MESI ABPI MD (3 cuff system)

No, MESI ABPI MD is not a Doppler. Doppler is an ultrasound probe, while MESI ABPI MD uses volume plethysmography to measure the ABI. It is much faster and more objective in detecting and identifying patients with PAD. The accuracy of MESI ABPI MD was confirmed with several clinical studies (85 % sensitivity and 96 % specificity to detect ABI lower than 0.9 was proven). As the device is automated, it eliminates human error that can occur during the standard handheld Doppler measurement. Pressures on the arms and both ankles are measured completely simultaneously, which eliminates error due to blood pressure drift.

• in case of the presence of intravenous cannulas or arteriovenous fistulas, the cuffs and measurement can cause injury to the limb,
• if the patient has had breast surgery/mastectomy,
• do not use the device on a patient while they are connected to a vital sign monitor,
• do not use immediately post-op following a superficial bypass graft without consulting a physician first,
• do not carry out if the patient has severe lower leg pain or severe lower leg wound pain without consulting a physician first,
• do not use for patients with dermatitis, pulmonary hypertension, severe hypertension, Parkinson’s or very edematous limbs,
• do not use with patients who have severe heart failure, gangrene or a recent skin graft on the upper or lower extremity.

Yes, severe PAD is indicated with a warning and the PAD symbol. If the patient has severe PAD, the pulse in the ankles is very weak. This means the ABI cannot be accurately calculated. Instead, the device will analyze the pulse waveform and indicate severe disease with a PAD symbol. In the case of a PAD result, we always recommend repeating the measurement with the device connected to the computer. This provides the full-length pulse waveform, which can be analyzed to confirm the condition.

Yes, the accuracy of the MESI ABPI MD was confirmed with several clinical studies (85 % sensitivity and 96 % specificity to detect ABI lower than 0.9 was proven). As the device is automated, it eliminates human error that can occur during the standard Handheld Doppler measurement. Pressures on the arms and both ankles are measured completely simultaneously, which eliminates error due to blood pressure drift.

If the patient can withstand a one-minute measurement, the cuffs must be covered with an impermeable dressing before being placed on wounded extremities. Otherwise, enable the amputation mode (see image below) before starting the measurement. 

Halved lemon shape.

Flattened shape, oscillations with low amplitudes.