Q: When we perform ABI, our focus is to find the BP based on the waveform and the sound. Should we pay attention to or report the amplitude of the signal?
A: When perform ABI, it is important to focus on obtaining the best Doppler signal in order to accurately measure BPs.
Spectral Doppler waveform assessment is a diagnostic tool used in the diagnosis of peripheral vascular disease. This consensus statement from the Society for Vascular Medicine and Society for Vascular Ultrasound gives useful information on interpretation of peripheral arterial and venous Doppler waveforms (https://doi.org/10.1177/1358863X20937665).
Q: When we perform PVR, should we report the waveform of the PVR or how to describe it in the report? Should we include the amplitude of the signal or the systolic rising time in the report? How reliable of these information?
A: Similar to Doppler waveform, PVR waveform assessment is useful in the diagnosis of peripheral vascular disease. This research report describes how to use PVR waveform analysis to identify inflow disease (https://doi.org/10.1177/8756479314548066).
Q: When we perform TBI by using PPG in the dark, we normally focus the BP. Should we report the waveform or how to describe it in the report? Should we include the amplitude of the signal or the systolic rising time in the report? If the patient with 1st and 2nd toes amputated, should we proceed to other toes?
A: TBI is very useful especially when tibial arteries are incompressible. Additional toe waveform analysis may increase the accuracy of assessment for critical limb ischemia (https://doi.org/10.1016/S0741-5214(96)70101-5).
When patients have great toe amputated, you may proceed toe pressure measurement on other toes. However, you should remember results of most published studies on toe pressure are based on great toe. Furthermore, small toes may be too short to apply blood pressure cuff.
Q: The reproducibility of the toe waveform’s amplitude is quite poor and very often the amplitude is inconsistent with the ABI. Any suggestions to improve the reliability of the above tests.
A: 1) Every test has its limitations; 2) Practice makes perfect.
References:
Dolphin/MAX is the Ultimate All-in-One TCD Machine
Transcranial Doppler machine with an integrated rechargeable battery. The Dolphin/MAX is the ideal portable TCD system for measurements of cerebral blood flow in Neurology, ICU, and Neurosurgery settings.
Fully digital Doppler technology with the amazing Dolphin TCD post-processing capabilities.
Review and replay the blood flow waveforms with audio at ANY depth.
Discover unmatched clinical diagnosis capabilities.
The unique Dolphin/XF robotic probe changes the Transcranial Doppler monitoring market as is known to date.
Fast and simple scanning is achieved thanks to special algorithms and processed for blood flow detection, allowing the Dolphin/XF to continually track a targeted blood vessel and keep it in view automatically.
The Dolphin/XF robot is comfortable and stable, simplifying probe fixation and saving time.
The Dolphin TCD monitoring headset is designed to assist in performing short of long-term monitoring of a patient’s cerebral blood flow.
The famous Dolphin Quick-Lock provides the quickest and easiest locking solution for holding Doppler probes in place.
The Dolphin TCD software is rich with a large number of built in protocols to guide the operator through different monitoring assessments of cerebrovascular function.
The Dolphin is considered by many as the most reliable Transcranial Doppler machine in the market.
Robust TCD equipment and high-quality Doppler probes are designed for all TCD clinical applications in hospital, surgical and outpatient testing environments.
The slim and lightweight design of the Dolphin TCD machines allows ideal and comfortable portability.
The large touch screen can easily be seen from a distance. Mounting the TCD on a trolley is simple and easy.
The Dolphin/MAX has a built-in integrated battery that lasts for hours.
The unmatched Dolphin connectivity capabilities are ideal for hospital IT personnel and EMR / PACS administrators.
Simple plug-and-play operation allows connectivity configuration with automated DICOM Worklist & Storage, Structured Report, and HL7.
Unlimited Review Stations for interpretation and reporting in the comfort of your office.
Simultaneous counts of suspected embolic events bilaterally and in all depth gates using a high-resolution proprietary algorithm.
Includes numerous advanced emboli analysis options with the proprietary super high-resolution power M Mode display during HITS detection.
