cuff (right arm, left arm, ankle) main body - parama-tech. · pdf filetpr (total peripheral...
TRANSCRIPT
●Main Body
Stand
●Power Cable ●USB Cable
●Cuff (Right Arm, Left Arm, Ankle)
●Thermal Printing paper 4 rolls ●Dedicated Software CD 1
●Instruction Manual
Parama-Tech Co., Ltd.URL:www.parama-tech.com1-7-5, Tanotsu Higashi-ku, Fukuoka, JAPAN
Tel: +81-92-623-0813 Fax: +81-92-623-0814
Manufactured by:
Specification
Product Package Option
Measurement method
Pressure detection
Pressure error
The minimum indicated value
Pulse indication error
Measurement range
Display
Exhaust adjustment
Recording method
Power supply
Power dissipation
Dimensions
Weight
Protection against electric shock
Riva-Rocci・Korotkoff Sound
Semiconductor pressure sensor
±3mmHg
1mmHg
Within ±1% in 30~120beats/min. range
Within ±2% in 121~180beats/min. range
Blood pressure: 20~280mmHg Pulse: 30~180beats/min.
Color LCD
Automatic adjustment
Thermal line printer
AC 100~240V 50/60Hz
50VA or less
170×201×283 mm
Approx. 4.8kg
Internal electric power DC: "Type B applied part"
Non-InvasiveHemodynamic ScreeningDevice PS-501
*The specification, design, and option article of this product may be changed without a prior notice.
ISO 9001Resistered
Display from Main Body
Multi-Index
Available Clinical Inspection Related Index
TP-KS,KSG,BP (both arms)
TPR
BP (both arms)
SV, CO, CI
TP-KS (Pulse Wave to Korotkoff Sound Systolic Time / 70~190mmHg)The maximum time(1/1000 sec.) from the start of the pulse wave to the appearanceof Korotkoff sounds. Index of arteriosclerosis.
MEAN (Mean Pressure / 74~106mmHg)Mean value of blood pressure change in blood vessel.
PP (Pulse Pressure / 30~70mmHg)Difference between systolic BP and diastolic BP.
PRP (Pressure Rate Product / 6000~12000)The parameter is strongly related with myocardial oxygen consumption as the indexof a cardiac muscle load.
BMR (Basal Metabolic Rate)The parameter shows the metabolic rate of energy needed for the necessary minimummovements (heartbeat, breathing, body temperature, maintenance, etc.) for life support.BMR=0.75×(pulse rate + 0.74×pulse pressure) - 72
SV (Stroke Volume / 60~130)The parameter shows the volume sent by a heart per stroke.
CO (Cardiac Output / 4~8)The parameter shows the volume sent by a heart per minute.
CI (Cardiac Index / 2.5~4.0)The parameter shows cardiac output per body surface area(BSA).
BSA (Body Surface Area)BSA is calculated from the inputted height and weight.
KSG (Korotkoff Sound Graph)Different types of KSG pattern will be shown depending on the state of the heart andthe blood vessel. The cardiac output, the progress of the artery wall and the peripheralvascular resistance, etc. would be understood from judging these.
TPR (Total Peripheral Resistance / 950~1500)The parameter is the peripheral vessel resistance which is calculated by BP, SV, and CI.
SYS.(mmHg)(Difference... )
MEAN(mmHg)DIA.(mmHg)PP(mmHg)
TP_KS(msec)TPR
KSG AREA(%)
PULSE................................
PRP..............................
BMR.(%)..........................
SV...................................
CO...............................
CI.................................
BSA(M2)..........................
LEFT RIGHT
NORMAL
Various Data DisplayTotal Examination for Hemodynamic
[ Printout example ]
ArteriosclerosisBecause of arteriosclerosis progresses with aging, it can be said a kind of symptom of senility. However, it is understood that arteriosclerosis is greatly influenced by differences of lifestyles such as meal, the movement, smokings, and stresses. Arteriosclerosis is factors of the diseases of hypertension, the hyperlipemia, the diabetic, and obesity, etc.
Peripheral CirculatoryDisturbanceThe change of blood state as well as the change of vascular state are the main reasons.
HypertensionHypertension has little subjective symptom. Arteriosclerosis might progress secretly when hypertension remains, and symptoms such as the brain hemorrhage, the cerebral infarction, the cardiac failure, the angina, cardiac infarction, and renal failure could be caused.
Cardiac FunctionCardiac Function is one of key factors to exactly judge the background of blood pressure.
Print out
(1)Thermal Printer
(2)USB
GeneralEasy & Fast
Measurement
Multi-Index
Powerful DataManagement
Simple DataOutput
Friendly DataDisplay
CompactSize
I t takes only 30 seconds to get a data.Measurement is very s imple just l ike blood pressure measurement.
One t ime measurement, p lent i fu l index for Hemodynamic is in hand.
For each pat ient , hospi ta l can take data management supported by the dedicated software.
