United Medical Instruments - Diagnostic Ultrasound Blog!

Fly Thru Technology from Toshiba is innovative and forward-thinking, combining other imaging technologies found on larger and more expensive modalities.   According to a press release from Toshiba America, it is described as follows:

 

Compact ultrasound, portable ultrasound machine, hand-held ultrasound system….. regardless of which name you use, the general category is still the same: small, laptop-sized ultrasound machine that, in most models, packs as much punch as its cart-based brothers. According to our guru in the ultrasound industry, Harvey Klein, portable ultrasound machines are defined as “compact ultrasound systems…..weighing 14 pounds or less, including handheld, hand-carried, and laptop machines.” Others don’t put the weight specification as a defining characteristic, but instead think of it as moveable between locations.

The main selling point being that as point-of care demands increase, the portable ultrasound machines can easily be used in the Emergency Department, small physician practice or sports medicine clinic, wherever imaging needs to be brought to the patient, avoiding the need for the patient to be moved. But the question is, which machine is right for you?

Some physicians still believe that a full-sized 100 pound ultrasound machine is the only device that will yield the imaging results required to make a diagnosis. In many cases that’s just not true. Yes, 3D/4D technology requires more processing power that 2D imaging, and there are certain features that still can only be found on the cart-based ultrasound system. However, for many diagnostic imaging needs the portable ultrasound machine is the perfect solution – with its ease of use, comparable image quality, needle guided software, and affordable pricing.

At United Medial Instruments, Inc. we offer both new and used portable ultrasound machines. A quick breakdown follows:

GE Logiq e

A 10-pound, fully shared service, easy to use machine with the following stand-out features:

• Panoramic Imaging

• Split Screen – show two images side by side while live scanning

• 3D imaging

• Needle Visualization

Siemens Acuson P300

A 26-pound, workhorse portable ultrasound machine for a variety of clinical markets including: OB/GYN, Cardiovascular, general imaging and musculoskeletal ultrasound. Stand-out features are:

• Panoramic imaging

• Speckle reduction and compounding

• Intra-operative and laprascopic transducers for interventional procedures, including an exceptional 18MHZ high frequency probe

Toshiba Viamo

An 18-pound laptop ultrasound machine that shines in all clinical markets from Cardiovascular to OB/GYN to Musculoskeletal. Stand-out features are:

• Advanced Dynamic Flow – allows for directional color Doppler – see low flow every time

• Application-specific calculations

• Flexible modes with either tablet and touch-screen or keyboard

What are you waiting for?! Contact us today to schedule your FREE online virtual demo of one of these new compact ultrasound machines, visit our website to learn more, http://www.umiultrasound.com/  or give us a call, 877.490.7036.

As the industry for compact ultrasound systems continues to grow, physicians who want to purchase their first ultrasound or trade out a bulky cart-based unit for a laptop sized one, have plenty of options.  Although buying new has its rewards, such as a 5 year warranty from SonoSite, this is a recession after all, and many people, physicians included, are on a budget.  According to imaging trend watcher Harvey Klein, PhD, with Klein Biomedical Consultants, "The compact ultrasound market continues to be the largest segment of the overall ultrasound market in the U.S."  Just like buying a used car, there are risks, but here are 4 tips to buying refurbished or used ultrasound equipment to help you mitigate potential issues during your buying process:

1. Commitment to Quality

What is their process for repair and warranty work?  What is their process for refurbishing the ultrasound equipment? Whether it's just an additional transducer you need or a fully loaded laptop ultrasound system, do they just paint the nicks and send it out the door or is there a comprehensive checklist including safety points that are reviewed?

2. Scope of Resources

How many people work at the company, is it a broker working from his house?  Or will you receive post sale support in the form of onsite training, continued lifetime online training for new staff?  Do they repair the equipment in-house or source it to another company?

3. Price

This is a tricky area and one where you need to make SURE you are comparing apples to apples, not an apple to a grape.  If it seems too good to be true, guess what?  It is!  Make sure you have a quote that details which features are enabled on the system you are going to purchase and that if you have requested a linear transducer for vascular access you are looking at two identical descriptions - there are multiple linear probes from SonoSite for example and they are different.

4. References/Reputation/Relationships

This is either an area you can start with, asking colleagues for references, or end with.... check the website, are there testimonials from past customers?  Can you talk with a customer about their experience?  Online resources such as Dotmed.com post feedback about resellers, be educated about who you are working with.

Get on board and join the millions of physicians who are using portable ultrasound for applications ranging from vascular to MSK to Family Practice.

Get the facts today about buying used or refurbished ultrasound machines - download our Guide today!
 

 

 Part I

Welcome to the first installment of Jeanette's Journeys! Jeanette is the National Marketing Manager for United Medical Instruments, Inc. and not only gives stellar product training to the sales reps, but also travels to customer sites addressing questions, providing SonoSite, Toshiba, and Siemens ultrasound system training, as well as ensuring customers are completely happy with their ultrasound purchase. When not involved at a customer site or developing marketing programs, you can find her at a tradeshow. She is a major contributor to the success of UMI, and hopefully you enjoy reading our blogs based on Jeanette's Journeys!

