Cover story - advertising feature All Mindray machines also come with
iScanHelper, a dedicated inbuilt educational tool which covers applications in FAST, Focused Echo, Nerve, Abdomen, Thyroid, Breast, Testicle and OB/GYN ultrasound.
Heart monitoring and SHOCK In a market-leading move, Mindray’s latest ultrasound machine, the TEX20, incorporates haemodynamic assessment with shock through the X-Pilot suite. Based on the professional society guidelines for point of care ultrasound this smart tool integrates historic diagnostic images and multi-organ data into a concise and precise view of the patient status. It can be used to identify shock types
in accordance with RUSH, FALLS and GDE protocols, evaluate acute respiratory distress in accordance with BLUE protocol, and locate free fluid in the thorax, pericardium, abdomen and pelvic cavity to expedite FAST and eFAST exams. There are also a number of tools to support
cardiac examinations in ICUs and emergency departments, even by non-cardiologists. Paul explains: “For faster cardiac examinations there are several tools that can complete automatic calculations such as the velocity time integral, cardiac output, stroke volume variation, collapsibility index and distensibility index and IVC variation. “The Auto DFR tool can also reduce the number of steps for DFR by 70% through automatic calculation of the E/A, E/E’ indices. To support standardisation, the Smart Echovue tool includes automatic recognition of the standard cardiac view, captures images and clips, and guides the user to the next scanning plane. “The TEX20 and TE9 machines also feature
AutoEF Plus, which analyses 2D echo in real-time to automatically recognise and trace endocardium, and provide EDV/ESV/EF calculation results by the Simpson method. “Smart TTQA automatically recognises
different cardiac planes, locates the endocardium and tracks the continuous contraction of the ventricular wall and then displays the mechanical changes of each segment of the left ventricle, offering accurate and effective evaluation of myocardial motion.”
Streamlined workflows Mindray’s ZONE Sonography Technology (ZST+) platform provides clinicians with immensely powerful image acquisition and processing capabilities, resulting in high contrast resolution, excellent uniformity and reduced motion artefacts. Using a variable number of large imaging “ZONES”, ZST can utilise up to 90% more ultrasound data than conventional ultrasound
imaging platforms and at 10 times the speed. This expanded acoustic data set is retained
and processed by patented high-speed digital processing techniques and software algorithms that are radically different from slow and cumbersome hardware-based imaging methods. Dual single crystal transducers are also enhancing imaging capabilities and this year, Mindray will be launching a wireless transducer that can accompany clinicians on the move. Hands-free operation is also transforming examinations. The iVocal tool provides a simple but extensive list of vocal commands that allow clinicians to focus on transducer placement and patient comfort rather than manually scrolling through operational lists.
Integrated data While there are varying levels of connectivity between devices and electronic patient records across the UK, full two-way data flow is certainly the ultimate aspiration. Operational expenditure for NHS Digital in 2021-22 stood at £380.8m, while staff costs came in at £263m; in both cases, this equates to an annual increase of almost 30%.9 Dr. Narayanan adds: “There is a mixed
approach to how diagnostic images are recorded. In the USA it’s mandated for images to be added to clinical records but in the UK it isn’t. At Frimley Park, we have this as an aspiration for the entire trust and use local images in mentoring to gradually change mindsets. The ones leading the way for our imaging record keeping are our pain doctors who always store images when using blocks.” By default, Mindray devices are equipped
to connect with third party EPRs so clinicians can easily access patient records and instantly upload reports to reduce administrative burdens and transcription errors. With the TEX20, it’s taken a step further.
Clinicians can use X-Link to overlay live patient waveforms on top of the current ultrasound image, all on one screen. The U-View application allows the ultrasound image and physiological information to be integrated to a central station for a general view. It’s a comprehensive summary of the patient that can facilitate multi-disciplinary treatment and more advanced clinical research.
Adapted for demanding environments Paul concludes: “As ultrasound becomes more mobile and prevalent, we’ve been careful to develop equipment that will resist corrosion from harsh cleaning agents. The latest machines – TEX20 and TE9 – are seamless to avoid damage from microscopic amounts of moisture. “Ultrasound is very nuanced – everyone has their own approach and what works for one specialist might not work for another. Our smart tools can provide the groundwork for any assessment, but clinicians and practitioners also have the power to customise alerts, views, and what information they see on screen to suit each and every scenario they face.”
Mindray UK Limited, Mindray House,
Kingfisher Way, Hinchingbrooke Business Park, Huntingdon, Cambs, PE29 6FN
Tel: 01480 416840 Fax: 01480 436588
Web:
www.mindrayuk.com February 2023 I
www.clinicalservicesjournal.com 7
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