Deltex Med Grp PLC (DEMG) - NHS South Innovation Plan
RNS Number : 2648P
Deltex Medical Group PLC
23 October 2012
Deltex Medical Group plc
Details published of NHS South plan to implement ODM
23 October 2012 - Deltex Medical Group plc, the global leader in oesophageal
Doppler monitoring ("ODM"), notes that NHS South of England has published its
"Innovation Health and Wealth: Innovation Plan" which includes targets for the
implementation of national high impact innovations.
The plan sets out local targets for CQUIN (Commissioning for Quality and
Innovation) incentive payments for each of the six high impact innovations
specified in December 2011's Innovation: Health and Wealth report, one of
which was to launch a drive to implement fully "ODM or similar fluid
management monitoring technologies" across the NHS.
The NHS South of England targets for fluid management are expressed in terms
of numbers of patients a year treated per 100,000 of population and the
targets set are:
· 150 patients per 100,000 in February and March 2013
· 200 patients per 100,000 in the NHS financial year starting 1April
· 250 patients per 100,000 in the NHS financial year starting 1 April
· 400 patients per 100,000 in the NHS financial year starting 1 April
In the year ended 31December 2011, CardioQ-ODM was used during surgery on
circa 50 patients a year per 100,000 of population in NHS South of England and
the Directors of Deltex Medical believe that CardioQ-ODM is by some way the
market leading fluid management monitor in surgery in the region.
NHS South of England covers a population of over 13million, just over a
quarter of the population of England. It estimates that 53,789 surgical
patients would be treated with intra-operative fluid management technologies
in 2015/16 in the South of England, approximately 25% of the 220,000 who would
be treated with 100% compliance with the NICE (National Institute for Health
and Clinical Excellence) guidance on CardioQ-ODM.
The plan notes that its regional targets for adoption of intra-operative fluid
management may "be updated following completion of national work on
pre-qualification requirements for CQUIN".
Ewan Phillips, Deltex Medical's Chief Executive, commented:
"Successful implementation of the NHS South of England plan will cause a step
change in the market for intra-operative fluid management monitoring in the
region in the next two and a half years, with clear potential for either
faster or further growth to address the remaining three-quarters of patients
where NICE already recommend CardioQ-ODM usage.
"CardioQ-ODM has a strong market leadership position in the NHS, is the most
widely applicable technology available for major surgery, is the only
technology recommended by NICE and is the only technology with an evidence
base that shows both improved outcomes for patients and reduced lengths of
hospital stay which are the benefits being pursued by the NHS."
For further information, please contact:-
Deltex Medical Group plc 01243 774 837
Nigel Keen, Chairman
Ewan Phillips, Chief Executive
Paul Mitchell, Finance Director
Nominated Adviser & Broker
Arden Partners plc 020 7614 5900
Kreab Gavin Anderson 020 7074 1800
Notes for Editors
Deltex Medical manufactures and markets the CardioQ-ODMÔ system. CardioQ-ODM
changes the way doctors care for surgical patients allowing them to recover
faster and leave hospital sooner and in better health than they otherwise
would do. The performance of the system has been validated through
independently conducted, randomised controlled clinical trials and is being
translated into routine clinical practice in leading hospitals around the
CardioQ-ODM comprises a monitor and a single patient disposable probe. The
probe is placed into the oesophagus through either the mouth or nose and the
tip positioned facing the adjacent descending aorta. A low frequency
ultrasound signal, generated by the monitor, is bounced off the blood
travelling down the aorta and the Doppler principle is used to determine the
velocity of the blood flow, expressed in distance per cardiac cycle - 'Stroke
Distance'. The monitor also calculates the amount of time that blood is
flowing down the aorta as a proportion of a cardiac cycle - 'Flow Time'.
The monitor uses a validated proprietary nomogram to extrapolate volumetric
data (Stroke Volume, Cardiac Output etc) from the directly measured flow
velocity. The nomogram utilises the patient's age weight and height,
effectively to estimate the size of the aorta in which the velocity of the
flow is being measured. Crucially this means that any reported relative change
in Stroke Volume is absolutely identical to the relative change in the
directly measured flow velocity variable of Stroke Distance. CardioQ-ODM
immediately and reliably identifies even very small changes in the blood flow
velocity allowing doctors to intevene earlier and on smaller changes than with
any other approach.
Intra-operative individualised Doppler guided fluid management entails
insertion and focusing of the probe to obtain a baseline reading, giving a
small (200 to 250 ml) fluid challenge directly into the vascular system and
seeing if Stroke Volume (or Stroke Distance) increases by more than 10%. If
the increase is more than 10%, repeat fluid boluses are administered until
such time as the increase is less than 10%: after this no further fluid is
given unless Stroke Volume falls by more than 10% - the process is designed to
achieve and maintain the individual patient's optimal Stroke Volume.
CardioQ-ODM is also used during surgery to guide administration of vaso-active
agents such as inotropes.
The CardioQ-ODM helps patients by enabling doctors to reduce the complications
that arise from a medical condition that is common to almost all patients
having surgery and many others in intensive care or arriving in the accident
and emergency department. This condition is known as hypovolaemia - a
reduction in circulating blood volume - and in surgical patients arises as a
direct consequence of the combined effects of pre-operative starvation, the
anaesthetic agents and the blood and fluid losses associated with the surgical
procedure itself. Hypovolaemia means that the body struggles to get sufficient
blood to the tissues and vital organs which are consequently starved of
essential oxygen. This can cause medical complications including peripheral
and major organ failure, which if not dealt with quickly can lead to severe
compromise or even death.
There are already over 2,500 CardioQ-ODMs currently in use in hospitals
worldwide and distribution arrangements are in place in over 30 countries. In
addition, there are currently more than 250 clinical publications on the use
of the CardioQ-ODM which have repeatedly:-
· Validated the results of CardioQ-ODM against known standards for
measuring cardiac output
· Proved that CardioQ-ODM works in a wide range of surgical procedures
· Proved that CardioQ-ODM delivers 50% or more reductions in post-operative
complications and 25% or more reductions in length of hospital stay: better
care at lower cost.
The SupraQÔis an entirely non-invasive device which uses an ultrasound probe
held at the base of the patient's neck to track the flow of blood in the
aorta; it presents the same data as the CardioQ-ODM in a similar format and is
used for taking snapshots or monitoring over short periods.
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