The Future of Respiratory Monitoring

The Problem

Current technology is REACTIVE, and alarms are set off after the patient is in trouble.

The current standard of care for respiratory monitoring outside of the operating room (OR) and intensive care unit (ICU) is nursing attention with pulse oximetry, and this is NOT working¹ because:

There is less than 30% compliance to patient assessment at 2-4 hours on the general care floor
90% of adverse events warnings are missed by periodic nursing checks.
50% of all adverse events in hospitalized patients occur on the general care floor²

Patient hypoxemia is common and persistent³

21% of patients have <90% SpO2 for 10+ minutes per hour.
10% of patients have <90% SpO2 for 20+ minutes per hour.
37% of patients have <90% SpO2 for an hour or more.
60% of patients have at least one abnormal vital sign 4-6 hours before a rescue event⁴

840K – 2.24M patients in the United States experience post-operative respiratory complications (3%-8%)⁵,⁶

These patients have 10X thirty-day mortality
These patients have 40% mortality if an in-hospital respiratory failure occurs

Current OR and ICU technology works very well, but it is not transferable to the patient’s bedside because it is too large, complex, and expensive.

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[1] Avoiding AE secondary to opioid-induced respiratory depression. JONA, Vol.46, No.2, pp 87-94

[2] Anderson LW et. al. Acute respiratory compromise on inpatient wards in the US: Incidence, outcomes and factors associated with in-hospital mortality. Resuscitation 2016; 105:123-9

[3] Sun Z, Sessler DI, Dalton JE, et al. Postoperative hypoxemia is common and persistent: a prospective blinded observational study. Anesth Analg. 2015;121:709–715.

[4] Anderson LW et. al. The prevalence and significance of vital signs prior to in-hospital cardiac arrest. Resuscitation 2016;98:112-7 and 75% of rescue events are respiratory in nature

[5] Reference: Behrendt CE. Acute respiratory failure in the United States: incidence and 31-day survival. Chest 2000;118:1100–5.18.

[6] Stefan MS, Shieh MS, Pekow PS, et al. Epidemiology and outcomes of acute respiratory failure in the United States, 2001 to 2009: a national survey. J Hosp. Med 2013;8:76–82

Linshom Medical, Continuous Predictive Respiratory Monitoring CPRM, oxygen mask, nasal cannula, RR

The Solution

Linshom Medical is PREDICTIVE of respiratory decline and notifies the healthcare team when interventions are easy and inexpensive.

Linshom Medical is the first to deliver an operating room-quality respiratory profile to the patient’s bedside for continuous, predictive respiratory monitoring (CPRM). This wearable, FDA-cleared sensor provides advance notice of respiratory decline, helping to avoid costly rapid response activations, rescue events (codes), ICU transfers, and death.

Wearable, Non-Invasive, Safe. Follows current, established workflow in the post-anesthesia care unit (PACU), emergency department (ED), and on the general care floor (GCF).

How It Works

Respiratory monitor, medical monitor, hospital, breathing monitor, tidal volume, respiratory rate

Differentiator

Linshom Medical is the only device capable of practically delivering the trend of relative Tide Volume (rTV) to the patient’s bedside.

RR and rTV provide advance notice to the care team and help solve the current false alarm problem.