Delivering Confidence and Simplicity during Neuromuscular Blockade
TetraGraph is a quantitative neuromuscular transmission monitor based on electromyography (EMG). The TetraGraph monitor stimulates, measures, analyzes and displays muscle function in surgical patients receiving neuromuscular blocking agents (NMBAs). NMBAs are used in almost 50% of surgical cases. Inadequate reversal of NMBAs can lead to residual neuromuscular blockade (RNMB). RNMB delays recovery and can lead to life-threatening complications. To prevent complications, quantitative neuromuscular monitoring is rapidly becoming the standard of care when NMBAs are administered.
The TetraGraph monitor is easy to use and features gold standard EMG technology for accurate measurements to bring confidence to the anesthesiology practice. The device has a quick start up time and does not require calibration. The arm can be tucked under surgical drape and can thus be used in all types of procedures, including cardiac, neuro, laparoscopic, robotic and bariatric surgeries. TetraGraph can be used from start to finish during the surgical procedure. The monitor enables objective assessment and facilitates titration of medication dosage to help clinicians determine when the patient’s neuromuscular block is sufficiently reversed to allow adequate spontaneous breathing. TetraGraph is small and portable and can travel with the patient to different settings like OR, PACU or ICU. The TetraGraph can be operated connected to mains electricity or battery operated.
Neuromuscular Transmission is the transfer of an electrical impulse between a motor nerve and its associated muscle. A Neuromuscular Transmission (NMT) monitor indicates the depth of neuromuscular block by stimulation of a peripheral motor nerve and evaluating the evoked muscle response (compound muscle action potential, CMAP). Transmission of impulses from the nerve to the muscle is blocked by neuromuscular blocking agents (NMBAs) causing transient muscle weakness and preventing the patient from moving and breathing spontaneously.
Muscle relaxation is used during general anesthesia to enable endotracheal intubation and to provide optimal surgical conditions. In critical care, muscle relaxation may be used during mechanical ventilation. In these circumstances, TetraGraph can be used as an objective monitor of Neuromuscular Transmission.
TetraGraph undertakes this function by periodically delivering electrical stimulation to the peripheral nerve and directly measuring the evoked electromyographic (EMG) response of the muscles (compound muscle action potential, CMAP). This provides a precise and automatic measurement of muscle response to a stimulus.
Like other technologies, EMG involves stimulation of a peripheral nerve and measurement of the response that is generated by the contraction of the innervated muscle. The difference from other technologies is that EMG measures an electrical event that occurs at the neuromuscular junction; the activation of postsynaptic receptors by acetylcholine (a chemical process) that converts it to a mechanical response (excitation- contraction coupling), that results in muscle contraction. Because measurement of function does not depend on physical movement (as MMG, AMG or KMG require), EMG is a better indicator of pure neuromuscular function- EMG is the new gold standard.
Neuromuscular Transmisson (NMT) is the transfer of an impulse between a nerve and a muscle in the neuromuscular junction. EMG measures the compound action potential, which is the first signal we are able to measure after neuromuscular transmission. Therefore, EMG is most specifically suited to monitor the effect of muscle relaxants without any mechanic interferences.
TetraSens electrode array has two proximal stimulating electrodes, one recording electrode and one reference electrode. The application is easy and quick. TetraSens electrode array is for single-patient use in order to avoid cross contamination. The electrodes can be applied on either hand, with the stimulation electrodes over the ulnar nerve at the wrist and the evoked response recorded from any of the hand muscles; typically, either the muscle at the base of the little finger (abductor digiti minimi muscle), or, more commonly, from the muscle at the base of the thumb, adductor pollicis muscle. TetraSens can also be placed on the FDI muscle (first dorsal interosseous). When the hand is inaccessible, the posterial tibial nerve (flexor hallucis brevis muscle), can be used for NMT monitoring.
Service is essential to keep medical equipment operational and safe. Our Nordic service team consists of experienced service technicians stationed across the Nordic countries. Our service technicians are ready to take on your every service need.”
The volumetric infusion pumps from arcomed´s Chroma Series is an all-in-one infusion pump that meets all your anaesthesia needs. Volumed can be used as a total intravenous anaesthesia pump (TIVA) or target controlled infusion pump (TCI) in the OR. It can follow the patient to the recovery room and be used as a patient controlled analgesia (PCA) pump or be used as a standard infusion pump in the ICU and in general wards – and more.
Volumed high-quality volumetric infusion pump improves patient treatment by increasing safety in procedures and simplifying workflow for nurses. Volumed is user-friendly and intuitive and fulfil the sophisticated needs of hospitals with the same external shape, interface, design and functionality for both syringe and volumetric pumps. Volumetric infusion pumps from arcomed are known for simple construction and user-friendly core features when delivering continuous and very specific amounts of fluids at the rates the patient acquires.
Innovative phototherapy cover made of a high-tex material
BiliCap® is made of a 3-layered functional specialty knit fabric. A highly elastic, breathable membrane in the core assures the phototherapy cover’s imperviousness to light. The 3D knit spacing fabric underneath ensures optimum noise attenuation, provides an anti-slip effect and permanently retains the cover’s shape.
Additionally, the material is characterised by low weight and contains an active substance with permanently antimicrobial effect.
BiliCap® optimally shields the surrounding treatment places against the high light intensity while providing fast and flexible access via 4 side and 2 head/foot flaps. The one-size design allows flexible use, fitting all incubator models commonly available on the market. BiliCap® is certified according to Oeko-Tex® Standard 100, washable up to 95 °C and suitable for tumble-drying. Guaranteed permanence of function and colour even in the case of frequent laundering. Available in 2 colours with individual ornaments and embroidery.
Insight Watch – Medical-Grade actigraphy monitoring, redefined
The compact and stylish CentrePoint Insight Watch captures and records continuous high-resolution raw acceleration data, sampled up to 256 Hz, to support the development of novel endpoints related to real-world activity, mobility, and sleep behaviors to provide objective, real-world physical activity, mobility, and sleep measures, in near real time.
Used in conjunction with the CentrePoint Data Hub or mobile application, captured data is passively transmitted to the cloud for near real-time detection of compliance issues and potential data trends.
An accurate and reliable activity monitor
The wGT3X- BT is Actigraph’s flagship model. Scientific communities around the globe use the wGT3X- BT for several reasons, including its ability to gather activity data with accuracy and ease. The activity monitor is Bluetooth® compatible and features light sensors, making it optimal for both activity and sleep monitoring. The Actilife software provides accurate and updated analysis for all areas of use. When scientists or researchers publish new analysis algorithms, Actilife is updated in order to make sure that the wGT3X- BT always has the latest and best tools you could ask for.
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