ES TECK SYSTEM <ul><li>GENERAL INFORMATION’S </li></ul>
ES Teck System (Cardiology) <ul><li>HRV  Photoelectrical Plethysmograph </li></ul>
HRV ( short time)  <ul><li>HRV  Reference:  </li></ul><ul><li>Task Force of The European Society of Cardiology and The Nor...
SpO2 and Photoelectrical Plethysmograph <ul><li>References: </li></ul><ul><li>Nichols WW, O’Rourke MF. McDonald’s :  Blood...
ES Teck Measurements
  Heart Rate and  sinus node depolarization
Autonomic Nervous System and Heart rate variability
SpO2 AND Photoelectrical Plethysmography SpO2 Probe  Infra red/ Red  660/905 nm Photo diode SpO2% PR Vascular  waves
SpO2 ANALYSIS <ul><li>Oxygen - hemoglobin Affinity Changes . </li></ul><ul><li>The functions of hemoglobin are oxygen pick...
Vascular Wave Analysis
Analysis by Acceleration and Second derivative
Analysis of the Second derivative with age
Analysis of the second derivative and diseases : b/a
Analysis of the second derivative and diseases : d/a
Specificity and sensitivity of the b/a and d/a indicators
Specificity and sensitivity of the b/a and d/a indicators Ref. Toshiaki OTSUKA , Tomoyuki KAWADA , Masao KATSUMATA , Chika...
Results  of ES Teck
HRV  STATISTICAL RESULTS
SpO2 and Photoelectrical Plethysmograph results
E.S TECK COMPLEX <ul><li>GENERAL INFORMATION’S </li></ul>
ES TECK COMPLEX  THE NATURAL EIS UPDATE
ES Teck Complex Measurements
CROSS ANALYSIS
<ul><li>HRV module:  To analyze the basic rhythms of the NN or RR intervals in electrocardiograms, both in the time domain...
Body Impedance Analysis (BIA) Measurement of the Resistance and Reactance in Tetra polar mode  with a frequency of 50 KHz
Resistance and Reactance measurements  <ul><li>Resistance is a measure of how difficult it is for electricity to flow thro...
EIS B I A <ul><li>Peer reviews formula  </li></ul><ul><li>Total Body Water :TWB </li></ul><ul><li>5-19 y.o Davies et al 19...
Phase Angle
Impedance Components Phase Angle Xc = 1 / (2 * PI * F * C),  C – Capacity [Farad] Phase Angle = Arctan (Xc / R)
Clinical application in survival in colorectal cancer  The survival curves for the 2 categories of phase angle are   shown...
 
Impact of phase angle in liver cirrhosis
NEW INTERFACE
E.S TECK RESULTS
EIS ANALYSIS
HRV STATISTICAL RESULTS
HRV RECORDS
HRV GEOMETRICAL ANALYSIS
SpO2 RESULTS AND MANAGEMENT OF THE PHOTOELECTRICAL WAVE
PHOTOELECTRICAL PLETHYSMOGRAPH ANALYSIS AND RESULTS
Vascular Indicators  <ul><li>PH : Relation with blood flow of small artery  </li></ul><ul><li>EEI : Relation with LV eject...
BODY COMPOSITION RESULTS
Body Composition follow up
E.S TECK COMPLEX <ul><li>CROSS ANALYSIS  </li></ul><ul><li>MODELING AND BODY SYSTEMS’ INDICATORS </li></ul>
DIGESTIVE SYSTEM INDICATORS
BRAIN INDICATORS
CARDIOVASCULAR INDICATORS
HORMONAL INDICATORS
RESPIRATORY SYSTEM INDICATORS
GENERAL METABOLIC INDICATORS
UROGENITAL AND RENAL INDICATORS
Follow up of all the indicators
Follow up of the Cerebral neurotransmitters
Medications monitoring indicators
Medications monitoring indicators
Medications monitoring indicators
Medications monitoring indicators
ADHD Children profile and diagnosis in adjunct with the clinical context
Chiropractor  Indicators and monitoring treatment
Advices for Lifestyle and exercises and monitoring
Advices for Lifestyle and exercises and monitoring
Advices for Lifestyle and exercises and monitoring
Exercises
Sport men condition Evaluation and improvement
Statistical risk analysis <ul><li>No access before 5  measurements. The accuracy increased with the number of measurements...
