COPENHAGEN, Denmark--(BUSINESS WIRE)--Jun. 11, 2018--
Masimo (NASDAQ:
MASI) announced today the findings of an abstract presented at
Euroanaesthesia 2018 in which researchers compared Masimo Patient State
Index (PSi), a processed EEG parameter provided by SedLine®
brain function monitoring (in this study, first generation SedLine), to
Medtronic Bispectral Index (BIS™) in monitoring the depth of anesthesia
of two groups of patients: healthy volunteers undergoing hepatotomy for
liver donation and cirrhotic patients undergoing liver resection. The
researchers found “excellent” agreement between the two methods as well
as similar sevoflurane consumption, and found that PSi 1.0 was less
affected by electrocautery.1
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Masimo Root® with SedLine® PSi and O3® Regional Oximetry (Photo: Business Wire)
In the study, Dr. Yassen and colleagues at Menoufia University in Shibin
El Kom, Egypt, sought to test agreement between two brain function
monitoring indices, Masimo PSi and Medtronic BIS. They monitored 60
patients in 4 sub-groups: with healthy livers undergoing hepatotomy (15
PSi, 15 BIS) and with cirrhotic livers undergoing resection (15 PSi, 15
BIS). Sensors for both technologies were simultaneously applied and
anesthetists monitoring PSi were blinded to BIS results and vice versa.
To measure the level of interference from electrocautery on each index,
the researchers noted whether BIS and PSi values were present
(displayed) or absent each time the electrocautery unit was activated.
The researchers found “An excellent degree of reliability between PSi
and BIS at all measuring points.” With 804 data pairs total, they
calculated an overall intra-class correlation of 0.92 (95% confidence
interval of 0.91-0.93, p<0.001). Using Bland-Altman analysis, they
calculated overall mean bias difference of 2.19 (95% confidence interval
of 1.40-2.98, p<0.0001). PSi-guided and BIS-guided sevoflurane
consumption were similar: 65.67ml+/-31.60ml and 68.47ml+/-27.63ml
respectively, p=0.983.
The researchers found the following rates of incidence of electrocautery
interference:
|
Diathermy interference?
|
|
PSi 1.0
|
|
BIS
|
|
Test of significance
|
No
|
|
96.67%
|
|
31.67%
|
|
Z=7.4246 (p ≤0.001)
|
Yes
|
|
3.33%
|
|
68.33%
|
|
The researchers concluded, “Agreement between PSI and BIS during surgery
is excellent among patients with healthy or cirrhotic livers. Both can
be used to monitor trends of anaesthesia depth changes and equally
consumed similar sevoflurane volumes. However PSI allowed for continuous
monitoring without interruptions from electrocautery.”
SedLine brain function monitoring helps clinicians monitor the state of
the brain under anesthesia with bilateral acquisition and processing of
four leads of electroencephalogram (EEG) signals. Next Generation
SedLine, now available worldwide, features an enhanced PSi with less
susceptibility to EMG interference and improved performance in low power
EEG cases, as well as an enhanced Multitaper Density Spectral Array
(DSA).
@MasimoInnovates |
#Masimo
Reference
-
Yassen K, Elsheikh M, Helal S, Badawy E, and Metwally A. Patient State
Index versus Bispectral Index in cirrhotic patients and non-cirrhotics
undergoing hepatic resection: A controlled randomized study.
Proceedings from Euroanaesthesia 2018, Copenhagen, Denmark. #1167.
