Ophthalmoscopes: The most critical tool for eye doctors.

12800_imgAs the medical world continues to be transformed by digital technology and increasingly sophisticated instruments that promise more precise and accurate diagnostic features, some things remain unchanged. For ophthalmologists, one of the most basic, yet critical tools used to diagnose eye conditions remains the ophthalmoscope.

In many ways, these tools are better than ever, but proper use still depends on a high degree of competence that comes with training and practice.

Regardless of the model you use, be sure your ophthalmoscope has both a rheostatic control switch that allows you to manually adjust the amount of light emitted and a range of aperture selections. These features give you maximum control over light levels, allowing you to truly customize the tool to suit your individual patients. To ensure you get the most out of your equipment, follow these best practices:

  • Eye examinations should take place in a dimly lit room.
  • Before the examination begins, conduct a red reflex test. The results of this test may indicate various eye disorders.
  • When examining a patient’s left eye, use your left hand. Likewise, when examining a patient’s right eye, use your right hand.
  • Examine the optic disk first.
  • Following an evaluation of the optic lens, look at the retinal arteries and the four vascular arcades. Doing this helps to position yourself opposite of the eye’s movement.
  • Finally, have the patient look directly into the light and examine their macula. This part comes last because for many patients it is the most uncomfortable part of the procedure

11810-imgThe revolutionary PanOptic provides easy entry into the eye, together with a wider field of view to more easily observe conditions such as hypertension, diabetic retinopathy, and papilledema. It’s the newest and has the 5x larger view of the fundus vs. standard ophthalmoscopes in an undilated eye. It also provides 25º field of view vs. the standard 5º field of vi

Ambulatory Blood Pressure Monitor

Taking a patient’s blood pressure is standard practice for most medical checkups. But the fact is, if a patient suffers from high blood pressure, or you suspect they might have high blood pressure, taking a periodic reading only provides a snapshot. Over the course of a day or a week, various factors can cause a patient’s heart rate and blood pressure to fluctuate.

Think of it this way: If you want to know what the climate of a city is, you need to do more than take random readings from a thermometer. You could end up thinking Minneapolis is a warm city! Instead, you need to take a number of temperature readings at regular intervals.

ABPM-7100STo accurately diagnose and monitor a patient, you need a larger, more regular sampling of their blood pressure. An Ambulatory Blood Pressure Monitor does exactly this. Over the course of 24 hours, the patient wears this noninvasive device while going about their day. Usually, a patient wears the blood pressure cuff under their sleeve and the monitor, which is about the size of an iPod, on their belt. During the course of the 24-hour period, the patient keeps a diary, recording information about their activities, stress levels, etc. Every 25 to 30 minutes, the Ambulatory Blood Pressure Monitor takes a regular reading.

By providing a more accurate representation of a patient’s overall blood pressure than can be measured in a traditional clinical situation, this process can give way to a better diagnosis and more effective treatment.

Medical equipment financing: Should I lease or buy?

For those who work in the purchasing departments for hospitals, medical offices or other organizations that use medical equipment, one of the most common questions is not so much what do we need to purchase, but what advantages might leasing medical equipment have over purchasing it?

There is no easy way to answer this question, but a review of the following key pros and cons of leasing vs. buying should help you decide what type of medical equipment financing is best for your situation.

Leasing pros:

  • Low upfront cost
  • Services, maintenance and warranty are often all wrapped up in the leasing price
  • When properly structured, leasing payments are fully tax deductible as an operational expense
  • Easy turnover if you want updated equipment

Leasing cons:

  • Not a good option if you plan to use the piece of equipment for a long time
  • The life of the lease may end up being far more than if you had purchased the equipment
  • You build up no equity, and with no option to resell the equipment, you cannot make any money back
  • Not all equipment can be leased

Purchasing pros:

  • Owning the equipment allows you make needed modifications or adjustments without violating the terms of a lease
  • Various tax incentives under Section 179
  • You don’t have to deal with contracts
  • Many medical equipment manufacturers have fantastic warranties
  • You can recoup some of the costs by reselling the equipment

Purchasing cons:

  • The initial cost can be considerable. This can prevent you from buying exactly what you want as well as tie up funds you may need for other purchases
  • Equipment may become outdated, especially digital technology
  • You must keep up with maintenance and front the cost of most repairs

A variety of audiometers for your ENT clinic

Used to measure hearing loss and evaluate the hearing acuity in an individual, audiometers have come a long way in the past few decades. Though more precise and efficient, their basic setup is the same: A computer delivers a number of tones at different intensities to a patient wearing a set of headphones. The patient responds to the tones they can hear, and this data is used to help determine what kind of hearing aid they may need.

Different practices require different audiometers. To give you a sample of the variety available, here are three audiometers to suit the various needs of ENT clinics.

