Device Description
The CUBAClinical consists of the measurement unit, its power cord and
computer or data controller connection cord, foot positioning inserts,
and accessories.
The CUBAClinical takes an ultrasound measurement through the patient’s
heel. The patient is seated with the foot accurately positioned into the
footwell, using the correct positioning insert. The foot and lower part
of the leg are secured using two Velcro® straps. Ultrasound gel is
applied to the face of the silicone pads and to the sides of the heel
to provide acoustic coupling. The silicone pads are brought into contact
with each side of the patient’s heel by means of a motorized mechanism.
Inaudible sound waves are transmitted from one of the transducers through
the heel and received by the other transducer. Quantitative parameters
describing the attenuation in the heel are measured.
Patient examination time is short, with a typical measurement time of
1 minute (including a settling period).
Intended Use
The intended use of the CUBAClinical Ultrasonic Bone Sonometer is to
perform a quantitative ultrasound measurement of the calcaneus (heel bone),
the results of which can be used in conjunction with other clinical risk
factors as an aid for the diagnosis of osteoporosis and other medical
conditions leading to reduced bone density and ultimately in the determination
of fracture risk.
The CUBAClinical measures Broadband Ultrasound Attenuation (BUA in dB/MHz).
The BUA output is expressed both as an absolute value and, with reference
to the embedded Normative Data, as a T-Score, a Z-Score, and the percent
expected (age-matched).
Regulatory Status
The CUBAClinical is fully compliant to the Medical Devices Directive
93/42/EEC and carries the CE 0120 mark.
CUBAClinical is approved by the Food and Drug Administration in the USA.
CUBAClinical is approved by the Ministry of Health and Welfare in Japan
CUBAClinical is approved by the Korean Federal Drug Administration
Individualisation of Treatment
The CUBA Clinical measurement of BUA of the heel is used by the physician
to assess skeletal status in the evaluation of patients at risk of osteoporosis
and other metabolic bone conditions and / or patients who may have reduced
bone density due to medical conditions indirectly affecting bone mineral
metabolism, medications prescribed for other conditions, heritable or
genetic factors, lifestyle factors, or other reasons. BUA may be used
by the physician along with other clinical factors in the diagnosis of
osteoporosis and other conditions leading to reduced bone density.
When evaluating individual patients, all relevant risk factors should
be considered. (Previous fractures, frame size, smoking, age etc.)