Our health depends to a large extent on our lifestyle and the environmental effects. The adverse effects of this dependency may manifest themselves in cardiovascular, metabolic, neurological and psychiatric diseases. The disease that has developed is obvious to everyone, but changes are already starting to take place in the body before the onset. These changes can be diagnosed, stopped or reversed with individually tailored therapy by the system with a skilled professional background. An optimum rehabilitation therapy can be developed following the consequences of the disease that has developed.
The cardiovascular, neuropathic and psychiatric products developed and successfully marketed by our company aim to support this activity.
CPNSS/DB
Integrated cardiovascular cardiac and sensory nerve neuropathy measurement system
The measurement system can be effectively used for preventive screening of large populations, rehabilitation monitoring of chronic diseases in children, adolescents and adults, in general practices and emergency care.
Measured and automatically evaluated parameters:
- Cardiovascular {ECG 3 – 6 – 12 leads SPO2 (oxygen saturation), non-invasive blood pressure, body temperature}.
- Cardiac neuropathy (CAN).
- Sensory nerve neuropathy (SN).
Application benefits:
- The complete examination is performed by a specialist assistant in 15 minutes. This is facilitated by the simultaneous attachment of measuring electrodes to the body surface and the automatic performance of the measurement procedures for the tests by the software that controls the system.
- After each test is completed, the software automatically prints a PDF report. The primary curve cycles and online evaluated data of the measured parameters are stored in TXT, CSV format linked to the patient ID.
- These saved data can be exported, reloaded and evaluated.
CPNSS/DB CD4
Cardiovascular prevention rehabilitation exercise lab
Metabolic diseases (especially diabetes) and partly related cardiovascular diseases are leading the global health burden. Causes: industrialization, overpopulation, sedentary lifestyles, obesity, air pollution, stress, smoking and increasing frequency of aggressive epidemics. We offer turnkey diagnostics with therapeutic recommendations for the prevention of these diseases and the rehabilitation of the disease once it has developed.
The laboratory is composed of three main units:
- Resting cardiovascular and cardio-neuropathic diagnostic unit.
- The laboratory can simultaneously perform individual telemetry (ECG, blood pressure) and physical training of 4 patients.
- Exercise treadmills and bicycles can be customised according to user needs, with specific exercise protocols depending on health conditions.
- Intelligent technology database management system that controls the system and manages the test sites. Displays and stores online primary curve cycles, data and provides offline re-evaluation.
- Based on the evaluated data, it automatically prints a PDF report. Data is saved and can be exported to PDF, TXT, CSV formats.
CPNSS/DB LAN-01
Complex cardiovascular and metabolic diagnostics
Our health depends to a large extent on our lifestyle and the environmental effects. The adverse effects of this dependency may manifest themselves in cardiovascular, metabolic, neurological and psychiatric diseases. The disease that has developed is obvious to everyone, but changes are already starting to take place in the body before the onset. These changes can be diagnosed, stopped or reversed with individually tailored therapy with a skilled professional background.
The testing site includes 4 independent workstations, which can be operated from a central server.
- ECG (3 – 6 – 12 lead), SPO2 (oxygen saturation), blood pressure, body temperature.
- Vegetative nervous system testing with the 5 cardio neuropathic Ewing tests.
- Sensory neuropathic test on limbs with variable current levels in 3 frequency ranges. Delimiting the condition of thin myelinated, thick unmyelinated and thick myelinated nerve fibres.
- Cardiovascular telemetry exercise testing on a treadmill or bicycle ergometer.
Automatic evaluation of primary curve cycles measured by the units and printing in artifact format, based on internationally accepted protocol values (score). The evaluated data and primary curve cycles are saved in the server database manager in PDF, TXT, CSV format. The saved data can be reloaded, evaluated and exported.
CPNSS/DB CA-12
Cardiovascular and cardiac neuropathy measurement system
The measurement system is feasible for performing resting ECG forming the basis of cardiovascular examination, as well as blood pressure and pulse oxygen saturation measurements. The data evaluated from the measurement are further analysed by the system to identify abnormalities.
- Conduction disorders.
- Thrombogenic rhythm disturbances.
- Suspected left ventricular wall thickening.
