The document discusses peripheral medical devices in Europe and emphasizes non-invasive approaches. It summarizes a study of over 1700 patients that found various rates of diabetes, peripheral artery disease (PAD), and cardiovascular issues among men and women. The document advocates for programs focused on early detection, monitoring, and initiating non-invasive therapies to minimize surgeries and avoid amputations by achieving over 90% sensitivity and specificity. Telemedicine can effectively monitor patients and pharmacodynamic effects of medications while enabling application of therapies. An example from Brazil showed success in detection and management of at-risk patients. The conclusion emphasizes that telemedicine enables early detection and monitoring for prevention with an integrated medical approach.

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
Group Age Healthy DM I DM II Symptom.
Women 17-92 35 0 245 682
Men 12-91 42 5 356 426
Group Healthy Border Pathology
Women 56 807 180
Men 92 612 44
Group PAD CVI
Women 26 154
Men 14 30

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