1. Peripheral Medical Devices in Europe: Emphasis on Not Doing Now Tomas Bohrn Advanced Medical Solutions Tomáš Bohrn Transforming Healthcare with IT

2. Agenda 1)Patients 2) Methods 3) Programs

3. „Almost healthy“ patient Male 66 years, non smoker, DM II Light dyslipidemy. Corrected hypertension. Active walking, left limb pain

4. Truly healthy? Male 66 years, non smoker, DM II Light dyslipidemy. Corrected hypertension. Active walking, Progressing claudication left limb,

5. Man, 70 years, diabetic, PAD, progressing claudication, max.20 meters, after 6 weeks of rehabilitation 50 m

6. Study of 1791 patients GroupAgeHealthyDM IDM IISymptom. Women17-92350245682 Men12-91425356426 GroupHealthyBorderPathology Women56807180 Men9261244 GroupPADCVI Women26154 Men1430

7. Programs II. Chir.klin. VFn

8. Programs - Focus 1) Early detection and monitoring 2) Initiate effective non-invasive and soft therapies 3) Minimize surgeries 4) Avoid amputations 5) Sensitivity and specificity over 90%

9. Monitoring of farmacodynamic effects Monitoring of pharmacodynamic effects of vasoactive medicaments

10. Telemedicine + Therapies the first evaluation

11. Example in Brasil II. Chir.klin. VFn

12. Patients and Results 1) Female, over 74 2) Diabetes over 25 years 3) Identified risks in the family – CV events 4) Normal BMI

13. Patients and Results 1) Male, 52 2) Smoker 3) Was not aware of Diabetes and Dyslipidemy 3) Not provided information on family anamnesis 4) Overweight BMI 5) Detected alteration becoming serious

14. New partners are welcome 1) Focus on cardiovascular system diagnostics 2) Prevention 3) Integrated medicine

15. New partners are welcome 1) Focus on cardiovascular system diagnostics 2) Prevention 3) Integrated medicine

16. Summary 1)Telemedicine is very effective in the early detection and monitoring of selected chronic non-communicable diseases 2) Telemedicine enables the application of non-invasive and soft therapies 3) Integrative approach

17. Thank you for your kind attention

18. Muscle pump

19. Full evaluation

20. Monitoring Monitoring of vessel subsitute funcionality after surgery Follow up and adaptation of pharmaceutical treatment Follow up of rehabilitation effect on the perfusion on peripheral parts of limbs Patient motivation

21. Healthy Flow Man 66 years, non smoker, pain weeknes in lower limbs, perfusion healthy

22. Border values Man 72 years, with pain lower limb

23. Intermediate alteration of arterial flow

24. Heavy defect