- Suspected coronary heart disease.
- Post-infarction follow-up test.
Based on the evaluation the system prepares a diagnosis proposal. On the basis of these recommendations, the examining cardiologist may decide on further tests (ultrasound, laboratory etc.). Based on this information, the most effective therapy can be tailored to the tested patient. The system can be used to perform the 5 Ewing tests of the cardiac neuropathy test, which reveals the state of the autonomic nervous system.
The system stores the measured ECG waveforms, blood pressure and oxygen saturation data linked to the patient ID. The saved data can be reloaded, evaluated, and exported. The test results can be printed in medical report format.
CPNSS/DB CAN-01
Cardiac autonomic neuropathy measurement system
The autonomic nervous system regulates the functions of our internal organs, but its coordinated functioning can be disturbed by many diseases. The resulting autonomic neuropathy (AN) can lead to dysfunction in any area of the body, which can impair quality of life and life expectancy. Of particular importance is the development of cardiovascular dysregulation, which is characterized by arrhythmia, an increased risk of coronary artery involvement (ultimately myocardial infarction). At the same time, the general state and adaptation of the circulatory system is altered.
One of the most common complications of diabetes is AN, the development of which, in addition to the above, can manifest itself with characteristic symptoms affecting the functioning of many organ systems, such as:
- Fast stomach emptying, diarrhoea.
- Urinary retention disorder.
- Microcirculatory dysregulation.
- Abnormal pupil reactions, dizziness.
Vegetative involvement is well diagnosed in the asymptomatic phase and in the follow-up of the disease. The involvement can be assessed precisely with the 5 Ewing tests (parasympathetic: Deep Breathing, Valsalva, Lying/Standing Heart Rate Response, sympathetic: Lying/Standing, Handgrip (hand muscle grip) Blood Pressure Response). The system scores automatically and the emerging health status is described with a Score value.
The primary and evaluated data are automatically saved in PDF, TXT, CSV format linked to the patient ID. The saved data can be reloaded, evaluated and exported. The results of the test can be printed in the format of medical report.
CPNSS/DB SN-01
Sensory nerve neuropathy measurement system
Sensory nerve fibres, which cover the entire surface of the body, are used to perceive phenomena in the world around us (e.g. sound, light, touch, heat, pain). The classical five senses can be divided into 11 conscious sensory modalities. Damage to sensory nerve fibres from any cause can result in a significant deterioration in quality of life. In many cases, these impairments are the first noticeable symptoms of disease.
Sensory neuropathy can also develop as a complication of chronic diseases. These abnormal neurological changes are most often triggered by diabetes and other endocrine diseases, obesity, chronic alcohol abuse, or cancer (or some of the drugs used to treat it). The symptoms of the disorder develop slowly and take years to become firmly established, and can include:
- Formication.
- Extreme sensitivity to different sensations.
- Painful sensation of normally non-painful stimuli.
- Pain independent form external stimuli.
- Burning sensation.
The system is suitable for testing all sensory fibres using pulses of emitted sinusoidal current. The test is carried out at three fixed frequency ranges (thick myelin sheathless fibre 5Hz, thick myelinated fibre 250Hz, thin myelinated fibre 2000Hz) with manually adjustable current (0.01 – 9.99mA). The software gives the current values in clinically accepted CPT values (1CPT = 0.01mA).
The primary and evaluated data are automatically saved in PDF, TXT, CSV format linked to the patient ID. The saved data can be reloaded, evaluated, and exported. The results of the test can be printed in the format of medical report.
SN-01B
Quick testing of sensory nerve fibres
SN-01B provides an efficient and quick diagnostic option, preserving the high test standards of the CPNSS/DB SN-01 system.
- The test is performed at two fixed frequency ranges (thick unmyelinated fibre 5Hz, thin myelimated fibre 2000Hz) with automatically controlled current values from 0 – 999 CPT (0 – 9.99mA).
- The stimulus and the neuropathic threshold are determined automatically by the software.
- Evaluation determines the degree of nerve fibre damage in the frequency ranges.
- Measurement result are displayed on the TFT display and can be printed.
- Its practical design makes it space-saving and portable if required (Weight: 1,5 kg, Size: 22 cm x 22 cm x 10,8 cm).
