Discover advanced hemodynamic insights, indicated for pediatric patients
Equip your clinical decision making with a complete set of hemodynamic monitoring solutions indicated for pediatric patients.* Monitor and trend continuous pressure, flow, and tissue oxygenation insights with noninvasive, minimally-invasive, and invasive solutions, so you can make proactive treatment decisions and stay ahead of critical moments.
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Noninvasive hemodynamic solutions
Continuous, actionable insights
All-in-one monitoring
Brain health monitoring
CAUTION: Federal (United States) law restricts these devices to sale by or on the order of a physician. See instructions for use for full prescribing information, including indications, contraindications, warnings, precautions, and adverse events.
Clinical education
Medical device for professional use. For a listing of indications, contraindications, precautions, warnings, and potential adverse events, please refer to the Instructions for Use (consult eifu.edwards.com where applicable).
2024
1970
ClearSight Jr cuff
2023
HemoSphere monitor
2017
FloTrac sensor
2005
VAMP Jr system
1991
Swan-Ganz thermodilution catheter
PediaSat oximetry catheter
2006
ClearSight cuff
2014
ForeSight Jr sensor
2019
Viewfinder remote app
2021
FloTrac Jr sensor
Swan-Ganz Jr catheter
Edwards Lifesciences. A legacy of innovation.
With over 50 years of experience in hemodynamic monitoring, Edwards Lifesciences delivers a robust portfolio to meet the needs of critically-ill children.
* ForeSight Jr sensor may be used on pediatric patients of all ages. ClearSight Jr cuff, FloTrac Jr sensor and Swan-Ganz Jr catheter are indicated for patients ≥12 years old.
Replay animation
Trend advanced hemodynamic parameters with ClearSight Jr finger cuff alongside tissue oximetry parameters from ForeSight Jr sensor for continuous, noninvasive monitoring of the regional balance between oxygen delivery and consumption.
Noninvasive solutions
ForeSight Jr tissue oximetry sensor
The HPI high alert popup alerts you when your patient is trending toward or experiencing a hypotensive event.* If the HPI parameter value exceeds 85 for two consecutive 20-second updates or reaches 100 at any time, the HPI high alert popup window will appear, prompting you to review the patient hemodynamics using the HPI secondary screen.
HPI high alert popup
The advanced hemodynamic pressure and flow parameters provided on the HPI secondary screen allow you to investigate and identify the root cause of potentially developing hypotensive events.
HPI secondary screen
The HPI parameter value is updated every 20 seconds, providing continuous predictive insights into developing hypotensive events.*
Educational resources
Case study: Clinical utility of dP/dt
The advanced hemodynamic parameters on the secondary screen are arranged visually by:
Preload Contractility Afterload
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Preload
Stroke volume variation (SVV) or Pulse pressure variation (PPV) The percent difference between minimum and maximum stroke volume (SV) or pulse pressure (PP) during a respiratory cycle It may be used as an indicator of fluid responsiveness.
Contractility
Systolic slope (dP/dt) Maximum upslope of the arterial pressure waveform from a peripheral artery. It measures the maximum rate of the arterial pressure rise during left ventricular contraction Changes from baseline or trend values of arterial dP/dt are more useful than absolute values, and may be an indicator of increasing or decreasing contractility
Afterload
Dynamic arterial elastance (Ea ) The ratio of pulse pressure variation to stroke volume variation It may be used as a predictor to determine when a preload responsive patient may also be pressure responsive. Ea greater than 1.0 may suggest that preload responsive patients will increase their mean arterial pressure in response to a fluid bolus
dyn
Learn more
Ea explained
Watch video
Access continuous, actionable insights into tissue oxygenation with three sensor types designed to be gentle on delicate skin.
ClearSight Jr finger cuff
Proactively manage perfusion for your pediatric patients with continuous, noninvasive access to advanced hemodynamic parameters and beat-to-beat blood pressure trends.
Explore continuous, actionable insights
CAUTION: Federal (United States) law restricts this device to sale by or on the order of a physician. See instructions for use for full prescribing information, including indications, contraindications, warnings, precautions, and adverse events.
