The measure of life.

Transform the way you think and practice.

The heart is life’s vital pump, keeping the blood flowing.

Uscom’s unique non-invasive method of cardiac monitoring is a completely safe, painless and efficient way of measuring how well the heart is functioning. Uscom monitors allow doctors to quickly and accurately assess a patient’s condition and categorize the problem as either a cardiac or vascular abnormality.

This pioneering

makes Uscom a global leader.vision

Unique Uscom’s non-invasive method makes it unique. Previously, valuable hemodynamic information was only available through invasive means - rarely suitable for children, and decreasingly used in adults.

Safe Unlike invasive methods, with the Uscom monitor there is no exposure to blood, and no associated risks of infection or complications. The examination may be performed as often as desired, with no risk to the patient. No sedation is required, making it suitable for all patients, saving on drug use and inherent complications.

Unlike invasive methods, with the Uscom monitor there is no exposure to blood, and no associated risks of infection or complications. The examination may be performed as often as desired, with no risk to the patient. No sedation is required, making it suitable for all patients, saving on drug use and inherent complications.

Safe Unlike invasive methods, with the Uscom monitor there is no exposure to blood, and no associated risks of infection or complications. The examination may be performed as often as desired, with no risk to the patient. No sedation is required, making it suitable for all patients, saving on drug use and inherent complications.

Features• Compactandeasilytransportable,withaweightofonly

5kgs(batterypowered).

• Nocostlydisposables,suchasleads,electrodesorcatheters.

• Intuitivetouchscreenuserinterface

• Witha40GBharddrive,theUSCOMmonitorcanstorethousandsofpatientfiles.

• Two-hourbatteryoperation

• Providesaccurateandrapidinformationforbothleftandrightheartfortheoptimizationofpreload,cardiacfunctionandafterload.

Beat-to-beat data displayed for all parameters including:

CO (l/min) Cardiac Output

CI (l/min/m2) Cardiac Index

SV (mls) Stroke Volume

SVI (mls/m2) Stroke Volume Index

HR (bpm) Heart Rate

SVR (d s cm-5) Systemic Vascular Resistance

Vpk (m/s) Peak Velocity

TheUscomnon-invasivecardiacoutputmonitorusesstate-of-theartelectronics,ultrasonicsandsignalprocessingtodeliveracuttingedgesolutiontothechallengeofaccuratelymeasuringcardiacflow.Thecontinuouswave(CW)Doppler-basedtechniquepermitsserialmeasurementofnumeroushemodynamicparametersininfants,children,andadults.ApplicationsinEmergencyCare,Pediatrics,IntensiveCare,AnesthesiologyandRetrieval.

Equipped with

FlowTracer - fully automated flow profile tracing.

• Realtime

• Beat-to-beat

• Onetouchmeasurementrecording

• Fastpatientassessmentandtreatment

• Visualrecordofmeasures

• AdvancedTrending

• Manualoverride

instantly.Painting a clear picture,

“Uscom is the only truly accurate, non-invasive system”PETER R. LICHTENTHAL, M.D.

Professor and Director of Cardiovascular Anesthesia, University of Arizona College of Medicine

180mm350mm

310mm

Doppler monitoring positions

Aortic Access

Suprasternal NotchTransducerpositionedintherecessed,softtissueareadirectlyabovethesternum.

SupraclavicularTransducerpositionedinthesupraclavicularfossaarea,abovethepatient’sclavicle,lateraltothesternocleidomastoidmuscleoftheneck.

Pulmonary Access

Parasternal Transducerpositionedontheleftsideofthesternum,betweenthesecondandfifthintercostalspaceandangledtowardsthehead.

Case study

Response to fl uid therapy measured by CVP and Uscom.DR ROBERT BILKOVSKIDepartment of Emergency Medicine, Henry Ford Hospital, Detroit, Michigan, USA

Presentation 82 year old male. Septic shock with hypotension, tachycardia.Pneumonia infection. Bloodpressuremaintainedonvasopressors:norepinephrine(0.5mcg/min)andneosynephrine(200mcg/min)

Observations Baseline observations

HR=139bpm,BP=71/38mmHg(MAP=45mmHg)andCVP=13mmHg.