Dedicated protocol for Patent Formen Ovale diagnosis.
The advanced HITS Analysis screen allows easy browsing through a list of suspected emboli for quick confirmation.
Unique trends builder tool provides easy tracking over time of the disease state for timely clinical intervention.
Follow Vasospasm progression with the advanced display and reporting options of the Dolphin TCD.
Share vasospasm tracking data among multiple Dolphin TCD machines within your institute.
Dolphin TCD includes multiple protocols for autoregulation testing.
A step-by-step guided protocol assists in performing the Breath Holding Test and BHI calculation or the VMR protocols with/without a capnograph.
User-friendly report builder tool to design a report layout, including institute, logo, and details for an impressive patient report.
Save valuable time by building your customized report with preconfigured interpretation templates.
The exciting integrated Drag & Drop editor allows you to easily build a digital copy of your institute’s worksheets.
Examination time is saved with automatic data feeding allowing to examine many more patients per day.
The intelligent Dolphin software sends the completed worksheets automatically to the institute’s PACS and EMR.
Minimal learning curve thanks to the renowned Dolphin TCD user-friendly software with a large touch-screen display.
A selection of wired and wireless remote control and footswitch allows you to keep your focus on the patient.
Built-in statistics tools with on-screen graphs and advanced Excel tools are included to support neuro-vascular researchers.
Research, teaching, and clinical presentations are optimized with numerous export options such as PDF, Excel, Word, JPEG, VDL, Video clips, Video Screen Recording, and more.
The Dolphin systems are the ideal upgrade to the now obsolete Sonara TCD systems, which used to be the vascular market leader for many years.
Many of the known features and options of the Sonara Transcranial Doppler machine are available in the advanced and modern Dolphin TCD user interface, plus many more options that are designed to support routine and advanced clinical examinations.
All with dedicated protocols and reports!
Vasomotor Reactivity Autoregulation
Breath Holding Test
Patent Foramen Ovale (PFO)
Collateral Capacity
Sickle Cell Disease
Stroke Management
Vasospasm and SAH
Arteriovenous Malformation
Evaluation of ICP changes
Intracranial Stenosis
Brain Death Diagnosis
Cerebral Monitoring
Emboli Detection
Endarterectomy
Evaluation of ICP changes
Intraoperative Doppler
Intraoperative TCD Monitoring
Dolphin/4D is the Advanced All-in-One Standalone TCD Machine
The cutting-edge technology of the standalone Dolphin/4D transcranial Doppler system is the optimal TCD solution for measurements of cerebral blood flow velocities.
Fully digital Doppler technology with the amazing Dolphin TCD post-processing capabilities lets you review and replay the measured spectrum with audio at ANY depth.
Unmatched clinical diagnosis capabilities.
The unique Dolphin/XF robotic probe changes the Transcranial Doppler monitoring market as is known to date.
Fast and simple scanning is achieved thanks to special algorithms and processes for blood flow detection.
The Dolphin/XF robot is comfortable and stable, simplifying probe fixation and saving time.
The Dolphin devices are well designed to assist the technician or physician in performing short or long-term Monitoring.
The Dolphin Headset design comes with the unique probe Quick-Lock – the best locking solution.
The Dolphin software is rich with quality features for optimal patient diagnosis, including a complete replay of the entire recording, placement of automatic and predefined markers, and availability of trends display.
The Dolphin is considered by many as the most reliable Transcranial Doppler machine in the market.
Robust TCD equipment and high-quality Doppler probes are designed for all TCD clinical applications in hospital, surgical and outpatient testing environments.
The Dolphin TCD machines are the most portable TCD machine on the market.
Dolphin/MAX and Dolphin/4D are slim, lightweight, and have a large 18″ Touch Screen, which can be seen from a distance in the ICU or other clinical settings.
Their design allows you to simply hand carry them or use the VESA mount options to easily connect the TCD system to a cart or trolley.
The unmatched Dolphin connectivity capabilities are ideal for hospital IT personnel and EMR / PACS administrators.
