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1、Monitors Confidential 2009 Masimo Corporation Instrument Overview Confidential 2009 Masimo Corporation Learning Objectives State Masimos bedside oximeter naming convention Describe the best oximeter solution for the various clinical areas Name Masimos flagship oximeter Confidential 2009 Masimo Corpo
2、ration Different Clinical Areas Have Different Needs Critical care- ICUs, OR/PACU, ED trauma bays Typical users Skilled, and experienced in pulse oximetry Nurses Physicians- anesthesiologists, neonatologists, ED docs Desired features High performance- faster response, more parameters, more informati
3、on Configurability Transportability- move with patients as they go from room to room Continuous monitoring (not spot checking) Procedure rooms (PFT lab, Endoscopy, Cath Lab, etc) and Step Down units Users not as experienced in pulse oximetry Confidential 2009 Masimo Corporation Different Clinical Ar
4、eas Have Different Needs General care floor (med surg units) Must enable patient ambulation Spot checking or continuous monitoring Typical users are less skilled and not experienced in using pulse oximetry Nurses Aids Desired features Easy to learn and use devices Less options means less training an
5、d confusion Home care, Long Term Care, Physicians offices Very low skilled care givers, usually no experience with pulse oximetry Need VERY simple and rugged devices Confidential 2009 Masimo Corporation Typical Pulse Oximetry Use by Care Unit Pulse oximeters and OEM monitors are throughout all care
6、units ContinuousCombination (usually spot check, sometimes continuous) Spot Check All ICUsRespiratory Therapy department devices ED non-monitored rooms, including triage areas OR and PACUPreopPhysicians offices ED Resuscitation roomsED Step Down roomsClinics EP labs, Cath labs, special procedures ro
7、oms Med surg units (floor) Pulmonary function test (PFT) labPhysical Therapy Sleep labs and special procedures rooms (CT, Endoscopy) When is SpO2 used only for spot checking? (usually in lower acuity areas) Confidential 2009 Masimo Corporation Naming Convention In the beginning, there was the Radica
8、l Now Radical-7 Top of the line Pulse CO-Oximeter Never call it a “Rad-7” All other bedside and handheld Masimo devices are Rad- something Bedside devices: Rad-8, Rad-9, Rad-87 Any product name with a 7 in it includes the Rainbow SET upgradeable platform Radical-7, Rad-87 Confidential 2009 Masimo Co
9、rporation The Bedside Monitor Family color Rad-87 Confidential 2009 Masimo Corporation Radical-7 Color Screen Industrys first color bedside oximeter, Masimos flagship oximeter Masimo Rainbow SET upgradeable platform Ability to measure CO, Met, Hb, and other parameters as they become available Backwa
10、rd compatible with existing docking station hardware Confidential 2009 Masimo Corporation Radical-7 Built on Masimo SETs clinically proven performance Masimo Rainbow SET upgradeable platform Ability to measure CO, Met, Hb, and other parameters as they become available Confidential 2009 Masimo Corpor
11、ation Rad-87 Pulse CO-Oximeter Masimo SET Rainbow SET upgradeable platform Optional internal radio for Patient SafetyNet integration Confidential 2009 Masimo Corporation Masimo SET Compact and lightweight Sleep Mode Home Mode External radio for RadNetTM and Patient SafetyNet interface capability and
12、 remote monitoring Rad-8 Pulse Oximeter Confidential 2009 Masimo Corporation Choose Appropriate Masimo Device For Opportunity FeatureRad-8Rad-9Rad-87Radical-7 DisplayLED Monochrome LCD LEDColor LCD PlethNoYesNoYes Detachable, Portable Handheld NoNoNoYes Rainbow upgradeability NoNo Yes (hence 7 in na
13、me) Yes (hence 7 in name) Radio for floor monitoring External option NoInternal optionExternal option Upgrade path to ARMNoNoYesYes Ease of useEasiestIn betweenEasy Powerful, but more to learn SatShare capableNoNoNoYes (DS1) Typical Care Areas Gen Floor, Homecare Critical Care Gen Floor, Procedure r
14、ooms, Critical Care, ED Critical Care, ED DISCONTINUED Confidential 2009 Masimo Corporation Positioning Bedside Devices In hospitals Always lead with Radical-7 at beginning of sales cycle Unmatched features and capabilities Lead with Rad-87 in non critical care areas General floor, especially as par
15、t of PSN Lower acuity procedure rooms, physician offices, dialysis clinics, etc. Propose Rad-87 for critical care areas when customer Values Rainbow upgrades and maximum ease of use, May not value 3-in-1 capability of Radical-7, and Is really price-focused in deal profit (DP) challenged deal Positio
16、n Rad-8 when Customer doesnt value the Rainbow upgrade path or internal radio, and, Price-based decision in DP challenged deal Most cost effective path to Rainbow parameters in a Philips upgrade Rad-87 + VueLink module In non-acute care Lead with Rad-87, Position Rad-8 if customer doesnt value Rainb
