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NICCI Technology

NICCI Technology
NICCI Mouse
NICCI Garage
NICCI 3 sensor

NICCI Technology

Advanced Hemodynamic Monitoring at your fingertips

NICCI is the latest innovation in Advanced Hemodynamic Monitoring, providing continuous and noninvasive hemodynamic insights.

NICCI helps guiding individual treatment decisions by reliably providing dynamic parameters, such as mean arterial pressure (MAP), cardiac index (CI), stroke volume variation (SVV) and pulse pressure variation (PPV).

*The availability of NICCI depends on regional regulatory approval status

Hypotension – an unknown risk?

Studies show: intraoperative hypotension is a fact. Even short hypotensive episodes are associated with severe complications. [1],[2]

Learn more about hypotension

  • Why is intraoperative hypotension so common?
  • What kind of risks does it bear?
  • Is there a way to reduce hypotensive phases?

Discover facts & figures on hypotension

Overview

Never miss a beat

Blood pressure is one of the most important variables evaluated during almost every medical examination. However, recent studies show that fluctuations in blood pressure may be missed due to standard intermittent readings.[3],[4]

Hypotension related complications can be reduced by continuous, noninvasive blood pressure monitoring.[1],[2] NICCI helps to ensure you never miss a beat.

Creating the new standard of Hemodynamic Monitoring

Advantages of continuous, individualized hemodynamic management

Why we choose continuity

 

 

Continuous blood pressure (BP) measurement allows the detection of rapid BP changes often unidentified by upper arm cuff readings and therefore helps to improve perioperative care.[7]

More than blood pressure

 

 

Derived advanced hemodynamic parameters (CI, SVV, PPV, CPI etc.) allow the user to quickly obtain cardiovascular parameters at baseline.[8]

Individualized patient monitoring

 

 

Enables individualized intraoperative fluid management and enables health care professionals to make confident informed therapy decisions.[8]

Benefits

Hemodynamic Monitoring has never been easier

Success in everyday use: easy setup, fast results

The NICCI Sensor contains two finger cuffs and performs an automatically alternating continuous measurement at the patient’s finger. The easy click mechanism allows a fast setup. Smart features of the NICCI Module, like the integrated cable storage and quick access keys allow a simple handling.

Created for fast and simple handling

Product benefits at a glance:

Getinge NICCI Technology cuff

2 finger cuff

Integrated 2 finger cuff with alternating measurement for continuous performance

NICCI technology

Ergonomic design

Ergonomic design for best possible patient comfort

NICCI technology

Click & play mechanism

Click and play mechanism allows an easy assembly and measurement start

Getinge NICCI Technology

Smart design elements

Smart design elements like integrated cable and storage functionality

NICCI 3 sensor

NICCI Sensor in 3 sizes

  1. Comfortable fit - Ergonomically designed to fit on left/right, index/middle or middle/ring finger 
  2. Dual Cuff Sensor - Automatically alternating finger cuffs for improved patient safety – max. application on one finger is 1h
  3. 3 available sizes - Because every patient is different we designed 3 different sensors that fit every hand size and shape and even fits pediatric patients (excluding neonates)

NICCI Mouse

  1. Compact mouse design - To fit into patients' palm
  2. Built in finger size measurement tool - Determination of correct sensor size where you need it
  3. Easy to clean and store - Ergonomic design for a quick setup
  4. Easy click and plug mechanism - User friendly and quick setup

NICCI Module

  1. Quick access keys - To start/stop measurement or trigger a manual NIBP measurement
  2. Integrated Cable & Mouse Storage Management - Storage functionality for NICCI Mouse and cable
  3. Integrated NIBP Calibration - Automatic calibration to the gold standard
  4. Expands PulsioFlex Monitor with NICCI Technology - 1 Monitor for all technologies

NICCI Upper Arm Cuff

  1. Calibration to the gold standard - Integrated NIBP Module automatically calibrates to the gold standard
  2. 4 NIBP cuffs available - S, M, L XL, for proper calibration values

Technology

Incorporate 20 years of intelligence

The NICCI Technology is based on the CNAP's® continuous noninvasive blood pressure technology. The Vascular Unloading Technique`s accuracy is proven in clinical settings for more than 20 years.

The measurement results are comparable to invasive arterial line measurements in terms of continuity, accuracy and waveform dynamics.[9]

Pulsating blood flow detected by infrared light sensors is kept constant by the counter pressure exerted on the artery by inflating or deflating the integrated cuff. The resulting pressure in the finger sensor corresponds to the real arterial pressure.

NICCI-features-1755x1000.jpg

Parameter

Getinge NICCI Technology

Hemodynamic insights

Based on the pulse contour analysis, NICCI analyses the pressure curve and derives parameters providing valuable information about the blood flow, preload, afterload as well as contractility.

Parameters provided by NICCI:

  • APsys, APdia
  • MAP – Mean Arterial Pressure
  • PR – Pulse Rate
  • CI - Cardiac Index
  • SVV - Stroke Volume Variation
  • PPV - Pulse Pressure Variation
  • SVI - Stroke Volume Index
  • dPmx - Left Ventricular Contractility
  • SVRI - Systemic Vascular Resistance

Learn more on hemodynamic parameters

All references

  1. 1. Dueck R, Jameson LC. Reliability of hypotension detection with noninvasive radial artery beat-to-beat versus upper arm cuff BP monitoring. Anesth Analg 2006, 102 Suppl:S10

  2. 2. Ilies Ch, Kiskalt H., Siedenhans D,. Meybohm P., Steinfath M., Bein B., Hanß R.: Hypotensive episodes during cesarean section under spinal anesthesia are more frequently detected by a continuous noninvasive arterial pressure device then by intermittent oscillometric arterial pressure measurement submitted to peer reviewed journal.

  3. 3. Skerst B: Market survey, N=198 physicians in Germany and Austria, Dec.2007 - Mar 2008, InnoTech Consult GmbH, Germany

  4. 4. Ilies C, Bauer M, Berg P et al. Investigation of the agreement of a continuous non-invasive arterial pressure device in comparison with invasive radial artery measurement. Br J Anaesth. 2012;108(2):202-21

  5. 5. Yamada T, Vacas S, Gricourt Y and Cannesson M (2018) Improving Perioperative Outcomes Through Minimally Invasive and Non-invasive Hemodynamic Monitoring Techniques. Front. Med. 5:144. doi: 10.3389/fmed.2018.00144

  6. 6. The studies mentioned have been performed with the CNAP System. Getinge integrated the technology and algorithm into the PulsioFlex platform. Based on bench tests the NICCI system equals in performance and accuracy the CNAP System so that the clinical results can be used equally.

  7. 7. Nicklas J, Beckmann D, Killat J et al. Continuous noninvasive arterial blood pressure monitoring using the vascular unloading technology during complex gastrointestinal endoscopy: a prospective observational study. J Clin Monit Comput. 2018;33(1):25-30.

  8. 8. Hua A, Balogun-Lynch J, Williams H, Loganathan V, Dob D, Vizcaychipi M. Assessment of Haemodynamic Response to Induction of General Anaesthesia in Healthy Adult Patients Undergoing Elective Orthopaedic Surgery by Using a Continuous Non-invasive Cardiovascular Monitoring. The Open Anesthesiology Journal. 2017;11(1):75-82

  9. 9. The studies mentioned have been performed with the CNAP System. Getinge integrated the technology and algorithm into the PulsioFlex platform. Based on bench tests the NICCI system equals in performance and accuracy the CNAP System so that the clinical results can be used equally