ENHANCED RESPIRATORY MONITORING SOLUTIONS
Your partner in patient and clinician safety to support you in COVID-19 management
We’re here for you, as your partner in responding to COVID-19, with respiratory monitoring solutions that may help you enhance safety—for your patients—and for you. Our comprehensive respiratory care and patient monitoring portfolio offers the solutions you need to provide the highest level of care.
Save time, reduce exposure, help meet healthcare expense goals
You may be faced with the significant challenge of providing the highest levels of care for your COVID-19 patients with less time, fewer resources, and increased exposure risk. All while trying to meet your institution’s financial management goals.
Medtronic respiratory care and patient monitoring can help.
Identify patient decline early, so you can respond sooner
Intervene before a patient rapidly declines to a more serious condition by continuously monitoring,1 starting with capnography—the accepted reference standard measurement—and more accurate in continuously monitoring respiratory rate (RR).2-5
Medtronic offers Microstream™ capnography and Nellcor™ pulse oximetry to alert you to changes in your patient’s respiratory status. And, to help you reduce your exposure to COVID-19 patients, you can view your patient’s status remotely from your wireless device or from a central station with our Vital Sync™ remote monitoring system.
Microstream™ Capnography + Respiratory Rate
Microstream™ capnography allows monitoring of RR, including trends and ability to see increasing RR.6 By monitoring RR, clinicians may detect respiratory complications earlier and, therefore, may intervene sooner.7
Nellcor™ Pulse Oximetry
Your fast, sensitive and accurate responses to patient needs are critical. Count on Nellcor™ pulse oximetry to help, with SpO2 measurements that are tied to oxygen saturation and cardiac-induced pulse—putting you closer to your patients.
Vital Sync™ Remote Monitoring
In the event of highly infectious pathogens like COVID-19, it’s important to reduce the number of entries into patient isolation rooms. The rapidly and remotely deployable Vital Sync™ remote patient monitoring platform can help limit staff exposure to pathogens and can save valuable personal protective equipment.
Not All Capnography Sampling Lines are Created Equal
Continuous monitoring of CO2 derived respiratory rates and accurate etCO2 readings are essential to help detect life-threatening conditions.8 In an internal capnography sampling lines comparative study9, we looked at the influence of respiration rate on accuracy of etCO2 at varying breaths per minute (BPM).
We found that Microstream™ sampling lines met the expected etCO2 value of 34 mmHg at all respiratory rates. Not all sampling lines reported accurate etCO2 readings. The differences in performance could be attributed to the design of the sampling lines, or due to a larger dead space volume within these lines.9
The integrated filter in Microstream™ capnography sampling lines is designed to filter particles that are larger than 0.2 μm10, which aligns with the CDC protective guidelines for usage of the N95 face mask that is designed for particles larger than 0.3 μm.11
0.2 Micron Filter Sterilizing grade filter designed to reduce the risk of contamination of the monitor
SOLUTIONS GUIDE ACROSS THE STAGES OF CARE
We have a single, integrated solution aligned to each stage designed to help keep you and your patients safe.
MAXIMIZE LIMITED RESOURCES
We recognize the resource and expense challenges you face. That’s why Medtronic strives to be your partner in offering integrated care solutions. Like technology that provides meaningful insights to support decision-making, clinical education options, and comprehensive customer support.
CONTACT YOUR LOCAL MEDTRONIC SALES REPRESENTATIVE:
- Identify your needs: review your current demands and provide consultative services to help keep you and your COVID-19 patients safe
- Improve value: assess — at no charge — how our solutions are designed to help you improve clinical and economic value
- Find the best solution: learn how our solutions can be tailored to your safety and monitoring needs
The Microstream™ capnography monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.
The recommendations of using Microstream, Nellcor, and Vital Sync in the management of COVID-19 are not cleared by FDA. This labeling has been introduced into the US market through enforcement discretion leveraging FDA guidelines supporting the COVID-19 public health emergency and this pathway can only be utilized for the duration of the emergency. These devices are considered adjunctive technology and should not be solely or primarily relied upon to prevent, diagnose, or treat COVID-19 or co-existing conditions.
The recommendations of using Microstream, Nellcor, and Vital Sync in the management of COVID-19 are not cleared by FDA. This labeling has been introduced into the US market through enforcement discretion leveraging FDA guidelines supporting the COVID-19 public health emergency and this pathway can only be utilized for the duration of the emergency. These devices are considered adjunctive technology and should not be solely or primarily relied upon to prevent, diagnose, or treat COVID-19 or co-existing conditions.
REFERENCES:
1. COVID-19 Treatment Guidelines Panel. Coronavirus Disease 2019 (COVID-19) Treatment Guidelines. National Institutes of Health. Available at https://www.covid19treatmentguidelines.nih.gov/. Accessed June 3, 2020.
2. Autet L, Frasca D, Pinsard M, Cancel A, Rousseau L, Debaene B, Mimoz O. Evaluation of acoustic respiration rate monitoring after extubation in intensive care unit patients Br. J. Anaesth. 2014. 113 195–7.
3. Frasca D, Geraud L, Charriere JM, Debaene B, Mimoz O. Comparison of acoustic and impedance methods with mask capnometry to assess respiration rate in obese patients recovering from general anaesthesia. Anaesthesia. 2015. 70 26–31.
4. Bergese SD, Mestek ML, Kelley SD, McIntyre R Jr, Uribe AA, Sethi R, Watson JN, Addison PS. Multicenter study validating accuracy of a continuous respiratory rate measurement derived from pulse oximetry: a comparison with capnography Anesth. Analg. 2017. 124 1153–9.
5. Ermer S, Brewer L, Kuck, Orr J. Detecting low respiratory rates using myriad, low-cost sensors. SPACEGRANT. May 8 2017. https://digitalcommons.usu.edu/spacegrant/2017/Session1/3/.
6. Microstream™ Sampling Lines Product Specification.
7. Lynn LA, Curry JP. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. Published Feb 11, 2011.
8. Cretikos MA, Bellomo R, Hillman K, Chen J, Finfer S, Flabouris A. Respiratory rate: the neglected vital sign. Medical Journal of Australia. 2008;188(11):657-659.
9. Karpenkop, Ido; Peri, D. Not All Cannulas Are Created Equal: The Influence of Sampling Line Design on Capnography Performance. Medtronic White Paper. 2020.
10. Microbial challenge of the FilterLine. AppTec: Marietta,GA. Protocol Number ORI032505CMC.01. July 7, 2005.
11. Centers for Disease Control and Prevention (CDC). Coronavirus disease 2019 (Covid-19): Infection control. CDC Website. https://www.cdc.gov/coronavirus/2019-ncov/infection-control/index.html.