Sudomotor Autonomic Assessments

SudoCheck evaluates the function of sweat glands innervated by the peripheral system.

SudoCheck is a quick and non-invasive test to assess peripheral autonomic neuropathy.

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VitalScan Plus Sudomotor


A Clinical Powerful, Easy to Use, FDA 510K cleared, Non-Invasive System.
In 5 Minutes Identify Patients at Risk.

VitalScan Plus Sudomotor is an innovative, diagnostic system specifically designed to assess sudomotor function, providing critical early insights into small-fiber neuropathies. Small nerve fibers are the very first victims of diabetes, which is known to affect the peripheral nervous system even symptoms remain sub-clinical. Unlike traditional diagnostic tools, VitalScan Plus Sudomotor effectively identifies subtle nerve damage often missed in routine examinations.

VitalScan Plus Sudomotor system helps clinicians with Peripheral Neuropathies and Sudomotor function evaluation. The assessment focuses on tiny nerve fibers within the autonomic nervous system, and their ability to quickly regenerate.
Small nerve fibers are the first victims of diabetes, which affects the peripheral nervous system even if symptoms remain sub-clinical. According to a recent study, already at an early stage of diabetes, the sympathetic innervation of eccrine sweat glands density and function is progressively reduced.

VitalScan Plus Sudomotor has been created to enable a precise evaluation of sweat gland function. Based on a measuring method, patients place their hands and feet on stainless-steel electrodes. The method uses low voltage to stimulate the sweat glands and measure the electrochemical reaction between electrodes and chloride ions. This active, new method provides information and evidence of a sweat dysfunction that might otherwise not be detectable in physiological conditions. The measurement for the hands and feet express the quantitative results, while a risk score derives from demographic data and the measured values.

The VitalScan Plus Sudomotor system, in accordance with the 21 CFR 882.1540, represents a sympathetic skin response device that provides skin conductance measurements on a computer screen.

VitalScan Plus Sudomotor is, similar to a galvanic skin response stress test, a functional test that measures the sweat glands' capacity to release chloride ions following an electrochemical stimulation. It works by measuring the electrical potential difference caused by the electrochemical reaction of electrodes, which are applied to the skin and stimulated by a low voltage of variable amplitude. VitalScan Plus Sudomotor comes with 4x2 independent electrodes for placement on feet or palms and other areas with a high number of sweat glands.

VitalScan Plus Sudomotor provides information that determines the peripheral neuropathy and cardiometabolic risk in patients.

Clinical Utility of VitalScan Plus Sudomotor


The VitalScan Plus Sudomotor system is extensively proven and valuable in various clinical specialties, including:

Neurology
Effective in diagnosing and managing neuropathic pain, idiopathic neuropathies, diabetic neuropathy, and other small-fiber neuropathies often undetected by standard nerve conduction studies.

Cardiology And Internal Medicine
Essential for early detection of cardiometabolic risk related to autonomic dysfunction.
Pain Management
Early identification and ongoing monitoring of neuropathies, including complex pain disorders and Reflex Sympathetic Dystrophy (RSD).


Endocrinology
Early detection and monitoring of diabetic neuropathy, crucial for effective diabetic patient care.

Advantages


Convenient for Patients: Requires no special preparation, fasting, or blood draws.

Rapid and Non-Invasive: Provides immediate, actionable results in just 3 minutes.

Designed for Clinical Versatility: Ideal for use by general practitioners, cardiologists, and neurologists to efficiently screen patients for cardiometabolic risk.

Essential in Diabetes Management: Accurately evaluates diabetic patients for autonomic neuropathy and associated neuropathic pain.

Clinically Relevant Findings: Results highlight the involvement of the peripheral autonomic nervous system in painful diabetic neuropathy.

Validated Accuracy: Results significantly correlate with clinical neuropathy evaluations, pain assessments, and autonomic function testing.

Evaluation Of Sudomotor Function


Why evaluate sudomotor function?
The study of sudomotor presents a valuable tool to assess autonomic disorders. Sudomotor function is known to reflect sympathetic activity and provide insight into postganglionic autonomic innervation.
Recent clinical studies have shown that the level of glycemia influenced conventional tests. VitalScan Plus Sudomotor, however, has proven to be a reproducible and quantitative test method.

The need for a faster sudomotor function test
Sudomotor function assessment can now be carried out faster and simpler with the new VitalScan Plus Sudomotor technology.
In response to electrochemical activation, it measures the ability of sweat glands to release chloride ions and detects abnormalities. Once suspected or confirmed, more specialized tests are recommended to diagnose the underlying cause of the irregularity.
Evaluation of sudomotor function in diabetes
On of the significant causes of nerve damage is diabetes. Diabetic patients suffer from metabolic impairment and related inflammatory processes. As a result, their non-myelinated axons of small fiber nerves are primarily affected and known as Diabetic Autonomic Neuropathy (DAN).
There are presently several clinical studies ongoing to validate VitalScan Plus Sudomotor's new technology for DAN detection.

Small fiber nerves are early victims of diabetes
While symptoms remain sub-clinical, diabetes affects the peripheral nervous system, and small nerve fibers are usually the first victims. VitalScan Plus Sudomotor was developed as a new device to follow up on complications related to diabetes.


Left side - Normal innervation of a sweat gland at the distal leg in a healthy person.
Right side - Reduced innervation of a sweat gland in a diabetic patient.
The VitalScan Plus Sudomotor system is a Class II medical device that is US FDA 510(K) cleared.

VitalScan Plus Sudomotor testing procedure is covered by the most major insurance providers, under CPT code 95923.

Designed for Clinicians, by Clinicians