MiraQ Ultimate: Intraoperative System for Cardiac Vascular Transplant

MiraQ Ultimate showing ultrasound image on screen

Cardiac Surgery

Get immediate feedback on the quality of the CABG surgery with epicardial imaging showing coronary stenosis and graft anastomoses, and flow measurements verifying graft patency. Epiaortic imaging may reveal aortic disease leading to modifications of the surgical strategy.

Vascular Surgery

Get instant feedback on the quality of the vascular procedures; Peripheral bypass surgery, AV access surgery, and carotid endarterectomy. Flow and imaging during surgery can secure graft patency, adequate flow levels, and reveal any defects in the lumen which could cause postoperative stroke.

Transplant Surgery

Ensure adequate hemodynamics and patent anastomoses with flow and imaging during transplant surgery. Imperfect perfusion of the graft can be identified and instantly corrected to avoid primary graft dysfunction or graft infarction.

Guidelines-endorsed Technology

Embrace the guidelines recommendations to give surgical precision with transit time flow measurement (TTFM) and intraoperative ultrasound imaging (HFUS). Backed by global health authorities (EACTS/ESC, NICE, ASE/EACVI, ACCG/AHA, ESVS, SVS, WFVS, DGG, ILTS, and EAU).

Medistim's TTFM and HFUS technology deliver enhanced intraoperative insights.

Highly accurate blood flow volume measurements and detailed morphological assessments, ensuring best possible outcomes.

Product Features

Only MiraQ Combines Imaging & TTFM

Imaging

High resolution nearfield images with reusable and sterilizable probe.

TTFM

High resolution nearfield images with reusable and sterilizable probe.

Imaging Probe

See product details

Flow Probes

See product details

Illustration of surgeon using MiraQ device

Illustration of surgeon using MiraQ device and probe

MiraQ Ultimate

Documenting Procedure

Flow tracings and ultrasound images are easy to save on the device.
Use saved measurements to create a pdf report to document the surgical procedure. The report and saved measurements can be printed or saved digitally on a USB stick.
If DICOM is enabled, the saved measurements and reports are accessible through PACS.

Easy OR Integration

Connect to external screens using display port and hospital information systems using DICOM.

Synchronized Curves

Interface other measurements, like ECG or Pressure, and have them synchronized with the flow curves for the most precise graft patency assessment.

Side-by-side Screen Comparisons

Compare any measurement against a reference measurement.
Evaluate improvement and perform functional tests on the grafts.
Store and report the compared results with all values and indexes.
Easily accessible

Elegant User Interface & Mobile Design

Seamless control with an interactive,  optimized display for immediate imaging and flow data access.
Space-saving design, effortless placement  and mobility.
Practical storage for manuals and cables.
Flexible monitor arm and rotatable screen adapt to both surgeon and operator perspectives for peak visibility and convenience.

MiraQ Ultimate with open case front view

Modular Design

MiraQ™ Ultimate can be delivered as a “Flow only” system, or easily upgraded onsite with an imaging module.

Expandable Options

Connect to external overhead screen using display port.

Native support for configuring screen size and resolution.

Export and import data using DICOM option.

MiraQ™ equipped with isolated network connection, for secure access to hospital network.

MiraQ Ultimate

Documenting Procedure

Flow tracings and ultrasound images are easy to save on the device.
Use saved measurements to create a pdf report to document the surgical procedure. The report and saved measurements can be printed or saved digitally on a USB stick.
If DICOM is enabled, the saved measurements and reports are accessible through PACS.

Easy OR Integration

Connect to external screens using display port and hospital information systems using DICOM.

Synchronized Curves

Interface other measurements, like ECG or Pressure, and have them synchronized with the flow curves for the most precise graft patency assessment.

Side-by-side Screen Comparisons

Compare any measurement against a reference measurement.
Evaluate improvement and perform functional tests on the grafts.
Store and report the compared results with all values and indexes.
Easily accessible

Elegant User Interface & Mobile Design

Seamless control with an interactive,  optimized display for immediate imaging and flow data access.
Space-saving design, effortless placement  and mobility.
Practical storage for manuals and cables.
Flexible monitor arm and rotatable screen adapt to both surgeon and operator perspectives for peak visibility and convenience.

