CNAP Monitor HD

CNAP Monitor HD

CNSystems
Continuous Non-Invasive Hemodynamic Monitoring

The CNAP® Monitor HD from CNSystems is an advanced, non-invasive monitoring system that provides beat-to-beat blood pressure and hemodynamic parameters in real time. Designed for clinical research, cognitive neuroscience, and physiological studies, the CNAP Monitor offers a reliable alternative to invasive arterial lines, delivering continuous data with high fidelity - without the associated risks.

Through a lightweight, comfortable finger cuff sensor, the CNAP Monitor delivers continuous arterial pressure waveforms (CNAP® waveform), systolic (SYS), diastolic (DIA), mean arterial pressure (MAP), and pulse rate, as well as calibrated upper-arm NBP values. In its HD configuration, it also provides advanced cardiac output and dynamic fluid response parameters, offering a complete, real-time insight into cardiovascular status.

CNAP® Technology – How It Works

At the core of the CNAP Monitor is CNAP® technology, which builds upon the Volume Clamp Method (VCM) of Penáz and the Physiocal™ algorithm developed by CNSystems. This unique combination enables accurate continuous blood pressure measurement via the finger, while automatically adjusting for vasomotor changes.

The finger cuff applies pressure to the digital artery to clamp the arterial volume, while a photoplethysmographic sensor detects the pulsatile changes. The system maintains the artery in a constant-volume state, allowing the pressure in the cuff to match the true arterial pressure in real time.

Thanks to Physiocal™, the system adapts continuously to changing peripheral vascular tone, ensuring long-term stability and accuracy—even during autonomic testing, cognitive tasks, or movement-related experiments.

This approach provides:

  • High temporal resolution (beat-to-beat)
  • Continuous real-time data
  • Non-invasive convenience
  • Rapid setup and calibration

Measured Parameters

All parameters are measured continuously and non-invasively via the CNAP® finger sensor:

  • Blood Pressure (Finger & Upper Arm):
    • CNAP® waveform (arterial pressure)
    • Systolic (SYS)
    • Diastolic (DIA)
    • Mean Arterial Pressure (MAP)
    • Pulse Rate
    • Upper arm NBP (SYS, DIA, MAP)
  • Advanced Hemodynamics (CNAP® HD only):
    • Cardiac Output (CO)
    • Cardiac Index (CI)
    • Stroke Volume (SV)
    • Stroke Volume Index (SI)
    • Systemic Vascular Resistance (SVR)
    • Systemic Vascular Resistance Index (SVRI)
  • Dynamic Fluid Responsiveness:
    • Pulse Pressure Variation (PPV)
    • Stroke Volume Variation (SVV)

Key Features

  • Continuous, non-invasive blood pressure monitoring
  • Real-time CNAP® waveform with systolic, diastolic, and mean arterial pressure
  • Advanced hemodynamic monitoring (CO, CI, SV, SI, SVR, SVRI)
  • Dynamic fluid response indicators (SVV, PPV)
  • Comfortable and secure finger cuff sensor
  • Optional upper-arm NBP calibration
  • USB & analog data output for easy integration with recording software
  • Compact and portable design ideal for research labs and clinical studies

Applications in Research

The CNAP Monitor HD is particularly well-suited for:

  • Cognitive neuroscience
  • Autonomic nervous system testing
  • Neurocardiology
  • Pharmacological and drug interaction studies
  • Exercise and cardiovascular physiology
  • Fluid management research
  • Real-time cardiovascular reactivity assessment

Its non-invasive design and high-resolution output make it ideal for longitudinal and protocol-heavy studies where patient or subject safety and comfort are a priority.

Read more

The CNAP® Monitor is available in two versions — Standard and HD (Hemodynamic) — to support different levels of physiological monitoring. Both versions use the same core CNAP® technology to provide continuous non-invasive blood pressure measurement. The HD version extends functionality to include a full suite of hemodynamic parameters for advanced cardiovascular monitoring.

CNAP Monitor – Standard Version

The CNAP Monitor HD includes all features of the Standard version and adds comprehensive hemodynamic monitoring. It delivers beat-to-beat estimates of cardiac output, stroke volume, and systemic vascular resistance, allowing researchers to assess complete cardiovascular function non-invasively. Providing accurate, real-time blood pressure data without requiring an arterial line. Ideal for research environments where non-invasiveness and waveform-level access are critical.

