- The only non-invasive monitoring system measuring tidal volume, respiratory rate and minute ventilation
- Unique innovative algorithm technology using a bioelectrical impedance sensor
- Early detection of respiratory changes, facilitating timely interventions
- Helps to identify patients at risk for adverse acute outcomes
- Can be used in a variety of clinical settings: PACU, ICU and procedural sedation
- Connectivity to EMR and patient monitors
Earlier warning signs of respiratory changes allow you to make earlier decisions and patient interventions to avoid respiratory failure and arrest.
The innovative algorithm accuracy in ExSpiron has been demonstrated in clinical publications.
Reliable alarms results in safer patient care. ExSpiron demonstrated a nearly 1,000-fold reduction in nuisance alarms compared to capnography and a 20–50-fold reduction in nuisance alarms compared to pulse oximetry.
Extensive support beyond technology, ensuring streamlined implementation and optimized workflow in your facility
Did you know that respiratory compromise impacts approximately 7 million patients each year in the US and Europe? And that more than 60% of arrests brought on by respiratory compromise are potentially avoidable? There is clearly an unmet need in monitoring these patients.
ExSpiron displays measurements and trends for minute ventilation, tidal volume and respiratory rate.
Minute Ventilation = Tidal Volume X Respiratory Rate
| Minute Ventilation | Tidal Volume | Respiratory Rate |
|---|---|---|
|
|
|
| Minute Ventilation (MV) The amount of air someone breathes in a minute. | Tidal Volume (TV) The amount of air someone breathes in one breath. | Respiratory Rate (RR) The number of breaths in a minute. |
ExSpiron uses bioelectrical impedance, to measure the tissue’s opposition to carrying an alternating electrical current. The product is based on a proprietary algorithm calculating predicted minute ventilation based on body surface area and patient demographics. The predicted minute ventilation is that patient’s normal breathing at rest. This is defined as the patient’s 100 % predicted minute ventilation (MVPRED).
ExSpiron continuously monitors the patient’s real time MVPRED using an innovative algorithm and is presented both as a number and a trend.
The incorporated PadSet sensor is placed on the chest.
- Comfortable for patients
- Adult and pediatric sizes
- Easy to position and adhere
- 24-hour use
ExSpiron provides a significant high accuracy when compared to spirometry:
- Minute Ventilation and Tidal Volume error <10%
- Respiratory Rate error <1.8%
ExSpiron can predict postoperative depression when used in a post-operative care unit (PACU). This is according to data in a prospective cohort study.
The study covered 119 patients and concludes that Minute ventilation assessment in the PACU can be useful to identify patients at risk for postoperative respiratory depression. Low minute ventilation is the key finding for postoperative respiratory depression.
ExSpiron is built through years of clinical evidence and research.
PACU
Continuous non-invasive respiratory volume monitoring for the identification of patients at risk for opioid induced respiratory depression and obstructive breathing patterns. Voscopoulos C, MacNabb CM, Freeman J, Galvagno SM, Ladd D, George E. J Trauma Acute Surg. 2014; 77: S208-S215. doi: 10.1097/TA.0000000000000400. Read at PubMed
Evaluation of a Novel Non-Invasive Respiration Monitor Providing Continuous Measurement of Minute Ventilation in Ambulatory Subjects in a Variety of Clinical Scenarios. Voscopoulos C, Brayanov J. Ladd D, Lalli M, Panasyuk A, Freeman J. Anesth Analg 2013; 117: 91-100 Read at PubMed
Operational Realities in the PACU: Staffing and Monitoring for Safe Post-Operative Care. Weissman C, Freeman J. Anesth Analg. 2014; 119: 1249-1250 Read at PubMed
Perioperative Considerations for COVID-19 Patients Implementation Scienebased Approach for Practicing Perioperative Surgical Home (PSH). Shah N, Qiu C, Chung E, Lopez M, Feng M, Desai,V. Anesth Periop Med. 2021;1(1):5
ICU
The application of a novel non-invasive respiratory monitor (ExSpironTM) in the extubation of a patient with persistent upper airway swelling. Williams GW, Sharma A, Chen PR. J Med Cases. 2014; 7:388-391.
