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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.
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.
JOIN FOR FREE AT WWW.INSIDESCIENTIFIC.COM
Walter Habenbacher
Head of Sales & Marketing,
CNSystems Medizintechnik AG
NIBP100D-HD Hemodynamic
Monitoring @ Your Fingertips
© CNSystems Medizintechnik AG. 2016
www.cnsystems.com
www.cnsystems.com
4
MOVING FROM SNAPSHOTS… …TO CONTINUOUS INFORMATION
NBP CNAP®
www.cnsystems.com
5
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]
www.cnsystems.com
6
SETUP & CALIBRATION
click to watch the videos
[advance to 06:08]
www.cnsystems.com
7
CNAP® TECHNOLOGY – HOW IT WORKS
IR light picks up blood volume and flow1
2
In- 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 1973
2 Fortin J et al.: Continuous noninvasive BP monitoring using concentrically interlocking control loops. Comput in Biol Med 36 (2006)
www.cnsystems.com
8
CNAP® TECHNOLOGY – HOW IT WORKS
click to watch the video
[advance to 10:05]
www.cnsystems.com
9
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)
www.cnsystems.com
10
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
www.cnsystems.com
11
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
BloodPressure[mmHg]
VALSALVA 1 2a 2b 3 4
www.cnsystems.com
12
PERFORMANCE DURING VALSALVA
click to watch the video
[advance to 14:36]
www.cnsystems.com
13
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
www.cnsystems.com
14
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. BiologicalPsychology, 93, 33–40.
BLOOD PRESSURE, CARDIAC OUTPUT AND VASCULAR RESISTANCE
ARE IMPORTANT CV CORRELATES OF CHALLENGE & THREAT
www.cnsystems.com
15
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)
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
BIOPAC—Inspiring people and enabling discovery about life
© BIOPAC Systems, Inc. 2016
www.biopac.com
17
Over 97% of top universities run BIOPAC Systems
THE WORLD DISCOVERS
WITH BIOPAC
Solutions for life science research and education
BIOPAC—Inspiring people and enabling discovery about life
© BIOPAC Systems, Inc. 2016
www.biopac.com
18
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
BIOPAC—Inspiring people and enabling discovery about life
© BIOPAC Systems, Inc. 2016
www.biopac.com
19
Stimulus Presentation with
Triggers for Synchronization
SuperLab® - E-Prime®
Presentation®
Virtual Reality
BIOPAC VR Solutions
offer real-time feedback
loops and event
marking
BIOPAC—Inspiring people and enabling discovery about life
© BIOPAC Systems, Inc. 2016
www.biopac.com
20
Stationary Eye Tracking
with Visual Stimulation
Unrestrained Mobile
Eye Tracking
BIOPAC—Inspiring people and enabling discovery about life
© BIOPAC Systems, Inc. 2016
www.biopac.com
21
BIOPAC—Inspiring people and enabling discovery about life
© BIOPAC Systems, Inc. 2016
www.biopac.com
22
Hardware Communication NIBP100D
Continuous Noninvasive
Blood Pressure System
DA100C with TCI105
MP160 System
16-Channel Data
Acquisition
System
BIOPAC—Inspiring people and enabling discovery about life
© BIOPAC Systems, Inc. 2016
www.biopac.com
23
Hardware Communication
CBLNIBP100D-HD
HLT100C and 4 x
INISO Isolation
Adapters
NIBP100D-HD
Continuous Noninvasive
Blood Pressure System with
Hemodynamics
HemodynamicMeasurement
Cardiac Output (CO), Stroke Volume (SV), Pulse Pressure Variation (PPV),Stroke Volume Variation (SVV),Systemic Vascular
Resistance(SVR)
MP160 System
16-Channel Data
Acquisition
System
BIOPAC—Inspiring people and enabling discovery about life
© BIOPAC Systems, Inc. 2016
www.biopac.com
24
Hardware Communication with Visual Stimulus
Stimulus is delivered to subject at a
stationary monitor or by VR...
SuperLab
E-Prime
Vizard
Presentation
Front
FrontBack
STP100C
BIOPAC—Inspiring people and enabling discovery about life
© BIOPAC Systems, Inc. 2016
www.biopac.com
25
Hardware Communication with Visual Stimulus
Stimulus is delivered to subject at a
stationary monitor or by VR...
Front
FrontBack
STP100C
BIOPAC—Inspiring people and enabling discovery about life
© BIOPAC Systems, Inc. 2016
www.biopac.com
26
Hardware Communication with Visual Stimulus
Stimulus is delivered to subject at a
stationary monitor or by VR...
Triggers sent to the
MP160 System
Front
FrontBack
STP100C
BIOPAC—Inspiring people and enabling discovery about life
© BIOPAC Systems, Inc. 2016
www.biopac.com
27
AcqKnowledge Automated Analysis Software
• Arterial Blood Pressure
Analysis
• Estimate Cardiac Output
from Arterial Blood
Pressure
• Baroreflex Sequence
Analysis
• Baroreflex Slope Analysis
Demonstration of AcqKnowledge Software
[click to watch the demonstration – advance to 31:11]
BIOPAC—Inspiring people and enabling discovery about life
© BIOPAC Systems, Inc. 2016
www.biopac.com
29
• 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
Walter Habenbacher
office@cnsystems.com
Frazer Findlay
info@biopac.com
For additional information on the products and applications presented during
this webinar please visit www.cnsystems.com and www.biopac.com
Thank You

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Integrating Noninvasive Blood Pressure Monitoring with Human Physiology Measurements

  • 1. 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.