Instant feedback, ultimate control with dual technology

Medistim’s High-frequency Ultrasound Imaging Probe provides high-resolution images that allow the surgeon to assess morphology and the TTFM probes utilize transit time technology to accurately measure blood volume flow intraoperatively.
Combining the spatial information from ultrasound imaging and quantitative data from TTFM enables the surgeon to make informed decisions, and revise when necessary. This dual technology gives surgeons ultimate control, enabling planning, navigation, and verification during Cardiac, Vascular and Transplant surgery.

Dive into MiraQ Ultimate’s Cardiac Capabilities and Technology

Dive into MiraQ Ultimate’s Vascular & Transplant Capabilities and Technology

The practical recommendation is that TTFM completion control can and should be utilized at the end of virtually every open or hybrid vascular surgical operation.

Profs. Pirkka Vikatmaa and Anders Alback, 2018

The problem with this very important graft was not evident by other metrics in the operating room.

Prof. John D. Puskas MD

Compare your options

Model

MQU0

Upper part of MiraQ, screen displays flow levels.

MQU1

Profile

Cardiac and Vascular adapted interface with flow only

Cardiac and Vascular adapted interface with flow and imaging

Channel configuration

Imaging

2x Flow

1x AUX

Imaging

2x Flow

1x AUX

System features

Ultrasound imaging

B-Mode imaging
Color Doppler imaging
Pulsed Wave Doppler

Transit Time Flow Measurement

AUX/ECG display

Guided Workflow

Ultrasound imaging

B-Mode imaging
Color Doppler imaging
Pulsed Wave Doppler

Transit Time Flow Measurement

AUX/ECG display

Guided Workflow

Customization

2 extra flow channels

1 Doppler channel

1 Pressure channel¹

1 extra AUX channel²

Printer support

Printer support and color printer

DICOM interface

2 extra flow channels

1 Doppler channel

1 Pressure channel¹

1 extra AUX channel²

Printer support

Printer support and color printer

DICOM interface

Field upgrade module

Ultrasound Imaging Upgrade Kit³

Ultrasound Imaging Upgrade Kit³

Pressure channels are intended to be connected to a transducer to measure directly.
AUX channels are designed to receive signals from other monitoring systems, such as ECG and pressure.
When a flow system with Doppler is upgraded, an ultrasound imaging module will be substituted in its place.

Accessories

Flow probes

Imaging probe

Accesories

Cables for interfacing ECG

Cables for interfaced or direct pressure measurements

Request information about accessories

MiraQ™ Ultimate

The MiraQ Ultimate integrates cardiac, vascular and transplant applications in one system.

Cardiac Surgery

Vascular Surgery

Transplant Surgery

Guidelines-endorsed Technology

Product Features

MiraQ Ultimate

MiraQ Ultimate

Instant feedback, ultimate control with dual technology

The practical recommendation is that TTFM completion control can and should be utilized at the end of virtually every open or hybrid vascular surgical operation.

The problem with this very important graft was not evident by other metrics in the operating room.

Compare your options

Accessories

Flow probes

Imaging probe

Accesories

Experience MiraQ Firsthand –
Where Precision Meets Insight.

MiraQ™ Ultimate

The MiraQ Ultimate integrates cardiac, vascular and transplant applications in one system.

Cardiac Surgery

Vascular Surgery

Transplant Surgery

Guidelines-endorsed Technology

Product Features

MiraQ Ultimate

MiraQ Ultimate

Instant feedback, ultimate control with dual technology​​

The practical recommendation is that TTFM completion control can and should be utilized at the end of virtually every open or hybrid vascular surgical operation.

The problem with this very important graft was not evident by other metrics in the operating room.

Compare your options

Accessories

Flow probes

Imaging probe

Accesories

Experience MiraQ Firsthand – Where Precision Meets Insight.

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Instant feedback, ultimate control with dual technology

Experience MiraQ Firsthand –
Where Precision Meets Insight.