Your Complete Vascular Lab

Peripheral-Vascular Examinations
Arterial and venous testing
Ankle-Brachial-Index (ABI)
Pulse Volume Recording (PVR)
Photo Plethysmography (PPG)
Light Reflection Rheography (LRR)
Spectral CW Doppler 5 and 8 MHz

Cardio-Vascular Examinations
Pulse Wave Velocity (PWV)
Pulse Wave Analysis (PWA)
Central Aortic Pressures
Augmentation Index (AIx)

rterial Stiffness
Determination of A

Systems for the Health Conscious

Your Complete Vascular Lab…
…for Peripheral and Cardio-Vascular Examinations
All at Your Fingertips
The VICORDER® fits well in the palm of your
hand. Unlike anything else on the market of this
size it integrates all the functions of a complete
‘large’ vascular lab, offering both peripheral and
cardio-vascular testing capabilities. Equipped
with modern sensor technology the VICORDER®
features bilateral pressure measurement, Pulse
Volume Recording, Photo Plethysmography, and
high resolution spectral Doppler sonography.
This advanced multi-sensor technology caters
well to a very broad application in functional
arterial and venous examinations including
convenient protocols for arterial stiffness
testing. The compact VICORDER® case,
weighing less than 600 grams, houses medical
high tech: Digitally controlled pneumatics for
inflating and bleeding the cuffs, sensor electro-
nics, and an integrated remote control for
executing all tests right next to the patient.
A true miracle in efficiency and user friendliness
with remarkable features right at your
fingertips!
Pure Innovation
VICORDER® does not built on a large cart, nor
on redundant hardware. Via a fast USB adaptor,
additionally serving as a power supply, the handy
VICORDER® can be connected to (almost) any
standard PC. In combination with a notebook
the VICORDER® becomes an ultra portable
vascular testing system. Including all accessories
for bilateral testing, VICORDER® and a note-
book will fit into a normal briefcase, allowing
you to apply the VICORDER® wherever you
need it, in your lab, bedside, in your outpatient
department, or during visits.
Highest Accuracy
With an A/D signal conversion of 22 Bits or Reliable Digital Electronics
more than 4 million points, VICORDER® yields
a resolution exceeding that of conventional VICORDER® means less redundant hardware,
instruments by a factor of 1000 or more. This miniaturized sensor electronics, high resolution
effects particularly the display of pulse wave signal conversion and fewer mechanical parts.
forms showing every fine detail in high fidelity. All these features combined lead to an unprece-
While offering excellent accuracy and ease of dented compactness, enhanced reliability, and
operation VICORDER® minimizes electronics reduced service cost at higher availability.
when compared to other devices. The separation
of the test module from the PC reduces cost and
offers flexibility in future software development
and adaptation of new computer hardware.
…for Peripheral-Vascular Examinations

Comprehensive Testing Capabilities • Bidirectional CW Doppler

• 5 and 8 MHz Probes
Featuring a flexible yet simple user interface • High Resolution Spectral Analysis
VICORDER® offers all relevant arterial and • Ankle-Brachial-Index (ABI)
venous function tests. Routine protocols for the • Toe-Brachial-Index (TBI)
most widely applied tests, such as ABI or pulse • Segmental pressures
wave analysis, are included and can be operated • Finger, toe and penile pressures
in different modes, either by using Pulse Volume
• Pulse Volume Recording (PVR)
Recording (PVR), Photo Pulse Plethysmogra-
• Photo Pulse Plethystmography (PPG)
phy (PPG) or Doppler Sonography. Segmental
as well as digital pressures may be determined • Stress Test
bilaterally by PPG or unilaterally by Doppler. • Thoracic Outlet Syndrome Test
Pressure measurements can be repeated by • Light Reflection Rheography (LRR)
either modality, with a mean of tests or single • Venous Reflux Test
test results reported. In a special protocol high • Venous Outflow Test
resolution wave forms from PVR or PPG can be
combined with pressure measurements reducing
testing time. Most protocols offer anatomical Spectral Doppler and PPG
3-D-graphics for user-guidance and impressive
documentation in various formats. For venous Featuring high resolution spectral analysis, the
function testing venous reflux and venous integrated Doppler offers 5 and 8 MHz CW
outflow protocols are also integrated. probes, capable of safely insonating small
vessels, even at compromised perfusion, just as
good as large and deep vessels. The VICORDER®
Proven Tests – Fast and Reliable Doppler also comprises protocols for insonating
Results brain supplying and periorbital arteries. Both,
Doppler audio signal and spectra, are of highest
VICORDER® integrates the most important quality and will satisfy even the most demanding
arterial and venous tests, proven protocols in a application.
most modern format. All tests can easily be For pressure measurement in the peripheral
performed and documented within a few minutes. arteries either Doppler or Photo Pulse
Plethysmography (PPG) can be used. Due to its
dual channel, bilateral approach and its simple
and fast operation PPG is the modality of choice for routine and screening examinations.
The remote control, an important feature in
Doppler testing, has been directly integrated
into the VICORDER® enclosure which can be
placed right next to the testing site.