  • 2. 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. JOIN FOR FREE AT WWW.INSIDESCIENTIFIC.COM
  • 3. Walter Habenbacher Head of Sales & Marketing, CNSystems Medizintechnik AG NIBP100D-HD Hemodynamic Monitoring @ Your Fingertips © CNSystems Medizintechnik AG. 2016 www.cnsystems.com
  • 4. www.cnsystems.com 4 MOVING FROM SNAPSHOTS… …TO CONTINUOUS INFORMATION NBP CNAP®
  • 5. www.cnsystems.com 5 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]
  • 6. www.cnsystems.com 6 SETUP & CALIBRATION click to watch the videos [advance to 06:08]
  • 7. www.cnsystems.com 7 CNAP® TECHNOLOGY – HOW IT WORKS IR light picks up blood volume and flow1 2 In- 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 1973 2 Fortin J et al.: Continuous noninvasive BP monitoring using concentrically interlocking control loops. Comput in Biol Med 36 (2006)
  • 8. www.cnsystems.com 8 CNAP® TECHNOLOGY – HOW IT WORKS click to watch the video [advance to 10:05]
  • 9. www.cnsystems.com 9 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)
  • 10. www.cnsystems.com 10 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
  • 11. www.cnsystems.com 11 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 BloodPressure[mmHg] VALSALVA 1 2a 2b 3 4
  • 12. www.cnsystems.com 12 PERFORMANCE DURING VALSALVA click to watch the video [advance to 14:36]
  • 13. www.cnsystems.com 13 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
  • 14. www.cnsystems.com 14 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. BiologicalPsychology, 93, 33–40. BLOOD PRESSURE, CARDIAC OUTPUT AND VASCULAR RESISTANCE ARE IMPORTANT CV CORRELATES OF CHALLENGE & THREAT
  • 15. www.cnsystems.com 15 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)
  • 16. 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
  • 17. BIOPAC—Inspiring people and enabling discovery about life © BIOPAC Systems, Inc. 2016 www.biopac.com 17 Over 97% of top universities run BIOPAC Systems THE WORLD DISCOVERS WITH BIOPAC Solutions for life science research and education
  • 18. BIOPAC—Inspiring people and enabling discovery about life © BIOPAC Systems, Inc. 2016 www.biopac.com 18 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
  • 19. BIOPAC—Inspiring people and enabling discovery about life © BIOPAC Systems, Inc. 2016 www.biopac.com 19 Stimulus Presentation with Triggers for Synchronization SuperLab® - E-Prime® Presentation® Virtual Reality BIOPAC VR Solutions offer real-time feedback loops and event marking
  • 20. BIOPAC—Inspiring people and enabling discovery about life © BIOPAC Systems, Inc. 2016 www.biopac.com 20 Stationary Eye Tracking with Visual Stimulation Unrestrained Mobile Eye Tracking
  • 21. BIOPAC—Inspiring people and enabling discovery about life © BIOPAC Systems, Inc. 2016 www.biopac.com 21
  • 22. BIOPAC—Inspiring people and enabling discovery about life © BIOPAC Systems, Inc. 2016 www.biopac.com 22 Hardware Communication NIBP100D Continuous Noninvasive Blood Pressure System DA100C with TCI105 MP160 System 16-Channel Data Acquisition System
  • 23. BIOPAC—Inspiring people and enabling discovery about life © BIOPAC Systems, Inc. 2016 www.biopac.com 23 Hardware Communication CBLNIBP100D-HD HLT100C and 4 x INISO Isolation Adapters NIBP100D-HD Continuous Noninvasive Blood Pressure System with Hemodynamics HemodynamicMeasurement Cardiac Output (CO), Stroke Volume (SV), Pulse Pressure Variation (PPV),Stroke Volume Variation (SVV),Systemic Vascular Resistance(SVR) MP160 System 16-Channel Data Acquisition System
  • 24. BIOPAC—Inspiring people and enabling discovery about life © BIOPAC Systems, Inc. 2016 www.biopac.com 24 Hardware Communication with Visual Stimulus Stimulus is delivered to subject at a stationary monitor or by VR... SuperLab E-Prime Vizard Presentation Front FrontBack STP100C
  • 25. BIOPAC—Inspiring people and enabling discovery about life © BIOPAC Systems, Inc. 2016 www.biopac.com 25 Hardware Communication with Visual Stimulus Stimulus is delivered to subject at a stationary monitor or by VR... Front FrontBack STP100C
  • 26. BIOPAC—Inspiring people and enabling discovery about life © BIOPAC Systems, Inc. 2016 www.biopac.com 26 Hardware Communication with Visual Stimulus Stimulus is delivered to subject at a stationary monitor or by VR... Triggers sent to the MP160 System Front FrontBack STP100C
  • 27. BIOPAC—Inspiring people and enabling discovery about life © BIOPAC Systems, Inc. 2016 www.biopac.com 27 AcqKnowledge Automated Analysis Software • Arterial Blood Pressure Analysis • Estimate Cardiac Output from Arterial Blood Pressure • Baroreflex Sequence Analysis • Baroreflex Slope Analysis
  • 28. Demonstration of AcqKnowledge Software [click to watch the demonstration – advance to 31:11]
  • 29. BIOPAC—Inspiring people and enabling discovery about life © BIOPAC Systems, Inc. 2016 www.biopac.com 29 • 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
  • 30. Walter Habenbacher office@cnsystems.com Frazer Findlay info@biopac.com For additional information on the products and applications presented during this webinar please visit www.cnsystems.com and www.biopac.com Thank You