The staff at Medwave welcomes you to this latest edition of WAVEFORM.

Our focus this issue is the eradication of mercury sphygmomanometers and the adaptation of modern blood pressure monitoring technology that is long overdue. Our feature story is about a mercury spill from a blood pressure device that took place in the nurse's office at a high school in Carson City, NV, and if you look down in the "Synapse" section of this newsletter, you will see a link to a fact sheet regarding the cleanup of mercury spills in your school. Mercury is a dangerous substance that requires ritualistic cleanup that can be quite costly. In the "Vital Signs" section of this newsletter, see how Medwave is taking part in the drive to rid of Mercury - starting with the contribution of 6 Primo Blood Pressure Monitors to a non-profit Boston medical clinic. Finally, our President and CEO, Tim O'Malley, asks you to think about the tools that you use to fulfill your position responsibilities each and every day - see the "Pulse" section of this newsletter for Medwave's advanced solution for a critical area of medicine - bringing healthcare facilities into the modern age. Enjoy!

Volume 4, Issue 1, May 2006
Pressure Point...... Medical News from around the World!

Mercury spill to cost school district about $20,000
(Posted by: the Nevada Appeal Sept. 27, 2005 by Maggie O'Neill, Appeal Staff Writer)

Carson High School's liquid mercury cleanup promises to be much cheaper than the process 22 months ago at Pau-Wa-Lu Middle School in Douglas County.

Some six milliliters spilled onto the floor at the nurses' office at Carson High School on Sept. 14, causing the high school to be closed the rest of that day and the next for cleaning of two hallways, four classrooms and the nurse's office. The mercury came from a blood-pressure machine.

Pau-Wa-Lu's mercury spill was more extensive because a student carried around a quarter-cup vial of the substance for about two hours before he was stopped. Costs were more than $100,000.

A quarter-cup is approximately 59 milliliters. The mercury at Carson High School measured about 1/40th of a cup.

Mike Mitchell, director of operations for the Carson City School District, estimates cleanup at Carson High to be about $20,000. He will present information to the school board at its meeting scheduled to begin at 7 p.m. today in the Sierra Room of the Carson City Community Center, 851 E. William St.

"I think it's going to total pretty close to that when we're said and done," he said. "I'm waiting for the final cost from the cleanup company on what their charges were.

"We had to incur some costs associated with re-carpeting. It's not put in yet. We're waiting for some painting to be finished. We didn't have to repaint as part of the mercury spill, but we're taking the opportunity to spruce it up."

Eighteen students and eight staff members who were in the nurse's office the Wednesday the mercury was discovered went through a decontamination process of soap and water in the gym. The school re-opened Sept. 16.

"As far as cleaning up the mercury spill, that's all been completed," Mitchell said.

He is hoping to present information on the Carson City Sheriff's Department investigation in the incident. A screw-on cap was missing from the container that held the liquid mercury in the blood pressure machine, and the sheriff's department believes the spill was intentional.

The 26 people de-contaminated were all to be interviewed by investigators.
.........................................

Link to the Pau-Wa-Lu mercury spill story referenced above.
Liquid mercury found in school

(Posted by: The Record Courier Jan. 8, 2004 by Maggie O'Neill, Staff Writer

.........................................

New AHA recommendations for blood pressure measurement
(Posted by: American Family Physician Oct. 1, 2005 by Liz Smith)

Diagnosis and treatment of hypertension depend on accurate measurement of auscultatory blood pressure. The lowering of target blood pressure for patients with diabetes or renal disease has made detection of small differences more important. However, blood pressure reading is one of the most inaccurately performed measurements in clinical medicine.

"True" blood pressure is defined as the average level over a prolonged duration. Thus, in-clinic blood pressure measurement, which generally makes no allowance for beat-to-beat variability, can be a poor estimation and may fail to catch high blood pressure that occurs only outside the clinic setting. In addition, faulty methods and the "white coat effect" (an increase in blood pressure when a physician is present) may lead to misdiagnosis of hypertension in normotensive patients.

To increase accuracy of clinic readings, and in recognition of major changes over the past 10 years (including the prohibition of mercury in many countries), the American Heart Association (AHA) has published a new set of recommendations for the measurement of blood pressure. The AHA scientific statement, written by Pickering and colleagues, was first published in the January 2005 issue of Hypertension and also appears in the February 8, 2005, issue of Circulation. It can be accessed online at http://hyper.ahajournals.org/cgi/content/full/45/1/142.

.........................................


Device brings blood-pressure technology out of the 19th century
Medwave is hoping to change the way the nation's blood pressure is read
by measuring it with a new device that goes around the wrist.
(An article from the Star Tribune Minneapolis - St. Paul, MN.)
Author: Janet Moore, Star Tribune


Synapse...... Links of Interest!


Cleaning up Mercury Spills in your School
A polution prevention/sustainability fact sheet
from the Minnesota Polution Control Agency, dated October 2005.


Blood pressure measurement - Millimeters of mercury or feet of blood?
(An article from Positive Pressure, the membership magazine of the Blood Pressure Association.)
See how blood pressure measurement has (or hasn't) changed over the years.

Heartbeat...... Product Highlights!
Introducing Primo™...
Medwave's latest innovation in blood pressure monitoring SOLUTIONS!

Medwave pioneered sensor-based, non-invasive radial artery blood pressure technology, and continues to refine the technology. Primo’s intuitive and modern design promotes ease of use applications and a comfortable solution to monitoring challenges - works on geriatrics to bariatrics alike - fitting adult wrist circumferences from 11cm to 22cm - no need for multiple sized cuffs. The Primo Non-Invasive Blood Pressure Measurement System is compact (weighing just 7 oz.), easy to use and mercury free. The Primo measures blood pressure and pulse, and displays the reading on a clear digital panel in approximately 15 seconds - four times faster than a cuff.

