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PneumoniaChecktm
The link from diagnosis to treatment
The Need
The Need
• Pneumonia is a leading cause of death in
children worldwide. Over 2 million
children die from pneumonia each year
and one child dies every 20 seconds.
• The problem with current diagnosis
methods is one of sampling. Mouth and
nose samples have contaminating
bacteria, which result in many false
positives.

Distributed By ARC Medical

4
The Need
• Additionally, the samples are unable to
identify the pathogen; hospital stays are
lengthened increasing the chances that
cases will become complicated.
• Since the pathogen cannot be
identified, patients receive broadspectrum antibiotics, which are often
unnecessary and can cause antibiotic
resistance.

Distributed By ARC Medical

5
The Need
• Other methods, such as a chest xray, can identify fluid in the lungs, but
cannot identify the specific pathogen
causing the pneumonia.

Distributed By ARC Medical

6
The Need
“Antimicrobial resistance is one of our
most serious health threats.
Infections from resistant bacteria are now
too common, and some pathogens have
even become resistant to multiple types or
classes of antibiotics.”
Dr. Tom Frieden, MD, MPH
Director, U.S. Centers for Disease Control and Prevention
Meeting the Challenges of Drug-Resistant Diseases in Developing Countries
Committee on Foreign Affairs Subcommittee on Africa, Global Health, Human
Rights, and International Organizations
United States House of Representatives
April 23, 2013
Distributed By ARC Medical

7
The Need
• Antibiotic resistance is one of the world's
most pressing public health threats.
• Antibiotics are the most important tool
we have to combat life-threatening
bacterial disease, but using antibiotics
can also result in side effects.

Distributed By ARC Medical

8
The Need
• Antibiotic use leads to new drugresistant germs and increased risks to
patients.
• Patients, healthcare providers, hospital
administrators and policy makers must
work together to employ safe and
effective strategies for improving
antibiotic use—ultimately saving lives.

Distributed By ARC Medical

9
“ANTIBIOTIC STEWARDSHIP”

CDC; Antibiotic resistance threats in the United States, 2013
The Device
The Device
• PneumoniaCheck uses fluid mechanics
to separate the upper airway particles
from the lower airway particles.
• The separation means that only a lung
specimen is captured on the filter media
at the end of the device.

Distributed By ARC Medical

12
The Device
• This filter can then be analyzed using
traditional microbiology methods or
more sensitive molecular DNA analysis
to identify the specific pathogen causing
pneumonia, or other lower respiratory
infections.

Distributed By ARC Medical

13
The Device
• The ability to identify the specific
pathogen will allow for more targeted
antibiotic treatment or none at all if
viral, which should reduce antibiotic
resistance and other complications.

Distributed By ARC Medical

14
The Device
• PneumoniaCheck is an easy-touse, noninvasive, disposable solution
for collecting respiratory specimens to
help reduce one of the world’s largest
health problems.
• PneumoniaCheck may be used on
patients three feet and taller.

Distributed By ARC Medical

15
Methods used today
Methods to determine if patients
have pneumonia

•
•
•
•
•
•
•

Medical history
Physical exam
Chest x-rays
Blood tests
Blood culture
Sputum collection
CT; Chest Computed Tomography Scan

Distributed By ARC Medical

17
Methods to determine if patients
have pneumonia

•
•
•
•
•
•

Bronchoscopy; BAL medical history
Thoracentesis; Pleural fluid culture
Pulse oximetry
Nasal swab
Urine antigen
Throat swab

Distributed By ARC Medical

18
Current sampling data are not reliable

•
•

Specimens are very often contaminated
from the upper respiratory resulting in
many false positives.
This leads to broad antibiotic treatment
because the actual pathogen causing
the pneumonia is usually never
identified.

Distributed By ARC Medical

19
The Solution
Distributed By ARC Medical

21
Development
PneumoniaCheck was developed and
designed to collect aerosol specimens
selectively from the lower lung generated
during a deep cough.
PneumoniaCheck utilizes a separation
reservoir and specially designed
mouthpiece to segregate contents from
the upper airway and the lower lungs.

Distributed By ARC Medical

22
Development
PneumoniaCheck uses fluid mechanics to
isolate lung pathogens onto the filter.

Fluid mechanics is the branch of physics
that studies fluids (liquids, gases, and
plasmas) and the forces on them.

Distributed By ARC Medical

23
Development
PneumoniaCheck includes several
specially designed features to exclude
oral contaminants from the sample and a
filter to collect the aerosolized pathogens
from the lower lungs.
The filter can collect >99.97% of virus and
bacteria sized particles from the sampled
lower lung aerosols.

Distributed By ARC Medical

24
•
•
•

To use PneumoniaCheck, a patient
simply coughs deeply into the
mouthpiece and expels the remaining
air in his or her lungs.
Squeeze the gas reservoir bag empty
and then repeat when ready.
This action should be repeated as
many times as necessary to collect a
sufficient sample of lower respiratory
aerosolized pathogens.
…recommend collecting 10 coughs
Distributed By ARC Medical

25
The air from the upper respiratory is
collected in a reservoir, and aerosols from
the lower respiratory are captured on a
microbial filter.
PneumoniaCheck can then be sent to a
laboratory to be tested for the presence
of various pathogens.

