Acumen Assisted Fluid Management (AFM) software is a first-of-its-kind machine learning solution that provides decision support to enable you to deliver adaptable, individualized fluid management and optimize fluid administration.

Fluid icon

Designed to keep your surgical patient in the optimal fluid range

SV icon

Recommends boluses based on an algorithm that predicts change in SV in response to a bolus

Patient fluid icon

As the case progresses, the software automates a protocolized fluid management approach, allowing for individualized fluid recommendation

Fluid optimization

Large patient-to-patient variability in fluid administration exists between clinicians and within surgical procedures.1–3

Standardized fluid optimization matters
This lack of a standardized approach leads to case-by-case variations in outcomes. Too much or too little fluid administration can lead to complications including mortality, acute kidney injury (AKI) and gastrointenstinal and respiratory problems – as well as increased length of stay, which leads to higher hospital costs.1-4

Perioperative goal-directed therapy (PGDT)
Implementing PGDT protocols in moderate- to high-risk surgery has shown significant clinical and economic benefits, including a reduction in morbidity and length of hospital stay.5-7

Key features of Acumen AFM software

Acumen AFM software supports you in implementing your desired fluid management protocol.

Predictive decision support

Acumen AFM software uses a rule-based machine learning algorithm to make fluid management suggestions and predict a patient’s fluid responsiveness based on hemodynamic data and past fluid responsiveness. Recommendations appear on the Acumen AFM software dashboard of HemoSphere monitor, where you can accept (or decline) the recommendation and administer a fluid bolus upon review of the patient’s complete hemodynamic state.

Fluid Bolis

Individualized fluid administration

Acumen AFM software adapts and recommends patient-specific fluid administration as the algorithm analyzes boluses. Throughout a surgical procedure, Acumen AFM software learns from the patient’s response to each analyzed fluid bolus to refine its future recommendations.

Acumen IQ sensor unlocks Acumen Hypotension Prediction Index (HPI) and Acumen AFM software. The sensor connects to any existing radial arterial line and offers you continuous insights into your patients’ hemodynamic status.

Acument IQ Sensor

Additional products available in the Acumen suite

HemoSphere monitor

Acumen suite is available exclusively on HemoSphere monitor, the hemodynamic monitoring platform that offers full-range cuff, sensor and catheter compatability. HemoSphere monitor enables proactive, individualized patient management.

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HemoSphere monitor
Acumen Hypotension Prediction Index (HPI) software

Acumen HPI software is effective in detecting hemodynamic instability and substantially reducing the duration of intraoperative hypotension when used in surgical patients who require hemodynamic monitoring during non-cardiac surgery.*

A recent study demonstrated a 57% reduction* in duration of intraoperative hypotension.8

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*Compared to a retrospective historical control group

Acumen Hypotension Prediction Index (HPI) software
Acumen IQ cuff*
(noninvasive)

Acumen IQ cuff unlocks Acumen HPI software and provides continuous blood pressure and advanced hemodynamic parameters from a noninvasive finger cuff.

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*Surgical patient use only, not compatible with Acumen AFM software

Acumen IQ cuff
Acumen Analytics software

Acumen Analytics software enables you to retrospectively view and analyze hemodynamic parameters, including mean arterial pressure, providing you insights into the frequency, duration and prevalence of intraoperative hypotension in your practice.

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Acumen Analtrics software

Edwards clinical education

Hemodynamic education empowering clinical advancement

Edwards clinical education meets you no matter where you are in the learning process. With a long-term commitment to improving the quality of care for surgical and critical care patients, Edwards’ continuum of educational resources and tools support you as you solve clinical challenges today and in the future.

Let us help you

The Edwards Advantage

We are committed to providing your institution, clinicians and staff with the highest levels of customer service and support to ensure seamless product implementation and ongoing use, including:

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24/7 Technical support
800-822-9837
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For product information and orders
800-424-3278
Contact Edwards Lifesciences
References
  1. Lilot M, Ehrenfeld JM, Harrington B, Cannesson M, Rinehart J. Variability in practice and factors predictive of total crystalloid administration during abdominal surgery: retrospective two-centre analysis. Br J Anaesth. 2015 May;114:767-76. Epub 2015 Jan 13.
  2. Thacker JKM, Mountford WK, Ernst FR, Krukas MR, Mythen MMG. Perioperative fluid utilization variability and association with outcomes: considerations for enhanced recovery efforts in sample US surgical populations. Ann Surg. 2016;263:502-10.
  3. Shin CH, Long DR, McLean D, Grabitz SD, Ladha K, Timm FP, et al. Effects of intraoperative fluid management on postoperative outcomes: a hospital registry study. Ann Surg. 2018;267:1084-1092.
  4. Miller TE, Mythen M, Shaw AD, et al. Association between perioperative fluid management and patient outcomes: a multicentre retrospective study. Br J Anaesth. 2021;126:720-729.
  5. Aya H, Cecconi M, Hamilton M, Rhodes A. Goal-directed therapy in cardiac surgery: a systematic review and meta-analysis. Br J of Anaesth. 2013;10:510-17.
  6. Brienza N, Giglio M, Marucci M, Fiore T. Does perioperative hemodynamic optimization protect renal function in surgical patients? A meta-analytic study. Crit Care Med. 2009;37:2079-90.
  7. Corcoran T, Rhodes J, Clarke S, Myles P, Ho K. Perioperative fluid management strategies in major surgery: a stratified meta-analysis. Anesth Analg. 2012;114:640-51.
  8. U.S. Food and Drug Administration. 2021. K203224 510k Summary, Acumen Hypotension Prediction Index, viewed August 24, 2021. https://www.accessdata.fda.gov/cdrh_docs/
    pdf20/K203224.pdf.

Important safety information

CAUTION: Federal (United States) law restricts this device to sale by or on the order of a physician.
See Instructions For Use (IFU) / Directions For Use (DFU) for full prescribing information, including indications, contraindications, warnings, precautions and adverse events.

Important safety information

CAUTION: Federal (United States) law restricts this device to sale by or on the order of a physician.
See Instructions For Use (IFU) / Directions For Use (DFU) for full prescribing information, including indications, contraindications, warnings, precautions and adverse events.

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