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Angelica-Analytical- She can thoroughly analyze factors  to see the reasons and causes that affects a situation.

Carter- Communication- His role is to share and provide effective communication to other staff to help teach and  share new information

Daisy- Developer- She can recognize potential problems and make suggestions to help improve the project.

Faith- Futuristic- She is a visionary who can help inspire others to see the benefits of the product

Pablo- Positivity- His positive and inspiring attitude can help motivate other coworkers to look forward to the changes and the use of the project

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~ Expensive costs to purchase devices
~ Minimizes in-person assessment
~ Device availability
~ Troubleshooting devices
~ Specialized training to read vitals and monitoring

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Caretaker Medical, a company based in Virginia, developed the VitalStream wireless patient monitor, and the company recently announced that the device has received FDA clearance. The technology is intended to improve on traditional blood pressure cuffs that provide only a snap-shot of blood pressure data, while being an alternative, in many cases, over invasive arterial catheters that come with a variety of potential complications, including infections, and difficulties with insertion.

The VitalStream provides continuous, wireless monitoring of a variety of hemodynamic parameters and blood pressure, which is particularly important in patients at risk of dangerous hypotensive events. The device itself is worn on the wrist, and a disposable finger sensor delivers blood pressure readings and additional sensors measure ECG, SpO2, body temperature, and ETCO2.

Caretaker Medical reports that the system can be set up quickly, and provides rapid alerts of any abnormalities or dangerous events. Patients can wear the device while in a hospital, and then take it home for additional monitoring, if required. The data are streamed to an app, the cloud, or can be interfaced with hospital computer systems, and the system provides automated reporting.

See a video about the technology below.

Medgadget had the opportunity to speak with Jeff Pompeo, President and CEO at Caretaker Medical, about the technology.
Conn Hastings, Medgadget: Please give us an overview of the health impacts of high or low blood pressure.

Jeff Pompeo, Caretaker Medical: Your blood pressure is changing constantly - rising and falling as needed to circulate oxygenated blood to your organs - and it's greatly influenced by body movement, stress, heart rate changes and hemodynamic instability. Although long-term high blood pressure (hypertension) is associated with increased health risks, a far bigger concern is a sudden drop in blood pressure (hypotension), which can require immediate clinical intervention to avoid organ damage or even death. Studies show that up to 48 percent of non-cardiac surgery patients experience a dangerous hypotensive event 1-4 days after surgery, which is associated with a 183 percent increase in post-op myocardial injury and death.
Medgadget: Please give us a quick summary of blood pressure monitoring and its importance.
Jeff Pompeo: Because blood pressure changes constantly, reliance on a typical "spot check" arm cuff blood pressure measurement provides only a single moment in time data point, leaving blind spots between intermittent readings where hemodynamic volatility is undetected. By contrast, continuous beat-by-beat blood pressure measurements eliminate blind spots and provide a real-time view of hypotensive decline so clinicians can make life-saving interventions immediately. Although frequent spot check blood pressure checks with typical arm cuffs are generally fine for healthy and stable patients, it's well-known that continuous BP monitoring for high-risk patients provides a far better picture of true hemodynamic health, and can help clinicians make better treatment decisions.
Medgadget: How is such monitoring conducted at present? How is this suboptimal?
Jeff Pompeo: The gold standard for continuous beat-by-beat blood pressure and hemodynamic monitoring is an invasive arterial catheter (a-line), which is inserted directly into a patient's artery and connected to a manually calibrated machine. But because of insertion difficulties, infection risks, and other challenges, a-lines are typically reserved for only the most critically ill patients under strict supervision in the ICU or OR. Therefore, the vast majority of patients are relegated to manual spot-check vital sign measurements taken every few hours, which of course means dynamic hemodynamic changes may go unnoticed and untreated for hours. Clinicians must therefore make decisions with incomplete and missing data. The COVID-19 pandemic has further stressed clinical staff and health system resources, making frequent manual vital sign checks even more challenging and increasing the risk that adverse events and errors may go unnoticed.

Medgadget: Please give us an overview of the VitalStream system and how it works.

