2.1
SEM Scanner 200 is a portable, hand-held skin assessment device. It detects an increased risk of pressure ulcers developing by identifying early pressure-induced tissue damage at the heel and sacrum. Published evidence suggests that damage to underlying soft tissues can happen 3 days to 10 days before tissue damage shows at the epidermis (Moore et al. 2017). Tissue inflammation is the first response to damage and causes increased dilation and permeability of surrounding blood vessels. This leads to leakage of plasma and fluid, creating a layer of subepidermal moisture. As damage increases, so does the level of subepidermal moisture. SEM Scanner 200 measures variation in subepidermal moisture across a small area. Healthy tissue has little variation, whereas inflamed or dead tissue has more variation. The variation is reported as a 'delta' value, with healthy tissue giving a low numerical reading and inflamed or dead tissue giving a higher numerical reading. A subepidermal moisture delta value of 0.6 or more is thought to represent clinically significant levels of tissue damage.