Novel Applications of a Non-Invasive Respiratory Volume Monitor for Intensive Care in Kenya. Schlesinger J. Resp Care. [ePub ahead of Print], doi: 10.4187/respcare.03744 Read at PubMed
Non-invasive respiratory volume monitoring in patients with traumatic thoracic injuries. Galvagno S, Brayanov B, Corneille M, Voscopoulos C, Sordo S, Ladd D, Freeman J. Trauma [ePub ahead of Print] October 29, 2014. doi: 10.1177/1460408614551977
Awake prone position reduces work of breathing in patients with COVID-19 ARDS supported by CPAP.Chiumello D, Chiodaroli E, Coppola S, Cappio Borllino S, Granata C, Pitmada M, Garcia P. Anals of Intensive Care (2021) 11:179
Procedural Sedation
Monitoring Minute Ventilation versus Respiratory Rate to Measure the Adequacy of Ventilation in Patients Undergoing Upper Endoscopic Procedures. Holley K, MacNabb CM, Georgiadis P, Minaysan H, Shukla A, Mathews D. J Clin Monit Comput. [ePub ahead of Print], doi: 10.1007/s10877-015-9674-y Read at PubMed
The Use of a Non-Invasive Respiratory Volume Monitor to Assess the Effect of Airway Maneuvers and Propofol on Ventilation during Upper Endoscopy. Holley K, Mathews D, Ladd D, Campana L, Schapiro H. Open J Anesth. 2014; 4: 281-290, doi: 10.4236/ojanes.2014.411041 Read at PubMed
Performance
Evaluation of a Novel Non-Invasive Respiration Monitor Providing Continuous Measurement of Minute Ventilation in Ambulatory Subjects in a Variety of Clinical Scenarios. Voscopoulos C, Brayanov J. Ladd D, Lalli M, Panasyuk A, Freeman J. Anesth Analg 2013; 117: 91-100
Monitoring Minute Ventilation versus Respiratory Rate to Measure the Adequacy of Ventilation in Patients Undergoing Upper Endoscopic Procedures. Holley K, MacNabb CM, Georgiadis P, Minaysan H, Shukla A, Mathews D. J Clin Monit Comput. (ePub ahead of print), doi: 10.1007/s10877-015-9674-y. Read at PubMed
Other Need-related Publications
Postoperative Opioid-induced Respiratory Depression- A Closed Claims Analysis. Lorri A. Lee, M.D. Anesthesiology 2015; 122:659-65
Preventing Respiratory Depression. Daniel I. Sessler, M.D. Anesthesiology 2015; 122:484-5
Breathing is good. Michael Ramsay. J Clin Monit Comput. DOI 10.1007/s10877-014-9601-7
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Voscopoulus et al. Evaluation of a Novel Noninvasive Respiration Monitor Providing Continuous Measurement of Minute Ventilation in Ambulatory Subjects in a Variety of Clinical Scenarios, Anesth Analg.2013 Jul;117(1)91-100.doi: 10.1213/ANE.0b013e3182818098
Qiu C, Cheng E, Winnick SR, Nguyen VT, Hou FC, Yen SS, Custodio GD, Dang JH, LaPlace D, Morkos A, Chung EP, Desai VN. Respiratory Volume Monitoring in the Perioperative Setting Across Multiple Centers. Respir Care. 2020 Apr;65(4):482-491. doi: 10.4187/respcare.07187. Epub 2020 Jan 28. PMID: 31992667.
Voscopoulus et al. Evaluation of a Novel Noninvasive Respiration Monitor Providing Continuous Measurement of Minute Ventilation in Ambulatory Subjects in a Variety of Clinical Scenarios, Anesth Analg.2013 Jul;117(1)91-100.doi: 10.1213/ANE.0b013e3182818098 Respiratory Compromise Institute https://www.respiratorycompromise.org/
Respiratory diseases statistics - Statistics Explained (europa.eu) https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Respiratory_diseases_statistics&oldid=541149#In-patient_respiratory_healthcare
Number of surgical procedures (per 100,000 population) - European Union | Data https://data.worldbank.org/indicator/SH.SGR.PROC.P5?locations=EU
Postoperative pulmonary complications - British Journal of Anaesthesia https://www.bjanaesthesia.org/article/S0007-0912(17)30201-5/fulltext
Schumann R, Harvey B, Zahedi F, Bonney I. Minute ventilation assessment in the PACU is useful to predict postoperative respiratory depression following discharge to the floor: A prospective cohort study. J Clin Anesth. 2019 Feb;52:93-98. doi: 10.1016/j.jclinane.2018.09.005. Epub 2018 Sep 15. PMID: 30227321.
ExSpiron 2Xi is available in European Economic Area (EEA) by CE certificate and in United States through 510(k) clearance. For availability in other countries, please contact us.