ImaCor Inc. hTEE
If You Haven't Seen ImaCor in 2012, You Haven't Seen ImaCor
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hTEE In the News

  MCCG photo  

    

The Medical Center of Central Georgia Announces New Advanced Monitoring System 

 

MACON, GA - (September 6, 2012) The Medical Center of Central Georgia (MCCG) is pleased to announce the addition of a first-of-its-kind medical device to guide the identification and management of compromised blood flow in critically ill patients.

 

MCCG has added the ImaCor hTEE™ system to its Cardiovascular and Surgical Trauma Intensive Care Units (CVICU and STICU) to allow physicians to view the heart function of critical patients in real time.

 

To Read More, Click Here 


 The Daily Dose @Jefferson Blog 
 Dr. Nicholas Cavarocchi at TJU Hospital in SCCU
 August 9, 2012  

For critically ill patients, it is important for physicians to monitor how the heart is functioning in real-time.

A new device is allowing surgeons at Jefferson University Hospitals to monitor patients' complete cardiac function without the need to transport them from their hospital rooms.

To Read More, Click Here.
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hTEE Evening Symposium

ESICM October
Interested in attending the hTEE Symposium in Portugal on October 14? 


Space is limited so please contact us at press@imacorinc.com to reserve your spot.

Conferences
  Der Haupstadtkongress on September
HAI 2012
September 13-15, 2012
Berlin, Germany
SOCCA Annual Meeting October 11-12, 2012  

SOCCA Annual Meeting 

October 11 - 12, 2012
Washington, DC, USA  

ctpPhotos
The ImaCor EVO being used at CHU Ambroise Pare by Antoine Vieillard-Baron MD PhD and Cyril Charron MD PhD
Our next generation Zura EVO being used at CHU Ambroise Pare by Antoine Vieillard-Baron MD PhD (right) and Cyril Charron MD PhD (left) while Nic Heron of ImaCor looks on.
Dr. Gardecki practicing on sim during
Michelle Gardecki MD from Thomas Jefferson University (TJU) Hospital orienting a ClariTEE probe in ImaCor's state-of-the-art simulator during hTEE training.
Dr. Urtecho placing a probe at TJU neuro 
Jacqueline Urtecho MD from TJU Neuro ICU assessing patient cardiac filling and function.
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Defining hTEE   

Our revolutionary technology defined a new kind of TEE
-hemodynamic TEE -
to reflect the unique application of our miniaturized, disposable ClariTEE probe that provides TEE imaging while remaining indwelling for up to 72 hours. 
The hTEE Approach
(click to enlarge)
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ctpClinical Training Pathway

Clinical Training Pathway 5 Step Program  
The ImaCor hTEE Clinical Training Pathway (CTP) is a 5-step program designed to help TEE and non-TEE trained users master hTEE simply and effectively.
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Contact Us
 

   

 

 


Update hTEE: An Established Technology and Applicationtop

If you haven't seen ImaCor in 2012, take a look at some significant advances:

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Expanding Utility - Neuro
hTEE in the Neuro ICU video
Jacqueline Urtecho MD, Assistant Professor of Neurosurgery and Neurology, Thomas Jefferson University Hospital
Dr. Jacqueline Urtecho providing a video testimonial
"The biggest advantage to implementing hTEE for a Neuro ICU is ease of use and quickness of evaluation for volume..."

hTEE is helping physicians globally in weaning neuro ICU patients off pressors faster and manage their unique hemodynamic complexities.
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Expanding Utility-Trauma
topClinical Utility of Miniaturized Transesophageal Imaging in a Trauma Patient with Right Ventricular Rupture
Benjamin Kohl MD, Chief of Critical Care Division, Hospital of the University of Pennsylvania
 

Picture of Benjamin Kohl, MD A 41-year-old female presented to the ER following an
MVA. She had a remarkable history of orthotopic heart
transplant 10 years prior. One week prior to admission,
she developed an acute coronary syndrome, which required percutaneous coronary intervention. Upon examination, she was found to have multiple orthopedic injuries as well as bilateral cerebral contusions. Given the nature of the blunt trauma, computed tomography (CT) of the chest was ordered. Results showed RV freewall discontinuity consistent with RV rupture that appeared contained within the thorax.
 