Continuous, noninvasive hemodynamic insights*
Monitor tissue oxygenation alongside advanced hemodynamic parameters
Comprehensive insights that help you proactively maintain the balance of oxygen supply and demand.
*ForeSight Jr sensors may be used on pediatric patients of all ages. ClearSight Jr cuff is indicated for patients ≥12 years old.
Parameters: SYS/DIA/MAP, CO/CI, SV/SVI, SVV, PPV, SVR/SVRI, PR Indicated age range: ≥12 years
Parameters: StO₂, ∆ctHb Indicated for pediatric patients of all ages
Monitor and trend continuous pressure, flow, and tissue oxygenation insights so you can make proactive treatment decisions.
Manage your pediatric patients* proactively
Singh Y, et al. Recommendations for hemodynamic monitoring for critically ill children-expert consensus statement issued by the cardiovascular dynamics section of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC). Crit Care. 2020 Oct 22;24(1):620.
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According to the European Society of Paediatric and Neonatal Intensive Care (ESPNIC), frequent evaluation of trending parameters is more important than assessing static hemodynamic parameters, as signs of hemodynamic instability may be subtle and easily missed.¹
Explore tissue oxygenation insights
Proactively manage pressure and flow
ScvO₂
Parameters
Full parameter compatibility chart
Noninvasive
Minimally- Invasive
Invasive
Venous and tissue oximetry
StO₂
ΔctHb
iCO**
Cardiac output
CO/CI
SV/SVI
SVV
PPV
RAP
PAOP†
PAP
SVR/SVRI**
Blood pressure
SYS/DIA/MAP
*ForeSight Jr sensor may be used on pediatric patients of all ages. ClearSight Jr cuff, FloTrac Jr sensor, and Swan-Ganz Jr catheter are indicated for pediatric patients ≥12 years old. **Swan-Ganz Jr catheter measurements of SvO₂, iCO, and SVR are intermittent. †PAOP available through balloon occlusion function.
Central venous oxygen saturation
Tissue oxygen saturation
Relative change in total hemoglobin
SvO₂**
Mixed venous blood sampling
Intermittent cardiac output
Continuous cardiac output
Stroke volume
Stroke volume variation
Pulse pressure variation
Right arterial pressure
Pulmonary artery occlusion pressure
Pulmonary artery pressure
Systemic vascular resistance
Systolic, diastolic, and mean arterial blood pressure
PR
Cardiac filling pressures
Pulse rate
CVP
Central venous pressure
Preserve brain health and tissue perfusion
ForeSight Jr sensor delivers continuous, absolute StO₂ values that enable you to confidently recognize and reverse cerebral desaturations.*
Cerebral desaturations may have long-term implications in a child’s potential¹ , but tissue oximetry monitoring (StO₂) enhances the evaluation of oxygen delivery to the brain.² Multisite application of StO₂ sensors provides valuable information in hemodynamically unstable children.² ForeSight Jr sensor was designed to accommodate each patient's unique anatomy and physiology to deliver cerebral and somatic tissue oxygenation values that you can depend on.
Confidently recognize cerebral desaturations
Publication in JAMA: “Effect of a Machine Learning–Derived Early Warning System for Intraoperative Hypotension vs Standard Care on Depth and Duration of Intraoperative Hypotension During Elective Noncardiac Surgery: The HYPE Randomized Clinical Trial”
HYPE trial results published in JAMA
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Elective, noncardiac surgery patients monitored with Acumen HPI software had a median time of hypotension per patient of 8 minutes compared to 32.7 minutes in the control group. Time-weighted average of hypotension combines the duration and the severity of hypotension corrected for the total duration of the procedure. With Acumen HPI software, the study showed a median .38 mmHg difference between the interventional and control group. The Acumen HPI software secondary screen provided insight into the potential root cause of that hypotension, enabling clinicians to identify the appropriate treatment course.
