Nihon Kohden Introduces Defensive Monitoring

12.03.13_1Nihon Kohden demonstrated their Prefense  Early Detection and Notification System  at the American Society of Anesthesiologists meeting in October of this year. The Prefense offers Defensive Monitoring  via Nihon Kohden’s Surveillance Central Monitoring Solution which monitors respiratory rate, oxygen saturation (SpO2), heart rate and non-invasive blood pressure in 16, 24, 32 and 40 configurations. A wireless EtCO2 option is also available. Additionally, the system can work with the NTX multi-parameter telemetry transmitter.

12.03.13Mike Dashefsky, Vice President of Patient Monitoring Group for Nihon Kohden, claims the Prefense product has the advantage because “it offers a whole enterprise solution.” This allows the system to follow the patient through the continuum of care, something not offered with standard SpO2 central monitoring systems. As he explains, “if a patient is transferred to intensive care or a telemetry unit all of the patient’s data goes with them. There is a complete record leading up to and including the event. We feel that this type of monitoring is not just for the post-surgical patient receiving pain medication, but for the ambulatory patient as well. Our application for the iPad is useful for rapid response teams as well. Team members can receive an early alert and see what is happening with the patient before arriving at the bedside.”

While patients on a general med-surg floor have their vital signs checked every 2 to 4 hours, for some this is not adequate. Post-op patients receiving opioids are at risk of having a life threatening episode that may go undetected on a standard patient care area. Early alert of patient deterioration allows fast response by staff with improved patient outcomes.

Nihon Kohden has two main competitors in this space, Nellcor and Masimo. Central Monitoring for oxygen saturation and heart rate for general care floors was first introduced by Nellcor (Covidien) with their Intouch Remote Monitoring system and later with the OxiNet III hardwired and wireless RF systems. These systems were designed for patient care areas away from the continuous monitoring offered in the intensive care and telemetry units. The Oxinet III Remote Monitoring System offers continuous central monitoring with up to a 24 bed wireless or hardwired system. The Oxinet utilizes the N-600x bedside pulse oximeter, which monitors heart rate and oxygen saturation, with SatSeconds alarm management.

Masimo offers the Patient SafetyNet System for remote monitoring which can include end tidal CO2 monitoring. Masimo also offers the Rainbow Acoustic Monitoring option to noninvasively measure respiration rate with a sensor placed on the patient’s neck. Configurations range up to 40 beds, with up to four parameters continuously monitored. Options for the Patient SafetyNet and Oxinet III include pagers for clinician notification.

Central monitoring addresses the rising patient acuity level on general care areas by assisting with early clinician notification and rapid response. Hospitals utilizing monitoring for these patient care areas report a decrease in transfers to ICU.

Remote patent monitoring supports the Joint Commission’s National Patient Safety Goals guidelines for improved notification of patient events and faster response times.

Kathey Leibold, RRT
Kathey Leibold, RRT, Clinical Analyst — Ms. Leibold joined MD Buyline in 2002 with over 24 years of experience in respiratory care for the neonatal, pediatric, cardiac and neurocritical care patients. She is the clinical analyst for respiratory care, pulmonary diagnostics, neurodiagnostics and anesthesia delivery systems. She graduated from South Plains College with a degree in respiratory care. She is credentialed through the National Board for Respiratory Care as a registered respiratory therapist and is licensed by the Texas Department of State Health Services as a respiratory care practitioner.