CPNSS/DB ES-01
Telemetric cardiovascular workload measurement and evaluation system
The system is flexible for testing children, adolescents and adults, as it is suitable for use with treadmills and cycle ergometers.
Properties:
- 3 – 6 – 12 leads ECG configurable from software with telemetric wave transmission (WIFI).
- Online trend calculation and monitoring from 12 leads (e.g. P, R, mV. HR, RR, ST, QRS ms.).
- Online monitorable workload protocols. Configuration: from list 12 standard protocols (e.g. Bruce, Cooper, etc.), or freely designable.
- Online patient workload capacity index can be calculated and monitored.
- Online arrythmia monitoring, filtering and alarm.
- Automatic evaluation takes place based on primary waves and trends at the end of the measurement cycle.
- The test result is automatically stored and printed in medical report format.
- Data can be exported in PDF, TXT and CSV format.
- Mechanic devices: treadmill, cycle ergometer (Lode, ErgoFit).
CPNSS/DB SS-DA
Stress/anxiety measurement and evaluation system
The basis for the diagnosis developed is the sympathetic/parasympathetic responses of the gastrointestinal (GI) region to stress. These responses can be detected based on the myoelectric (EGIG) wave activity of the organs in the region (e.g., stomach, small intestine).
Additional physiological parameters are measured simultaneously to verify the response:
- Myoelectric waves (EGIG)
- ECG (Lead I).
- Skin temperature (THB).
- Galvanic skin response (GSR).
- Respiratory rate – optional (RR)
- Clinical validation by applying the protocol of „TRIER” Social Stress test”.
- The dual-function (24-hour Holter/WIFI telemetry) is placed in a disinfectable carrier vest with minimum physical burden.
- Display in 8 channels: 2x 4 channel distribution, with a 12-step time-based setting (2 sec. – 5:33:20) per 4 channels.
Automatic saving of primer curves linked to patient ID. Two-step automatic evaluation (EGIG
→FFT/PSD max. , GSR, THB. Abnormality statistics). Export: CSV (Excel format).
DEVICE COMPARISON TABLE
| FEATURES | CPNSS/DB | CPNSS/DB CA-12 | CPNSS/DB CAN-01 | CPNSS/DB ES-01 | CPNSS/DB SN-01 | CPNSS/DB LAN-01 | SN-01B |
|---|---|---|---|---|---|---|---|
| Configuring tests from software |  | | | | | | – |
| Patient categories: adults and children | | | | | | | |
| Automatic report printing based on evaluated data | | | | | | | – |
| Storage of reports and evaluated data in PDF, TXT, CSV formats | | | | | | | – |
| Reload stored data for re-evaluation | | | | | | | – |
| Diagnostic report based on evaluated data | | | – | – | | | – |
| Identification of evaluated ECG waveform values with standard validated values | | | – | – | – | | – |
| ECG: 1-3 leads | | | | | – | | – |
| ECG: 1-3-6-12 leads | | | – | | – | | – |
| Continuous HR; HR SD; RR calculation | | | | | – | | – |
| Oszcillometriás blood pressure measurement | | | | | – | | – |
| SpO2, Oxygen saturation measurement | | | – | – | – | | – |
| Automatic Pdur,; PR; QRS; QT/QTcb; T-Te ; R ; ST calculation | | | – | | – | | – |
| ECG evaluation from multiple cycles’ average | | | – | – | – | | – |
| ECG QT/QTv (variability) evaluation | | | – | – | – | | – |
| ECG QTd dispersion evaluation in 12 leads | | | – | – | – | | – |
| ECG HRV heart rate variability evaluation | | | – | – | – | | – |
| Cardiac neuropathy Ewing’s Deep breathing test validated SCORE values | | | | – | – | | – |
| Cardiac neuropathy 5 Ewing tests validated SCORE values | – | | | – | – | | – |
| Sensory nerve neuropathy CPT test in 2 frequency ranges | | – | – | – | – | | |
| Sensory nerve neuropathy CPT test in 3 frequency ranges | – | – | – | – | | | – |
| SCORE value, display of nerve fibre % damage | | – | – | – | | | |
