Download - Ultrasound Bone Densitometer
confidential
Osteoporosis andOsteoporosis and Bone Densitometer
CM-200
Furuno Electric Co., Ltd.JAPAN
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Osteoporosis and our target sales route Osteoporosis and our target sales route
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H t M ?H t M ?全身DXA
How to Measure?How to Measure?DXA(Dual energy X-ray Absorptiometry) DXA(D l X Ab ti t )末梢DXA(橈骨など)
全身DXA
(腰椎、大腿骨近位部など)
( gy y p y)Peripheral part DXA(Dual energy X-ray Absorptiometry)
Lumbar spine, femoral neck
MD、DIP(中指骨)
MD(Micro Densitometry), DIP(Digital Image Processing)
Mid fingerQUS (Q tit ti Ult S d)QUS(踵骨)
QUS (Quantitative UltraSound)Calcaneus
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P f H lth BP f H lth BPurpose for Healthy Bone Purpose for Healthy Bone
・ Prevail the awareness of potential fracture risk caused by Osteoporosis.
・ QUS for “screening”, and DXA f “d fi iti di i ”DXA for “definitive diagnosis”.
"Earl screening and earl treatment“・ "Early screening, and early treatment“ for the prevention of the fracture risk.
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E l 1 (M t f i )E l 1 (M t f i )Example1 (Measurement for mass screening)Example1 (Measurement for mass screening)Group screening by Doctor's diagnosisQUS device
g
OrOr
QUS device is suitable for mass screening, for its easy operation
d i k t ti
Detailed examination by DXA Treatment with
and quick measurement time.After the screening, some patient might need detailed examination by DXA and other patient start
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y eat e t w tmedication
by DXA, and other patient start medical treatment under doctor's diagnosis.
E l 2 (Di i b i t li i )E l 2 (Di i b i t li i )Example2 (Diagnosis by private clinic)Example2 (Diagnosis by private clinic)Treatment with medicationQUS device measurement
by clinic doctor
Measurement cost of QUS device is low compared with DXA, and the device is
ll f d b i t d t f
Doctor's diagnosis
generally preferred by private doctor for the usage of the osteoporosis diagnosis.The doctor prescribes a treatment drug based on the whole diagnosis such as QUS
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based on the whole diagnosis such as QUS measurement result or health history of the patient.
Example3 (Drag or supplement promotion by pharmaceutical company)Example3 (Drag or supplement promotion by pharmaceutical company)Example3 (Drag or supplement promotion by pharmaceutical company)Example3 (Drag or supplement promotion by pharmaceutical company)
Part of Promotion
QUS device measurement
Part of Promotion
by pharmaceutical company
Treatment with one’s own product Some pharmaceutical company uses QUS devices for the promotion purpose of their
d t h t t t d f (medicine, or supplement)product such as treatment drug of osteoporosis or calcium supplement.Usually, these companies conduct the measurement for free in a hospital place and
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measurement for free in a hospital place, and apply the drug or supplement to the person who suspected to have osteoporosis.
D f T ti O t iD f T ti O t iDrug for Treating Osteoporosis Drug for Treating Osteoporosis Method Therapeutic Drug Therapeutic EfficacyMethod Therapeutic Drug Therapeutic EfficacyInjection Teriparatide Accelerates the formation of new bone.Injection Calcitonin Alleviation of pain caused by osteoporosis.Injection Calcitonin Alleviation of pain caused by osteoporosis.
Prevent the breaking of old bone.Internal use
Drip infusionBisphosphonate Prevent the breaking of old bone.
Drip infusionInternal use selective estrogen receptor
modulator 【SERM】Prevent the breaking of old bone.
