ES TECK SYSTEM

1. ES TECK SYSTEM GENERAL INFORMATION’S

2. ES Teck System (Cardiology) HRV Photoelectrical Plethysmograph

3. HRV ( short time) HRV Reference: Task Force of The European Society of Cardiology and The North American Society of Pacing and Electrophysiology (1996)

4. SpO2 and Photoelectrical Plethysmograph References: Nichols WW, O’Rourke MF. McDonald’s : Blood Flow in Arteries:Theoretical, Experimental and Clinical Principles. London: Arnold, 1998. Takazawa, Kenji; Tanaka, Nobuhiro; Fujita, Masami; Matsuoka, Osamu; Saiki, Tokuyu; Aikawa, Masaru; Tamura, Sinobu; Ibukiyama, Chiharu :Assessment of Vasoactive Agents and Vascular Aging by the Second Derivative of Photoplethysmogram Waveform Hypertension: Volume 32(2)August 1998pp 365-370 IToshiaki OTSUKA , Tomoyuki KAWADA , Masao KATSUMATA , Chikao IBUKI , and Yoshiki KUSAMA ndependent Determinants of Second Derivative of the Finger Photoplethysmogram among Various Cardiovascular Risk Factors in Middle-Aged Men Hypertens Res Vol. 30, No. 12 (2007) Toshiaki Otsuka, , Tomoyuki Kawada, Masao Katsumata,ChikaoIbuki, :Utility of Second Derivative of the Finger Photoplethysmogram for the Estimation of the Risk of Coronary Heart Disease in the General Population Circ J 2006; 70: 304 – 310 Alberto Avolio: The finger volume pulse and assessment of arterial properties .Journal of Hypertension 2002, 20:2341–2343 Oximeter Guidelines 1998

5. ES Teck Measurements

6. Heart Rate and sinus node depolarization

7. Autonomic Nervous System and Heart rate variability

8. SpO2 AND Photoelectrical Plethysmography SpO2 Probe Infra red/ Red 660/905 nm Photo diode SpO2% PR Vascular waves

9. SpO2 ANALYSIS Oxygen - hemoglobin Affinity Changes. The functions of hemoglobin are oxygen pickup and delivery. The hemoglobin has an affinity (the strength of bond between oxygen and hemoglobin) that can be increased or decreased due to various situations. If hemoglobin has an increased affinity, it is highly saturated; but oxygen is less available for release to the tissues due to the strong bond. The reverse is also true.

10. Vascular Wave Analysis

11. Analysis by Acceleration and Second derivative

12. Analysis of the Second derivative with age

13. Analysis of the second derivative and diseases : b/a

14. Analysis of the second derivative and diseases : d/a

15. Specificity and sensitivity of the b/a and d/a indicators

16. Specificity and sensitivity of the b/a and d/a indicators Ref. Toshiaki OTSUKA , Tomoyuki KAWADA , Masao KATSUMATA , Chikao IBUKI , and Yoshiki KUSAMA Independent Determinants of Second Derivative of the Finger Photoplethysmogram among Various Cardiovascular Risk Factors in Middle-Aged Men Hypertens Res Vol. 30, No. 12 (2007)

17. Results of ES Teck

18. HRV STATISTICAL RESULTS

19. SpO2 and Photoelectrical Plethysmograph results

20. E.S TECK COMPLEX GENERAL INFORMATION’S

21. ES TECK COMPLEX THE NATURAL EIS UPDATE

22. ES Teck Complex Measurements

23. CROSS ANALYSIS

24. E.S TECK COMPLEX INTENDED USES HRV module: To analyze the basic rhythms of the NN or RR intervals in electrocardiograms, both in the time domain and in the frequency domain (short time 5 minutes) It only provides numerical analyses of the input electrocardiogram. Estimate of the parasympathetic and sympathetic system stimulation. PP module: Analyze the pulse waveform by photoelectric plethysmography and Pulse rate. Evaluation of Large and small artery EIS module: Monitoring of diseases, functional and lifestyle ‘ treatments Adjunct to conventional diagnosis of ADHD children BIA module : Calculation and Historical Tracking of body composition

25. Body Impedance Analysis (BIA) Measurement of the Resistance and Reactance in Tetra polar mode with a frequency of 50 KHz

26. Resistance and Reactance measurements Resistance is a measure of how difficult it is for electricity to flow through an object. Reactance Most objects have some capacitance, which is a measure of ability to store an electrical charge. The more capacitance the object has, or the faster the current changes direction, the less the object will “react” to the current.

27. EIS B I A Peer reviews formula Total Body Water :TWB 5-19 y.o Davies et al 1988 20-80 y.o Lukaski and Bolonchuk 1988 Adult obese subjects: Segal et al 1988 Fat free fat mass: 7-15 y.o Deurenberg et al 1991 16-83 y.o Deurenberg et al 1991 Extra cellular water volume : EWC Sergi G, et al 1994

28. Phase Angle

29. Impedance Components Phase Angle Xc = 1 / (2 * PI * F * C), C – Capacity [Farad] Phase Angle = Arctan (Xc / R)

30. Clinical application in survival in colorectal cancer The survival curves for the 2 categories of phase angle areshown. Patients with a phase angle < 5.57 had a mediansurvival of 8.6 mo (95% CI: 4.8, 12.4; n = 26), and those witha phase angle > 5.57 had a median survival of 40.4 mo (95%CI: 21.9, 58.8; n = 26); this difference was significant (P= 0.0001).

32. Impact of phase angle in liver cirrhosis

33. NEW INTERFACE

34. E.S TECK RESULTS

35. EIS ANALYSIS

36. HRV STATISTICAL RESULTS

37. HRV RECORDS

38. HRV GEOMETRICAL ANALYSIS

39. SpO2 RESULTS AND MANAGEMENT OF THE PHOTOELECTRICAL WAVE

40. PHOTOELECTRICAL PLETHYSMOGRAPH ANALYSIS AND RESULTS

41. Vascular Indicators PH : Relation with blood flow of small artery EEI : Relation with LV ejection and elasticity of large artery - LV Ejection Insufficiency DDI : Relation with contraction and tension of small artery - Hypertension & Arteriosclerosis DEI : Relation with blood flow to vein system. Etc (Estimated Cardiac Ejection time) : 260~380  Function of left ventricle

42. BODY COMPOSITION RESULTS

43. Body Composition follow up

44. E.S TECK COMPLEX CROSS ANALYSIS MODELING AND BODY SYSTEMS’ INDICATORS

45. DIGESTIVE SYSTEM INDICATORS

46. BRAIN INDICATORS

47. CARDIOVASCULAR INDICATORS

48. HORMONAL INDICATORS

49. RESPIRATORY SYSTEM INDICATORS

50. GENERAL METABOLIC INDICATORS