The advanced Dolphin TCD networking abilities allow a simple plug-and-play operation to quickly configure connectivity with automated DICOM Worklist & Storage, Structured Report, and HL7.
With unlimited Review Stations, measurements can be reanalyzed and interpreted from the comfort of your office. Final reporting can also be configured and finalized from any location.
Optimal and accurate counts of suspected embolic events using a high-resolution proprietary algorithm that simultaneously detects HITS (emboli events) in all gates!
The numerous advanced analysis options of each suspected emboli include an extraordinary high-resolution power M Mode display during HITS detection (up to 50 times faster than the Doppler spectrum!).
Dolphin Transcranial Doppler has a dedicated protocol for Patent Formen Ovale diagnosis. The advanced HITS Analysis screen allows an easy browsing through the list of suspected emboli for quick confirmation and confidence.
The unique trends builder tool provides easy tracking over time of the disease state to allow timely clinical intervention.
Keep your staff fully aware of Vasospasm progression with the advanced display reporting options of the Dolphin TCD. You can even share vasospasm tracking data among multiple Dolphin TCD machines within your institute.
Dolphin TCD includes multiple protocols for autoregulation testing. A step-by-step guided protocol to assist you in performing the Breath Holding Test with an automatic BHI calculation or with VMR protocols with/without a capnograph.
User-friendly report builder tool to design a report layout, including institute, logo, and details for an impressive patient report.
Save valuable time by building your customized report with preconfigured interpretation templates.
The exciting integrated Drag & Drop editor allows you to easily build a digital copy of your institute’s worksheets.
Examination time is saved with automatic data feeding allowing to examine many more patients per day.
The intelligent Dolphin software sends the completed worksheets automatically to the institute’s PACS and EMR.
Minimal learning curve thanks to the renowned Dolphin TCD user-friendly software with a large touch-screen display.
A selection of wired and wireless remote control and footswitch allows you to keep your focus on the patient.
Built-in statistics tools with on-screen graphs and advanced Excel tools are included to support neuro-vascular researchers.
Research, teaching, and clinical presentations are optimized with numerous export options such as PDF, Excel, Word, JPEG, VDL, Video clips, Video Screen Recording, and more.
The Dolphin systems are the ideal upgrade to the now obsolete Sonara TCD systems, which used to be the vascular market leader for many years.
Many of the known features and options of the Sonara Transcranial Doppler machine are available in the advanced and modern Dolphin TCD user interface, plus many more options that are designed to support routine and advanced clinical examinations.
All with dedicated protocols and reports!
Vasomotor Reactivity Autoregulation
Breath Holding Test
Patent Foramen Ovale (PFO)
Collateral Capacity
Sickle Cell Disease
Stroke Management
Vasospasm and SAH
Arteriovenous Malformation
Evaluation of ICP changes
Intracranial Stenosis
Brain Death Diagnosis
Cerebral Monitoring
Emboli Detection
Endarterectomy
Evaluation of ICP changes
Intraoperative Doppler
Intraoperative TCD Monitoring
Dolphin/IQ is the Smart and Cost-Effective TCD Module Device
All of the advantages and performance of the cutting-edge Dolphin TCD technology for measurements of cerebral blood flow velocities are implemented in the smart and compact Dolphin/IQ Transcranial Doppler module.
Fully digital Doppler technology with the amazing Dolphin TCD post-processing capabilities lets you review and replay the measured spectrum with audio at ANY depth.
Unmatched clinical diagnosis capabilities.
The unique Dolphin/XF robotic probe changes the Transcranial Doppler monitoring market as is known to date.
Fast and simple scanning is achieved thanks to special algorithms and processed for blood flow detection, allowing the Dolphin/XF to continually track a targeted blood vessel and keep it in view automatically.
The Dolphin/XF robot is comfortable and stable, simplifying probe fixation and saving time.
The Dolphin TCD monitoring headset is designed to assist in performing short of long-term monitoring of a patient’s cerebral blood flow.
The famous Dolphin Quick-Lock provides the quickest and easiest locking solution for holding Doppler probes in place.
