Smart-ABI is a wireless, point-of-care device that performs a true cuff-based, four-limb Ankle-Brachial Index in about five minutes, generating an ABI value plus volume plethysmography records (VPR) waveforms. Smart-ABI+ adds Toe-Brachial Index for the patients where ankle pressures fail.
Wireless, true cuff-based, four-limb ABI with VPR waveforms in about five minutes. The brand flagship and entry-tier device: fast, simple, and built for medical-assistant operation in any care setting.
Everything Smart-ABI does, plus Toe-Brachial Index (TBI) for patients with incompressible ankle vessels, a common pattern in long-standing diabetes, chronic kidney disease, and advanced age, where ABI alone is insufficient.
Both run the same five-minute, MA-operated workflow and feed the same EMR-ready report. The difference is TBI.
| Capability | Smart-ABI | Smart-ABI+ |
|---|---|---|
| True cuff-based Ankle-Brachial Index (ABI) | ✓ | ✓ |
| Volume Plethysmography Records (VPR) waveforms | ✓ | ✓ |
| Four-limb, wireless measurement | ✓ | ✓ |
| Toe-Brachial Index (TBI) | — | ✓ |
| For incompressible ankle vessels (diabetes, CKD, elderly) | — | ✓ |
| MA-operated, ~5-minute workflow | ✓ | ✓ |
| EMR-ready, color-coded reports (Smart-ABI Hub) | ✓ | ✓ |
Not sure which fits your patient mix? A Smart-ABI specialist can help you match the device to the patients you see. Talk to us →
Four indications for each index. Smart-ABI performs the ABI; Smart-ABI+ adds the TBI.
Smart-ABI and Smart-ABI+
ABI is widely used to diagnose PAD, especially in patients with risk factors like diabetes, smoking, or hypertension. It helps in identifying arterial blockages that reduce blood flow to the lower limbs.
ABI serves as an indicator of systemic atherosclerosis and is linked to increased risks of heart attacks and strokes. Low ABI values can identify patients at higher cardiovascular risk.
Physicians use ABI for follow-up assessments in PAD patients to monitor the progression of the disease or the effectiveness of treatments, such as medication or revascularization procedures.
ABI testing is used preoperatively to assess the vascular status of patients undergoing lower extremity surgeries or interventions, ensuring that sufficient blood flow is present.
Smart-ABI+
In cases where arterial calcification in the lower limbs (common in diabetic and elderly patients) may result in falsely elevated ABI readings, TBI is preferred for more accurate detection of PAD. The smaller arteries in the toes are less likely to be calcified.
TBI is useful for evaluating small vessel disease in patients with conditions like diabetes, where the ABI might not reflect the true extent of vascular compromise.
TBI can help in predicting the likelihood of wound healing in the lower extremities, especially in patients with foot ulcers or after amputations.
For patients whose arteries are non-compressible due to calcification, TBI offers a reliable alternative for assessing blood flow in the lower extremities.
A true ABI test uses inflatable cuffs to measure segmental pressures, not a photoplethysmography (PPG) light signal alone. That distinction matters for both clinical accuracy and the way vascular-study claims are reviewed.
Just because a CPT code exists, payment for the service it describes is not guaranteed. See reimbursement & ROI →
Analysis markers and volume plethysmography records (VPR) from a Smart-ABI sample report. Patient details removed. Select the image to view it full size.
ABI documentation is now required for many dressing claims. Smart-ABI produces the audit-defensible, five-minute test those claims need.
DocumentationSmart-ABI+ adds TBI for the diabetic and elderly patients where ankle pressures are incompressible and ABI alone is insufficient.
TBIA true cuff-based ABI with VPR waveforms for practices that value methodology and audit defensibility.
True ABIBring the AHA-recommended ABI into the exam room in five minutes, run by an MA, with a report ready for the EMR.
Point of careReady for autonomic neuropathy too? Smart-LEDA+ adds sudomotor testing →
Book a demo and a Smart-ABI specialist will walk your team through patient selection, the MA-operated workflow, reimbursement, and the report your EMR receives.