Autonomic Neuropathy Dysfuntion Analyser: Diabetik Foot Care India Pvt Ltd is a pioneer in the manufacturing and distribution of medical devices for the management of diabetic foot and its complications. Our Product Range: Handheld Vascular Doppler, Automatic Vascular Doppler Recorder, Digital Biothesiometer, Foot Scanner, Pedography, Plantar Scan Systems, tcpO2, Monofilament 10gm, Neuropathy Therapy Stimulator, IR Light Therapy, Podiatry chair and instruments are our major products. Autonomic neuropathy is a serious and common complication of diabetes. In randomly selected cohorts of asymptomatic individuals with diabetes, about 20% had abnormal cardiovascular autonomic function. Reduced heart rate variation is the earliest indicator of cardiovascular autonomic neuropathy. The increased prevalence of painless myocardial infarction in diabetes has been attributed to autonomic neuropathy. Damage to autonomic nerve fibres from the myocardium of patients dying from painless myocardial infarction has recently been reported. It has been recommended that testing of diabetic individuals for cardiovascular autonomic dysfunction should be part of their standard of care. Noninvasive tests are suitable for routine screening for autonomic dysfunction or for monitoring the progress of autonomic neuropathy. When performed in a carefully controlled manner, the following tests have been validated and shown to be reliable and reproducible: • Test of Heart-rate control • Heart-rate response to deep breathing, and standing and Valsalva maneuver • Blood pressure responses to standing and sustained handgrip Cardiac Autonomic Neuropathy System ( CANS504) salient features: • Analyses Sympathetic and Parasympathetic autonomic nervous function • Simple six sequence tests to complete the comprehensive study • Fully automatic NIBP (Non-Invasive Blood Pressure) kit for reliable NIBP measurements • Display and print of raw ECG and Heart Rate Histogram to support the diagnosis • Automated WINDOWS PC based software • Gain adjustment 1x or 2x are available • Software supports all versions of windows (Win 7 onwards) operated computer • Two full A4 page colour report with patient details • Captures 1 minute ECG waveform • Identifies and marks R wave for all the postures • Resting ECG with resting HR • Deep Breathing ECG, Expiration Inspiration ratio recording • Supine to Standing ECG, R-R interval and 30:15 ratio recording • Valsalva Manoeuvre ECG, R-R interval, Valsalva ratio recording, and graph should also display start and end point of Valsalva measurement in the report. • Postural Hypertension resting BP, BP immediately after standing and 1or 2minute after standing, with Fall in systolic BP assessment • Sustained Hand grip BP before grip and BP after 5 minutes of sustained grip. Increase in diastolic BP assessment. • Reports print out with final Impression consisting of Parasympathetic function, Sympathetic function, and Cardiac Autonomic Neuropathy function. • Protocols based on International Scientific papers by D.J. Ewing et all and Aaron I. Vinik. • An ISO13485:2016 certified company List of accessories: 1. 3 lead ECG patient cable – 1 No. 2. Adult normal BP cuff – 1 No. 3. Valsalva Maneuver Holder with tube – 1 No. 4. Hand Grip unit with wire – 1 No. 5. PVC mouth pieces for Valsalva – 25 Nos. 6. Disposable ECG Electrodes – 50 Nos 7. Reusable ECG electrodes – 5 Nos 8. Mains Cable 2-meter length – 1 No. 9. USB Interface Cable – 1 No. 10. Earth Cable – 1 No. 11. User Manual 12. Software CD 13. Fuse 400mA, S/B – 4 Nos.