About Masimo
Masimo (NASDAQ: MASI) is a global leader in innovative noninvasive
monitoring technologies. Our mission is to improve patient outcomes and
reduce the cost of care. In 1995, the company debuted Masimo SET®
Measure-through Motion and Low Perfusion™ pulse oximetry, which has been
shown in multiple studies to significantly reduce false alarms and
accurately monitor for true alarms. Masimo SET® has also been
shown to help clinicians reduce severe retinopathy of prematurity in
neonates,1 improve CCHD screening in newborns,2
and, when used for continuous monitoring with Masimo Patient SafetyNet™*
in post-surgical wards, reduce rapid response activations and costs.3,4,5
Masimo SET® is estimated to be used on more than 100 million
patients in leading hospitals and other healthcare settings around the
world,6 and is the primary pulse oximetry at 17 of the top 20
hospitals listed in the 2017-18 U.S. News and World Report Best
Hospitals Honor Roll.7 In 2005, Masimo introduced rainbow®
Pulse CO-Oximetry technology, allowing noninvasive and continuous
monitoring of blood constituents that previously could only be measured
invasively, including total hemoglobin (SpHb®), oxygen
content (SpOC™), carboxyhemoglobin (SpCO®), methemoglobin
(SpMet®), Pleth Variability Index (PVi®), and more
recently, Oxygen Reserve Index (ORi™), in addition to SpO2,
pulse rate, and perfusion index (Pi). In 2014, Masimo introduced Root®,
an intuitive patient monitoring and connectivity platform with the
Masimo Open Connect® (MOC-9®) interface, enabling
other companies to augment Root with new features and measurement
capabilities. Masimo is also taking an active leadership role in mHealth
with products such as the Radius-7® wearable patient monitor,
iSpO2® pulse oximeter for smartphones, and the
MightySat™ fingertip pulse oximeter. Additional information about Masimo
and its products may be found at www.masimo.com.
Published clinical studies on Masimo products can be found at http://www.masimo.com/evidence/featured-studies/feature/.
ORi has not received FDA 510(k) clearance and is not available for sale
in the United States.
*The use of the trademark Patient SafetyNet is under license from
University HealthSystem Consortium.
References
-
Castillo A et al. Prevention of Retinopathy of Prematurity in Preterm
Infants through Changes in Clinical Practice and SpO2
Technology. Acta Paediatr. 2011 Feb;100(2):188-92.
-
de-Wahl Granelli A et al. Impact of pulse oximetry screening on the
detection of duct dependent congenital heart disease: a Swedish
prospective screening study in 39,821 newborns. BMJ. 2009;Jan
8;338.
-
Taenzer AH et al. Impact of Pulse Oximetry Surveillance on Rescue
Events and Intensive Care Unit Transfers: A Before-And-After
Concurrence Study. Anesthesiology. 2010; 112(2):282-287.
-
Taenzer AH et al. Postoperative Monitoring – The Dartmouth Experience. Anesthesia
Patient Safety Foundation Newsletter. Spring-Summer 2012.
-
McGrath SP et al. Surveillance Monitoring Management for General Care
Units: Strategy, Design, and Implementation. The Joint Commission
Journal on Quality and Patient Safety. 2016 Jul;42(7):293-302.
-
Estimate: Masimo data on file.
- http://health.usnews.com/health-care/best-hospitals/articles/best-hospitals-honor-roll-and-overview.
Forward-Looking Statements
This press release includes forward-looking statements as defined in
Section 27A of the Securities Act of 1933 and Section 21E of the
Securities Exchange Act of 1934, in connection with the Private
Securities Litigation Reform Act of 1995. These forward-looking
statements include, among others, statements regarding the potential
effectiveness of Masimo SedLine® and PSi. These
forward-looking statements are based on current expectations about
future events affecting us and are subject to risks and uncertainties,
all of which are difficult to predict and many of which are beyond our
control and could cause our actual results to differ materially and
adversely from those expressed in our forward-looking statements as a
result of various risk factors, including, but not limited to: risks
related to our assumptions regarding the repeatability of clinical
results; risks related to our belief that Masimo's unique noninvasive
measurement technologies, including Masimo SedLine and PSi, contribute
to positive clinical outcomes and patient safety; risks related to our
belief that Masimo noninvasive medical breakthroughs provide
cost-effective solutions and unique advantages; as well as other factors
discussed in the "Risk Factors" section of our most recent reports filed
with the Securities and Exchange Commission ("SEC"), which may be
obtained for free at the SEC's website at www.sec.gov.
Although we believe that the expectations reflected in our
forward-looking statements are reasonable, we do not know whether our
expectations will prove correct. All forward-looking statements included
in this press release are expressly qualified in their entirety by the
foregoing cautionary statements. You are cautioned not to place undue
reliance on these forward-looking statements, which speak only as of
today's date. We do not undertake any obligation to update, amend or
clarify these statements or the "Risk Factors" contained in our most
recent reports filed with the SEC, whether as a result of new
information, future events or otherwise, except as may be required under
the applicable securities laws.

View source version on businesswire.com: https://www.businesswire.com/news/home/20180611005756/en/
Source: Masimo
Media
Masimo
Evan Lamb
949-396-3376
elamb@masimo.com