Publication in the Journal of Clinical Monitoring and Computing: “Hypotension Prediction Index based protocolized haemodynamic management reduces the incidence and duration of intraoperative hypotension in primary total hip arthroplasty: a single centre feasibility randomised blinded prospective interventional trial”
Results from Acumen HPI implementation in total hip arthroplasty prospective trial
Number of hypotensive events per hour (n/hr) Absolute IOH time (sec) Relative IOH time (IOH time as % of total anesthesia time)
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Acumen Hypotension Prediction Index software combined with protocolized treatment was shown to reduce the relative and absolute duration of hypotensive events in total hip arthroplasty patients, in comparison to a historical and prospective control group.
HPI
CTRL
hCTRL
0
5
640
6
2
660
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HPI=Hypotension Prediction Index software; CTRL=routine anaesthetic care cohort; hCTRL=historic control group HPI group, n=25; CTRL, n=24; hCTRL, n=50. Total n=99
Prediction of hypotension at 5 minutes before an event
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Publication in Anesthesia and Analgesia: “Ability of an Arterial Waveform Analysis–Derived Hypotension Prediction Index to Predict Future Hypotensive Events in Surgical Patients” When compared with hemodynamic parameters such as SV, CO, SVV, and MAP, Acumen HPI software showed a higher predictive performance at 5 and 10 minutes before hypotension in this study.
Acumen HPI software had superior ability to predict hypotensive events than common hemodynamic parameters
Receiver operating characteristic curves for HPI, CO, SV, MAP, PP, HR, SVV, and shock index for prediction hypotension 5 and 10 min before the event.
Publication in Anesthesiology: “Machine-learning Algorithm to Predict Hypotension Based on High-fidelity Arterial Pressure Waveform Analysis”
Acumen HPI software demonstrated high accuracy in predicting hypotension
Predictive algorithms can be assessed via a ROC curve, with the AUC showing the predictive power of the algorithm for a specific dataset. At 10 minutes before an event, Acumen HPI software predicted hypotension with a specificity and sensitivity of 89% and 90% respectively, and with an AUC of 0.95 in this study.
AUC=area under curve; ROC=receiver operating characteristic.
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11,12
Highlights from 2020 Wijnberge, et al.
Highlights from 2019 Schneck, et al.
Highlights from 2019 Davies, et al.
Highlights from Hatib, et al
Prediction of hypotension at 10 minutes before an event
ROC closest to the y-axis approaches a perfect model, with fewer false-positive and false-negative values
Continuous, noninvasive tissue oxygenation monitoring
Hypotension was defined as a MAP <65 mmHg for at least 1 minute.
ForeSight Jr sensor is designed to be gentle on delicate skin. Site-specific algorithms are calibrated and validated for multisite cerebral and somatic regions.
Unique sensor design
ForeSight Jr medium sensor: Cerebral – Patients ≥ 3 kg, Non-cerebral – Patients ≥ 3 kg ForeSight Jr small sensor: Cerebral – Patients < 8 kg, Non-cerebral – Patients < 5 kg ForeSight Jr small non-adhesive sensor: Cerebral – Patients < 8 kg, Non-cerebral – Patients <5 kg
Designed for young patients with three sensor types
Explore all-in-one monitoring
Learn more about ForeSight Jr sensor
Tissue oximetry designed for pediatric patients*
*When used in combination with the full hemodynamic insights delivered by HemoSphere monitor
Carra, Giorgia, et al. “Postoperative Cerebral Oxygen Saturation in Children After Congenital Cardiac Surgery and Long-Term Total Intelligence Quotient: A Prospective Observational Study.” Pediatric Critical Care, 49.6 (2021): 967-976.
Parameters: StO₂, ΔctHb Indicated for pediatric patients of all ages
*ForeSight Jr sensor may be used on pediatric patients of all ages.
Zaleski KL, et al. Near-Infrared spectroscopy in pediatric congenital heart disease. J Cardiothorac Vasc Anesth. 2020 Feb;34(2):489-500.
Zaleski KL, et al. Near-Infrared spectroscopy in pediatric congenital heart disease. J Cardiothoracic Vasc Anesth. 2020 Feb;34(2):489-500.
