TEE

Ready

TEE Trans-Esophageal Echocardiograph James H. Philip, M.E.(E.), M.D. Anesthesiologist and Director of Technology Assessment Brigham and Women's Hospital Medical Liaison, Department of Biomedical Engineering Partners HealthCare System Associate Professor of Anaesthesia Harvard Medical School I have a financial interest in Gas Man ® and Med Man Simulations, Inc. I have performed research on some of the drugs or devices described © , James H Philip, all rights reserved.

Ultrasound again Not just Doppler Frequency Shifts Doppler imaging Time of flight from reflecting surfaces Reconstruct images 1 D (with time) = M Mode 2 D (with time) Blood Flow and direction

Probe is quite big

Open Wide

Monitor is quite big

And Expensive Box$150,000 Probe $50,000

2 Chamber view

4 Chamber view

Trans- gastric short axis

Best for ischemia

Shows us more than movement

Movies

Laser perfusion of heart

NICO over TEE

You will have the opportunity in the market. Can NICO dominate over TEE ? Will it simply have its own place, beside ? And in places where TEE will never be. Good luck on your new venture !

End