To view an Interactive Demonstration and Virtual Tour of Primo,
click on link below or click on Primo photo above.
Primo Interactive Demonstration

See Primo as featured on NBC KARE 11 News and Nationwide Affiliates
Click on link below, then click on Primo - KARE 11 News Banner at the top of the page.
Primo Appears on National TV


JUST THINK:
YOUR KIDS WILL NEVER LEARN
TO SPELL SPHYGMOMANOMETER





Faster, Better, Easier to Spell
Vital Signs...... Medwave's Applications!

Medwave, Inc. Works to Eradicate Mercury from
Non-Profit Boston Medical Clinics

Medwave joined Health Care Without Harm, a non profit organization devoted to environmentally conscious healthcare practices, at a press conference at Codman Square Health Center in Dorchester, MA on May 2nd, 2006 to announce a plan to distribute free Primo™ blood pressure monitors to non-profit clinics that serve underprivileged populations.

“Mercury is one of the greatest environmental threats of our day,” said Bill Ravanesi, local coordinator for Health Care Without Harm. “Mercury is a potent neurotoxin that can affect the brain, spinal cord, kidneys and liver. We applaud this effort to protect the poorest populations from unnecessary exposures.”

The Primo™ comfortably takes blood pressure readings at the wrist and utilizes a sensor-based system that provides a digital systolic and diastolic blood pressure reading in approximately 15 seconds. Unlike the standard cuff-based system, Primo™ provides readings that are nearly as accurate as those taken by invasive arterial catheters and does so without the use of mercury.

“As a manufacturer of mercury-free products, we are excited to have the opportunity to create a healthier, safer environment for our community,” said O’Malley. “There is no reason why the underprivileged should be exposed to dangerous substances such as mercury when modern, innovative solutions are available, such as Primo™.”

Medwave Contributes Six Primo Monitors to Codman Square Health Center

Codman Square Health Center (CSHC), a community-based, multi-service center which eliminated its mercury style blood pressure equipment three years ago writes Medwave a letter of appreciation stating:

"From its inception, the health center has proceeded with the understanding that the health of its patients is affected significantly by their environments. CSHC strives to provide a healthy environment for our patients and our employees by keeping harmful substances from the facility. Introduction of more environmentally responsible products is a prerequisite for our success on this front. We applaud Medwave's contribution to this arena. We also are very pleased to see a product which is easier, quicker, more accurate and more comfortable to use than the products which we have been using. We look forward to introducing them to the clinic as soon as the staff has completed the training."

William J. Walczak
Chief Executive Officer
Codman Square Health Center
The Pulse...... Profiling Medwave!

Medwave is Committed to Providing Advanced Solutions to a Critical Area
of Medicine to Bring Healthcare Facilities into the Modern Age

Think for a moment about the tools that you use to fulfill your position responsibilities each and every day. A computer, voice mail, cell phones, PDA’s, the list goes on. Think back 20 years - many of these tools were just being introduced to the market.

Bosch transportable phone from the end of the 80’s
- weighs 11.5 pounds (5.2 kg).
One of the smallest mobile phones of today
- the Motorola RAZR V3 -
weighing in at 3.35 ounces (95 grams).

Now think about the tools that our healthcare professionals on the frontline are using everyday. Many are modern marvels, while others are antiquated. One tool that is used in almost every single environment within healthcare is the blood pressure measurement device. Whether it is a manual blood pressure cuff or an automatic cuff, these devices are everywhere within the healthcare spectrum. The manual blood pressure cuff was first introduced in 1896, while the automatic blood pressure cuff was introduced in 1976! Is there another area in medicine where technology this old is still being used as a basis for so many critical decisions in such a multitude of locations?

Riva-Rocci's Sphygmomanometer (1896) Blood Pressure Screening (1896)


Blood Pressure Screening Today Blood Pressure Screening Today

In your position, you probably wouldn’t use a cell phone or computer introduced 20 years ago to perform your job responsibilities. Until now, clinicians had no option but to use the blood pressure cuff to non-invasively measure their patients’ blood pressures. Medwave has remedied that situation with the introduction of Primo™.

Compact (weighing just 7 oz.),
Fast, Comfortable, Economical, Accurate, and Easy to Use
- Primo™ -
The New Paradigm in Blood Pressure Monitoring


“Previous non-invasive blood pressure monitoring technology, blood pressure cuffs, tended to be inaccurate when compared to invasive monitoring lines. The cuffs were limited in several ways, including potentially inaccurate readings for bariatrics and geriatrics, the creation of a high-pressure sensation created significant discomfort for extended monitoring, and significant application issues for uncooperative patients.”

“Medwave’s technology is able to solve these problems by improving the accuracy of blood pressure reading across any patient population, enhancing patient comfort, and increasing the frequency of blood pressure readings. As the reliance on monitoring increases to counteract staffing shortages, a broad range of monitoring parameters are now also required.”


Frost and Sullivan
(Awards Ceremony Presentation – July 2005)
2005 Non-Invasive Blood Pressure Monitoring
Customer Value Enhancement Award

Medwave®, Vasotrac®, Legato™ and Primo™
are trademarks of Medwave, Inc.
Medwave, Inc.
4382 Round Lake Road West
Arden Hills, MN 55112
Phone: 651-639-1227
Fax: 651-639-1338
Toll Free: 1-800-894-7601
www.medwave.com

To Email Medwave with Questions or Comments: info@mdwv.com
Medwave's Waveform E-Zine. To Subscribe a Friend Click Here. To Unsubscribe Visit this Page.