The Dolphin TCD software is rich with a large number of built in protocols to guide the operator through different monitoring assessments of cerebrovascular function.
The Dolphin is considered by many as the most reliable Transcranial Doppler machine in the market.
A range of high-quality Doppler probes is available for different clinical applications and optimal Doppler penetration of the temporal window.
The Dolphin TCD machines are the most portable TCD machine on the market.
Dolphin/MAX and Dolphin/4D are slim, lightweight, and have a large 18″ Touch Screen, which can be seen from a distance in the ICU or other clinical settings.
Their design allows you to simply hand carry them or use the VESA mount options to easily connect the TCD system to a cart or trolley.
The Dolphin/MAX has a built-in integrated battery that lasts for hours.
The unmatched Dolphin connectivity capabilities are ideal for hospital IT personnel and EMR / PACS administrators.
The advanced Dolphin TCD networking abilities allow a simple plug-and-play operation to quickly configure connectivity with automated DICOM Worklist & Storage, Structured Report, and HL7.
With unlimited Review Stations, measurements can be reanalyzed and interpreted from the comfort of your office. Final reporting can also be configured and finalized from any location.
Optimal and accurate counts of suspected embolic events using a high-resolution proprietary algorithm that simultaneously detects HITS (emboli events) in all gates!
The numerous advanced analysis options of each suspected emboli include an extraordinary high-resolution power M Mode display during HITS detection (up to 50 times faster than the Doppler spectrum!).
Dolphin Transcranial Doppler has a dedicated protocol for Patent Formen Ovale diagnosis. The advanced HITS Analysis screen allows an easy browsing through the list of suspected emboli for quick confirmation and confidence.
The unique trends builder tool provides easy tracking over time of the disease state to allow timely clinical intervention.
Keep your staff fully aware of Vasospasm progression with the advanced display reporting options of the Dolphin TCD. You can even share vasospasm tracking data among multiple Dolphin TCD machines within your institute.
Dolphin TCD includes multiple protocols for autoregulation testing. A step-by-step guided protocol to assist you in performing the Breath Holding Test with an automatic BHI calculation or with VMR protocols with/without a capnograph.
User-friendly report builder tool to design a report layout, including institute, logo, and details for an impressive patient report.
Save valuable time by building your customized report with preconfigured interpretation templates.
The exciting integrated Drag & Drop editor allows you to easily build a digital copy of your institute’s worksheets.
Examination time is saved with automatic data feeding allowing to examine many more patients per day.
The intelligent Dolphin software sends the completed worksheets automatically to the institute’s PACS and EMR.
Minimal learning curve thanks to the renowned Dolphin TCD user-friendly software with a large touch-screen display.
A selection of wired and wireless remote control and footswitch allows you to keep your focus on the patient.
Built-in statistics tools with on-screen graphs and advanced Excel tools are included to support neuro-vascular researchers.
Research, teaching, and clinical presentations are optimized with numerous export options such as PDF, Excel, Word, JPEG, VDL, Video clips, Video Screen Recording, and more.
The Dolphin systems are the ideal upgrade to the now obsolete Sonara TCD systems, which used to be the vascular market leader for many years.
Many of the known features and options of the Sonara Transcranial Doppler machine are available in the advanced and modern Dolphin TCD user interface, plus many more options that are designed to support routine and advanced clinical examinations.
All with dedicated protocols and reports!
Vasomotor Reactivity Autoregulation
Breath Holding Test
Patent Foramen Ovale (PFO)
Collateral Capacity
Sickle Cell Disease
Stroke Management
Vasospasm and SAH
Arteriovenous Malformation
Evaluation of ICP changes
Intracranial Stenosis
Brain Death Diagnosis
Cerebral Monitoring
Emboli Detection
Endarterectomy
Evaluation of ICP changes
Intraoperative Doppler
Intraoperative TCD Monitoring
Falcon/PRO is the complete vascular physiologic diagnostic system
State-of-the-Art technology to measure ABI, TBI, Segmental Blood Pressures, Doppler, PVR, PPG, stress testing, and more.
