Integrating Noninvasive Blood Pressure Monitoring with Human Physiology Measurements

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Integrating Noninvasive Blood Pressure Monitoring with Human Physiology Measurements Experts discuss the fundamentals of real - time, beat - to - beat noninvasive blood pressure (NIBP) monitoring and present new research capabilities enabled through the integration of NIBP technology and physiological recording systems.

Transcript of Integrating Noninvasive Blood Pressure Monitoring with Human Physiology Measurements

Page 1: Integrating Noninvasive Blood Pressure Monitoring with Human Physiology Measurements

Integrating Noninvasive Blood Pressure Monitoring with Human

Physiology Measurements

Experts discuss the fundamentals of real-time, beat-to-beat noninvasive blood pressure (NIBP) monitoring and present new

research capabilities enabled through the integration of NIBP technology and physiological recording systems.

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InsideScientific is an online educational environment designed for life science researchers. Our goal is to aid in the sharing and distribution of scientific information regarding innovative technologies, protocols,

research tools and laboratory services.

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Walter HabenbacherHead of Sales & Marketing,

CNSystems Medizintechnik AG

NIBP100D-HD Hemodynamic Monitoring @ Your Fingertips

© CNSystems Medizintechnik AG. 2016www.cnsystems.com

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MOVING FROM SNAPSHOTS… …TO CONTINUOUS INFORMATION

NBP CNAP®

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Hemodynamic monitoring @ your fingertips

NIBP100D-HD – CONTINUOUS & NONINVASIVE

* CE approved / FDA pending.

Blood Pressure

Cardiac Output & Stroke Volume*

Systemic Vascular Resistance*

Pulse Rate

[click to learn more]

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SETUP & CALIBRATION

click to watch the videos[advance to 06:08]

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CNAP® TECHNOLOGY – HOW IT WORKS

IR light picks up blood volume and flow1

2In- and deflating pressure cuff follows pulsation and keeps

blood flow constant 1

3 High accuracy thru calibration with NBP 2

2

IR light

1

Sys

Dia

Mean

3

1 Jan Penaz, Brno, Czech Republic 19732 Fortin J et al.: Continuous noninvasive BP monitoring using concentrically interlocking control loops. Comput in Biol Med 36 (2006)

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CNAP® TECHNOLOGY – HOW IT WORKS

click to watch the video[advance to 10:05]

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SETTING UP MEASUREMENTS IS EASY

Measurement settings

measurement

30min

setup

5min

buffer

5min

Total time: ≈ 40min

Set CNAP Cal Interval to 40min (switch between fingers)

Set NBP Interval to 40min (calibration to upper arm)

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PROVEN TECHNOLOGY OVER DECADES

http://www.cnsystems.com/literature

Task Force® Monitor

NIBP100D

Over 500 peer reviewed publications reflect the trust

in the accuracy and utility in research & clinical settings

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PERFORMANCE DURING VALSALVA

Initial BP rise

Impeded venous return (fall in BP)

Compensation (pulse rate & vasoconstriction)

Pressure release

Overshoot (return of CO)

1

2a

3

4

2b

40

50

60

70

80

90

100

0 10 20 30 40 50 60 70 80

Blo

od P

ressure

[m

mH

g]

VALSALVA1 2a 2b 3 4

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PERFORMANCE DURING VALSALVA

click to watch the video[advance to 14:36]

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THE ROLE OF CARDIAC OUPUT & VASCULAR RESISTANCE

Blood pressure

Resistant

Blood flow

MABP = HR x SV x SVR

The Ohm´s law applied to physiology

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1 Kirby, L. D., & Wright, R. A. (2003). Cardiovascular correlates of challenge and threat appraisals: A critical examination of the Biopsychosocial Analysis. Personality and Social Psychology Bulletin, 7, 216-233.

2 Tomaka, J., Blascovich, J., Kelsey, R. M., & Leitten, C. L. (1993). Subjective, physiological, and behavioral effects of threat and challenge appraisal. Journal of Personality and Social Psychology, 65, 248-260.

3 Lackner, H. K., Weiss, E. M., Schulter, G., Hinghofer-Szalkay, H., Samson, A. C., & Papousek, I. (2013). I got it! Transient Cardiovascular Response to the Perception of Humor. Biological Psychology, 93, 33–40.

BLOOD PRESSURE, CARDIAC OUTPUT AND VASCULAR RESISTANCE

ARE IMPORTANT CV CORRELATES OF CHALLENGE & THREAT

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HEMODYNAMIC MONITORING @ YOUR FINGERTIPS:

CONTINUOUS & NONINVASIVE

Calibrated blood pressure &

hemodynamics

Up & running in 1.5 minutes

Quick set up of measurement

Reliable short and longterm

monitoring

Easy integration

(MP150 / 160)

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Frazer Findlay CEO, BIOPAC Systems, Inc.

