• + Quantum Perfusion for the O.R.
    • Quantum Perfusion for the OR:

      The flexible range of Quantum Perfusion Technologies combined with vertical and horizontal space frame solutions is a unique combination of world leading Perfusion Technologies and Integrated Patient Safety Systems designed to support a wide range of clinical therapies that use Extracorporeal Circulation for patient life-support within the Operating Room.

      Heater-Cooler (Mr. Frosty):

      A powerful and revolutionary Heater-Cooler technology that eliminates the growth environment for the Mycobacterium Chimaera bacteria, eliminates the disruption of the Operating Room based laminar flow systems and eliminates the time-consuming need for hazardous cleaning procedures.

    • Quantum Technologies for the O.R.
    • Quantum Perfusion Modules
    • Quantum Thermal Technologies
    • Total Customer Support
  • + Quantum Perfusion for the I.C.U. & Transport
    • Quantum Perfusion for the ICUs:

      The flexible range of Quantum Perfusion Technologies have been developed by Spectrum Medical to support a wide range clinical therapies in the ICU and emergency procedures in the Cath-Lab.  Platform flexibility combined with superior performance and the ultimate systems integration with Quantum Informatics delivers the highest quality of care and patient safety.

      Quantum Perfusion for Transport:

      The use of Carbon Fibre offers significant weight savings when compared to existing transport platforms without sacrificing overall system strength when used in rugged environments.  The Melbourne Transport Frame integrates with various Quantum Perfusion Modules and makes use of a range of Quantum Sterile Technologies and when in the ICU the overall system can “dock” with Toronto ICU system as well as Quantum Informatics.

    • Quantum Technologies for the I.C.U. & Transport
    • Quantum Perfusion Modules
    • Total Customer Support
  • + Quantum Software Solutions
    • Quantum Informatics:

      Quantum Informatics is a total solution for the complex high acuity space focused on patient clinician connectivity in the I.C.U. and the O.R. As a fully HL7 compliant system, Spectrum Medical’s Quantum Informatics Technology allows for the integration of 3rd party devices, the real-time distribution of critical patient information and deployment of “active Patient Safety Systems” and clinical Best Practice.

      Quantum EMR:

      Easy to learn and use, the Quantum EMR (formally VIPER) software is highly responsive with single-tier navigation offering peace of mind that the process of EMR generation will not impact patient care or patient safety.  It is ideally suited as a solution for clinical specialty areas not supported by larger enterprise systems or where flexible workflow / device integration is a key requirement for clinical use.

    • Quantum Informatics
    • Quantum EMR

Quantum Directed Perfusion

The Tools to help Improve Outcomes

Quantum Directed Perfusion provides the next generation capabilities beyond traditional Perfusion monitoring and basic Goal Directed Perfusion (GDP) techniques. Quantum Directed Perfusion (QDP) from Spectrum Medical goes well beyond the simplistic approach of measuring DO2. This multifaceted approach to QDP provides the clinician team with the methodologies to develop best practice strategies that can lead to the reduction of AKI, and the higher costs associated with extended I.C.U. Time. 1,2,3,4

 The Principles of Quantum Directed Perfusion (QDP)

      • The starting point for QDP is the use of Spectrum Medical’s non-invasive diagnostic technology for the measurement of Oxygen Delivery (DO2), Oxygen Consumption (VO2), CO2 Production (VCO2), and multiple other calculations and indices.

      • The monitoring of real-time total Oxygen Deficit is a completely new and critically important concept to the world of Perfusion. The Quantum technology displays the real-time reporting of total time and percentage of case time when actual DO2 is below target DO2. Having this information intra-operatively and in real-time significantly increases the quality of bypass management.

However, more importantly Quantum Directed Perfusion calculates Oxygen Deficit or a total “area under the curve” calculation which is generated by the accumulation of an actual deficit value (i.e. target DO2 minus actual DO2) multiplied by a unit of time.

It is accepted that the potential of AKI is significantly increased with large DO2 deficits.4  Calculating the Oxygen Deficit and then equating it to outcomes is a relatively straight forward process using Quantum’s Informatics technology.  Such an analysis can be useful in determining intra-op best practice. 

To further increase the precision of patient DO2 requirements Spectrum Medical includes the capability to apply a percentage reduction per degree C to reflect decreasing metabolic activity as patients are cooled during Cardiac Bypass Surgery. The reduction per degree C is fully programmable and dependent on hospital based protocols. For example, if a DO2 of 270mL/kg/m2 at 37°C is the standard target and hospital protocols indicate a 7% / degree C as the change in Oxygen demand, the target DO2 would be 251mL/kg/m2 when the patient is at 36° C.

      • Spectrum Medical’s Critical Care Scoring technology supports a pro-active clinical risk assessment using recognized AKI markers such as age, gender, Pre-op Hct /Hb. EF, DM, and existing renal issues, and the subsequent deployment of an individual patient care strategy.

      • Quantum Informatics and its LIVE VUE technology improves patient care with the seamless integration of “multiple information feeds” into central viewing systems that are available to everybody in the Operating Room. 

About AKI

Some form of AKI occurs in nearly 10% of patients including 8% during cabg, 11.4% during valve procedures, and 17% of valve/cabg cases. 1

The impact on the patient and hospital include:
• Increased Negative Outcomes and Length of Stay in the I.C.U.
• Increased Mortality & Morbidities
• Increased costs & drain on hospital resources
• Increased requirement for RRT

Even in its mildest form, AKI more than doubles Morbidity, and increases LOS and Post-op costs by more than 50% 1,2,3

The average cost of AKI Vs Non-AKI in Cardiac Surgery is over $38,000 per patient, in the United States over $1 Billion annually is spent on increased hospital cost. 1


References

1. Alshaikh, et al. Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States. Ann Thorac Surg. 2018 Feb;105(2):469-475.
2. de Somer, et al. O2 Delivery and CO2 Production During Cardiopulmonary Bypass as Determinants of Acute Kidney Injury: Time for a Goal-Directed Perfusion Management? Critical Care 2011; 15:R192.
3. Dasta JF, Kane-Gill SL, Durtschi AJ, et al. Costs and Outcomes of Acute Kidney Injury (AKI) Following Cardiac Surgery. Nephrol Dial Transplant. 2008;23:1970-1974.
4. Ranucci M, Romitti F, Isgro G, et al. Oxygen Delivery During Cardiopulmonary Bypass and Acute Renal Failure After Coronary Operations. Ann Thorac Surg. 2005;80:2213-20.