MiraQ Ultimate

Next-Generation Transit Time Flow Measurement Platform for Cardiac, Vascular and Transplant Surgery

Medistim developed the MiraQ Ultimate as a next-generation intraoperative quality assessment platform combining advanced Transit Time Flow Measurement (TTFM) technology with high-resolution ultrasound imaging capabilities. The system is designed for objective intraoperative flow verification during coronary bypass surgery, peripheral vascular reconstruction, AV fistula procedures, and complex transplant surgeries.

Transit Time Flow Measurement technology provides real-time measurement of blood flow through vessels and bypass grafts using ultrasound-based flow analysis. This allows surgeons to detect low flow conditions, stenosis, anastomotic technical issues, vessel torsion, or graft kinking before completion of the procedure. The primary objective is to reduce early graft failure and improve long-term vessel patency.

The importance of TTFM has become increasingly recognized in both coronary artery bypass grafting (CABG) and vascular surgery. Clinical studies have demonstrated that intraoperative flow verification reduces early thrombosis rates and improves the detection of grafts requiring immediate revision. As a result, TTFM is now considered an important component of modern surgical quality assurance.

Compared with previous-generation systems, MiraQ Ultimate further enhances the integration between TTFM technology and advanced ultrasound imaging. The platform delivers both functional flow assessment and high-resolution anatomical visualization within a single system, enabling comprehensive intraoperative evaluation. This hybrid approach provides major advantages in complex vascular anatomies and multi-vessel bypass procedures.

The system evaluates several critical parameters in real time, including flow volume (mL/min), Pulsatility Index (PI), diastolic filling percentage, flow direction, and waveform morphology. Elevated PI values or irregular waveform characteristics may provide early warning signs of technical graft issues, allowing immediate surgical correction when necessary. Compared with traditional visual assessment methods, this approach offers a far more objective and measurable quality control standard.

One of the key strengths of the MiraQ Ultimate platform is its advanced user interface. Its large high-resolution display, optimized workflow structure, and intuitive operating logic allow measurements to be performed rapidly during surgery. Surgeons and operating room staff can simultaneously evaluate flow curves and ultrasound images in real time.

The system also includes advanced data management capabilities. Surgical data can be digitally archived, quality assurance reports can be generated, and clinical documentation workflows can be supported efficiently. These features provide important advantages for high-standard reference centers focused on procedural quality management.

Medistim is widely recognized as one of the pioneering companies responsible for establishing TTFM technology as a global clinical standard. Beyond device innovation, the company has made substantial academic contributions to the scientific validation of intraoperative flow verification and the standardization of surgical quality control protocols.

The MiraQ Ultimate platform supports a broad probe ecosystem suitable for various vessel sizes and anatomical regions. Reliable measurements can be obtained in arterial grafts, venous grafts, peripheral vessels, and AV fistula procedures, making the system highly versatile across multiple cardiovascular applications.

Compared with alternative solutions, MiraQ Ultimate stands out through its unique integration of TTFM and advanced ultrasound imaging within a single platform, its extensive clinical validation, intuitive workflow architecture, and comprehensive intraoperative quality assurance capabilities. Its ability to simultaneously provide real-time functional flow analysis and anatomical visualization represents one of its most important differentiating advantages.

In summary, Medistim MiraQ Ultimate is a premium intraoperative quality control platform that combines all the advantages of Transit Time Flow Measurement technology with advanced imaging capabilities. By improving surgical safety, enabling objective graft verification, and contributing to better long-term clinical outcomes, MiraQ Ultimate represents one of the most advanced solutions currently available in the field of TTFM technology.