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68 132

  1. 1. ES TECK SYSTEM <ul><li>GENERAL INFORMATION’S </li></ul>
  2. 2. ES Teck System (Cardiology) <ul><li>HRV Photoelectrical Plethysmograph </li></ul>
  3. 3. HRV ( short time) <ul><li>HRV Reference: </li></ul><ul><li>Task Force of The European Society of Cardiology and The North American Society of Pacing and Electrophysiology (1996) </li></ul>
  4. 4. SpO2 and Photoelectrical Plethysmograph <ul><li>References: </li></ul><ul><li>Nichols WW, O’Rourke MF. McDonald’s : Blood Flow in Arteries:Theoretical, Experimental and Clinical Principles. London: Arnold, 1998. </li></ul><ul><li>Takazawa, Kenji; Tanaka, Nobuhiro; Fujita, Masami; Matsuoka, Osamu; Saiki, Tokuyu; Aikawa, Masaru; Tamura, Sinobu; Ibukiyama, Chiharu : Assessment of Vasoactive Agents and Vascular Aging by the Second Derivative of Photoplethysmogram Waveform Hypertension: Volume 32(2)August 1998pp 365-370 </li></ul><ul><li>I Toshiaki OTSUKA , Tomoyuki KAWADA , Masao KATSUMATA , Chikao IBUKI , and Yoshiki KUSAMA ndependent Determinants of Second Derivative of the Finger Photoplethysmogram among Various Cardiovascular Risk Factors in Middle-Aged Men Hypertens Res Vol. 30, No. 12 (2007) </li></ul><ul><li>Toshiaki Otsuka, , Tomoyuki Kawada, Masao Katsumata,Chikao Ibuki, :Utility of Second Derivative of the Finger Photoplethysmogram for the Estimation of the Risk of Coronary Heart Disease in the General Population Circ J 2006; 70: 304 – 310 </li></ul><ul><li>Alberto Avolio : The finger volume pulse and assessment of arterial properties .Journal of Hypertension 2002, 20:2341–2343 </li></ul><ul><li>Oximeter Guidelines 1998 </li></ul>
  5. 5. ES Teck Measurements
  6. 6.   Heart Rate and sinus node depolarization
  7. 7. Autonomic Nervous System and Heart rate variability
  8. 8. SpO2 AND Photoelectrical Plethysmography SpO2 Probe Infra red/ Red 660/905 nm Photo diode SpO2% PR Vascular waves
  9. 9. SpO2 ANALYSIS <ul><li>Oxygen - hemoglobin Affinity Changes . </li></ul><ul><li>The functions of hemoglobin are oxygen pickup and delivery. The hemoglobin has an affinity (the strength of bond between oxygen and hemoglobin) that can be increased or decreased due to various situations. If hemoglobin has an increased affinity, it is highly saturated; but oxygen is less available for release to the tissues due to the strong bond. The reverse is also true. </li></ul>
  10. 10. Vascular Wave Analysis
  11. 11. Analysis by Acceleration and Second derivative
  12. 12. Analysis of the Second derivative with age
  13. 13. Analysis of the second derivative and diseases : b/a
  14. 14. Analysis of the second derivative and diseases : d/a
  15. 15. Specificity and sensitivity of the b/a and d/a indicators
  16. 16. Specificity and sensitivity of the b/a and d/a indicators Ref. Toshiaki OTSUKA , Tomoyuki KAWADA , Masao KATSUMATA , Chikao IBUKI , and Yoshiki KUSAMA Independent Determinants of Second Derivative of the Finger Photoplethysmogram among Various Cardiovascular Risk Factors in Middle-Aged Men Hypertens Res Vol. 30, No. 12 (2007)
  17. 17. Results of ES Teck
  18. 18. HRV STATISTICAL RESULTS
  19. 19. SpO2 and Photoelectrical Plethysmograph results
  20. 20. E.S TECK COMPLEX <ul><li>GENERAL INFORMATION’S </li></ul>
  21. 21. ES TECK COMPLEX THE NATURAL EIS UPDATE
  22. 22. ES Teck Complex Measurements
  23. 23. CROSS ANALYSIS
  24. 24. <ul><li>HRV module: To analyze the basic rhythms of the NN or RR intervals in electrocardiograms, both in the time domain and in the frequency domain (short time 5 minutes) </li></ul><ul><li>It only provides numerical analyses of the input electrocardiogram. </li></ul><ul><li>Estimate of the parasympathetic and sympathetic system stimulation. </li></ul><ul><li>PP module : Analyze the pulse waveform by photoelectric plethysmography and Pulse rate. </li></ul><ul><li>Evaluation of Large and small artery </li></ul><ul><li>EIS module : </li></ul><ul><li>Monitoring of diseases, functional and lifestyle ‘ treatments </li></ul><ul><li>Adjunct to conventional diagnosis of ADHD children </li></ul><ul><li>BIA module : </li></ul><ul><li>Calculation and Historical Tracking of body composition </li></ul>E.S TECK COMPLEX INTENDED USES