Baseline Uscom

HR=136bpm,SV=22cm3,CO=3.0l/min,CI=1.6l/min/m2,SVR=853.

InterventionThepatienthadaninfusionof25gmofalbuminover20minutesinresponsetolowCO,CIandSV,ahighHR,andhypotension.

Post Infusion Observations

HR=117bpm,BP=109/56mmHg(MAP=76mmHg)andCVP=13mmHg(unchanged).

Post Infusion Uscom

HR=115bpm,SV=36cm3,CO=4.3l/min,CI=2.3l/min/m2,SVR=1141.

DiscussionCVPdirectedhemodynamicoptimizationgoalsof>12mmHgweresatisfiedatrestwithCVPof13mmHg,suggestingnoneedforfluidinfusion.BaselineCO,CIandSVwereinadequateaswasBP,suggestingtheneedforfluid.PostfluidCVPwasunchangedat13mmHg,whileobjectiveflowmeasurementsfromUscomweresignificantlyincreased.SVwasincreasedby63%andCOby43%.

ConclusionUscomidentifiedsignificantSVreserveandSVfluidresponsivenessnotdetectableusinginvasiveCVPhemodynamicgoals.Appropriateassessmentofcardiacoutputisimprovedbyobjectivebeattobeatunderstandingoftheflow.

LimitedLevel 7, 8-10 Loftus Street Sydney NSW 2000 Australia

Phone: 61-2-9247 4144 Fax: 61-2-9247 8157www.uscom.com.au

1. Department of Emergency Medicine, Henry Ford Hospital, Detroit, Michigan, USA.

2. Department of Medicine, University of Queensland, Brisbane, Australia.Presentation:82yo African American male presents in septic shock with hypotension, tachycardia.Pneumonia infection. Blood pressure maintained on vasopressors: norepinephrine(0.5mcg/min) and neosynephrine (200mcg/min)Observations:

Baseline observationsHR = 139bpm, BP = 71/38mmHg (MAP = 45 mmHg) and CVP = 13 mmHg.

Baseline USCOMHR = 136bpm, SV = 22cm3, MD = 9.9m, CO = 3.0l/min, CO = 1.6l/min/m2, SVR = 853

Figure 1. Baseline USCOM screen demonstrating regular rapid (136bpm) systolic strokeswith a mean pre-bolus SV of 22cm3, and CO of 3.0l/min. Note also the significant strokevolume variation often associated with hypovolemia.

LimitedLevel 7, 8-10 Loftus Street Sydney NSW 2000 Australia

Phone: 61-2-9247 4144 Fax: 61-2-9247 8157www.uscom.com.au

InterventionThe patient had an infusion of 25gm of albumin over 20 minutes in response to low CO,CI and SV, a high HR, and hypotension.

Post Infusion ObservationsHR = 139bpm, BP = 71/38mmHg (MAP = 45mmHg) and CVP = 13mmHg (unchanged).

Post Infusion USCOMHR = 115bpm, SV = 36cm3, MD = 14m, CO = 4.3l/min, CI = 2.3l/min/m2, SVR = 1141

Figure 2. USCOM screen post fluid bolus demonstrating increased SV and CO and adecreased HR. Note also the reduction in stroke volume variation associated withrespiration.

Real results.

Invasive pressure measurements provide crude analogues of circulation. Uscom’s real time monitoring of the interplay of SV and HR at rest and during intervention optimizes such observation.

Figure 1

BaselineUscomscreendemonstratingregularrapid(136bpm)systolicprofileswithameanpre-bolusSVof22cm3andCOof3.0l/min.

Figure 2

UscomscreenpostfluidbolusdemonstratingincreasedSVandCOandadecreasedHR.