For children

Pilot_Hearing_Test_AudiometerThe Digital Pilot Hearing Test Audiometer is engineered to screen children as young as three years old. It works by turning the procedure into a game, where children are asked to look at pictures and match them to the sentences they hear. It’s a great example of ingenuity and technology coming together to serve the youngest patients.

For portability

MA_27For those looking for a compact unit that still allows you to test using a tone, pulse or warble at a full range of frequencies, the MA 27 Portable Audiometer provides an optimal solution. Easy to set up and easy to use, this unit is perfect for house calls or as a backup machine.

 

Customizable

Over the years, many doctors and practitioners develop a very ES3-2specific method for testing patients. In these cases, they want more than a one-size-fits-all audiometer. The Earscan 3 is a fully programmable audiometer that allows users to customize it to fit their needs and those of their patients.

 

Understanding Section 179 for 2017

As we make our way into 2017, one day looms larger than all others: Tax Day.

Many medical practitioners and those in private practice will be busy the next several weeks preparing for the big day (April 18, in case you didn’t know). One of the most important parts of their tax filings is Section 179. This is the part of the tax code where businesses can deduct the cost of qualified equipment and software.

Each year, Section 179 is a little different, so let’s forget about past years and consider how it will affect you in 2017.

Limit for deduction

Businesses can deduct the full purchase price of new and used equipment and off-the-shelf software if it is purchased or financed between January 1, 2017 and December 31, 2017.

Spending cap

To qualify for the Section 179 deduction, companies can spend a maximum of $2 million on equipment in 2017. This cap exists to ensure Section 179 remains a true “small business” deduction.

Bonus depreciation

The bonus depreciation isn’t always offered, but in 2017, it is being offered at 50 percent. The “bonus” is that even if you spend more than $2 million on equipment, you can still get a 50 percent deduction on new equipment you buy that goes over the spending cap.

With this in mind, the bonus depreciation makes 2017 a good year to buy extra equipment.

New sedation regulation changes set to impact the dental industry

RespSense-IILike most regulations, the new guidelines from the American Dental Association regarding the use of sedation and general anesthesia by dentists aren’t always immediately clear or easy to understand. Despite this, the recent decision to require dentists to use capnography equipment for procedures requiring moderate sedation, deep sedation and general anesthesia, as well as other guidelines for the use of general and oral anesthesia, have been put in place to increase patient care and safety.

To help get to the essence of these regulations, here are answers to some frequently asked questions.

What’s the goal of these guidelines?

LifeSense-IIThese guidelines can be broken down into three areas:

  • To ensure practitioners and staff are trained to administer the anesthetic and receive continuing education to keep them up to date on the latest sedation equipment, drugs and techniques
  • To know the importance of physically evaluating a patient and the type, level and dosage of the anesthetic they receive
  • To equip dentist offices with the appropriate monitoring and rescue equipment

What are the benefits of capnography?

Capnography, which is used to monitor a sedated patient by reading their exhaled carbon dioxide levels, has long been a standard of care in hospitals, ambulances and ERs. Many believe increasing its use in dental offices will prevent unnecessary deaths.

How will this affect my practice?

8100EP1Part of the new regulations involve more careful screenings prior to sedation, which can require the patient to go through a few extra steps before an operation. Pedodontists may have to get a moderate sedation permit for children under 12.

If you do not have one already, you will have to acquire a capnography machine and ensure staff are properly trained. Some of the most widely used capnographs you might want to consider for your practice are Nonin’s RespSense II , the LifeSense II Capnograph and the Criticare nGenuity 8100EP1 CO2 monitor.

What are some references I can consult?

To better understand the standards for sedation in a dental practice, review these works:

The best options for vision testing

From glaucoma testing to diabetic retinopathy screening and everything in between, vision screeners test for primary vision disorders. In addition to standard adult models, there are also vision screeners specifically designed for testing younger patients. At Medical Device Depot, you’ll find lightweight, portable vision testers with ergonomic designs to maximize patient comfort. Read on to learn more about our specific products.

Welch Allyn Spot Vision Screener

Spot-Vision-ScreenerDesigned to help users quickly and easily detect vision issues, this handheld, portable device is for patients six months of age and older. The Spot Vision Screener screens both eyes at once at a nonthreatening 3-foot distance. And with a convenient touch-screen display, you can simply manage patient data entry and easily configure both vision screening and autorefraction applications.

Welch Allyn Retina Vue

Welch_Allyn_Retina_VueAre you looking to make diabetic retinopathy screening simple and more affordable for your patients? The RetinaVue Network is designed for healthcare providers who want to improve diabetic patient management. This system performs retinal exams in a four-step process:

  1. Acquire: Develop fundus images in ten minutes or less using an automated non-mydriatic camera
  2. Transfer: Send encrypted images via the secure HIPAA-compliant RetinaVue Network
  3. Analyze: A board-certified retinal specialist evaluates the images
  4. Report: Your patient will receive a diagnostic report and management plan in the same day — usually within 90 minutes of the exam

Optec 5500P Vision Screener

Easy to use but known for trusted accuracy, the Optec 5500 Optec5500Pfeatures a remote control and weighs less than 15 pounds. This package includes 12 test slides and a choice of standard vision-testing slide packages or the option to create a library of more than 150 test slides.

