Peripheral Medical Devices in Europe:Emphasis on Not Doing Now

1
Transforming Healthcare with IT

• Peripheral Medical Devices in Europe Emphasis on
  Not Doing Now
• Tomas Bohrn Advanced Medical Solutions

Tomáš Bohrn
2
Agenda

• Patients
• 2) Methods
• 3) Programs

3
Almost healthy patient
Male 66 years, non smoker, DM II Light
dyslipidemy. Corrected hypertension. Active
walking, left limb pain
4
Truly healthy?
Male 66 years, non smoker, DM II Light
dyslipidemy. Corrected hypertension. Active
walking, Progressing claudication left limb,
5
Man, 70 years, diabetic, PAD, progressing
claudication, max.20 meters, after 6 weeks of
rehabilitation 50 m

6
Study of 1791 patients
Group Age Healthy DM I DM II Symptom.
Women 17-92 35 0 245 682
Men 12-91 42 5 356 426
Group Healthy Border Pathology
Women 56 807 180
Men 92 612 44
Group PAD CVI
Women 26 154
Men 14 30
7
Programs
II. Chir.klin. VFn
8
Programs - Focus

• 1) Early detection and monitoring
• 2) Initiate effective non-invasive and soft
  therapies
• 3) Minimize surgeries
• 4) Avoid amputations
• 5) Sensitivity and specificity over 90

9
Monitoring of farmacodynamic effects

• Monitoring of pharmacodynamic effects of
  vasoactive medicaments

10
Telemedicine Therapies

• the first evaluation

11
Example in Brasil
II. Chir.klin. VFn
12
Patients and Results

• 1) Female, over 74
• 2) Diabetes over 25 years
• 3) Identified risks in the family CV events
• 4) Normal BMI

13
Patients and Results

• 1) Male, 52
• 2) Smoker
• 3) Was not aware of Diabetes and Dyslipidemy
• 3) Not provided information on family anamnesis
• 4) Overweight BMI
• 5) Detected alteration becoming serious

14
New partners are welcome

• 1) Focus on cardiovascular system diagnostics
• 2) Prevention
• 3) Integrated medicine
•  

15
New partners are welcome

• 1) Focus on cardiovascular system diagnostics
• 2) Prevention
• 3) Integrated medicine
•  

16
Summary

• Telemedicine is very effective in the early
  detection and monitoring of selected chronic
  non-communicable diseases
• 2) Telemedicine enables the application of
  non-invasive and soft therapies
• 3) Integrative approach

17

Thank you for your kind attention
18
Muscle pump
19
Full evaluation
20
Monitoring

• Monitoring of vessel subsitute funcionality after
  surgery
• Follow up and adaptation of pharmaceutical
  treatment
• Follow up of rehabilitation effect on the
  perfusion on peripheral parts of limbs
• Patient motivation

21
Healthy Flow

• Man 66 years, non smoker, pain weeknes in lower
  limbs, perfusion healthy

22
Border values

• Man 72 years, with pain lower limb

23
Intermediate alterationof arterial flow
24
Heavy defect