Early. Accurate. Actionable.

ExSpiron 2Xi

Non-invasive respiratory volume monitoring

ExSpiron is the only non-invasive respiratory volume monitor that continuously displays minute ventilation, tidal volume, and respiratory rate.

With ExSpiron, it is possible to detect early respiratory changes, facilitating you to make timely and confident decisions to prevent complications.

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How it works

ExSpiron is a compact freestanding monitor. It features an intuitive, easy-to-use graphical interface that displays measurement and trends for:

Minute Ventilation (MV)

The amount of air someone breathes in a minute.

Minute ventilation

Tidal Volume (TV)

The amount of air someone breathes in one breath.

Tidal_volume

Respiratory Rate (RR)

The number of breaths in a minute.

Respiratory_rate

Minute Ventilation = Tidal Volume x Respiratory Rate

Respiratory Volume Monitoring (RVM) with ExSpiron

A change in minute ventilation is the first indication of respiratory deterioration. Methods for accurate non-invasive monitoring of changes in respiratory status are limited. ExSpiron enables non-invasive Respiratory Volume Monitoring (RVM), which has been demonstrated to provide the most direct measurement of respiratory status and the earliest indicator of changes in respiratory status.

ExSpiron uses bioelectrical impedance, to measure the tissue’s opposition to carrying an alternating electrical current. The system incorporates a single-use PadSet sensor and a monitor unit with integrated display. Impedance measurements through the PadSet correlate with the volume of air in the lungs.

ExSpiron uses patient size to calculate a predicted minute ventilation, which is that patients normal breathing at rest. This is defined as the patient’s 100 % predicted minute ventilation (MVPRED).

ExSpiron continuously measures and displays the patient’s real time MVPRED using data from the PadSet. The ExSpiron displays the MVPRED both as a number and a trend.

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The single-use sensor

The incorporated PadSet sensor is placed on the chest.

  • Comfortable for patients
  • Adult and pediatric sizes
  • Easy to position and adhere
  • 24-hour use

Clinical Applications

  • Post-Anesthesia Care Unit (PACU)
  • Intensive Care (ICU)
  • Procedural Sedation
  • Pain Management Therapy
  • General Care Floor
  • And across the Continuum of Care

Selected Peer-Reviewed Publications

PACU

Continuous non-invasive respiratory volume monitoring for the identification of patients at risk for opioid induced respiratory depression and obstructive breathing patterns. Voscopoulos C, MacNabb CM, Freeman J, Galvagno SM, Ladd D, George E. J Trauma Acute Surg. 2014; 77: S208-S215. doi: 10.1097/TA.0000000000000400. Read at PubMed

Evaluation of a Novel Non-Invasive Respiration Monitor Providing Continuous Measurement of Minute Ventilation in Ambulatory Subjects in a Variety of Clinical Scenarios. Voscopoulos C, Brayanov J. Ladd D, Lalli M, Panasyuk A, Freeman J. Anesth Analg 2013; 117: 91-100 Read at PubMed

Operational Realities in the PACU: Staffing and Monitoring for Safe Post-Operative Care. Weissman C, Freeman J. Anesth Analg. 2014; 119: 1249-1250 Read at PubMed

Perioperative Considerations for COVID-19 Patients Implementation Scienebased Approach for Practicing Perioperative Surgical Home (PSH). Shah N, Qiu C, Chung E, Lopez M, Feng M, Desai,V. Anesth Periop Med. 2021;1(1):5

ICU

The application of a novel non-invasive respiratory monitor (ExSpironTM) in the extubation of a patient with persistent upper airway swelling. Williams GW, Sharma A, Chen PR. J Med Cases. 2014; 7:388-391.

Novel Applications of a Non-Invasive Respiratory Volume Monitor for Intensive Care in Kenya. Schlesinger J. Resp Care. [ePub ahead of Print], doi: 10.4187/respcare.03744 Read at PubMed

Non-invasive respiratory volume monitoring in patients with traumatic thoracic injuries. Galvagno S, Brayanov B, Corneille M, Voscopoulos C, Sordo S, Ladd D, Freeman J. Trauma [ePub ahead of Print] October 29, 2014. doi: 10.1177/1460408614551977

Awake prone position reduces work of breathing in patients with COVID-19 ARDS supported by CPAP.Chiumello D, Chiodaroli E, Coppola S, Cappio Borllino S, Granata C, Pitmada M, Garcia P. Anals of Intensive Care (2021) 11:179

Procedural Sedation

Monitoring Minute Ventilation versus Respiratory Rate to Measure the Adequacy of Ventilation in Patients Undergoing Upper Endoscopic Procedures. Holley K, MacNabb CM, Georgiadis P, Minaysan H, Shukla A, Mathews D. J Clin Monit Comput. [ePub ahead of Print], doi: 10.1007/s10877-015-9674-y Read at PubMed

The Use of a Non-Invasive Respiratory Volume Monitor to Assess the Effect of Airway Maneuvers and Propofol on Ventilation during Upper Endoscopy. Holley K, Mathews D, Ladd D, Campana L, Schapiro H. Open J Anesth. 2014; 4: 281-290, doi: 10.4236/ojanes.2014.411041 Read at PubMed

Performance

Evaluation of a Novel Non-Invasive Respiration Monitor Providing Continuous Measurement of Minute Ventilation in Ambulatory Subjects in a Variety of Clinical Scenarios. Voscopoulos C, Brayanov J. Ladd D, Lalli M, Panasyuk A, Freeman J. Anesth Analg 2013; 117: 91-100

Monitoring Minute Ventilation versus Respiratory Rate to Measure the Adequacy of Ventilation in Patients Undergoing Upper Endoscopic Procedures. Holley K, MacNabb CM, Georgiadis P, Minaysan H, Shukla A, Mathews D. J Clin Monit Comput. (ePub ahead of print), doi: 10.1007/s10877-015-9674-y. Read at PubMed

Other Need-related Publications

Postoperative Opioid-induced Respiratory Depression- A Closed Claims Analysis. Lorri A. Lee, M.D. Anesthesiology 2015; 122:659-65

Preventing Respiratory Depression. Daniel I. Sessler, M.D. Anesthesiology 2015; 122:484-5

Breathing is good. Michael Ramsay. J Clin Monit Comput. DOI 10.1007/s10877-014-9601-7

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