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

Central Aortic Press
Arterial Stiffness –
…for Cardio-Vascular Examinations
From Vascular Screening to Assess-
ment of Cardio-Vascular Risk
“It’s not just about the legs”, a recent key
publication states clearly: “ABI is a biomarker
of cardio-vascular risk” [1]. In internal medicine
and cardiology, no other simple functional
parameter has such high reliability, with both
sensitivity and specificity exceeding 90%. The
paramount importance of the ABI in diagnosing
peripheral obstructive arterial disease has
been documented for years. Now there is
also strong evidence in its value of early
and reliable detection of cardio-vascu-
lar risk, which coincides with a
rising prevalence of abnormal
ABIs. As an example, in
Germany about 20% of all
patients visiting a private
physician had an ABI
below 0.9 carrying a
substantial risk of heart
attack or stroke [2].
From Peripheral
Obstructive
Arterial Disease
to Vascular
Stiffness
Besides screening of the
ABI as a risk indicator, the
current scientific literature
[3] now advocates the
determination of the elastic
properties of larger central arteries. Reduced
elasticity and increased arterial stiffness is
associated with an array of metabolic and
cardiac diseases. With the non-invasive, fast and
patient-friendly determination of vascular
stiffness VICORDER® is the tool of choice for
both clinical examinations and scientific studies.
As a stand-alone test or in combination with the
ABI, Pulse Wave Velocity (PWV), a surrogate of
vascular stiffness, can be obtained in less than
five minutes. Due to its simplicity and high
intra-subject repeatability, the PWV and ABI
References: [1] Perlstein et al., Circulation 2009, [2] Diem et al, Europ Heart J 2006, [3] Weber et al., J Hypertonie 2008, [4] European Society of Hypertension (ESH) and of the Europe-
an Society of Cardiology (ESC), J Hypertens 2007
ures
tests can conveniently be performed by assisting
medical staff.
PWV provides assessment of arterial damage
and is of significant prognostic power in related
diseases, such as hypertension, diabetes, or
chronic kidney disease, where it should be
carried out as routinely as echocardiography,
24-h blood pressure monitoring or glucose
tolerance testing.
Please note: The VICORDER® determined PWV
is not an estimate derived from a peripheral
wave form but a direct physiological measure,
taken synchronously from carotid and femoral
sites.
Non-invasive Determination of Cen-
tral Aortic Pressure
Meanwhile major European scientific societies
involved in the battle against hypertension and
other related diseases included the determinati-
on of central aortic pressure in their official
recommendations [4]. In patients at risk,
brachial pressure may deviate substantially
from central aortic pressure. As the increase in
pulse wave velocity results in an earlier
reflection of the pulse wave, augmentation of
the central pressures may occur, leading to an
increase in systolic and a fall in diastolic
pressures. Stroke, increased left ventricular
load, reduced coronary perfusion, and left
ventricular hypertrophy are causal complica-
tions.
Only an upper arm cuff is needed for recording
and averaging the brachial pulse wave while the
optional VICORDER® Pulse Wave Analysis
(PWA) yields the transformed central aortic
pressure wave form. Reliable scaling of systolic
and diastolic brachial and central pressures is
attained by an integrated oscillometric blood
pressure measurement. Pulse Pressure (PP),
Augmentation Pressure, Augmentation Index
(AIx) and other important assessments such as
Cardiac Output and Total Peripheral Resistance
are reported.
With only an upper arm cuff inflated, evaluation
of central aortic pressures will require less than
five minutes and is most convenient for operator
and patient. The test protocol is automated and
virtually operator independent.
Perfectly Suited for Scientific Studies
Featuring fast and simple operation, a superior
signal resolution, optimum testing flexibility, low
intra-subject variability, comprehensive data
management and export facilities, VICORDER®
has proven its value in clinical applications,
scientific research and drug studies.
For special applications, e.g. in a CT or MRI,
testing can be performed up to 5 meters away
from the VICORDER® instrument.
As Easy and Fast as 1, 2, 3!

