1. TEE

2. Ready

3. 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 © 1984 - 2003, James H Philip, all rights reserved.

4. 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

5. Probe is quite big

6. Open Wide

7. Monitor is quite big

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

10. 2 Chamber view

11. 4 Chamber view

12. Trans- gastric short axis

13. Best for ischemia

14. Shows us more than movement

15. Movies

16. Laser perfusion of heart

18. NICO over TEE

19. 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 !

20. End