Key Features

  • Continuous non-invasive blood pressure (CNAP®)
  • Real-time systolic, diastolic, and mean arterial pressure (MAP)
  • Pulse rate measurement
  • Finger and brachial pressure waveforms
  • Optional integration with external data acquisition systems
  • Ergonomic user interface with touchscreen display
  • Measured Parameters

  • CNAP systolic, diastolic, and MAP
  • Pulse rate (PR)
  • CNAP waveform
  • Oscillometric NIBP values (for calibration)
  • CNAP Monitor – HD Version

    Key Features

  • All features of the Standard version
  • Advanced hemodynamic parameters:
    • Cardiac Output (CO)
    • Stroke Volume (SV)
    • Systemic Vascular Resistance (SVR)
    • Contractility index (dP/dt max)
    • Left Ventricular Ejection Time (LVET)
    • Pulse Pressure Variation (PPV)
    • Stroke Volume Variation (SVV)
    • Heart Rate Variability (HRV)
  • Automated calibration and real-time trend analysis
  • Research export tools for data synchronization and integration
  • Measured Parameters (in addition to Standard)

  • Cardiac Output (CO)
  • Stroke Volume (SV)
  • Systemic Vascular Resistance (SVR)
  • Contractility (dP/dt max)
  • Left Ventricular Ejection Time (LVET)
  • Stroke Volume Variation (SVV)
  • Pulse Pressure Variation (PPV)
  • Heart Rate Variability (HRV)
  • Continuous Noninvasive Arterial Pressure
    Sys 40 - 250mmHg
    Dia 30 - 210mmHg
    Mean 35 - 230mmHg
    Pulse rate 30 - 200bpm
    Degree of protection BF (defibrillation proof) 
    Automatic scaling to brachial pressure (NBP)  
    Oscillometric Blood Pressure Measuring Rage
    Dia Adult 20 - 200 mmHg, Pediatric 20 - 160 mmHg
    Sys Adult 40 - 260 mmHg, Pediatric 40 - 230 mmHg
    Degree of Protection BF (defibrillation proof)
    CNAP Hemodynamics Measuring Range
    CO 0,0 - 99,9 l/min
    CI 0,0 - 99,9 l/min/m2
    SV 0 - 500 ml
    SVI 0 - 500 ml/m2
    SVR 0 - 9999 dyne*s/cm5
    SVRI 0 - 9999 dyne*s/cm5 /m2
    Electrical
    Nominal voltage 100 - 240 VAC
    Supply frequency  ~50/60 Hz
    Battery sealed lead-gel, operating time: 2 hours (fully charged battery)
    CNAP Hardware
    Weight 7,5 kg (16,6 lbs) including accessories and cables
    Height 280 x 270 x 250 mm (11 x 10,6 x 9,8 inch)
    Built-In Monitor
    Type TFT-LCD, 800 x 600 pixel
    Size 8,4 inch diagonally
    User Interface
    Controls Click-wheel control, fast access keys
    Indicators Visual and audible alarm indication, battery status, printer status, power LED
    Trend Display Customized configuration: numeric, graphic, alarm history
    Adjustable Alarming System
    Alarms physiological: med priority, technical: low priority
    Connectivity
    BP Wave Out Easy integration in all standard patient monitoring systems
    AUX Analog Out Analog output of calibrated continuous blood pressure waveform (-5V to 5V)
    Compliance and Approvals
    Safety class II (IEC 60601) IEC 60601-1; IEC 60601-1-6; EN 1060-4 (NBP)
    Class II b (93/42/EEC) IEC 60601-1-2; IEC 60601-1-8; ISO 81060-2 (NBP)
    Patient applied part type BF (defibrillation proof); IEC 80601-2-30

    Important Note: This product is for research applications only. Not a medical device as defined in Regulation (EU) 2017/745 (EU MDR), Swiss Medical Devices Ordinance (MedDO, SR 812.213), or FDA 21 CFR Part 860. Not designed or intended to be used for diagnosis, treatment of disease or any other medical purposes.

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