Mostcare Up Haemodynamic Monitor

MostcareUP arterial waveform analysis cardiac output monitor
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Mostcare Up arterial waveform analysis cardiac output monitor

Mostcare Up is the only cardiac output monitor able to follow, in real time and from beat to beat, even the slightest haemodynamic variations in the patient.

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Vygon Code: VMB08MC0255E2V

Mostcare Up  an arterial waveform analysis cardiac output monitor designed to guide and enhance clinical decision making in the Operating Room and Critical Care areas.

Our Mostcare Up monitor provides real time continuous advanced minimally invasive Haemodynamic monitoring for assessment of preload, contractility and afterload. The patented PRAM (Pressure Recording Analytical Method) enables Mostcare Up to calculate cardiac output and other key haemodynamic parameters without the need for calibration or input of demographic data.

Applicable in a wide range of patients, both adult and paediatric populations, Mostcare Up is non user dependent and displays variables and trends on a customisable touch screen display. Personalised markers and a graphical trending screen are easily accessed and the ‘Do & Check’ function that is designed specifically to aid clinician decision making before, during and after interventions.

  • HL7 enabled
  • 1 USB port
  • Battery back up

This monitor is suitable for patients with an arterial transducer in situ.

An electro medical device used in hospital environments especially in critical care units and operating theater, whenever haemodynamic instability can occur (i.e. high risk patients undergoing vascular surgery, cardiac surgery, major abdominal surgery, cathlab) in both adult and paediatric patients. The values detected by Mostcare Up should be used as an additional assessment element to the whole of clinical and instrumental elements for the analysis of vital variables and the diagnosis of the patient’s status. Therefore, the system is suitable for patients who need to check the cardiovascular system variables through continuous or occasional monitoring.

This arterial waveform analysis cardiac output monitor must be used by specialised personnel who are duly trained and authorised. And is used to monitor the patients cardiac output to ensure optimal fluid management during and post surgery.

UOI Units: Each

UOI: 1

Contains Latex: No

Contains DEHP: No

Pyrogen Free: No

Sterile Medical Device: Non sterile

Manufacturer: Projet Engineering Srl

About Mostcare

Mostcare Up is a reliable and efficient system that adapts to a wide range of patient types and clinical conditions.
Thanks to its rapid set-up, information can be obtained in real time and saved, reviewed and transferred for subsequent analysis.

Mostcare-Up-Left
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User Manual

Simple

No calibration needed.
Intuitive, customisable interface.
No change in protocols in use.

Quick

Constant monitoring with immediate results.
Rapid connection and set up.

Versatile

Any peripheral or femoral artery.
Applicable to the widest range of patients.
Easily transferred from one patient to another.

Innovative

Exclusive variables (CCE, dicrotic pressure, Ea).
Patented dynamic filter to guarantee the quality of the pressure signal.
Modern connectivity and data transfer systems.

Reliable

Patented and validated algorithm.
Immediate response to even the smallest haemodynamic variations.
A wide range of clinical papers available.

Convienient

Can be used on numerous patients without disposable nor added elements.
On Demand system adaptable to all uses.

PRAM Method

pram2-eng

PRAM (Pressure Recording Analytical Method) is an innovative method to analyse the pressure wave used in Mostcare Up. It allows for constant and sensitive monitoring in real time of the slightest haemodynamic variations because it is based, heart beat by heart beat, only on the morphology of the arterial pressure wave.

  • Sampling at 1000Hz
  • Beat-by-beat analysis of the wave form
  • Does not depend on pre-estimates
  • No external calibration required

Each patient is unique and his haemodynamic condition can evolve rapidly. The shape of the arterial pressure wave is the result of a complex balance which depends on both the pairing of the cardiac function with the vascular system and their interaction with the respiratory system. The precise analysis of the shape of the wave obviates the need for calibration and preestimated data about the patient. It also identifies the dicrotic pressure and the Z(t) impedance of the cardiovascular system, even in cases of unusual pressure wave forms.

pram1-eng

Haemodynamic Variables

Applications

The PRAM method requires no external calibration or anthropometric normalisation. Mostcare Up can therefore be easily used on any patient who requires constant or occasional haemodynamic monitoring. More specifically, during haemodynamic instability or in the presence of acute clinical variations in high risk patients.

perioperative

Optimising the flow of fluids in high risk surgery patients has significantly reduced postoperative complications, recovery time and improved the outcome of the patients, thus resulting in substantially lower costs.

  • 4 Pearse R et al., Crit Care, 2005
  • 5 Lopes MR et al., Crit Care, 2007
  • 6 Vincent JL et al., Crit Care, 2015

intensive care and critical patients

Thanks to beat-by-beat analysis, the PRAM method is able to reliably recognise and monitor the haemodynamic changes resulting from the administration of vasoactive drugs and fluids, in real time and even in septic or traumatised patients.

  • 7 Vincent JL et al., Crit Care, 2011
  • 8 Franchi F et al., BJA, 2011
  • 9 Guarracino F et al., Crit Care, 2014
  • 19 Donati A et al., J Crit Care, 2014

critical patient

The echocardiography is a gold standard technique to evaluate ventricular function. Some of the variables provided by Mostcare Up (dP/dt max and CCE) supply a constant stream of information about the cardiac function in the critical patient.

  • 11 Scolletta S et al., Intensive Care Med, 2013

cardiac insufficiency

The beat-by-beat monitoring of haemodynamic variables like dicrotic pressure, dP/dt max and CCE guarantees a rapid and immediate evaluation of any clinical variations in the patient so that immediate action can be taken.

  • 12 Giglioli C et al., Eur J Heart Fail, 2011
  • 13 Pavoni V et al., J Anesth Clin Res, 2012/li>
  • 14 Barile L et al., J. Cardiothorac Vasc Anesth, 2013

Connectivity and Data Management

A Mostcare Up at a 45 degree angle with highlights of where the WiFi, USB Port, HDMI & LAN ports are all located

Mostcare Up supports the most advanced communication and data transmission standards. The patient’s parameters and freezer-frames can be saved to the machine’s memory or exported via the USB port. The data can also be transferred to the hospital’s platform using the HL7 protocol. The image on the display can be shared for monitoring or educational purposes via HDMI.

Mostcare Up guarantees the maximum flexibility and cost efficiency thanks to the various ways in which it can be used. The On Demand version of the monitor can be activated for a single use or for periods of time to meet specific application needs. The Endless version allows an unlimited use of the system without additional cost.

Product Support

Vygon is committed to education and support for our customers. We provide in-service training sessions for all staff and all shift patterns, to help ensure your clinicians achieve best practice when delivering care to patients. In addition, patient advice leaflets and children’s bravery certicates are available on request, to help assist the clinicians in supporting and informing their patients.

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FAQs

The PRAM method requires no external calibration or anthropometric normalisation. Mostcare Up can therefore be easily used on any patient who requires constant or occasional haemodynamic monitoring. More specifically, during haemodynamic instability or in the presence of acute clinical variations in high risk patients.

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