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1、MonitorsConfidential 2009 Masimo Corporation Instrument OverviewConfidential 2009 Masimo Corporation Learning ObjectivesState Masimos bedside oximeter naming conventionDescribe the best oximeter solution for the various clinical areasName Masimos flagship oximeterConfidential 2009 Masimo Corporation
2、 Different Clinical Areas Have Different NeedsCritical care- ICUs, OR/PACU, ED trauma baysTypical usersSkilled, and experienced in pulse oximetryNursesPhysicians- anesthesiologists, neonatologists, ED docsDesired featuresHigh performance- faster response, more parameters, more informationConfigurabi
3、lityTransportability- move with patients as they go from room to roomContinuous monitoring (not spot checking)Procedure rooms (PFT lab, Endoscopy, Cath Lab, etc) and Step Down unitsUsers not as experienced in pulse oximetryConfidential 2009 Masimo Corporation Different Clinical Areas Have Different
4、NeedsGeneral care floor (med surg units)Must enable patient ambulationSpot checking or continuous monitoringTypical users are less skilled and not experienced in using pulse oximetryNurses AidsDesired featuresEasy to learn and use devicesLess options means less training and confusionHome care, Long
5、Term Care, Physicians officesVery low skilled care givers, usually no experience with pulse oximetryNeed VERY simple and rugged devicesConfidential 2009 Masimo Corporation Typical Pulse Oximetry Use by Care UnitPulse oximeters and OEM monitors are throughout all care unitsContinuousCombination (usua
6、lly spot check, sometimes continuous)Spot CheckAll ICUsRespiratory Therapy department devicesED non-monitored rooms, including triage areasOR and PACUPreopPhysicians officesED Resuscitation roomsED Step Down roomsClinicsEP labs, Cath labs, special procedures roomsMed surg units (floor)Pulmonary func
7、tion test (PFT) labPhysical TherapySleep 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 ConventionIn the beginning, there was the RadicalNow Radical-7Top of the line Pulse CO-Oximet
8、erNever call it a “Rad-7”All other bedside and handheld Masimo devices are Rad-somethingBedside devices: Rad-8, Rad-9, Rad-87 Any product name with a 7 in it includes the Rainbow SET upgradeable platformRadical-7, Rad-87Confidential 2009 Masimo Corporation The Bedside Monitor FamilycolorRad-87Confid
9、ential 2009 Masimo Corporation Radical-7 Color ScreenIndustrys first color bedside oximeter, Masimos flagship oximeterMasimo Rainbow SET upgradeable platformAbility to measure CO, Met, Hb, and other parameters as they become availableBackward compatible with existing docking station hardwareConfiden
10、tial 2009 Masimo Corporation Radical-7Built on Masimo SETs clinically proven performanceMasimo Rainbow SET upgradeable platform Ability to measure CO, Met, Hb, and other parameters as they become availableConfidential 2009 Masimo Corporation Rad-87 Pulse CO-OximeterMasimo SET Rainbow SET upgradeable
11、 platformOptional internal radio for Patient SafetyNet integrationConfidential 2009 Masimo Corporation Masimo SET Compact and lightweightSleep ModeHome Mode External radio for RadNetTM and Patient SafetyNet interface capability and remote monitoringRad-8 Pulse OximeterConfidential 2009 Masimo Corpor
12、ation Choose Appropriate Masimo Device For OpportunityFeatureRad-8Rad-9Rad-87Radical-7DisplayLEDMonochrome LCDLEDColor LCDPlethNoYesNoYesDetachable, Portable HandheldNoNoNoYesRainbow upgradeabilityNoNoYes(hence 7 in name)Yes(hence 7 in name)Radio for floor monitoringExternal optionNoInternal optionE
