PRECISION MEDICAL
Superior Technology, Superior Service
Atlanta, GA
Susan Kolyno, HSS, CMA 404-989-5084
404-921-5911 Jeff Zeiler, CEO, Precision Medical
Who We Are
PRECISION MEDICAL is a privately owned medical device company
formed in 2014 to promote a new innovated technology based on
NON-invasive Bio-marker detection for Autonomic Peripheral
Neuropathy(APN).
Hyperion is located in Dallas, TX
our local affiliation is Precision
Medical is located in Atlanta, GA.
Precision Medical is an
authorized distributor
for Hyperion Medical and sudomotor
technology.
and
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Smart SKAN
DISTAL NEUROPATHY (small fiber tissue detection)
IS
ONE OF THE MORE UNDERDIAGNOSED CONDITIONS ON MEDICAL
RECORD TODAY.
All Nerves Can Become
Neuropathic
SmartSKAN technology is
to the clinician, what
an X-ray is to an orthopedic
surgeon OR an ultrasound
is to a GBYN.
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What Seperates SmartSKAN
SmartSKAN
1) Provides Quantitative Measurement
2) Tracts and Assesses the Patient's condition
3) Easy to Use ( non-invasive)
4) Reproducible – 95%
5) No patient preparation
SmartSKAN is FDA approved and Recognized by the
Neuropathy and Diabetes Association s.
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Why Use SmartSKAN?
HOW OFTEN WOULD YOU BIOPSY A PATIENT IF YOU HAD THE
ADVANTAGE OF AVOIDING THE RISK OF AN INVASIVE BIOPSY
PROCEDURE ?
SMARTSKAN IS A
SIMPLE 3 MINUTE
TEST -ASSESSING
THE ASYMMETRY OF NERVE
ENTRAPMENT
In Cardiac conditions Autonomic neuropathy
MUST be recognized to
reduce the mortality
of CAN(cardiac autonomic neuropathy).
Treatments include B-blockers, ACE Inhibitors, clonidine, pyridostigmine, etc,
pending symptoms.
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Large VS Small Nerves
Large Nerves ARE Most Commonly Assessed
Nerve Conduction Study (EMG)
Monofilament
SmartSKAN Provides
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Distal Autonomic Nerve (small fiber tissue) diagnosis
How SmartSKAN Works
In short Iontophoresis(alternate currant) that works in conjunction with
Chromoamperometry(low frequency voltage).



This non-invasive scanner analyses the sweat glands to release
chloride ions in response to an electrochemical stimulus.
The level of activity is
linked to the status
small nerve fibers
sweat glands.
The patient is grounded through
grounding pads- securing patient
providing accurate results
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of
innervating
How It Works- Iontopherisis
As shown above, we see a + and – currant flowing in and
between the dermis and the epidermis tissues.
Skin Conductance (ESC) is derived from the chloride ion flow
mild stimulation.
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out
Electrochemical
released from the
Results: Chromoamperometry
The results are concluded through the Conductance ratio
between the current measured and the difference in the
voltages obtained (∆anode-cathode)
ESC: Electrochemical Skin
Conductance is Obtained
when the low voltage is
applied to the anode
A broken line indicates that to patient moved , broke the ground and
the scan has to be repeated
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Sudorimetry with SmarkSKAN
BEFORE ANY CLINICAL SIGNS OR SYMPTOMS ARE PRESENT
Sudomotor dysfunction is the first detection of damage to
neurological distubances in DISTAL SMALL FIBER neuropathies.
In the graph to the right,
the blue lines repersent
the autonomic nerves
generating upward and
stimulating the glands.
Sensitive length-dependent
damage includes:
(underlying back disorders)
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Quantitative Measurments
What YOU will see on YOUR Test Display
Test display has 4 -components
the radar views
degrees of asymmetry
-
- the feet and hand ESC graphs and scores
- patient demographics
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-
Approved Medicare Indications

Amyloid Neuropathy

Diabetic Autonomic Neuropathy

Distal Small Fiber Neuropathy

Idiopathic Neuropathy

Multiple System Atrophy

Pure Autonomic Failure


Relex Sympathic Distopy or
Causalgia
Sjogren's Syndrome
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Other Indications
How Do YOU Treat Patient Complaints of Non-Related
Diabetic Pain such as: Tingling of the Hands and Feet,
Unexplained Dizziness, Gastric and Bladder Dysfunctions?