. . .Surgical repair could not be performed immediately due to treatment of concomitant cerebral contusions with anticoagulation therapy. Insertion of a pulmonary artery (PA) catheter poses a risk of systemic bleeding during anticoagulation therapy, therefore was not performed. Given the importance of structural and hemodynamic information needed to determine the course of treatment in a high risk, preoperative patient, hTEE imaging was superior for imaging of the patient's right heart function. Importantly, hTEE does not interfere with anticoagulation therapy and can be indwelling for up to 72 hours.



Day 1 Assessment of Biventricular Function
Day 1: Assessment of
Biventricular
Function
Day 2 Second Assessment of Biventricular Function
Day 2: Second Assessment of Biventricular Function
Healthcare Economics
hTEE Cost Justification Model
(Case Studies)
roi
Making the Right Decision Clinically and Financially

The reason for choosing ImaCor to manage your hemodynamically unstable patients is quite compelling: with 20% of ICU patients generating 80% of ICU costs, evidence shows hTEE leads to improved outcomes and decreased costs when applied to these highest-acuity patients.  To see how three institutions have verified this, click the image below. 
 
Cost Benefit Analysis
(click to enlarge)

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Protocols
protocolhTEE Integrated into Unit Protocols     

Wake Forest University Baptist Medical Center, University of Alabama at Birmingham Hospital (UAB), Columbia University Medical Center and Thomas Jefferson University Hospital are among the hospitals that have incorporated hTEE into their post-op cardiac and/or trauma patient protocols. The following is an example of one such protocol, developed and used at UAB's Trauma/Burn ICU.

UAB Trauma Protocol using hTEE

Literature Review
Pressors - Yes or No? How hTEE Can Help
Harold M. Hastings PhD, ImaCor Inc.

(Excerpted, please click to read full report)  

 

A recent 2,332 patient study from Harvard-MIT, Mount Sinai, NYU, and Beth Israel Deaconess (Lee J, Kothari R, Ladapo JA, Scott DJ, Celi  LA, Interrogating a clinical database to study treatment of hypotension in the critically ill. BMJ Open 20122:e000916 doi:10.1136/bmjopen-2012-000916) clearly evaluates the role of pressors and their potential side effects. We present here the high points of that study, a link to the study and abstract, and some thoughts about the role of hTEE.

 

A patient presents with hypotension or is at risk for hypotension following surgery, trauma, or sepsis. Administer volume, inotropes, pressors, a combination? Here are the main results:  

main results of hypotension

Read More 

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Lee J, Kothari R, Ladapo JA, Scott DJ, Celi  LA. Interrogating a clinical database to study treatment of hypotension in the critically ill. BMJ Open 20122:e000916 doi:10.1136/bmjopen-2012-000916 - click here 

 

As we head into the Fall, we are focused on delivering to all customers the tremendous developments we have achieved this year. We continue to refine our process and to advance our technologies to provide unique solutions for critical care. Our clinical specialists are focused on new installations throughout the US and Europe including Henry FordMayo ClinicCharite-Universitaetsmedizin Berlin, and Hospital Sao Jose in Lisbon.

 

Equally impactful, our advanced solutions prove to be extremely beneficial to our users' workflow.  We realize the compelling evidence that 20% of ICU patients are generating 80% of unit costs. As an essential critical care resource and part of our users' high acuity escalation plans, hTEE is optimizing hemodynamic therapies to reduce these costs. Our technology is playing an integral role as physicians identify specific clinical indicators of potential complications and establish protocols to address them.

 

The paradigm is changing in the field of hemodynamic management.  While we bring you a myriad of educational opportunities this Fall, know our focus is years ahead.  Join us at the hTEE Lisbon Symposium, where world-renowned physicians in critical care will present their clinical evidence, and learn about this revolutionary approach for your sickest patients.

 

With warmest regards,

 

Peter Pellerito

President and CE

 

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