Dolphin Pressure Redistribution System

Name of InstitutionMonth and Year

Points to Be Discussed

I. Intro Slide and Verbal ExplanationII. IncidenceIII. CostIV. Conventional SolutionsV. Our SolutionVI. Comparative DataVII. Close

Incidence of Pressure Ulcers

Pressure Ulcers affect approximately

– 1,500,000 Americans

– 24% of nursing homes residents

– 11% of patients in acute care facilities

Economic Impact of Pressure Ulcers

• Estimated cost of healing a single ulcer: $5,000 - $65,000

• Estimated annual cost of healing pressure ulcers in the United States: $5 - $8.5 billion

Hidden Impact of Pressure Ulcers

• Average increase of LOS 7–10 days

• Average settlement of $250,000

Conventional Solutions

• Low Air Loss

There are many Low Air Loss systems on the market today, yet none provide the efficiency and versatility of the Microsolo 900T and no other system contains the patented technology and software that control the continuous rebalancing of the patient on the surface as the patient is moved, turned, or repositions themselves. Compared to competitive systems in the AFT category, which can weighing a much as 1,500 pounds and completely immobilizes the patient, and is not transportable; the Microsolo provides greater pressure relief and a continuity of care that is unparalleled in dealing with patients that are affected with a "pressure sore"-"bed sore".

Our Solution

• Each unit is delivered with both, the full depth mattress and the corresponding wheelchair pad, allowing for continuity of care.

• It is unique because of its ability to prevent and cure "SI" subcutaneous infarction, "pressure ulcers"-"bed-sores", at every stage.

• It is the only product of its kind designed to military specifications employing 12-volt DC current technology, thereby virtually eliminating all electromagnetic issues.

• It is the only fully automated product of its kind, worldwide. Once you place the mattress and seating system and turn on the system, it will calibrate automatically according to the patient, for optimal pressure relief. No additional inputs necessary.

Our Solution

• This 4-6 hour internal battery back-up; significantly reduces power interruption concerns and provides a continuity of care during transport from patient bed to wheel-chair, back to bed, eliminating relapse of the "SI" subcutaneous infarction, more commonly known as pressure ulcers or bed sores.

• Can tolerate patient weight in excess of 600 pounds. Most systems are limited to 250 pounds.

• Exceedingly user friendly • It is a Dynamic pressure system versus all competition

that are passive.

Our Solution

• The mattress replacement, seating system and computer weigh just 24 pounds making the Microsolo 900T the lightest most effective bed system in the world for preventing and curing pressure ulcers

• Continuity of care is paramount in dealing with patients that are affected with a "pressure sore"-"bed sore"

• The Microsolo 900T is the only system of its kind that allows a health care institution to freely move a patient, easily from bed to chair and back again without leaving the healing properties of the system

“The Most Ideal But Most Clinically Impractical Support Medium”

What is it?

Two-Dimensional SystemControl = Prone

2-D Control vs. 2-D Supine(Visco-elastic surface)

Control (inverted) Supine on currently used surface

Loss of gluteal foldTissue Loss of gluteal foldTissue/muscle distortionSubcutaneous infarction /muscle

900T (3-D) vs. VE Surface (2-D)

900T System Supine on currently used surface

109 mm 99 mm 75 mm 78 mm

Loss of gluteal fold

Tissue/muscle distortion

Subcutaneous infarction

Control vs. 900T System3-D Volumetric Pressure Redistribution

900T System

99 mm

Increased IT distance

Gluteal fold symmetry

Restoration of Tissue Symmetry

Control (Prone position)

91 mm 86 mm

109 mm

Control

CT/PET Scan

• PET Scans: Sagittal Views: Pressure Redistribution: Standard Uptake Volume of Glucose (SUV) = .28 gm/ml = normal• PET Scans: Sagittal Views: Alternating Pressure (APP): Standard Uptake

Volume of Glucose (SUV) = .77gm/ml = 2 to 3 times accelerated metabolic activity over pressure redistribution.

Relative Pressure {mm Hg}650 125

+Relative Pressure {mm Hg}

Standard Replacement Foam Pad

Multi-layered Engineered Foam Pad

125

+650 Relative Pressure {mm Hg}

65

Visco-elastic Engineered Foam Pad

Relative Pressure {mm Hg} 125

+

3-Dimensional Volumetric Redistribution

Microvascular Flow – Alto Pad

• 98.29% of Microvascular blood flow diminished after placement on “Alto” Pad, demonstrated by laser doppler and TcPO2.

Microvascular Flow – Dolphin Pad

• 12.72% of Microvascular blood flow diminished after placement on “Dolphin Pad” demonstrated by laser doppler and TCPO2.

• 97.59% of Microvascular blood flow diminished after placement on a “Standard surgical table pad.”

900T vs. Clinitron

Independent Test Studies Provided to FDA

12

25

715

26

56

0

10

20

30

40

50

60

mm

Mer

cury

P

ress

ure

Biologics 900T* Clinitron**

Sacral

Trochanter

Heels

Capillary Closure @ 32mmHg Pressure*Maxim Technologies, Inc./Twin City Testing **Ostomy Wound Management Winter 1988

+$44,623.42+$39,642.58$0Net Savings to Heal Wound

$15,156.58$20,137.42$59,780.00Total Cost to Heal Wound

+$7,826.00+$2,845.16$0Surface Cost Differential

$4,424.00$9,404.84$12,250.00Total Therapy Surface Cost

110.6110.6490Days to Heal

$40$85$25Therapy Surface Rental/Day

+$36,797.42+$36,797.42$0Savings Differential

$10,732.58$10,732.58$47,530.00Cost to Heal

$97$97$97Cost to Treat/Day (excludes surface)

110.6110.6490Days to Heal

15.815.870Weeks to Heal

49.049.049.0Pressure Ulcer Size (Length x Width)Example: 7cm x 7cm = 49cm2

3.13.10.7Healing Rate (cm2/wk)

PRT(Biologics 900T)

AFT(Group III)

Air(Group II)

Healing Costs – Stage III/IV Ulcers

Ochs RF, Horn SD, van Rijswijk, L, Smout, R. OWM 2005;51(2):38-68

The Ideal Support Surface Should:

• Redistribute weight equally in a 3-D manner• Minimize pressure, shear and friction• Assist in moisture and temperature control• Minimize surface contamination and bioaerosol

spread• Be easy to clean• Aid in patient transferring and mobilization• Be compatible with multiple surfaces• Be cost effective

900T Multi-surface Capability:The Next Generation

Common Sites

Classification of Support Devices Currently Available

Pressure Redistribution1. Static/non powered Passive2. Dynamic/powered Intervention

Non-pressure redistribution ActiveAlternating pressure surfaces Intervention

3-Dimensional Volumetric Redistribution

0 10 20 30 40 50 60 70 80 90 100

The segment of the healthcare field handling decubitus ulcers is a growing concern for everyone. The ability to bring a product that has beneficial results in the healing of serious illness, that reduces costs associated with these illnesses, is a benefit that each and every patient should demand, every healthcare facility should provide, and is now a requirement for full payment and Medicare P4P Initiatives. Wound Systems, beginning with the Dolphin Pressure Redistribution System (“Fluid Immersion Simulation) intends to deliver a continuous line of innovative and patented medical devices to the healthcare facilities industry, that both maximizes care and provides an opportunity for financial benefit to the provider (either through full reimbursement or incentive payer programs).