Sunday, April 10, 2011

MRI video

here is the video.  I could not pull up the other link.


How ya doing??

So, I hope you girls are all doing well.  I am finished with all of the inputting of my information and I have emailed you the powerpoint slides I have at this point.  If you need anything else or any help, please letme know.  I am just trying to figure out how to have one more tool to add to my powerpoint.  Hope you are having a great weekend.


Tuesday, April 5, 2011

MRI compatible monitor - SpO2 ghosting


Monitor video

I can't get this to embed...maybe because it is a company video...but you can click on the link to see the invivo expression monitor.


my contributions post, by Caren

my contribution starting...but not finished

Who Needs Training:
Registered Nurses
Outpatient Radiology (Pavilion)
Inpatient Radiology (St. Josephs Main)
MRI Technicians
Outpatient Radiology (Pavilion)
Inpatient Radiology (St. Josephs Main)

Training Needs:

For training purposes we will train a select few super users to be able to help with questions after implementation of the monitor.
Company Representatives will be coming to the site to train all RN’s, MRI Techs and Anesthesiologists on the capabilities and basics of the monitor.
Company Representatives available on-call for any questions or problems with the product.
Pictures and information available on company website for all employees to reference and walk thru.
Extra monitor on site temporarily for all employees to use and “play” with to help them feel comfortable with the monitor prior to the live introduction.

monitor pictures

                                                                      Medrad Veris

monitor picture

 Invivo monitor picture :)

Monday, April 4, 2011

four monitors

So - narrowed it down to the 4 monitors - got rid of the schiller india one for it was avail in other countries only....

I'm working on the system selection - Ive got 4 monitors - basically going to 'advertise' what each one claims and hopefully get some prices....

they are the Invivo Expresssion (the one we want)
Medrad Veris
GE Carescape
Maglife Serenity
I've got some basic pictures loaded so far - tomorrow going to work on writing in the specs.
I hope this is what I am supposed to be doing. Don't want to spend too much time on it incase I'm way off in what I am to be doing - need to ask in class tomorrow.

Shelley - you did a great job on your part - I put that in to my power point already and it looks pretty good.
I think.
Caren - yes - you are to be creating the education  / training piece and maintenance.

Also - send me any articles you have so I can put them on a reference slide.

Sunday, April 3, 2011


Okay, so I have done a few slides, but I'm not sure exactly what I need to be doing. Debbie, are you doing information on specs and what the company is looking for in a monitor? I am doing the info on training, implementing the new monitors and maintenance, (evaluation of the monitors?) I am so confused by this project too...

I know we can make it look cool, but getting it to make sense. Well it seems as though Shelley is the only one who gets that part...

other monitors

I looked up a few other monitors
We have the Invivo that Shelly sent us info on
The Medrad - I have two PDF's on this one so can email you both

Then I thought I'd look at the
Schiller India mag life C Plus
the Mag Life Serenity - which I also have a PDF for

And a GE product
I haven't written up my portion for the slides yet...I sort of need to review things (read the product info) and try to figure out what she is wanting on our project.

Shelley - I looked at your beginning needs assessment - looks pretty straight forward.
Caren - hopefully having access to the product information will help you with your information  :)
Hopefully we can work on things Tuesday night.


Ok, so I put all of the info for the needs assessment ina basic powerpoint.  I will email it to you so let me know what you think.


Saturday, April 2, 2011

needs assessment


We are in the MRI and a peditric patient is on the table with our current Invivo monitor which is all wireless except for the blood pressure cable.  The child is under anesthesia and all monitors are on the child.  The EKG is providing a clear waveform after application of the EKG pad.  We leave the room and the MRI starts and there is no longer a readable EKG which in turn does not provide a accurate heart rate.  Our anesthesiologist feels uncomfortable that he/she is not getting an accurate reading on their anesetized patient.  There is so much interference with our current monitor. 

Next scenario is that many times, we enter the MRI room and the monitor is on and the cordless oxygen probe is sitting in the holder on the Invivo monitor.  We notice that the probe is hanging there and not connected to a patient and yet we are getting readings on the monitor for the heart rate and the oxygen saturations.  If we are getting readings and the probe is not even on the finger, how reliable is this.  We also have found times that the probes have come off during anesthesia and yet we still get readings as if the probe is still on.

Our needs assessment:

We are in need of a new machine that allows us to monitor a patient's cardiac activity during an MRI without the current distortions of the EKG due to electromagnetic interferences.  This in turn will allow us to feel more comfortable that we are getting an accurate reading of not only the patient's EKG, but in addition, we will also get an accurate heart rate.  We also need to feel reassured that a monitor will not be giving us a reading while the oxygen saturation probe is sitting in the cradle of the monitor and not on the patient.  It would also be very nice to be able to have a monitor that provides us with the capaility of monitoring the patient's temperature while under anesthesia due to the fact that pediactric patient's tend to be able to regulate their temperature under anesthsiea, resulting in a drop in their core temperature.  While the MRI is know to heat up the patient while they are inside the MRI, we do not have any current ways to monitor their temperature.  We need to make sure that we are providing the patient with the safest anesthesia experience ever.

Debbie and Caren,

I have to take a look to see what monitor we currently have.  It is not even on their website anymore.  The one that we are currently looking to get is the expressions with Invivo...this monitor provides an electrode fail indicator which we do not have now and is very essential to have as the probe may become loose during the procedure.

It reads perfusion rates so it assures that we are getting a correct reading.  it has :

  • Ultra Advanced Gradient Removal algorithms provide stable traces even during Perfusion, SWI and Diffusion MRI sequences

  • Express Wireless OR quality SpO2 with Neo, Infnant, Pediatric and Adult Quick Connect Sensors...more sensors and better sizes for all ages

  • Continuous Temperature for Esophageal, Rectal, Nasal and surface temperature

  • Precision EtCO2 with OR traces...(we do not have this now and the anesthesiologist keep requesting this)

  • Active Trend Arrows adds depth to each vital signs helping you identify patient conditions earlier

  • Perfusion Index provides confidence in the SpO2 saturation levels helping you setup and treat the patient faster

  • User enabled T Wave Suppression allows you to normalize the waveform from the control room for unparalleled gating efficiency( which we do not have now)

  • The other monitor we were looking at was the MedRad

    This monitor is much cheaper, however, Invivo is the umber one monitor used and medrad is more used for their pumps and they are new to the monitor industry.  In fact, there is only one hospital that has one...only one of these monitors in all of southern california and they have it as a cheap back up in case their Invivo breaks. 

    I hope all of this information helps.  Please let me know what else you need.