Improve surgical outcomes, demonstrate quality, and increase cost-efficiency.

Combining the spatial information from epicardial ultrasound imaging and quantitative data from TTFM enables the surgeon to perform a prompt and accurate assessment, and revise the graft when necessary.

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User friendly

Easy to use software tailor made to accommodate the combination of ultrasound imaging and transit time flow measurement

User friendly

Easy to use software tailor made to accommodate the combination of ultrasound imaging and transit time flow measurement

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Flexible

Adjustable display arm ensures good visibility under all conditions

Flexible

Adjustable display arm ensures good visibility under all conditions

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Applications

Reduce the complexity of operation by using applications with pre defined settings

Applications

Reduce the complexity of operation by using applications with pre defined settings

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Storage

Practical storage for user manual and interface cables

Storage

Practical storage for user manual and interface cables

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Connected

Connect to external screens and the hospital information systems using the easily accessible media panel

Connected

Connect to external screens and the hospital information systems using the easily accessible media panel

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Upgradeable

Systems can easily be upgraded to imaging with minimal down-time

Upgradeable

Systems can easily be upgraded to imaging with minimal down-time

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Efficient

Spatial efficient design allows for flexible system placement and movement in the operating room

Efficient

Spatial efficient design allows for flexible system placement and movement in the operating room

The Medistim MiraQ™ Cardiac combines ultrasound imaging and transit time flow measurement (TTFM) in a single system that is specifically designed for cardiac surgery.

There is growing support of the idea that checking grafts and anastomoses during cardiac surgery should be standard of care. Reliability and ease of use is a major determinant for this to become reality.

The MiraQ™ Cardiac system has built-in support for Guided Workflows. These are software protocols that assist the user to a standardized approach to quality assessment. Intraoperative quality assessment has become easier to adopt, customizable to the surgeon’s needs and enhancing work efficiency.

Epicardial imaging

Epicardial ultrasound imaging gives a simple, fast and safe imaging of coronary stenoses and graft anastomoses, providing immediate feedback on the quality of the CABG surgery.

Transit Time Flow Measurement

Performing flow measurements with the MiraQ™ Cardiac is the quickest and most accurate way to verify graft patency while the patient is still in the operating room.

Epiaortic imaging

Epiaortic imaging provides a sensitive, direct diagnosis of aortic disease. This may lead to modifications of the surgical strategy and thus contribute towards reduced rates of major adverse cardiac and cerebrovascular events (MACCE) following surgery.

Combining imaging and flow for better quality assessment

The MiraQ™ Cardiac system uses Medistim’s flow measurement and high-resolution ultrasound Imaging probes to provide a complete quality assessment.

Medistim’s L15 High-frequency ultrasound Imaging probe provides high-resolution images that allows the surgeon to asses morphology. Medistim’s flow probes utilize transit time technology to accurately measure blood volume flow intraoperatively.

Combining the spatial information from epicardial ultrasound imaging and quantitative data from TTFM enables the surgeon to perform a prompt and accurate assessment, and revise the graft when necessary

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Instant feedback

See and measure

The MiraQTM Cardiac provides instant feedback on the performance of a graft. Eliminate guesswork with ultrasound imaging visualization and quantifiable TTFM data.

In the SVG-CX measurements presented here, ultrasound imaging was used to scan both the distal and proximal anastomosis for defects. An occluded proximal anastomosis was discovered and verified by a TTFM measurement (PI 15.1, DF 40% and Flow 3 ml/min

Revise on the spot

Before closing

When occluded or underperforming grafts are detected they can be revised on the spot. Take every measure to avoid recalls.

The occluded SVG-CX was immediately revised, and the improved result was documented with ultrasound imaging and TTFM. As shown above, the graft flow was significantly improved (PI 1.7, DF 59% and Flow 24 ml/min).

TTFM

Reliable flow volume measurement

The established numeric indices Pulsatility Index (PI), Diastolic Filling (DF%) and Mean Flow, the basis of our 3-parameter assessment method, provide an accurate insight into the dynamics of graft function. TTFM is included in the guidelines endorsed by EACTS/ESC, NICE, and STS.