Jeff Pompeo: VitalStream is a completely wireless, non-invasive, patient monitor that provides continuous beat-by-beat blood pressure, hemodynamic and vital signs monitoring, eliminating blind spots with uninterrupted real-time data without invasive a-lines. Using a disposable finger sensor and our Patented Decomposition Analysis (PDA™) technology, VitalStream measures continuous central aortic pressure and hemodynamics, but in a completely wireless platform to enable real-time and remote monitoring from anywhere. Continuous data and waveforms are streamed to our app or our remote secure cloud portal, or can be interfaced with EMRs and other platforms for automated reporting and streamlined workflow. VitalStream can be up and running on a patient in less than one minute and instantly alert clinicians to adverse hemodynamic events as they occur, even as patients move throughout the full continuum of care - even remotely after patient discharge. The VitalStream is FDA-cleared, and we have completed over a dozen clinical studies validating its accuracy. With VitalStream, patients are untethered from clunky cuffs, wires, and poles; clinicians enjoy automated workflow and continuous data for improved decision-making; and health systems can lower costs while improving care.
Medgadget: How does the VitalStream system measure continuous blood pressure, hemodynamics, and vital signs?
Jeff Pompeo: Our patented PDA™ Algorithms utilize a low-pressure finger sensor to analyze reflective waveforms in the aortic tree from each heartbeat. Our AI algorithms then derive changes in central aortic pressure to display waveforms and beat-by-beat values, as well as heart rate, respiration rate, and other parameters continuously. Using additional wireless sensors, VitalStream can also measure SpO2, ECG, body temperature, and ETCO2. All data is seamlessly displayed on our app, remote monitoring cloud portal, or integrated with EMRs and other monitors.
Medgadget: Congratulations on receiving FDA clearance for the system. Is the system already available to clinicians? If so, where is it currently being used?
Jeff Pompeo: Thank you. VitalStream is available for purchase now and more information is available on CaretakerMedical.net. We see a new paradigm where a VitalStream monitor stays with the patient on their journey across the full continuum of care, even going home after discharge, to create an uninterrupted digital record of personalized hemodynamic patient health - ultimately providing a path to predicting adverse events before they happen. Our current customers span a wide range of institutions and use-cases including critical care, trauma, perioperative settings, acute-care clinics, pharma clinical trials, infusion centers, sleep disorder labs, and remote patient monitoring. VitalStream checks every box of healthcare's quadruple aim by creating the opportunity for improved outcomes while being better for the patient, better for the clinician and better for the hospital.

Link: Caretaker Medical homepage...

Flashbacks: FDA Approves CareTaker® Wireless Remote Patient Monitor For Continuous Non-Invasive Blood Pressure ("cNIBP") and Heart Rate Monitoring using patented Finger Cuff Technology; Caretaker Beat-by-Beat Continuous Blood Pressure and Vital Signs Monitor Cleared in EU

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Wireless Blood Pressure and Hemodynamic Monitoring: Interview with Jeff Pompeo, CEO, Caretaker Medical

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Caretaker Medical, a company based in Virginia, developed the VitalStream wireless patient monitor, and the company recently announced that the device has received FDA clearance. The technology is intended to improve on traditional blood pressure cuffs that provide only a snap-shot of blood pressure data, while being an alternative, in many cases, over invasive arterial catheters that come with a variety of potential complications, including infections, and difficulties with insertion.

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VitalStream From Caretaker Medical - The New Standard in Wireless Patient Monitoring

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~ Non-invasive, wireless device
~ Continuous monitoring of vital signs for high risk patients and procedural patients
~ Early warning system to detect sepsis or cardiovascular concerns
~ Accurate, Reliable, & Real-time reading
~ Data integrated in the electronic medical record
~ Minimizes documentation
~ Less disruptive when patients are sleeping
~ Better patient experience
~ Can lower healthcare costs

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The "Wireless" Blood Pressure Monitoring

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The "Wireless" Blood Pressure Monitoring

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Author: Conn Hastings, PhD
Science writer and editor for Medgadget.com

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November 11, 2021

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My Top 5 Strengths:
Achiever- I am motivated to finish a challenging project. With this quality, it will help the team stay focused and productive to follow through and complete the project.

Learner- I have the desire to learn new information and apply it to the project to enhance and improve the project

Arrangers- Stay organized and arrange factors to be most productive and efficient. This quality is important to help the person stay on task in a timely manner.

Relator- It is important to build relationships with other teammates so each person can work together and achieve their goals.

Focus- This quality helps the person follow through with their tasks and make corrects to complete the project.

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The VitalStream will change the way healthcare monitors vital signs. By replacing the current methods to monitor patients blood pressure, heart rate, oxygen saturation, and respirations, patients do not need to be connected to cords or worry about getting poked for an arterial line. The device should be more comfortable to wear and and has the capability to be used in the hospital and brought home for continuous monitoring.

The data being collected will be a documented in real time. Clinicians will be notified and they can detect early hypotension, hypertension and other myocardial injury. As a result, the patients will be treated in a timely manner and reduce their chance of death. From a nursing perspective, patients will not be restricted by staying still for their blood pressure read. They will be able to sleep better at night and feel less anxious and exhausted during the day. By utilizing this device, the patient will have a better overall experience.

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VitalStream is a wireless, non-invasive vital sign monitor device that can be utilized in many healthcare settings. The patient's vital signs are widely used in healthcare for a variety reasons including the initial patient assessment, cardiac monitoring, and patient procedures. Patients who are high-risk may need continuous blood pressure monitoring. Invasive arterial lines are the current standard for monitoring "beat-by-beat" blood pressure and hemodynamic monitoring (Hastings, 2021). For patients who do not have an arterial line, nurses may perform manual vital signs every few minutes to an hour.

By using VitalStreams, a disposable finger sensor is connected to the patient's finger tip while connected to a  portable monitor that is attached to the patient's wrist.  The sensor will measure the patients vital signs, aortic pressure and hemodynamics in realtime. The continuous monitoring  minimizes any gaps in blood pressure and clinicians can detect early warnings signs and order the necessary interventions without delay. The Vitalstream will impact the patient's quality of life and change they way clinicians are monitoring their patients for the future.