using multiple standalone devices and intermittent laboratory measurements, forcing clinicians to manually assimilate information. Masimo offers a portfolio of advanced monitoring and connectivity solutions for surgical care, including noninvasive and continuous Pulse CO-Oximetry and brain monitoring measurements, integrated into an intuitive, centralized display with automated EMR documentation.

Monitoring

 
 

Masimo’s advanced, perioperative monitoring solutions are available together on Root®, a highly customizable, expandable patient monitoring and connectivity platform that occupies a minimal footprint in the OR. Compact yet powerful, Root provides multiple high-impact, innovative measurements on a single platform, adaptable to the patient or case, replacing many larger monitors in an area with limited space and providing clinicians with more information in one place.

Iris Gateway™ and Iris® ports in Root facilitate automated data transfer from Root and multiple third-party standalone monitors — such as IV pumps, ventilators, and anesthesia machines – to hospital EMRs, in addition to other databases or third-party displays, which may reduce the likelihood of transcription errors1 or incomplete case records.

A More Complete Picture of the Brain

 
 

Anesthesia and sedation are utilized in many surgical and intensive care scenarios, but the over- and under-administration of agents is common.2,3,4 Next Generation SedLine® brain function monitoring helps clinicians monitor the state of the brain under anesthesia with bilateral acquisition and processing of four leads of electroencephalogram (EEG) signals. Next Generation SedLine features an enhanced signal processing engine, driving a variety of performance improvements, and an enhanced Multitaper Density Spectral Array (DSA).

Next Generation SedLine can be used simultaneously with O3® regional oximetry on the Root platform for a more complete picture of the brain. O3 may help clinicians monitor cerebral oxygenation of adult and pediatric patients in situations in which pulse oximetry alone may not be fully indicative of the oxygen in the brain.

Real-time Measurements

 
 

Optimizing patient blood management is an important consideration in the operating room as transfusion practices are highly variable5 and many transfusions may be inappropriate.6 However, to measure hemoglobin clinicians are often limited to invasive blood samples, which provide intermittent and delayed laboratory results. SpHb® is a noninvasive and continuous measurement that provides real-time visibility to changes, or lack of changes, in hemoglobin between invasive blood samples.

In addition, the Masimo rainbow SET™ Pulse CO-Oximetry platform offers Pleth Variability Index (PVi®), a measure of the dynamic changes in Perfusion Index (Pi) that occur during one or more respiratory cycles. When monitored together, SpHb and PVi may provide clinicians with additional insight into a patient’s status.

Expanded Visibility

 
 

Kite® expands visibility of patient data on Root via a central, supplemental display, allowing multiple clinicians to view the same patient data simultaneously, even in a crowded environment. In addition, Kite’s customizable display allows clinicians to focus on the most pertinent data for each stage of a patient’s care, empowering clinicians to make more informed decisions.

Measurements

 

Operating Room Solutions

 

References:

  1. 1.

    The Value of Medical Device Interoperability. West Health Institute. 2013.

  2. 2.

    Hughes, C. G. et al. Clinical Pharmacology: Advances and Applications. 2012;4:53-63.

  3. 3.

    Jackson DL et al. Crit Care. 2009;13(6):R204.

  4. 4.

    Simpson, Jeffrey R. et al. The American Surgeon. 79, no. 10 (2013): 1106-1110.

  5. 5.

    Frank S et al. Anesthesiology. 2012.

  6. 6.

    Shander A et al. TransMed Rev. 2011.

RESOURCES

 

Masimo - Brochure Perioperative Care Solutions
Brochure
Masimo - Brochure, Next Generation SedLine

Brochure

Masimo - Product Information, Root with SedLine Brain Function Monitoring

Product Information

Product Information, Root with O3 Regional Oximetry

Product Information

Masimo - Noninvasive and Continuous Hemoglobin (SpHb) Monitoring
Brochure
Masimo - Root Product Information

Product Information

Product Information, Kite

Product Information

Masimo - Case Study, Unilateral Cerebral Oxygenation Desaturation

Case Study

The O3 system with pediatric indication and ISA OR+ are not licensed for sale in Canada.

SpHb monitoring is not intended to replace laboratory blood testing. Blood samples should be analyzed by laboratory instruments prior to clinical decision making.

Caution: Federal (USA) law restricts this device to sale by or on the order of a physician. See instructions for use for full prescribing information, including indications, contraindications, warnings, and precautions.

PLCO-001593/PLM-11074A-0218