17、ow or is very price sensitive Confidential 2009 Masimo Corporation Review Question 1. Rad-7 2. Radical-7 3. Rad-8 4. Rad-87 Which oximeter is Masimos flagship? Confidential 2009 Masimo Corporation Review Question Radical-7 Which oximeter is Masimos flagship? Confidential 2009 Masimo Corporation Prod
18、uct Update & Hands On Confidential 2009 Masimo Corporation Current Rainbow Bedside Monitors Software configuration support for all Rainbow SET parameters Field upgradeable Red 20 pin connector port Confidential 2009 Masimo Corporation Current Rainbow Hand Held Monitors Not field upgradeable Red 20 p
19、in connector port Confidential 2009 Masimo Corporation Current Non-Rainbow Bedside Monitors Masimo SET Not upgradeable to Rainbow SET Not field upgradeable 14 pin connector port Confidential 2009 Masimo Corporation Current Non-Rainbow Hand Held Monitors Masimo SET Not upgradeable to Rainbow SET Not
20、field upgradeable 14 pin connector port Confidential 2009 Masimo Corporation Handheld & Bedside Monitor Platforms Additions and Changes Confidential 2009 Masimo Corporation New Rad-87 Vertical Same features as horizontal version Same pricing as horizontal version Available with & without wireless ra
21、dio Red 20 pin connector port Available now Confidential 2009 Masimo Corporation Rad-8NOW in APAC Simpler user interface Button ICON standardization Easier menu navigation Red 20 pin connector port Available now DISCONTINUED Confidential 2009 Masimo Corporation Changes to Rad-5 & 5v Red 20 pin conne
22、ctor port Replaces 14 pin gray port Standardization Targeting full Release by April 09 Available now DISCONTINUED Confidential 2009 Masimo Corporation Introducing the Pronto Spot Check Device “Pronto” One-touch SpHb Spot Check SpOC, SpO2, PR and PI Test progress bar Gauge for Spot Checks remaining S
23、tores data for download Red 20 pin connector port Confidential 2009 Masimo Corporation Pronto LMR release late 09 or early 10 Commercial Release TBD Dr Office only at this time Confidential 2009 Masimo Corporation Confidential 2009 Masimo Corporation Software Updates Masimo SET (or MX) software v7.4
24、.0.9 with upgraded sensors provides: Enhanced SpHb performance in lower perfusion states Refined consistency in repeat testing on the same finger or different fingers The Masimo SET software also provides: Improved initial PVI value stability it will now take 2 minutes to display a value Reduced “ze
25、ro outs” System Board Software enables new SpHb Features Radical-7 - v7.6.2.2 Rad-87 - v1.1.0.4 Docking station software V5.1.2.7 Docking Station (DC) V5.1.2.7 for Automated Data Collection (ADC) ONLY Confidential 2009 Masimo Corporation Spec & Performance Questions What is the PI threshold for SpHb
26、 performance? There is no specific PI threshold, the SIQ is the best indicator of quality This SW allows more reliable measurements at lower PIs Potentially as low as 0.2 Is the SpHb accuracy specification now different? No, we have just increased the consistency Do I still need to set expectations
27、on performance? Yes, this is key to a successful evaluation and installation Is shielding necessary? Yes, it is considered a best practice although interference is rare Will there be future improvements? Masimo is always focused on improving its products. Confidential 2009 Masimo Corporation SpHb Ne
28、w Software Features Millimoles Venous or Arterial SpHb Low SIQ Acknowledgement Low Conf changed to Low SIQ Auto-Scale Trending Default Auto SpHb Trend View Confidential 2009 Masimo Corporation Improved Parameter Ready Feature Flashing parameter label until value has completed processing Approximatel
29、y 60 seconds Provides visual feedback to the user that the parameter will soon be displayed The monitor will only display values based on a quality signal, otherwise it will display dashes Confidential 2009 Masimo Corporation Sensor Calibrating Feature Designed to ensure that the sensor is always me
30、asuring as accurately as possible during extended use From initial patient monitoring, calibration occurs at 15 minutes, 1 hour and then every hour thereafter Pleth Waveform will disappear for 2-4 seconds and the monitor will display “Sensor Calibrating” while the sensor re-calibrates Confidential 2
31、009 Masimo Corporation Sensor Calibrating Feature If the sensor does not calibrate in the first 2-4 seconds Attempts to calibrate every 2 seconds thereafter for a total 16 seconds Alternates between numbers and dashes on the display The monitor will display all pre-calibration numbers during the 2-1
32、6 second calibration period If the sensor cannot calibrate in 16 seconds, all numbers will dash out until the sensor calibrates Confidential 2009 Masimo Corporation Rainbow Parameter Low Confidence Low Conf will change to Low SIQ SpHb/SpMet/SpCO Confidential 2009 Masimo Corporation Low SpHb SIQ Acknowledgement Feature Requires user to acknowledge a Low SpHb SIQ state User must press the soft key to enable the monitor to display a Low SpHb SIQ value Confidential 2009 Masimo Corporation Low SpHb SIQ Acknowledgement Feat
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