 

Visit MedicalDeviceDepot.com to browse our products, or call 877-646-330 for additional details and pricing information.

3 fetal monitors you can’t miss

​Fetal monitors are the most important tools for monitoring a baby’s heartbeat in the uterus. There are two types of fetal monitoring: external and internal. At Medical Device Depot, you can find fetal monitors and accessories from Natus, Bistos, Edan and Wallach. Here are some of the top fetal monitors you’ll find:

Antepartum Fetal Monitor BT – 300

BT-300This fetal monitor from Bistos is not only easy to use, but it’s portable for convenient use. Some of its top features include:

  • High sensitivity, probe-frequency 1 MHz
  • External uterine-contraction
  • Thermal array type and paper feeding function
  • Adjustable print speed and contrast
  • Unlimited multilingual support

FC 1400 Touchscreen Twin Fetal Monitor

FC-1400-BGet extreme data accuracy when monitoring twin fetus heart rate and uterine activity. This twin fetal monitor features more compact probes and robust connectors than other monitors you’ll find. And with a seven-inch-wide color LCD display and touch screen operation, this monitor offers superior data display.

 

Edan F6 Express Fetal Monitor

F6-EdanThis impressive, high-end fetal monitor contains the power necessary for multibed units while still maintaining a simplistic design for delivery room practice. Offering one of the most advanced integrated monitoring systems, this monitor features:

  • 24 hours waveforms playback
  • Quick printing for stored waveform
  • Multi-crystal pulse wave Doppler waterproof transducer for FHR detection
  • Basic parameters: FHR, TOCO, Event Mark, AFM
  • Maternal parameters: ECG, HR/PR, NIBP, SpO2, TEMP

When you shop at Medical Device Depot, you can be sure you’ll find the best quality and the best prices. With flexible payment options, including equipment leasing, you can’t go wrong. Browse our selection to upgrade your practice today.​

Choosing the right Holter system for your practice

With advances in mobile cardiac telemetry, more and more physicians are able to offer ambulatory cardiac monitoring. Not only are these services easier than ever to provide, but recent technology makes them more effective for patients experiencing cardiac issues.

But not all cardiac monitors work the same. So when you’re choosing an ambulatory ECG or Holter system, keep the following tips in mind.

You’ll need fast reporting:

CARDIOCARD_HOLTERThe Nasiff CardioCard PC-Based Holter ECG System connects to several EMR systems for efficient and accurate reporting. This system also offers practical software and database management systems with training, customer support and guaranteed quality.

 

You’ll need an easy-to-use system:

4-000-0110-2The Midmark IQholter Digital Holter w/ Recorder is engineered to a new standard for ease of use. Simply enter your patient’s demographics, select auto report, and start scanning. The system will automatically accept, reject or change classified occurrences throughout the entire program to affect further processing.

 

You’ll need complete accuracy:

Additionally, the Midmark IQholter Digital Holter w/ Recorder system has sophisticated digital filtering techniques to help eliminate errors due to noise. This means you can trust you’re getting an accurate report.

Once you decide on the right Holter system for your practice, head over to Medical Device Depot for prices that will fit your budget. Leasing is available on many of our models, so check out our vast selection today!

Choosing the right vital signs monitor

6102F-PA00020-2Vital signs monitors are one of the most essential devices in any medical office. From blood pressure to heart rate, temperature and pulse oximetry, this is the information you need to gather about each of your patients. Whether you’re part of an intensive care unit, a small clinic or a nursing home, you need an effective way to measure these vital signs in order to give your patients the best possible care.

Here are a few tips to keep in mind when shopping around for a vital signs monitor.

How will your staff handle the equipment?

This depends on the nature of your practice. Emergency rooms and paramedics need a machine that’s easily portable in order to get the equipment to a patient’s bedside or inside an ambulance. And no matter where you need to use it, all vital signs monitoring equipment should be easy to use, even for those without additional expertise or training. This ensures all types of health care professionals can use the equipment in any situation.

8100E1What kind of patients are you treating?

Consider the medical needs of your patients before deciding on a vital signs monitor. Patients treated often with drugs will need a more comprehensive monitor to keep track of heart rate, end-tidal carbon dioxide exchange and respirations. But in a smaller health care facility, you might only need a simple monitor to measure the basic stats.

Medical Device Depot carries vital signs monitors and accessories from all major manufacturers, including ADCBionetEdanMortaraCriticareMidmarkMindraySchiller, Welch Allyn and Venni. Browse our selection today to find equipment that works for you and your practice.