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Indirect Calorimetry

Ultima CCM™ Indirect Calorimeter

Cost-Effective assessment of ICU patients.

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A medical system can’t just look nice, it has to be able to improve patient care with intuitive, easy-to-use technology while optimizing functional capabilities. We designed the Ultima Series™ cardiorespiratory diagnostic systems to do just that. 

The Ultima CCM™ indirect calorimeter uses advanced technology and gas analysis to measure subjects in even the most challenging ventilator environments. Spontaneously breathing subjects can benefits as well, using one of the system’s comfortable patient interfaces which includes the preVent face mask or face tent. 

  • Patients with thermal injury and/or trauma are able to have optimal nutrition while those with metabolic and eating disorders are carefully monitored. 
  • Robust oxygen, carbon dioxide and breath-by-breath analysis to provide highly accurate resting energy expenditure (REE) and substrate utilization subject data to determine appropriate nutritional support.
  • Cost-effective management of mechanically ventilated patients is possible by reducing the amount of vent days and time spent in the ICU. 

Unique System Design

The Ultima system’s all-in-one design allows for maximum testing comfort for the technician and the patient while utilizing the latest technology for unparalleled performance and reliability.

  • Full adjustable desktop allows for expansive personal workspace whether the technologist is sitting for standing.
  • Room-to-room portability with gas tanks.
  • Scheduler allows for automatic warm-up so the system is always ready for testing.

Test Specific Quick Calibration

The calibration tower allows for simplified gas calibration based on the test being performed (pulmonary function or metabolic) without compromising accuracy of test results and lab efficiency.

True Metabolic Assessment

  • Measurements can be obtained with breath-by-breath analysis or user-defined averaging.
  • Gas sensors measure both oxygen and carbon dioxide.
  • Ventilator patients can be tested on elevated (above 60%) or fluctuating FiO2
  • System is unaffected by ventilator pressure support/pressure control and bias flow.
  • Windowing function excludes non–steady-state data resulting from patient disturbances or test initiation.

ATS/ERS Standards and Guidelines compliant
Comprehensive set of measurements for Lung Volumes, Spirometry & Diffusion

All test features and options shown below are for users with BreezeSuite™ software.

Testing Capabilities
PF
PFX
CPX
Cardio2
CCM
pulmonary-function-tests
Spirometry (FVC, SVC, MVV)
Standard
Standard
Standard
Standard
Standard
Respiratory Mechanics (MIP/MEP)
Standard
Standard
None
Optional
None
Diffusing Capacity
Standard
Standard
None
Optional
None
Nitrogen Washout
Standard
Standard
None
Optional
None
Single Breath N2
Standard
Standard
None
Optional
None
Arterial Blood Gases (ABG manual entry)
Standard
Standard
Standard
Standard
Standard
ecg-heart-rate-configurations
Integrated 12-lead ECG
None
Optional
None
Standard
None
gas-exchange-tests
Direct Fick Cardiac Output
None
Standard
Standard
Standard
Standard
Indirect Fick Cardiac Output (NICO)
None
Optional
Optional
Optional
Optional
Exercise Capacity (O2 and CO2 )
None
Standard
Standard
Standard
Standard
Nutrition Assessment REE/RMR (O2 and CO2)
None
Optional
Optional
Optional
Standard
Standard
Optional

Test Modes (standard)

  • Spirometry: FVC, SVC, MVV
  • ABG: Arterial Blood Gas Entry
  • Direct Fick Cardiac Output
  • Nutritional Assessment

Additional Test Modes (optional)

  • Bronchial Provocation
  • NICO: CO2 Rebreath Indirect Fick Cardiac Output
  • O2 and CO2 Exercise Testing

Software Features (standard)

  • ATS/ERS Error Codes
  • Device Control
  • Disability Reports
  • Manual Data Entry
  • Microsoft® SQL Database
  • Pediatric Incentives
  • Report Designer
  • Trend Reports
  • User-Defined Predicteds

Additional Features (optional)

  • BreezeConnect HL7 interface software
  • BreezeConnect physician review software
  • BreezeSuite MultiUser networking software
  • BreezeSuite WebReview™ physician review software
  • Exercise Consult™ physician interpretation software
  • ExerScript™ exercise prescription software
  • Pulmonary Consult™ physician interpretation software
  • Database Query
  • Electronic Signature
  • Exercise Flow Volume Loops
  • Quality Control Query

An Integrated System

Cardiorespiratory Diagnostic Software
  • Ease of use allows operator to focus on patient's effort.
  • Timely prompts guide the operator through the entire testing process.
  • Powerful Microsoft® SQL database provides flexibility in accessing, manipulating and reporting data.
  • Automated quality-assurance program notifies operator to ensure results comply with ATS/ERS acceptability criteria.
  • Software allows physicians to access data and interpret patient results from any computer that has permission to access the facility network (VPN).

 

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HL7 Interface Software

BreezeConnect™ HL7 interface software allows any number of networked systems to exchange data with the electronic medical records (EMR) system.

  • Electronic medical record interface using latest HL7 standards with either unidirectional or bidirectional capability
  • Flexible access allows physicians to view and interpret patient results from any location on the facility’s network

 

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Superior Infection Control

Having clear and defined infection control policies is important for your protection.

We give you three options for infection control - you make the choice that is right for you!

1. Change: simply change the filter and keep the same preVent® flow sensor and BreathPath™ patient circuit (Pulmonary Function Only).

2. Re-Use: change the flow sensor and patient circuit between patients and replace with disinfected components.

3. Dispose: dispose of the flow sensor and patient circuit after each patient.

 

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Flow Sensors for Simplicity and Accuracy

Our proprietary preVent® flow sensor and DirectConnect™ metabolic flow sensor saves time between patients and provides maximum infection control compared to other pneumotach devices.

  • Eliminates warm-up or flow recalibration between patients.
  • Simple snap in setup contains no moving parts or electronics for maximum infection control.
  • Can be sterilized, used with a filter or discarded, making it extremely versatile and cost effective.
  • Options to use with a filter (for PFT), sterilize or discard.
  • Meets ATS/ERS standards and specifications.

 

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