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COMETPartial Pressure Oxygen Measurement System

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The CE-marked COMET measurement system determines oxygen availability as partial pressure of oxygen [mmHg]. It non-invasively measures oxygen in human skin cells with a high concentration of protoporphyrin IX - in real time at the bedside and only in the mitochondria of active cells.

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The COMET measurement system and its prototypes have been used in 16 clinical trials at seven institutes in two countries, in intensive care patients as well as during and after cardiopulmonary bypass and other major surgeries. The effects of hemoglobin, temperature, flow, blood pressure management and other interventions on cellular oxygenation are visible in real time. Studies demonstrated how cellular oxygen provides more relevant information than previously available measures like lactate, regional saturation or blood pressure. Additional clinical trials are expected to start enrolling soon.

We expect that the measurement of oxygen in the cells will enable doctors to guide the many interventions to ensure oxygen delivery to cells and that this will make care easier, safer and cheaper.  Skin is regarded as an early warning sensor, so should give physicians time to prevent lasting damage. Preclinically, transfusion need was detected two hours before kidney failure. Monitoring cellular oxygen in skin should therefore provide early warning of complications and allow doctors to assess the necessity for interventions and follow their effects in real time. It should also facilitate decisions before and during peripheral interventions and be useful to detect alterations of cellular metabolism  and help develop treatments for metabolic dysfunction. Measurements have also been performed in the gut of volunteers and preclinically in other organs. So far, a CE marked sensor is only available for the skin. Eventually, images of cellular oxygen distributions in organs should help assess tissue function for diagnosis, interventions or wound care.

Use the COMET measurement system as a low-burden adjunct to your studies and improve patient safety.