13、xternal optionUpgrade path to ARMNoNoYesYesEase of useEasiestIn betweenEasyPowerful, but more to learnSatShare capableNoNoNoYes (DS1)Typical Care AreasGen Floor,HomecareCritical CareGen Floor, Procedure rooms, Critical Care, EDCritical Care, EDDISCONTINUEDConfidential 2009 Masimo Corporation Positio
14、ning Bedside DevicesIn hospitalsAlways lead with Radical-7 at beginning of sales cycleUnmatched features and capabilitiesLead with Rad-87 in non critical care areasGeneral floor, especially as part of PSNLower acuity procedure rooms, physician offices, dialysis clinics, etc.Propose Rad-87 for critic
15、al care areas when customerValues Rainbow upgrades and maximum ease of use,May not value 3-in-1 capability of Radical-7, andIs really price-focused in deal profit (DP) challenged dealPosition Rad-8 when Customer doesnt value the Rainbow upgrade path or internal radio, and,Price-based decision in DP
16、challenged dealMost cost effective path to Rainbow parameters in a Philips upgradeRad-87 + VueLink moduleIn non-acute careLead with Rad-87, Position Rad-8 if customer doesnt value Rainbow or is very price sensitiveConfidential 2009 Masimo Corporation Review Question1.Rad-72.Radical-73.Rad-84.Rad-87W
17、hich oximeter is Masimos flagship?Confidential 2009 Masimo Corporation Review QuestionRadical-7Which oximeter is Masimos flagship?Confidential 2009 Masimo Corporation Product Update & Hands OnConfidential 2009 Masimo Corporation Current Rainbow Bedside MonitorsSoftware configuration support for all
18、Rainbow SET parametersField upgradeableRed 20 pin connector portRadical-7 Color ScreenRadical-7 Color ScreenRadical-7 Blue ScreenRadical-7 Blue ScreenRad-87Rad-87Confidential 2009 Masimo Corporation Current Rainbow Hand Held MonitorsRad-57cRad-57cRad-57cmRad-57cmRad-57mRad-57mNot field upgradeable R
19、ed 20 pin connector portConfidential 2009 Masimo Corporation Current Non-Rainbow Bedside MonitorsMasimo SETNot upgradeable to Rainbow SETNot field upgradeable14 pin connector port Rad-8Rad-8Confidential 2009 Masimo Corporation Current Non-Rainbow Hand Held MonitorsMasimo SETNot upgradeable to Rainbo
20、w SETNot field upgradeable14 pin connector port Rad-5 andRad-5vConfidential 2009 Masimo Corporation Handheld & Bedside Monitor PlatformsAdditions and Changes Confidential 2009 Masimo Corporation New Rad-87 VerticalSame features as horizontal versionSame pricing as horizontal versionAvailable with &
21、without wireless radioRed 20 pin connector portAvailable nowConfidential 2009 Masimo Corporation Rad-8NOW in APACSimpler user interfaceButton ICON standardization Easier menu navigationOld Rad-8Old Rad-8New Rad-8New Rad-8Red 20 pin connector portAvailable nowDISCONTINUEDConfidential 2009 Masimo Corp
22、oration Changes to Rad-5 & 5v Red 20 pin connector port Replaces 14 pin gray portStandardizationTargeting full Release by April 09 Available nowOldOldNewNewDISCONTINUEDConfidential 2009 Masimo Corporation Introducing the Pronto Spot Check Device“Pronto” One-touch SpHb Spot Check SpOC, SpO2, PR and P
23、ITest progress barGauge for Spot Checks remaining Stores data for downloadRed 20 pin connector portConfidential 2009 Masimo Corporation Pronto Product ReleaseProduct ReleaseLMR release late 09 or early 10Commercial Release TBDDr Office only at this timeConfidential 2009 Masimo Corporation Radical-7
24、SpHb Feature Updates Confidential 2009 Masimo Corporation Software UpdatesMasimo SET (or MX) software v7.4.0.9 with upgraded sensors provides:Enhanced SpHb performance in lower perfusion statesRefined consistency in repeat testing on the same finger or different fingersThe Masimo SET software also p