  25. 25. Body Impedance Analysis (BIA) Measurement of the Resistance and Reactance in Tetra polar mode with a frequency of 50 KHz
  26. 26. Resistance and Reactance measurements <ul><li>Resistance is a measure of how difficult it is for electricity to flow through an object. </li></ul><ul><li>Reactance </li></ul><ul><li>Most objects have some capacitance, which is a measure of ability to store an electrical charge. The more capacitance the object has, or the faster the current changes direction, the less the object will “react” to the current. </li></ul><ul><li>  </li></ul>
  27. 27. EIS B I A <ul><li>Peer reviews formula </li></ul><ul><li>Total Body Water :TWB </li></ul><ul><li>5-19 y.o Davies et al 1988 </li></ul><ul><li>20-80 y.o Lukaski and Bolonchuk 1988 </li></ul><ul><li>Adult obese subjects: Segal et al 1988 </li></ul><ul><li>Fat free fat mass: </li></ul><ul><li>7-15 y.o Deurenberg et al 1991 </li></ul><ul><li>16-83 y.o Deurenberg et al 1991 </li></ul><ul><li>Extra cellular water volume : EWC </li></ul><ul><li>Sergi G, et al 1994 </li></ul>
  28. 28. Phase Angle
  29. 29. Impedance Components Phase Angle Xc = 1 / (2 * PI * F * C), C – Capacity [Farad] Phase Angle = Arctan (Xc / R)
  30. 30. Clinical application in survival in colorectal cancer The survival curves for the 2 categories of phase angle are shown. Patients with a phase angle < 5.57 had a median survival of 8.6 mo (95% CI: 4.8, 12.4; n = 26), and those with a phase angle > 5.57 had a median survival of 40.4 mo (95% CI: 21.9, 58.8; n = 26); this difference was significant ( P = 0.0001).
  31. 32. Impact of phase angle in liver cirrhosis
  32. 33. NEW INTERFACE
  33. 34. E.S TECK RESULTS
  34. 35. EIS ANALYSIS
  35. 36. HRV STATISTICAL RESULTS
  36. 37. HRV RECORDS
  37. 38. HRV GEOMETRICAL ANALYSIS
  38. 39. SpO2 RESULTS AND MANAGEMENT OF THE PHOTOELECTRICAL WAVE
  39. 40. PHOTOELECTRICAL PLETHYSMOGRAPH ANALYSIS AND RESULTS
  40. 41. Vascular Indicators <ul><li>PH : Relation with blood flow of small artery </li></ul><ul><li>EEI : Relation with LV ejection and elasticity of large artery - LV Ejection Insufficiency </li></ul><ul><li>DDI : Relation with contraction and tension of small artery - Hypertension & Arteriosclerosis </li></ul><ul><li>DEI : Relation with blood flow to vein system. </li></ul><ul><li>Etc (Estimated Cardiac Ejection time) : 260~380  Function of left ventricle </li></ul>
  41. 42. BODY COMPOSITION RESULTS
  42. 43. Body Composition follow up
  43. 44. E.S TECK COMPLEX <ul><li>CROSS ANALYSIS </li></ul><ul><li>MODELING AND BODY SYSTEMS’ INDICATORS </li></ul>
  44. 45. DIGESTIVE SYSTEM INDICATORS
  45. 46. BRAIN INDICATORS
  46. 47. CARDIOVASCULAR INDICATORS
  47. 48. HORMONAL INDICATORS
  48. 49. RESPIRATORY SYSTEM INDICATORS
  49. 50. GENERAL METABOLIC INDICATORS
  50. 51. UROGENITAL AND RENAL INDICATORS
  51. 52. Follow up of all the indicators
  52. 53. Follow up of the Cerebral neurotransmitters
  53. 54. Medications monitoring indicators
  54. 55. Medications monitoring indicators
  55. 56. Medications monitoring indicators
  56. 57. Medications monitoring indicators
  57. 58. ADHD Children profile and diagnosis in adjunct with the clinical context
  58. 59. Chiropractor Indicators and monitoring treatment
  59. 60. Advices for Lifestyle and exercises and monitoring
  60. 61. Advices for Lifestyle and exercises and monitoring
  61. 62. Advices for Lifestyle and exercises and monitoring
  62. 63. Exercises
  63. 64. Sport men condition Evaluation and improvement
  64. 65. Statistical risk analysis <ul><li>No access before 5 measurements. The accuracy increased with the number of measurements. </li></ul><ul><li>Statistical analysis of the indicators of each body systems and metabolic general indicators </li></ul><ul><li>It is not a diagnosis , but help for the physician in the process of elimination </li></ul>

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