Falcon advanced EMR and PACS capabilities and reporting options are designed for medical centers and private clinics alike.
Measure lower extremity pressures easily with 10 color-coded channels and a variety of Doppler probes and PPG sensors. Complete the vascular diagnosis with supportive stress testing.
Falcon is considered by many the best segmental pressure machine with numerous advanced features such as 10 simultaneous PVR measurements and limitless post-processing capabilities.
Quickly measure ABI and TBI with either Doppler or Photoplethysmography (PPG).
With the Falcon ABI and TBI machine, all measurements are saved automatically and sent directly to the dedicated interactive summary screen.
In addition, to the 4 MHz and 8 MHz probes for standard use, the advanced Falcon Doppler machine offers a unique 10 MHz probe, which is designed to measure particularly small peripheral blood vessels.
All Falcon Doppler probes produce complete high-resolution Doppler spectral analysis with the aid of the Falcon vascular software and algorithms.
Falcon offers a wide selection of Photoplethysmography sensors.
The 5 completely independent PPG ports allow simultaneous fingers/toes measurements, which is especially useful for Raynaud’s diagnosis along with a an integrated temperature sensor.
Fingerclip and Toeclip PPG sensors are recommended for routine examinations. The Disc PPG sensors are particularly useful for Venous Reflux testing and are supplied with dedicated adhesive stickers.
The Falcon unmatched connectivity capabilities are a paradise to hospital IT personnel and EMR and PACS managers. The advanced networking abilities allow a plug-and-play operation to easily configure connectivity with automated DICOM Worklist & Storage, Structured Report, and HL7.
With unlimited Review Stations, measurements can be reanalyzed and interpreted from the comfort of your office. Final reporting can also be configured and finalized from any location.
The Falcon vascular diagnosis device has the ability to configure as many dedicated examination protocols as desired, saving time and optimizing the patient vascular diagnosis.
Enjoy the user-friendly protocol builder to configure your workflow according to your needs!
The Falcon is the complete vascular physiologic assessment machine with dedicated protocols that guide you through step-by-step diagnostic measurements of specific vascular conditions.
The dedicated diagnosis protocols include measurements of Thoracic Outlet Syndrome (TOS), diagnosis of Raynaud’s Phenomenon, evaluation of Penile Function or Erectile Dysfunction, assessment of Allen’s Test (or Palmar Arch Test), measurements of Venous Reflux and Venous Capacitance and Outflow, Pulse Wave Velocity, and more.
The Falcon is the most reliable peripheral vascular machine in the market.
Thanks to the high quality Doppler probes, 10 Independent Pressure Channels (IPU Technology) and 5 PPG Ports, the Falcon design significantly reduces any down-time.
The Falcon has been distributed worldwide for over 10 years, and has the lowest rate of failure on the market!
The famous Falcon user-friendly report builder tool allows you to design your own report layout easily.
Then, add your institute/clinic logo and details to create a detailed and impressive diagnosis report that meets your institute standards.
Save a lot of time by building your report with preconfigured interpretation templates.
The Falcon vascular research machine is famous for its built-in statistics tool with on-screen graphs, segments filtering, and Excel tool, which are all designed to simplify the work of vascular and physiological researchers.
Export to PDF, Excel, Word, JPEG, VSX, Video clips, and more to support your vascular research and teaching needs, as well as support your clinical vascular publications.
Falcon provides a complete solution for numerous vascular clinical applications.
All with dedicated and configurable step-by-step protocols and reports!
Doppler Measurements
Pulse Volume Recording (PVR)
Photoplethysmography (PPG)
Air Plethysmography (APG)
Segmental Blood Pressure
Ankle Brachial Index (ABI)
Toe Brachial Index (TBI)
Exercise Stress Test
Reactive Hyperemia
Raynaud’s Syndrome
Thoracic Outlet Syndrome
Palmar Arch Test / AV Fistula
Penile Function / Impotence
Pulse Wave Velocity (PWV)
Extracranial Examination