25、rovides:Improved initial PVI value stability it will now take 2 minutes to display a valueReduced “zero outs”System Board Software enables new SpHb Features Radical-7 - v7.6.2.2Rad-87 - v1.1.0.4Docking station softwareV5.1.2.7Docking Station (DC) V5.1.2.7 for Automated Data Collection (ADC) ONLYConf
26、idential 2009 Masimo Corporation Spec & Performance QuestionsWhat is the PI threshold for SpHb performance?There is no specific PI threshold, the SIQ is the best indicator of qualityThis SW allows more reliable measurements at lower PIsPotentially as low as 0.2Is the SpHb accuracy specification now
27、different?No, we have just increased the consistencyDo I still need to set expectations on performance?Yes, this is key to a successful evaluation and installationIs shielding necessary?Yes, it is considered a best practice although interference is rareWill there be future improvements?Masimo is alw
28、ays focused on improving its products. Confidential 2009 Masimo Corporation SpHb New Software FeaturesMillimolesVenous or ArterialSpHb Low SIQ AcknowledgementLow Conf changed to Low SIQAuto-Scale Trending DefaultAuto SpHb Trend ViewConfidential 2009 Masimo Corporation Improved Parameter Ready Featur
29、eFlashing parameter label until value has completed processingApproximately 60 secondsProvides visual feedback to the user that the parameter will soon be displayedThe monitor will only display values based on a quality signal, otherwise it will display dashesConfidential 2009 Masimo Corporation Sen
30、sor Calibrating FeatureDesigned to ensure that the sensor is always measuring as accurately as possible during extended useFrom initial patient monitoring, calibration occurs at 15 minutes, 1 hour and then every hour thereafterPleth Waveform will disappear for 2-4 seconds and the monitor will displa
31、y “Sensor Calibrating” while the sensor re-calibratesConfidential 2009 Masimo Corporation Sensor Calibrating FeatureIf the sensor does not calibrate in the first 2-4 secondsAttempts to calibrate every 2 seconds thereafter for a total 16 seconds Alternates between numbers and dashes on the displayThe
32、 monitor will display all pre-calibration numbers during the 2-16 second calibration periodIf the sensor cannot calibrate in 16 seconds, all numbers will dash out until the sensor calibratesConfidential 2009 Masimo Corporation Rainbow Parameter Low Confidence Low Conf will change to Low SIQSpHb/SpMe
33、t/SpCOConfidential 2009 Masimo Corporation Low SpHb SIQ Acknowledgement FeatureRequires user to acknowledge a Low SpHb SIQ stateUser must press the soft key to enable the monitor to display a Low SpHb SIQ valueConfidential 2009 Masimo Corporation Low SpHb SIQ Acknowledgement FeatureOnce a Low SpHb S
34、IQ state is acknowledged, the display will revert back to the standard viewThe SpHb and SpOC value will be displayedConfidential 2009 Masimo Corporation Auto-Trend Display for SpHbTrend-Graph view will automatically be displayed when a SpHb sensor is connectedConfidential 2009 Masimo Corporation SpH
35、b AveragingOption of a Short, Medium, and Long averaging timeApproximately 1, 3, & 6 min, respectivelyDefault is Medium (3min) with the latest software upgradeConfidential 2009 Masimo Corporation SpHb Display OptionArterial or Venous Display Option for SpHbOption of displaying SpHb that is based on
36、either Arterial or Venous laboratory blood sample dataAllows unit to be tailored to clinical practice i.e. ABG vs. CBCConfidential 2009 Masimo Corporation Display Option for SpHbArterial display SpHbVenous display - SpHbvConfidential 2009 Masimo Corporation mmol/L Unit of Measure OptionAllows user to select mmol/L as a unit of measure option for SpHbConfidential 2009 Masimo Corporation mmol/L Unit of Measure Option (cont.)Parameter label is updated