Injection Anti-RANKL Antibody Prevent the loss of calcium from bones.Internal use Activated Vitamin D Enhances absorption of calcium from food substance,
and accelerates the formation of new bone.and accelerates the formation of new bone.Internal use Vitamin K Accelerates the formation of new bone.Internal use Calcium Supplies Calcium as additional nutrition
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Introduction of CM-200Ul d b d iUltrasound bone densitometer
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Steady Sales PerformanceSteady Sales PerformanceCM-100 & CM-200
Volume of shipment (oversea)CM-100 & CM-200 Volume of shipment (oversea)CM 100 & CM 200 Cumulative Sales Data
PRODUCT CM-100 CM-200
CHINA 19 492CHINA 19 492INDIA 0 69
VIETNAM 1 18TAIWAN 43 10
MALAYSIA 0 4MALAYSIA 0 4PHILIPPINES 2 8
UAE 0 2KSA 0 2
KUWAIT 0 1KUWAIT 0 1BRAZIL 0 1
SRI LANKA 0 1KOREA 183 0
INDONESIA 1 0INDONESIA 1 0PAKISTAN 2 0
EGYPT 9 0JAPAN 2198 1563
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TOTAL 2458 2171TOTAL:4629
(as of end of Jan, 2014)
Comparison chartComparison chartComparison chartComparison chartManufacturer FURUNO OsteoSys GE
Model CM-200 SONOST-3000 Achilles EXPIIMeasurement Site Calcaneus (Heel Bone) Calcaneus (Heel Bone) Calcaneus (Heel Bone)
Parameter SOS SOS /BUA SOS/BUA
Results T-score with % young adultZ-score with % age-matched
BQI Index T-score with % young adult
Z-score with % age-matched
Stiffness Index T-score with % young adult
Z-score with % age-matchedH l T C ti H l T S N NHeel Temp. Compensation Heel Temp. Sensor No No
Scanning Time Less than 10 sec Less than 15 sec Less than 10 sec
Precision < 0.5% CV (in vitro) < 2.0% CV ( in vivo) < 2.0% CV ( in vivo)
Foot Plate Adjustable plate structure (5 levels) Replaceable plate Replaceable plate
Measurement block Full dry coupling with Ultrasound Gel Full dry coupling with Ultrasound Gel using alcohol and silicon membrane
Probe Movement Manual Motorized (automatic adjustment) Fixed probe, Expandable membrane with water
External Monitor support Standard Component Option Option
Built-in Printer Thermal Printer Thernal Printer Thernal Printer
Display Color LCD Color LCD Color LCD
Dimension (mm) 510 x 300 x 210mm 300 x 620 x 390 mm 281 x 305 x 560 mm
Weight 11 kg 12kg 11.5 kgg g g g
Consumable Parts Thermal Printer paper Thermal Printer paper Thermal Printer paper, silicon membrane
MODEL
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PICTURE
Safety and Speedy measurementSafety and Speedy measurement
S f tSafetyUltrasound method requires no special facilities. With radiation exposure-free, it allows to all generation including children to pregnant women to measure.
SpeedySpeedyApprox. 10 seconds required for measurement.
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Result DisplayResult Display
C l h f lt i di l d f ltColor graph of result is displayed for easy result monitoring.
Simple Print-out Sheet
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Precision measurement (H l t t )Precision measurement (Heel temperature sensor)
Thi d i f ti d l d b FURUNOThis new and unique function developed by FURUNO provides accurate results by offsetting the result with heel temperat reheel temperature
Heel Temperature Sensor
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Precision measurement (H l t t )
Temperature sensor - ON
Precision measurement (Heel temperature sensor)
Temperature sensor- OFFTemperature sensor - ON
1570
1580
1590
1600
Temperature sensor OFF
1570
15801590
1600
1530
1540
1550
1560
1570
OS
[m/s
]
15301540
1550
15601570
SO
S [m
/s]
OCTJAN
OCTJAN
1490
1500
1510
1520SO
14801490
15001510
1520
S JANFEB
JULYAUG
MARAPR
JANFEB
JULYAUG
MARAPR
1470
1480
1470
1480
1490
1500
1510
1520
1530
1540
1550
1560
1570
1580
1590
1600
SOS (Sep.) [m/s]
1470
1480
1470
1480
1490
1500
1510
1520
1530
1540
1550
1560
1570
1580
1590
1600
SOS (Sep.) [m/s]
AUG1:1
AUG1:1
When the temperature sensor is ON, results is on the green line which shows the ideal condition The feature enables accurate SOS
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shows the ideal condition. The feature enables accurate SOS measurement regardless of seasonal condition.
14
Precision measurement (F t Si Adj t t)
Th f t l t b dj t d t 5 l l b
Precision measurement (Foot Size Adjustment)
The foot plate can be adjusted to 5 levels by operating the dial, and makes more accurate measure at the best position of heel in an eas operationat the best position of heel in an easy operation.(19cm, 20cm, 21cm, 22 to 24cm and above 25cm) .
Provides accurate SOS for children.
Study show most of 10-year-old children have footStudy show most of 10-year-old children have foot size above 19cm.
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Utility Software
C t CM 200 t t l PC
Utility Software
Connect CM-200 to an external PC.Type patient information and click Start button on a
PC screen.Measurement results will be saved on PC and
managed as the PC file.Result graph, trend graph and QC graph can beResult graph, trend graph and QC graph can be
printed from the printer connected to the PC.
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SpecificationsSpecificationsMeasurement Site Heel (Calcaneas)S ( )
Measurement Method Ultrasound Pulse Penetration
Measuring Parameter SOS:Speed of Sound
Measurement Time Approx. 10 SecMeasurement Time pp
Measurement Precision%CV Less than 0.5%(in measurement of Phantom)
Ultrasound Frequency Center Frequency: 500 kHz
Ultrasound Output Isptp: 1.8mW/cm2
Measurement Block Dry Type (acoustic gel used)
Operating EnvironmentTemperature: 10 - 35°C
Operating EnvironmentHumidity: 30 – 85%RH (Non Condensing)
Storage EnvironmentTemperature: -10 - 50°CHumidity: 30 - 85%RH (Non Condensing)
Power Supply 220VAC±10%pp y
Rated Frequency 50Hz/60Hz
Consumption Current 0.3A or less
Dimensions 510 (W) x 300 (W) x 210 (H) mm
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Mass 11 kg (Approximately)