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LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC /

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Presentation on theme: "LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC /"— Presentation transcript:

1 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC High Resolution Ultrasound High Resolution Ultrasound Detection, Prevention and Management of Pressure Ulcers

2 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC EPISCAN I-200

3 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC 10% of of patients in acute and extended stay facilities in the western world develop pressure ulcers. Annual cost ~$7billion Annual cost ~$7billion Incidence

4 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Ultrasound BiomicroscopyUltrasound Biomicroscopy Non-invasive visualization of skin and underlying two centimeters of soft tissueNon-invasive visualization of skin and underlying two centimeters of soft tissue High Frequency Ultrasound

5 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Reflections from probe membrane Coupling gel Stratum corneum of epidermis Living strata of epidermis Reflections from acoustic interfaces (e.g. between collagen & hydrated ground substance) in papillary layer of dermis Reflections from acoustic interfaces in reticular layer of dermis Hypodermis (panniculus adiposus) Reflections from collagen & ground substance interfaces within fibrous supports of adipose tissue Normal Skin

6 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC The Episcan I-200 utilizes high frequency broadband (single pulse) ultrasound and digital technology to image the skin and underlying soft tissue to very high resolution. Captured images can be stored on hard disk, backed up on an integrated CD writer and electronically transferred for remote archiving or interpretation. Digital photographs can be integrated into the patient record. The Technology

7 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Advantages Objective Assessment forObjective Assessment for  Early and reliable detection of developing pressure ulcers  Improved monitoring of existing wounds  Risk-based and cost-effective treatments Objective Documentation forObjective Documentation for  Advanced record keeping  Improved staff awareness  Reduce exposure to litigation and sanctions Episcan I-200 Ultrasound Scanner

8 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Early and reliable detection of developing pressure ulcersEarly and reliable detection of developing pressure ulcers Image tissue changes that precede visible changes regardless of skin pigmentation Episcan I-200 Ultrasound Scanner

9 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Pathogenesis “Pressure ulcers appear to begin in the subcutaneous tissue between the skin and bone as pockets of edema, indicated ultrasonically by pockets of weak reflections and progress by direct extension into dermal tissue” “Pressure ulcers appear to begin in the subcutaneous tissue between the skin and bone as pockets of edema, indicated ultrasonically by pockets of weak reflections and progress by direct extension into dermal tissue” Paul Quintavalle, DPM Director Virtua Wound Care Center

10 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Pre-Pressure Ulcers were induced in healthy volunteers by weighting the heels for 1 hour. Edema was found to begin in the subcutaneous tissue 45 Minutes after pressure was removed. Induced Pre-Pressure Ulcer Normal heel prior to pressure Note the edema in the Sub-Q tissue

11 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Phase One Pre-Pressure Ulcer Intact Epidermis Normal Dermis Pockets of subcutaneous inflammation

12 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Phase Two Pre-Pressure Ulcer Intact Epidermis Strips of dermal damage Increased subcutaneous damage

13 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Phase Three Pre-Pressure Ulcer Intact Epidermis Strips of dermal damage Increased subcutaneous damage

14 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Superficial Edema Friction Differentiate pressure ulcer from friction or incontinence related breakdown Deep Edema Pressure Epidermis Dermis Episcan I-200 Ultrasound Scanner

15 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Episcan I-200 Ultrasound Scanner Improved monitoring of existing wounds “ Up until now, nurses have been limited to a two- dimensional picture and the presence of exudate for assessing a wound. With this scanner we can see if healing has taken place in deeper tissue and not just on the surface. This device takes the guess work out of wound treatment.” Courtney H. Lyder, ND Professor, University of VA

16 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Episcan I-200 Ultrasound Scanner Improved monitoring of existing woundsImproved monitoring of existing wounds Reveals sinus tracks, wound undermining, and edemaReveals sinus tracks, wound undermining, and edema

17 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Wound Undermining Undermining Epidermis Dermis Wound

18 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Sinus Tract Epidermis Sinus track Dermis Wound

19 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Measuring Treatment Effectiveness Epidermis Fluid Dermis left heel (day 1)left heel (day 7) Same heels compared a few days after heel care program implemented. Notice a dramatic reduction of fluid between epidermis and dermis

20 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Episcan I-200 Ultrasound Scanner Implement treatment based on these objective findings! “Facilities’ caregivers now can target the intervention much more precisely based on the interpretation of the scans.” John Hertig, CEO Advanced Clinical Services Referenced from “Nursing Homes” magazine May 2004 Referenced from “Nursing Homes” magazine May 2004

21 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Control Resource Utilization Risk-based and cost-effective treatments “Thank you for the opportunity to become involved with your High Frequency Ultrasound Technology for soft tissue evaluation; we have found numerous benefits since we purchased your scanner…allows us to maintain a minimum number of protocols thereby reducing the variety of wound management products and associated costs.” Administrator, Little Flower Manor Wilkes Barre, PA

22 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Implement wound care strategies best suited for wound characteristics…… Patient specific Wound specific Wound specific Risk-based and cost-effective treatments Resource control utilization

23 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Episcan I-200 Ultrasound Scanner Reduce exposure to litigation and sanctions “Pressure ulcers are the #1 litigated wound problem in nursing homes and long term care.” “Pressure ulcers are the #1 litigated wound problem in nursing homes and long term care.” Courtney H. Lyder, ND Professor, University of VA

24 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Reduce Exposure to Litigation and Sanctions Advanced record keepingAdvanced record keeping Comprehensive electronic recordComprehensive electronic record Integrate patient and wound assessment dataIntegrate patient and wound assessment data Integrate treatment protocols and ultrasound imagesIntegrate treatment protocols and ultrasound images

25 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC High Resolution Ultrasound for Management of Pressure Ulcers Detection of pressure ulcers before clinical signs are apparentDetection of pressure ulcers before clinical signs are apparent Documentation of the existence of pressure ulcers on admissionDocumentation of the existence of pressure ulcers on admission Targeting treatments to specific anatomical areasTargeting treatments to specific anatomical areas Distinguishing between pressure ulcers and friction ulcersDistinguishing between pressure ulcers and friction ulcers Measuring treatment effectivenessMeasuring treatment effectiveness Increasing awareness and complianceIncreasing awareness and compliance

26 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Episcan I-200 Ultrasound Scanner Conclusion: The Episcan I-200 is a valuable tool for pressure ulcer detection and assessmentThe Episcan I-200 is a valuable tool for pressure ulcer detection and assessment Can aid in the reduction of the incidence of pressure ulcersCan aid in the reduction of the incidence of pressure ulcers Can aid in the treatment of pressure ulcersCan aid in the treatment of pressure ulcers Can aid in the reduction of liabilityCan aid in the reduction of liability

27 LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC / High-Resolution Ultrasound / LONGPORT, INC Further Information For further information on this system and its applications and global sales enquiries please contact: PPM Consult Ltd Business web site: PPMconsult.com Medical web site: A1med.net


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