Data can be output f rom bui l t - in pr inter as wel l as f rom PC connected PS-501 via USB.
Everyone can easi ly understand data.
Data from Each Index
Data Record List
Data Output
Thanks to compact s ize and l ight weight. I t can be equipped at any s ize of hospi ta l , not necessary to have a bed at inspect ion room.
283
170
Display from the Dedicated Software Features
[ History of BP & HR ] [ History of TP-KS ]
[ History of PRP ] [ History of TPR ]
[ History of CO ] [ History of SV ]
Parama-Tech recommends to fo l low "Guidel ines for Treatment of High Blood Pressure"
that the pat ients in the hypertension should measure blood pressure in order to
avoid the inf luence of a physiological change according to the t ime di fference to compare
r ight and lef t of the brachium blood pressures by measurement of both arms at once.
(By Guidel ine for Treatment of High Blood Pressure of The Japanese, American and European Society of Hypertension)
●KSG and Normal artery ●KSG and artery with lowered cardiac output
●The classification of KSG
*Relationship between vascular movement and KSG. Normal artery repeats the pulse wave-mediated distension and contraction, and propels blood to the periphery.
Pattern
ISCHEMIC TYPE FLAT TYPE b TYPE SWAN TYPE -SW- TWIN PEAK TYPE PLAT FORM TYPE IRREGULAR TYPE
PrintedpatternExample
*The explanation of the blood flow pattern of KSG shows the tendency in the state of the blood flow only. This is not a diagnosis.
*The case of an artery that does not distend in response to pulse wave. In this case, vascular movement is not involved in blood flow and KSG lacks the 3rd poimt of SW.
■When cardiac output (Qi) is extremely small, or when peripheral outflow is extremely large.■Asevere case of arteriosclerosis with the loss of vascular elasticity.■Autonomic imbalance aiso shows this pattern.
Systolic
Diastolic
113 196�110 136�105 104�102 108�101 090�095 083�091 081�088 080�085 067�082 036�078 035�076 044�073 038�069 035�066�063
Mean Pressure Pa
Systolic
Diastolic
126 059�122 109�119 107�116 097�112 104�109�105 050�103 042�100 050�097 041�094 061�092�090
The length of the KSG l ine inf luences the s ize of Korotkoff sound, the s ize of the l ine inf luences the frequency
of a sound, and the volume is correlated with the cardiac output. When the 1st to the 3rd point peak of
Korotkoff sound is determined by contract i le force of the heart , e last ic i ty of the artery and the blood f low, and i f
there is any abnormal i ty in ei ther, i t has the trend for the start ing to become easy. Moreover, when the 3rd to
the 5th point is determined as blood-capi l lary vein (microcirculat ion) resistance, vein reservoir volume, a
coronary blood f low, etc. and i f there is any abnormal i ty in ei ther, i t has the trend for the distance to become
short . Usual ly, the 1st to the 3rd point : the 3rd to the 5th point is set to 3:2, and, as for the swan type(SW)
graph made into an ideal , the distance from the 3rd to the 5th point becomes shorter wi th aging.
NORMALPOOR CIRCULATION EXCESSIVE CIRCULATION IRREGULAR TYPE
・Low cardiac output・Hypotension・Autonomic imbalance・Orthostatic bysaptation
・Obesity・Senility・Arteriosclerosis
・Decline of Physical strength
・Strain・Arteriosclerosis
・Normal・Non-arteriosclerosis type
・Heart disease・Juvenile hypertension・Renal hypertension
・After excises Arteriosclerosis
・Obesity・Hyperthyroidism・Cardiac output augmentative hypertension
・Body movement・Arrhythmic・Parkinson's disease・Condition (e.g. Noise, Body movement)
Name ofdisease
Since PS-501 can immediately show blood pressure, arteriosclerosis, and heart condition, the reason(s) for
hypertension could be discovered concretely. This helps us much to decide the treatment. Calcium
antagonist was chosen easily as a conventional medicine in Japan normally, but if chronic administration is
continued without concretely investigating the causes, it would escalate the load of the heart and the risk of
the cardiac failure into higher also. I feel this is revolutionary device. PS-501 helps much for discovering the
factor(s) & cause(s) and choosing effective medical treat then, as a scheme of developing effective medicine
according to the cause of illness.
The medical examination by PS-501 (right-and-left arms synchronous measurement) is in non-invasive and
contributes the diagnosis with high accuracy in a short time. This would be the best device for screening at
the first medical checkup and I would like other doctors besides cardiologist to use this device.
Former Nippon Medical School Associate Professor Cardiovascular Surgery / Cardiology
Junichi Ninomiya, M.D., PhD., FICA
Cardiovascular Center
Cardiovascular internal Medicine
Clinic for high-blood-pressure
Clinic for obesity and diabetes
Checkup Center
Training and Study Center
Herb Doctor
Home for the aged
Applications Tips
Comment from the Specialist
KSG can trace Hemodynamic.
Why both arms?