SmartSKAN Rules OUT
Autonomic Dysfunction
The FDA approves testing to prevent
amputaion through
detection of small
dsyfunction.
diabetic
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Precision Medical
preventative
distal nerve
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Early Detection-Other
martSKAN is also effective in, ALCOHOL DETECTION – CEREBRAL EDEMAHYPOTHYROISM – RENAL – HIV – CONNECTIVE TISSUE DISEASE – B12
DEFICIENCY – CARPAL TUNNEL- PAF(neuro-degeneration) RSD (hands)
MULTIPLE SYSTEM ATROPHY (MSA)
is a degenerative neurological
brain disorder. This cell degeneration
causes problems with movement,
balance, and other autonomic
functions of the body such as bladder
control or blood-pressure regulation.
The cause of MSA is unknown specific risk factors have been identified.
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Follow UPS
Normal and Abnormal Results & Billing

If SmarkSKAN results are NORMAL
It is recommended to repeat testing in 6 to 9 months, depending on
patient’s risk factors concerning diabetes, cardio, kidney,
hypothyroid, etc)


If SmartSKAN results are ABNORMAL
Implement appropriate work-up or referrals
Repeat SmartSKAN in 3 months to monitor progress –
Nerve regeneration occurs in as little as 40 to 50 days
BILLING State regulated Medicare CPT/ID9 codes provided
Billable, office calls, testing, consultations and follow-ups. Precision
Medical provides codes for billing.
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SmartSKAN is Utilized IN:

INTERNAL MEDICINE, Including Rheumatology
Peripheral Pain Syndrome - follow up intervention strategies.

ENDROCRINOLOGY and DIABETES DETECTION
Autonomic and peripheral neuropathy/response- Referrals to Neurology or Cardiology

NEUROLOGY:
Diagnosis and follow up of small fiber neuropathy or nerve conduction studies

CARDIOLOGY
Evaluation
for cardia autonomic neuropathy and progression in therapeutic intervention

PM&R

PAIN CLINICS
Peripheral pain syndrome/symptoms (orthostatic hypotension, gastroparesis,
exercise intolerance, follow up
Detect suspected small fiber neuropathy, ID small fiber in patients with
peripheral pain syndromes(e.g.fibromyalgia)
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Physician's Interpretation Guide
Precision Medical provides a Physician Interpretation Guide to assist
in accurately Pinpointing a patient's diagnosis An example shown below shows a patient with balanced hand and feet
asymmetry.
The red dotted line indicates the spine. The X's indicate the patient area of
the spine where the radial dysfunction and nerve dysfunction exists.
You will receive a full
physician interpretation
guide and further
insturctions to pinpoint
and disagnois multiple
conditions effecting
patient outcome.
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Additional Options &
Solutions with PRECISION
CME TRAINING: Precision Medical offers Continuing Education
Credits in Autonomic training for our customers at no extra cost.
We carry the most Cost Effective
Plans with Half Pay options and
NO PENALTY for early pay-offs.
As a bonus, an extra set of plates
can be included in the purchase,
as well as a Re-Order Plate program.
Precision Medical offers Quality Control and Warranties with all purchase Options.
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Contact Information
It has been a pleasure to introduce you to SmartSKAN,, Please feel
free to contact me for a Full Demonstration Appointment, Clinical
Studies or Any Additional Questions at:
medrefer1@ gmail.com
ADVANCED SOLUTIONS
Susan Kolyno, HSS, CMA
References
ee J, Zhou L. Small fiber neuropathy: A burning problem. Cleveland Clinic J Med. 2009 May; 76(5):297-305
bons CH, Wang N, Freemand R. Capsainin induces degeneration of cutaneous autonomic nerve fibers. Ann Neurol.
2010. Dec;68(6): 888-98.
eman R. Not all neuropathy in diabetes is of diabetic etiology: differential diagnosis of diabetic neuropathy. Curr
diab Rep. 2009 Dec; 423-31.
aletti G, Alberti P, Frigeni B, Piatti M, Susani E. Chemotherapy-induced neuropathy. Curr Treatment Options Neurol.
2011 Apr; 13(2) 180-90.
vet JH, Dupin J, Winiecki H, Schwarz PE. Assessment of small fiber neuropathy through a quick, simple and non
invasive method in German diabetes outpatient clinic. Exp Clin Endrocinol Diabetis.2013 Feb; 121(2);80-3.
panas N, Vinik Al, Ziegler D. Neuropathy in prediabetes:does the clock start ticking early? Nat Rev Endocrinol, 2011
Jul 12; 7(11); 682-90.
ik Al, Erbas T, Casellini CM. Diabetic cardiac autonomic neuropathy, inflamation and cardiovascular disease. J
Diabetes Investig. 2013 Jan; 4(1): 4-18
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Thank You for Watching
Serving the Southeast & Atlanta Areas
Contact your Area Representative for Demo Registration Times
Atlanta, GA
404-989-5084 Susan Kolyno
Confidential: Precision Medical
404-921-5911 Jeff Zeiler, CEO, Precision Medical
Testing a Patient
DEMO VIDEO
Setting Appointments for
LIVE DEMONSTRATIONS
Please Contact Your Local
Representative
423-790-7306
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