Figure 3

Uscomscreenoftrenddatademonstratingmeasuresfrombaseline(atleft)withdecreasedHRandincreasedCO,SVandCIandthepostbolusvalue(onright).Thiscasehelpstoillustratethatmeasurementofcentralvenouspressureforthepurposeofassessingintravascularvolumestatushaslimitations.

The Uscom transducer UscomhasdevelopedacustomapplicationofContinuousWaveDopplerUltrasound,usingitsunique“DivergentBeamAcousticsTM”technology.ThisprovidesforamuchbroaderfocusoftheultrasonicsignalmakingtheUscomdeviceeasiertousethanpreviousDopplerapplications.

Uscomhasrecentlyreleasedasecondgeneration,ergonomicallydesignedtransducerforeaseoftargetingwhichincludesKevlarreinforcedcablesandnoisereductionshielding.

Uscom’sDivergentBeamtransducerisavailableat2.2MHzwhichissuitableforallpatientsincludingNeonates,PediatricsandAdults.

Doppler sound and angle

SureGripA non-slip handle

0°

10°

1.0m/s0.98m/s

When every second iscritical

Hospital saving

47%Time saving

48%Benefit to PatientCorrecttreatmentoftherapidlyrecognizedhighoutputstateachievedafasterrecovery.

Lucy’s life is saved.

Benefits of using Uscom within an Emergency Care Unit• Simpleapplicationofgoaldirectedtherapy

• Optimizefluids

• Monitorandtitratedrugtherapy

• Managesepticshock

• “SmartResuscitation”

Lucy Kwong*, 35 years Confused with no clear history.Arrived semi-conscious by ambulance.Hypotensive, normal pulse rate, sweaty with a raised temperature.A high output, low resistance state was found by hemodynamic monitoring and treated with vasopressors.

Reduce risk. Minimize cost. Improve care.

Hospital saving

38%Time saving

17%Benefit to PatientHemodynamicinformationobtainedmakinggoaldirectedtherapypossible.Appropriatetreatmentinatimelymanner.Permittingbestpossibleoutcome.

Steven’s life is saved.

* Names are ficticious for patient privacy.

A second could be the difference between life and death in an emergency situation. It can also mean avoidable contraindicated therapies, which not only put the patient under extreme trauma and increased risk, but the hospital bears unnecessary expense.

Below are clinical illustrations demonstrating efficiency in time and money when Uscom monitors are utilized in the Emergency Department.

Steven Jackson*, 70 yearsRushed from the scene of a rural car accident with presentation of severe central chest pain, breathlessness and sweating. Diagnosis of an acute myocardial infarction (AMI). Due to the lack of a CCU bed, Steven spent an extended time in the Emergency department. Hemodynamic monitoring and treatment was performed in the ED.

Real time

Under the supervision of Dr K. Knobloch, Hannover University Hospital, Germany, the Uscom monitor was used to determine hemodynamic parameters in a helicopter emergency medical service. The Uscom allows clinicians to gain crucial information rapidly, to diagnose and treat patients at the scene and during transport.

Meet Ally. 6 years.Up until now, it would have been impossible to accurately diagnose and treat her critical condition during retrieval; other cardiac monitoring is not feasible due to complications.

With the revolutionary Uscom non-invasive monitor, doctors could reliably assess her hemodynamic status, saving her life.

accurateProven to be

Uscomhasbeenprovenatfivestagesofvalidation.HistoricalevidenceshowstheaccuracyandreliabilityofCWDoppler.Independenttesting,studiesandassessment,comparingUscomtoFlowprobes,FICKandtheclinical“goldstandard”pulmonaryarterycathetermethod,demonstratesaccuracyinmeasuringflow.EvidenceconfirmsUscom’susefulnessinclinicalpractice.