Distributed By ARC Medical

26
Collecting noninvasive, uncontaminated,
lower lung aerosols

Distributed By ARC Medical

27
Collecting noninvasive, uncontaminated,
lower lung aerosols

Distributed By ARC Medical

28
Collecting noninvasive, uncontaminated,
lower lung aerosols

Distributed By ARC Medical

29
Questions?

ARC Medical Inc.
PneumoniaCheck
arcmedical.com
PneumoniaCheck, the link between the diagnosis and treatment of pneumonia with next day results - November 2013

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PneumoniaCheck, the link between the diagnosis and treatment of pneumonia with next day results - November 2013

  • 2. The link from diagnosis to treatment
  • 4. The Need • Pneumonia is a leading cause of death in children worldwide. Over 2 million children die from pneumonia each year and one child dies every 20 seconds. • The problem with current diagnosis methods is one of sampling. Mouth and nose samples have contaminating bacteria, which result in many false positives. Distributed By ARC Medical 4
  • 5. The Need • Additionally, the samples are unable to identify the pathogen; hospital stays are lengthened increasing the chances that cases will become complicated. • Since the pathogen cannot be identified, patients receive broadspectrum antibiotics, which are often unnecessary and can cause antibiotic resistance. Distributed By ARC Medical 5
  • 6. The Need • Other methods, such as a chest xray, can identify fluid in the lungs, but cannot identify the specific pathogen causing the pneumonia. Distributed By ARC Medical 6
  • 7. The Need “Antimicrobial resistance is one of our most serious health threats. Infections from resistant bacteria are now too common, and some pathogens have even become resistant to multiple types or classes of antibiotics.” Dr. Tom Frieden, MD, MPH Director, U.S. Centers for Disease Control and Prevention Meeting the Challenges of Drug-Resistant Diseases in Developing Countries Committee on Foreign Affairs Subcommittee on Africa, Global Health, Human Rights, and International Organizations United States House of Representatives April 23, 2013 Distributed By ARC Medical 7
  • 8. The Need • Antibiotic resistance is one of the world's most pressing public health threats. • Antibiotics are the most important tool we have to combat life-threatening bacterial disease, but using antibiotics can also result in side effects. Distributed By ARC Medical 8
  • 9. The Need • Antibiotic use leads to new drugresistant germs and increased risks to patients. • Patients, healthcare providers, hospital administrators and policy makers must work together to employ safe and effective strategies for improving antibiotic use—ultimately saving lives. Distributed By ARC Medical 9
  • 10. “ANTIBIOTIC STEWARDSHIP” CDC; Antibiotic resistance threats in the United States, 2013
  • 12. The Device • PneumoniaCheck uses fluid mechanics to separate the upper airway particles from the lower airway particles. • The separation means that only a lung specimen is captured on the filter media at the end of the device. Distributed By ARC Medical 12
  • 13. The Device • This filter can then be analyzed using traditional microbiology methods or more sensitive molecular DNA analysis to identify the specific pathogen causing pneumonia, or other lower respiratory infections. Distributed By ARC Medical 13
  • 14. The Device • The ability to identify the specific pathogen will allow for more targeted antibiotic treatment or none at all if viral, which should reduce antibiotic resistance and other complications. Distributed By ARC Medical 14
  • 15. The Device • PneumoniaCheck is an easy-touse, noninvasive, disposable solution for collecting respiratory specimens to help reduce one of the world’s largest health problems. • PneumoniaCheck may be used on patients three feet and taller. Distributed By ARC Medical 15
  • 17. Methods to determine if patients have pneumonia • • • • • • • Medical history Physical exam Chest x-rays Blood tests Blood culture Sputum collection CT; Chest Computed Tomography Scan Distributed By ARC Medical 17
  • 18. Methods to determine if patients have pneumonia • • • • • • Bronchoscopy; BAL medical history Thoracentesis; Pleural fluid culture Pulse oximetry Nasal swab Urine antigen Throat swab Distributed By ARC Medical 18
  • 19. Current sampling data are not reliable • • Specimens are very often contaminated from the upper respiratory resulting in many false positives. This leads to broad antibiotic treatment because the actual pathogen causing the pneumonia is usually never identified. Distributed By ARC Medical 19
  • 21. Distributed By ARC Medical 21
  • 22. Development PneumoniaCheck was developed and designed to collect aerosol specimens selectively from the lower lung generated during a deep cough. PneumoniaCheck utilizes a separation reservoir and specially designed mouthpiece to segregate contents from the upper airway and the lower lungs. Distributed By ARC Medical 22
  • 23. Development PneumoniaCheck uses fluid mechanics to isolate lung pathogens onto the filter. Fluid mechanics is the branch of physics that studies fluids (liquids, gases, and plasmas) and the forces on them. Distributed By ARC Medical 23
  • 24. Development PneumoniaCheck includes several specially designed features to exclude oral contaminants from the sample and a filter to collect the aerosolized pathogens from the lower lungs. The filter can collect >99.97% of virus and bacteria sized particles from the sampled lower lung aerosols. Distributed By ARC Medical 24
  • 25. • • • To use PneumoniaCheck, a patient simply coughs deeply into the mouthpiece and expels the remaining air in his or her lungs. Squeeze the gas reservoir bag empty and then repeat when ready. This action should be repeated as many times as necessary to collect a sufficient sample of lower respiratory aerosolized pathogens. …recommend collecting 10 coughs Distributed By ARC Medical 25
  • 26. The air from the upper respiratory is collected in a reservoir, and aerosols from the lower respiratory are captured on a microbial filter. PneumoniaCheck can then be sent to a laboratory to be tested for the presence of various pathogens. Distributed By ARC Medical 26
  • 27. Collecting noninvasive, uncontaminated, lower lung aerosols Distributed By ARC Medical 27
  • 28. Collecting noninvasive, uncontaminated, lower lung aerosols Distributed By ARC Medical 28
  • 29. Collecting noninvasive, uncontaminated, lower lung aerosols Distributed By ARC Medical 29