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Discover a comprehensive hemodynamic monitoring portfolio specifically indicated for pediatric patients,* all on a single monitor - with noninvasive, minimally-invasive and invasive solutions so you can individualize patient management.
FloTrac Jr arterial line sensor
Access continuous, noninvasive blood pressure, cardiac output, and other advanced hemodynamic parameters Discover ClearSight Jr finger cuff
Attaches to any existing arterial line to provide advanced volume, flow, and pressure insights for managing perfusion Discover FloTrac Jr sensor
Discover ClearSight Jr cuff
** AFM software is indicated for surgical patients only ≥ 18 years of age.
Explore clinical education
Comprehensive insights for proactive pediatric care
Access continuous, actionable insights into tissue oxygenation with three sensor types designed to be gentle on delicate skin Discover ForeSight Jr sensor
Individualize care for your pediatric patients with multiple compatible monitoring technologies
Designed to meet the volume-critical requirements of pediatric patients, VAMP Jr system provides safe and convenient closed blood sampling for effective patient blood management Discover VAMP Jr blood sampling system
VAMP Jr blood sampling system
Access continuous ScvO₂ monitoring to help you stay ahead of tissue hypoxia Discover PediaSat oximetry catheter
Continuously assess right-heart pressures, intermittent thermodilution cardiac output, and mixed venous blood sampling for your most complex patients Discover Swan-Ganz Jr catheter
Swan-Ganz Jr pulmonary artery catheter
*ForeSight Jr sensors may be used on pediatric patients of all ages. ClearSight Jr cuff, FloTrac Jr sensor, and Swan-Ganz Jr catheter are indicated for patients ≥12 years old.
Parameters: CO/CI, SV/SVI, SVV, PPV, SVR/SVRI, SYS/DIA/MAP, PR Indicated age range: ≥12 years
Parameters: iCO/iCI, RAP, PAP, PAOP, SvO₂ Indicated age range: ≥12 years
Parameters: ScvO₂, CVP Indicated for pediatric patients of all ages
Indicated for pediatric patients of all ages
Committed to supporting you and your teams
ClearSight, ClearSight Jr, FloTrac, FloTrac Jr, ForeSight, ForeSight Jr, HemoSphere, PediaSat, VAMP, VAMP Jr, Viewfinder, Swan, Swan-Ganz, and Swan-Ganz Jr are trademarks of Becton, Dickinson and Company or its affiliates. All other trademarks are the property of their respective owners. Edwards, Edwards Lifesciences, and the stylized E logo are trademarks of Edwards Lifesciences Corporation. ©2024 BD. All Rights Reserved. PP--US-9576 v1.0 BD, Irvine, CA 92618 USA
Edwards, Edwards Lifesciences, the stylized E logo, ClearSight Jr, FloTrac Jr, ForeSight Jr, PediaSat, VAMP, VAMP Jr, Viewfinder, and Swan-Ganz are trademarks of Edwards Lifesciences Corporation or its affliates. All other trademarks are the property of their respective owners. © 2024 Edwards Lifesciences Corporation. All rights reserved. PP--EU- XXXX v1.0 Edwards Lifesciences • edwards.com One Edwards Way, Irvine CA 92614 USA
With a long-term commitment to improving the quality of care for surgical and critical care patients through education, Edwards Lifesciences clinical education meets you no matter where you are in the learning process – with a continuum of resources and tools that support you as you solve the clinical challenges facing you today, and in the future.
Hemodynamic education empowering clinical advancement
Watch: Pediatric tissue oximetry setup
Download: ClearSight Jr cuff reference poster
Explore: Edwards pediatric clinical education
Edwards, Edwards Lifesciences, the stylized E logo, Acumen, Acumen AFM, Acumen HPI, Acumen IQ, AFM, HemoSphere, HPI, and Hypotension Prediction Index are trademarks of Edwards Lifesciences Corporation or its affiliates. All other trademarks are the property of their respective owners. © 2024 Edwards Lifesciences Corporation. All rights reserved. PP--EU- XXXX v1.0 Edwards Lifesciences • Route de L’Etraz 70, 1260 Nyon, Switzerland • edwards.com