0.4

0.8

1.2

1.6

0

0.6

1

1.4

0.2

Flow probe Uscom

-1 -0.8 -0.6 -0.4 -0.2 0 0.2 0.4 0.6 0.8 1 1.2 1.4 1.6

2

4

6

8

0

3

5

7

1

PAC Uscom

CardiacOutputinindividualpatientscomparingPACvs.Uscom

1

10

9

Patient

CO

(l/m

in)

3 5 7 9 11 13 15 17 19 21 23 25

20

40

0

30

50

10

suspicion PAC

DiagnosisofshockstatescomparingclinicalsuspicionwithPACvs.Uscom

septic cardiogenic mixed

Uscom

-.2

0

.2

.4

-.4

-.1

.1

.3

-.3

Mean CO

0 .2 .4 .6 .8 1 1.2

Diff

CO

Mean diff = 0.00 ± 0.08L/minMean of means = 0.36 ± 0.08L/min Mean % error = -3.7 ± 20.1

1000

1050

2000

3000

0

500

Community Aquired SepsisCVC Sepsis

0 5 10 15

2500

Cardiac Index

SVRI

ScatterplotofeachmethodagainstUscomvalues

3

5

7

9

1

4

6

8

2

CO STD (l/min)

0 2 4 6 8 100

LVAD Fick Echo PAC CWEST

The hemodynamics of children is complex and difficult to assess accurately by clinical examination or by simple measures such as blood pressure.

Underprecisionflowprobetesting,theUSCOMdeviceexactlyagreedwithmeasuredflowvelocitiesfrom-1to1.6metrespersecond,theaccuraterangeofthesimulator.

MecaBio - Ecole Superieure de Mecanique de Marseille. I.M.T.- Technople de Chateau Gombert, Marseille, France.

“USCOMisareliablemethodofmeasuringCOincriticallyillpatients.Thenon-invasiveUSCOMprovidedadequatedatatodistinguishdifferentshocktypesinICUpatients.”

L.E.M. HAASDept of ICU, Geldersee Vallei Hospital, Ede, The Netherlands

“TheseresultssuggestthatUSCOMisasaccurateformeasurementofneonatalCOasconventionalechoandmaybemoresensitivefordetectionofhemodynamicchange.”

R. PHILLIPS University of Queensland, Brisbane, Australia

“Thehemodynamicpatternsoffluid-resistantsepticshockonpresentationaredistinctdependingonetiology.Theconsistencyofthisfindingsuggeststhatcardiovascularresponsestoseveresepsisaredeterminedmorebytheimmediateclinicalscenariothanbygenetic.”

DR J. BRIERLEY PICU, Great Ormond St Hospital, London, UK

“ScatterplotofmeanCOvaluesfromstandardmethodsagainstUscomdemonstratinggoodlinearagreementofvalueswithnooutstandingdisagreementassociatedwithanyparticularmethod.”

P. LICHTENTHAL Anesthesiology, University of Arizona, Tucson, Arizona, USA

“This machine issavinglives”

Associate Professor BRENDAN SMITH

Specialist in Anesthetics and Intensive Care, Bathurst Base Hospital, Bathurst, NSW, Australia.

We want to equip you with the best tool possible - can you afford not to?

For further information, call us on +61 2 9247 4144, or visit www.uscom.com.au

We want to equip you with the best tool possible - can you afford not to?

visit www.uscom.com.au

We want to equip you with the best tool possible -

For further information, call us on +61 2 9247 4144

Suite 1, Level 7, 10 Loftus StreetSydney NSW 2000 Australia T +612 9247 4144 F +612 9247 8157E uscom@uscom.com.auwww.uscom.com.au

Technical specifications

Product ID USCOM1A

Display 12.1”TFTLCD(800x600)

Interface ResistiveTouchscreen

CPU X86compatible

Operating System WindowsCE.NET

Hard Drive 40GB

Transducer Frequency 2.2MHz

Transducer Size 12mmdiameter

Beam Trace FlowTracerfullyautomated

Battery 2hourlifewithfastcharge

Power Supply Universalvoltagewithmedicalisolation

Dimensions Height310mm/Width350mm/Depth180mm

Weight 5kg/11lbs

Construction Moldedplasticwithmetalchassis

GUI Webbasedprotocols

Communications Ports Serial,USB,Ethernet

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