Israeli system stops leading hospital killer

Sepsis, a blood infection, causes more than 200,000 deaths in US hospitals every year. A non-invasive monitoring device from Israel is changing that.

“Sepsis is a huge issue — one of the top killers, often as a complication of pneumonia or urinary tract infection and at times due to an infection acquired in the hospital,” says Dr. Yoav Avidor, CEO of Tel Aviv-based Cheetah Medical. “It progresses rapidly and is difficult to treat. In advanced sepsis, all the body’s organs start to fail. Septic shock sets in and the mortality rate is about 40 percent.”

Doctors can reduce mortality up to 40 percent by treating each case of sepsis right away with exactly the amount of intravenous fluids needed to correct imbalances of oxygen and other nutrients being delivered to the organs through the bloodstream.

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“The physician must stabilize the hemodynamic system so that all the organs get exactly what they need — not too much and not too little,” explains Avidor, a urologist by training.

But until Cheetah’s NICOM device came along, the only way to determine the right amount was through an expensive and invasive procedure that can itself cause infection. Since doctors prefer not to do this, a better way was clearly needed.

As soon as NICOM’s uniquely non-invasive system received FDA and CE Mark approval four years ago, it was bought by hundreds of hospitals in the United States, United Kingdom, Italy, South Korea, Israel and France for ICU and anesthesia units. Just by sticking four sensors to the skin on the patient’s chest or back, the staff can continuously collect all the data needed to determine how much fluid to administer.

Now, trials at a dozen US hospital emergency departments are testing the assumption that using NICOM earlier would keep more patients from the ICU. This would save both lives and money, since one in four hospital deaths is caused by sepsis, and it’s the reason for about half of the admissions to medical ICUs.

The only system hospitals buy

Several other medical device companies in the 1980s and 1990s offered non-invasive ways to monitor hemodynamics, yet none worked well enough to be adopted widely. “NICOM is the first advance since then. Practically, it’s the only non-invasive system that hospitals actually buy and use on the really sick patients,” Avidor tells ISRAEL21c.

The genius behind the invention is Hanan Keren, a Weizmann Institute of Science physicist who helped commercialize MRI technology at the Israeli company Elscint. The device is made in Israel and marketed through Cheetah’s US headquarters in Vancouver, Washington.

“In medical devices, the big competitive advantage is the interface between technology and clinical need, and bringing the product to market with a business model that works,” says Avidor. “Many Israeli companies have exciting technology but few have experience with market interface, so they either try to sell the company or go in another direction.”

The COMMIT (Cardiac Output Monitoring Managing Intravenous Therapy) study begun in February could significantly enhance Cheetah’s marketing position.

“NICOM provides an effective method of optimizing fluid treatment in the emergency department, a vital step in the management of sepsis,” says Avidor.

In 12 leading US hospital emergency departments for the next year or two, half of the sepsis patients will randomly get the standard of care (no hemodynamic monitoring), while the other half get the protocol based on NICOM. The Israeli system will help determine whether the patient can handle the large amounts of fluids that can prevent progression of sepsis. If not, extra fluids would dangerously overwhelm the heart the way a car engine gets flooded.

Avidor expects that COMMIT will show a reduction in deterioration of sepsis; the number of admissions to the ICU; intubations; and kidney and liver failure that are common complications of sepsis.

“In general, I hope to see significant reductions in the cost of treatment for these patients, as well as mortality and complications,” he says.

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About Abigail Klein Leichman

Abigail Klein Leichman is a writer and associate editor at ISRAEL21c. Prior to moving to Israel in 2007, she was a specialty writer and copy editor at a daily newspaper in New Jersey and has freelanced for a variety of newspapers and periodicals since 1984.
  • Sharon

    You should really try to improve your critical thinking skills instead of believing all the half-truths served to the public by the media. Knee-jerk reactions are not productive.

    • http://www.facebook.com/annathule Annathule

      I see. And have YOU experienced HMO’s lately??? Huh, I didn’t think so. MY insurance pays for some amazing stuff! Stuff we never even thought of! But we may not have our insurance much longer when our “broke” state of residence decides it’s cheaper to pay the fines than it is to provide insurance to a buncha sick pensioners! Are YOU going to guarantee they won’t? You sure a HE77 can’t do that!

      There, now go right ahead and bury my comment w/ your weenie complaints, just like you did to my only supporter, down further. Didn’t realize I had ended up on a libturd page, or I wouldn’t have wasted my breath on your morons. Enjoy your cracker ******jack medicine (and THAT’S an insult to Cracker Jacks!)

  • Arye

    And you think that the private insurance will finance it if it is not profitable for them not for the patient!!

  • Jack

    Unfortunately, you’re right! A perfect example of why socialized medicine doesn’t work.

  • http://www.facebook.com/annathule Annathule

    Ewww, guess the libturds control who posts too, huh? And that’s at YOU mod! Moderate this! :ppppppp And here I thought supporting Israel was for sensible ppl, but I guess you’re just a Jewish person sold out for those that will sell you out w/o a backwards glance when it suits them. Was it Eisenhower, a REPUBLICAN that liberated the camps? Or FDR, a DEMOCRAT who wouldn’t let the St Louis land? And you can’t even see the difference… *snerk* Well, *I* still support Israel and sensible Jewish ppl.

  • Marvin

    Israel among others has, what you and all those who for some reason are against everyone having access to health care, call socialized health care. And not only did they invent the system but they have it in their hospitals. The US before the new law had the most expensive health care per capita in the world while not even reaching the top ten in the delivery of health care.