Testing in Less Than Five Minutes

Optimal Operation – Optimal Results
For optimal use of the many VICORDER®
testing capabilities all exam protocols are
automated, yet user configurable. Animated
3-dimensional graphics assist in simplifying
testing procedures and provide impressive docu-
mentation. Examinations can easily be delega-
ted, especially for screening, testing in private
practice, and field studies. From vessel labelling
to gain control or cuff bleed rate, all examina-
tions may be configured to your needs, just be
making adjustments as you go along, recorded in
a user defined protocol. All test results including
wave forms are stored for retrieval and post-
processing at any time.
The ready-to-network VICORDER® comprises a
complete patient record management including
editing of anamnesis, findings and comments.
Data may be archived locally or on a server. Con-
venient backup functions assure data integrity
and safety. Operating under MS Windows® 7,
XP Professional, or Vista, the VICORDER®
program can be installed within minutes. Test
reports, impressively documenting every exam
detail, may be printed locally or remote, stored
in pdf format, sent by eMail, or attached to the
patient chart in a practice computer system
(PCS) or hospital information system (HIS).
For research purposes data can be exported and
efficiently evaluated in csv or xls format files.
Due to its reliability, accuracy, and data integrity
VICORDER® has been chosen by reputed scien-
tists for multi-center studies.
The light VICORDER®, weighing less than 600 g,
can be placed right next to your patient. Directly
integrated, the convenient multi-functional
remote control enhances the flow of test proce-
dures without any need of mouse or keyboard.
The automated determination of the Brachial-
Arm-Index (ABI) and Pulse Wave Velocity
(PWV) in less than five minutes serves as a good
example of the unique efficiency built into the
VICORDER®. Just look and see!
Please visit our website at www.vicorder.eu for
videos demonstrating the speed and efficacy of
VICORDER® test procedures.

Pulse Wave Velocity (PWV)

1 2 3 4
min min min min

Ankle-Brachial-Index (ABI)

1 2 3 4
min min min min
Your Complete Vascular Lab

Unique Specifications

Design: j.tratz@sichtbereich.de | FRANKFURTER FUENF

All Inclusive!
Technical Specifications
VICORDER® comes complete with Doppler probes, cuffs, PPG sensors, and the VICORDER
program package, easily to be installed on your PC of choice. No expensive disposables, no hidden VICORDER® Sensor module
cost. When applying the VICORDER® in your daily practice, you will appreciate the profound Dual channel pressure measurement
technical expertise and know-how in vascular testing and Doppler sonography that has been Dual channel Photo Plethysmography (PPG)
incorporated in this instrument. CW Doppler with 5 and 8 MHz Doppler probes
Profit from this experience that makes VICORDER® amazingly effective, user friendly and cost Digitally controlled cuff pumps and valves
efficient! 22 Bit Analog-Digital conversion
Integrated remote control
Power supply through USB
Fast USB adaptor 2.0
Size (WxHxD) 10.6 x 4.0 x 17.0 cm
Weight ca. 600 g
USB cable approx. 2.50 m
Pressure hoses approx. 2.00 m
(extendable up to 5.00 m)
PPG cable approx. 2.00 m
Doppler cable ca. 2.00 m

VICORDER® Program Package

MS Windows® 7, XP Professional, or
Vista compatible
Comprehensive data management
Local or remote archive, auto backup
Automated protocols
User configurable programs
Doppler spectral analysis (256 point FFT)

VICORDER® complies with all relevant safety regulations

(medical CE, IEC, FDA). Technical innovation may require
modifications without notice. MS Windows® is a registered
trade mark of Microsoft Corp.
VICORDER® is a registered trademark of SMT medical,
Wuerzburg, Germany and Skidmore Medical Ltd., Bristol, UK.
www.smt-medical.com, www.vicorder.eu

SMT medical GmbH&Co.

Im Kreuz 9
Phone +49 (931) 3 29 33-0
Fax +49 (931) 3 29 33-29
Systems for the Health Conscious
97076 Wuerzburg info@smt-medical.com
Germany www.smt-medical.com