East Coast Sales Director, Jerry Michel, consulted with Virginia Vascular Surgical Center to determine which SonoSite portable ultrasound system would meet the needs of this friendly yet busy Davita Dialysis Center. Post sale customer support was requested to address the customer concerns of:

• Performing flow volume exams
• Identifying shortcuts for faster patient throughput
• Training a new staff member

Gregg L. Londrey, MD, a board certified vascular and general surgeon, and site Medical Director, his wife Joy, an RN, and colleague Dave all manage the vascular surgical center. The Center "offers the latest state-of-the-art equipment and non-invasive procedures to evaluate arterial, cerebral, and venous diseases." To learn more about their facility visit Vasurgical.com

Prior to Jeanette's arrival, the customer realized she needed to exchange the transducer they originally purchased for a different one and after working with Jerry and receiving the probe in 24 hours, Joy confidently said "Your company has the best customer service I have ever received....It was great to speak to a person and get immediate results." With the right equipment in hand, Jeanette's training began. Jeanette brings over 20 years of sonography experience and is a RDMS, RVT, and RPhS so putting together a customized shortcut for Joy's clinical team Amy, Dave, and Scott was second nature and very helpful for the end users. To get your copy of the Dialysis Access Fistula Exam Tips click here. Knowing there was a need to increase patient throughput she also created vascular access quick cards for the SonoSite Micromaxx and M-Turbo. Having been trained on flow volume exams, provided with shortcuts, and given knobology training for the staff, the team at Virginia Vascular Surgical Center is happy, and ready to treat patients. Another successful customer install, this time in Virginia. Stay tuned for the next stop in Jeanette's Journeys!

For years patients have suffered from a variety of pain-type complaints from back pain or knee pain to carpal tunnel syndrome. Advances in medicine and portable ultrasound machines are providing relief for these patients by utilizing ultrasound for needle guided injections. For example, the AC joint at the top of the shoulder is difficult to locate due to its small size and variable anatomy. A 2006 study showed a 60% failure rate for these joint injections, Bisbinas I, et al. Accuracy of needle placement in ACJ injections. Knee Surg Sports Traumatol Arthrosc. 2006 Aug;14(8):762-5.

However, portable ultrasound machines such as the SonoSite M-Turbo or Toshiba Viamo are easy to use and feature a needle visualization software that “lights up” as the needle penetrates the skin and moves toward the area of interest. Clinicians using this technology vary from orthopedic surgeons to rheumatologists to osteopaths. Osteopathic medicine in particular is primed to embrace this technology as their practice is centered around the musculoskeletal system and joint injections have been part of patient therapy. Utilizing prolotherapy for treatment they are now able to incorporate ultrasound to capture a pre and post image of the joint, tendon or ligament, as well as improve their accuracy in joint injections.

In 2010, a group of rheumatologists conducted a study, led by Wilmer Sibbitt, Jr., M.D from University of New Mexico Health Sciences Center, which found that there was a 107% increase in patient response rate when utilizing ultrasound for needle guided injections compared to joint injections given by palpation only. In addition, “study results showed the ultrasound method led to a 14.6% (US$48) reduction in cost per participant per year and a 58.8% ($593) reduction in the cost per hospital-outpatient participant who responded to the treatment.”

Physicians describe the preferred ultrasound system to be portable, have high resolution imaging, a high frequency transducer, and be non-cumbersome since they are typically holding the probe with one hand and injecting with the other.

As ultrasound systems become smaller and the need for a quicker diagnosis becomes greater, point-of-care ultrasound has become an expanding market. The definition of this term is that those who have not been formally trained on ultrasound physics and anatomy are actually the healthcare providers now conducting the ultrasound scans for specific procedures such as vein care, needle placement, assessing organ trauma or disease.

A new challenge on the horizon is how to supply astronauts with quality imaging devices to diagnose potential medical conditions while they are on a mission in space. Portable ultrasound is one solution in providing point-of-care ultrasound to the men and women who are away from technology found on earth. Dr. Scott Dulchavsky, surgeon-in-chief at the Henry Ford Hospital in Detroit, is collaborating with the International Space Station to develop training, protocol, and recommend appropriate ultrasound equipment to provide the space teams with diagnostic capabilities.

While there are a variety of portable ultrasound systems available, SonoSite has carved out a niche in point-of-care ultrasound. These laptop-sized units weigh 10 pounds, have a lightening fast boot up time and are developed with ease-of use in mind. Training can then be centered around teaching these non-physicians to recognize anatomy and pathology, interpret the ultrasound images they are capturing and arrive at a diagnosis.

Some experts claim that the point-of-care ultrasound market takes a step backward in the field of ultrasound, so perhaps instead of an on-the- job training approach, serious consideration should be given to attending ultrasound workshops provided by specialists such as SonoSite or Advanced Health Education Center. As portable ultrasound machines are taken into space, proper training and easy to use ultrasound machines will allow our astronauts to receive quality care off the planet as well as on it.