Abpm Asia Pacific Training

Ambulatory Blood Pressure Training

ABPM Training Expectations  ABPM technologies  Clinical application  ABPM 6100  Features and benefits  Common objections  Competition

What ABPM Does  Device that takes blood pressure readings typically over 24 hour period  Patients wear a blood pressure cuff and a monitoring unit  Measurements are taken automatically at periodic intervals, may be different during the day vs night  The monitor stores all of the readings and typically connects to a computer or printer to generate a report

Types of ABPM Technology  Auscultatory Technique  Utilizes a microphone to detect Korotkoff (“K” sounds)  Also senses pressure changes in the cuff  Less convenient hook-up than oscillometric technique  Sensitive to microphone placement  Microphones are often delicate and effected by external sound  Technique used by the WA QuietTrak

Source: Ambulatory Blood Pressure Monitoring: Clinical Uses, Weber, 1992.

Types of ABPM Technology  Auscultatory with “R” wave gating  Requires chest electrodes to detect patient’s “R” wave in addition to a microphone  More accurate  More difficult to Hook-up  Not particularly well suited for physician office use

Types of ABPM Technology  Oscillometric Technique Uses only a cuff, no additional sensors  Senses pressure changes in cuff  Uses algorithm to calculate systolic and diastolic values  Easy Hook-up 

Source: Ambulatory Blood Pressure Monitoring: Clinical Uses, Weber, 1992.

Anatomy & Disease Management

What is normal blood pressure?  Cannot be precisely categorized  120/80 is usually considered normal for healthy adults

Types of Hypertension  White Coat Hypertension- Only at hypertensive levels in doctor’s office  Primary Hypertension – Unable to identify specific cause  Secondary Hypertension – Caused by identifiable influencers (pregnancy, another disease, medication…)  Labile Hypertension –Variable/non consistent from day to day

Dangers of High Blood Pressure  Hardening of the Arteries (stroke & heart attack)  Enlarged Heart (heart failure)  Kidney Damage  Eye and Brain Damage

Treatment  Lifestyle Modifications  Lose Weight  Exercise  Quit Smoking  Reduce Alcohol Consumption  Reduce Stress  Diet  Medication

ABPM Market and Applications

ABPM Patient Market  50 Million hypertensives in U.S. (est.)  20-25% white coat hypertensive  Growing worldwide problem  Medical organizations supporting the use of ABPM:  American College of Cardiology (ACC)  The American Society for Hypertension (ASH)  The British Hypertension Society (BHS)

Applications of ABPM  Helps distinguish sustained hypertension from white coat hypertension  Assesses patient response to anti-hypertension medication  Can improve patient adherence to treatment  Only way of obtaining “true” 24 hour readings during regular daily activities Source: Sixth Report of the Joint Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (1997)

Target Markets Aware of ABPM? Cardiologist

Yes

Family Physicians

Not Typically

Internal Medicine

Relatively Aware

Nephrology

Very Aware

Pharmaceutical – CRO

Very Aware

ABPM 6100 Information

Changes in 2005  Replaced the old 6100 software with the Cardio Perfect Workstation software – April 1, 2005  The benefits of the CPWS  More feature rich – better editing tools  Other diagnostic modules – ECG, stress, Spirometry  EMR connectivity  The new software is compatible with any of the 6100 Recorders sold by Welch Allyn

ABPM 6100S Features & Benefits Feature Benefit Oscillometric Technology Reduces set-up time, increases patient comfort & improves reliability One Button Operation

Easy to use

Lightweight Design

Comfortable and improves patient compliance The Cardio Perfect workstation software

Software Included

provides powerfull review and editing tools. The workstation is a paperless repository of test records and facilitates EMR connectivity Quiet

Non-distracting - improves patient compliance Low Power Consumption Convenient and costs effective with durable or disposable batteries - 2 AA Optional disposable cuffs Eliminates tedious cleaning and potential for cross contamination 2 Year Repair / Replace Warrany

Reduces repair expenses

Ordering Information Part #

Description

ABPM-6100S

ABPM System w/6100 Recorder & software

ABPM-6100

ABPM-6100 Recorder with accessories ABPM 6100 Cuffs

6100-10

ABPM 6100 Cuff, Child (160-218 mm)

6100-11

ABPM 6100 Cuff, Small Adult (211-266 mm)

6100-12

ABPM 6100 Cuff, Adult (254-343 mm)

6100-13

ABPM 6100 Cuff, Adult Plus (270 -420 mm)

6100-14

ABPM 6100 Cuff, Large Adult (343-482 mm) ABPM 6100 Accessories

5100-42E

Patient Diaries (Set of 50)

5100-44

Pads, Cuff Anchors (Set of 50)

6100-21

ABPM 6100 Pouch (Black)

6100-22

ABPM 6100 Shoulder Strap (Black)

6100-23

ABPM 6100 Waist Belt (black)

6100-24

ABPM 6100 PC Interface Cable

6100-25

ABPM 6100 Y Calibration Fitting

6100-26

AMPM 6100 Clamshell Storage Case

ABP - SW

ABPM Cardio Perfect Software

System Components

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Clam Shell (not shown) Monitor Software Interface Cable Pouch Cuff

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Belt & Shoulder Strap Cuff, Anchors, and Anchor Strap Patient Diaries Batteries Warranty Card

Disposable cuffs  Safety  100% Latex Free  Biocompatible  Designed for single patient use  Reduces risk of cross contamination – This is very important for ABPM patients due to extended exposure to patient skin  Part Numbers  #5082-94-3  #5082-95-3  #5082-96-3  #5082-97-3

Child Disposable Cuffs Small Adult Disposable Cuffs Adult Disposable Cuff Large Adult Disposable Cuffs

Demonstration

Competitive Overview (U.S.)  Burdick/Spacelabs – Market Leader  Widely used for drug research  Validated and accepted devices  SunTech  Strong small focused competitor  Broad ABPM offering  Tiba  Korean Company  Aggressive pricing

In Summary - Why the WA ABPM 6100?  Effective system to monitor your patient in their own environment  Powerful CardioPerfect software  Rich data review and editing tools  Combines the results of other diagnostic modules, ECG, stress and spirometry (future) into one database  Paperless repository  Facilitates EMR connectivity  Welch Allyn Service and Support

Questions?