Integrating NIBP with Human Physiology Measurements

BIOPAC—Inspiring people and enabling discovery about life© BIOPAC Systems, Inc. 2016

www.biopac.com

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BIOPAC—Inspiring people and enabling discovery about life

© BIOPAC Systems, Inc. 2016www.biopac.com

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Over 97% of top universities run BIOPAC Systems

THE WORLD DISCOVERSWITH BIOPACSolutions for life science research and education

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BIOPAC—Inspiring people and enabling discovery about life

© BIOPAC Systems, Inc. 2016www.biopac.com

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Combining Noninvasive Blood Pressure with other Physiological Signals

BioNomadix

Wireless Physiological

Data

Mobita System

32-Channel EEG / Biopotentials

B-Alert System

9-Channels of EEG and Cognitive States Metrics

MP36R System

4-Universal Channels

MP160 System

16-Channels of Tethered or

Wireless Signals

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BIOPAC—Inspiring people and enabling discovery about life

© BIOPAC Systems, Inc. 2016www.biopac.com

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Stimulus Presentation with Triggers for Synchronization

SuperLab® - E-Prime®Presentation®

Virtual Reality

BIOPAC VR Solutions offer real-time feedback

loops and event marking

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BIOPAC—Inspiring people and enabling discovery about life

© BIOPAC Systems, Inc. 2016www.biopac.com

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Stationary Eye Tracking

with Visual StimulationUnrestrained Mobile

Eye Tracking

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BIOPAC—Inspiring people and enabling discovery about life

© BIOPAC Systems, Inc. 2016www.biopac.com

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BIOPAC—Inspiring people and enabling discovery about life

© BIOPAC Systems, Inc. 2016www.biopac.com

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Hardware CommunicationNIBP100D

Continuous Noninvasive Blood Pressure System

DA100C with TCI105

MP160 System

16-Channel Data Acquisition

System

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BIOPAC—Inspiring people and enabling discovery about life

© BIOPAC Systems, Inc. 2016www.biopac.com

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Hardware Communication

CBLNIBP100D-HDHLT100C and 4 x INISO Isolation

Adapters

NIBP100D-HDContinuous Noninvasive

Blood Pressure System with Hemodynamics

Hemodynamic MeasurementCardiac Output (CO), Stroke Volume (SV), Pulse Pressure Variation (PPV), Stroke Volume Variation (SVV), Systemic Vascular

Resistance (SVR)

MP160 System

16-Channel Data Acquisition

System

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BIOPAC—Inspiring people and enabling discovery about life

© BIOPAC Systems, Inc. 2016www.biopac.com

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Hardware Communication with Visual StimulusStimulus is delivered to subject at a stationary monitor or by VR...

SuperLabE-PrimeVizardPresentation

Front

FrontBack

STP100C

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BIOPAC—Inspiring people and enabling discovery about life

© BIOPAC Systems, Inc. 2016www.biopac.com

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Hardware Communication with Visual StimulusStimulus is delivered to subject at a stationary monitor or by VR...

Front

FrontBack

STP100C

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BIOPAC—Inspiring people and enabling discovery about life

© BIOPAC Systems, Inc. 2016www.biopac.com

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Hardware Communication with Visual StimulusStimulus is delivered to subject at a stationary monitor or by VR...

Triggers sent to the MP160 System

Front

FrontBack

STP100C

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BIOPAC—Inspiring people and enabling discovery about life

© BIOPAC Systems, Inc. 2016www.biopac.com

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AcqKnowledge Automated Analysis Software

• Arterial Blood Pressure Analysis

• Estimate Cardiac Output from Arterial Blood Pressure

• Baroreflex Sequence Analysis

• Baroreflex Slope Analysis

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Demonstration of AcqKnowledge Software[click to watch the demonstration – advance to 31:11]

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BIOPAC—Inspiring people and enabling discovery about life

© BIOPAC Systems, Inc. 2016www.biopac.com

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• Combine Noninvasive Blood Pressure with a wide variety of signals

• Interface with stimulus presentation systems such as E-Prime, SuperLab, Presentation and BIOPAC Virtual Reality systems

• Monitor subject eye position, gaze path and facial expressions

• Maintain synchronization across devices

Summary

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Walter Habenbacher

[email protected]

Frazer Findlay

[email protected]

For additional information on the products and applications presented during this webinar please visit www.cnsystems.com and www.biopac.com

Thank You