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Introduction

1. ss lexicare TOTAL QUALITY OXYGEN THERAPY BREATHING FILTERS amp HMEFS ca ETTUBES l LARYNGEAL MASK AIRWAYS RESUSCITATION UROLOGY Based in South Wales Flexicare has a purpose built plant incorporating clean rooms modern manufacturing equipment and warehousing facilities which all combine to make a fast resoonse to customers demands All manufacturing operations are carried out in Clean Rooms with strict Quality Control Procedures ensuring that high standards are maintained throughout the production process Technical Flexicare is strongly committed to advanced design product develooment and new manufacturing techniques This supports continuous product innovation and provides a fast response to current and future market needs Manufacturing Flexicare has over two decades of experience in the manufacture of medical devices and has built a world class reputation for the manufacture and supply of disposable medical devices to healthcare organisations both in the UK and overseas Customer Care The Customer Care Department is available to respond to your enquiries and provide on line information regarding our product range and to discuss your order requirements Our Experienced Sales Team can offer advice and educational support within the rapidly changing hospital environment Accreditation Flexicare Is an ISO 13485 Registered Manufacturer of sterile medical devices and surgical prod
2. Pre Filled Disposable Anaesthetic Face Mask Product Code Description Size Pack Size 038 51 400 Large Adult 5 50 038 51 410 Adult 4 50 038 59 415 Large Child 3 50 038 59 490 Medium child 2 50 038 592 430 Small Child 1 50 038 53 440 Neonatal 9 50 All Pre Filled Disposable Anaesthetic Face Masks are supplied without the hooks fitted but are included in the pack if required for use For total airway management with confidence Reusable Silicone Anaesthetic Face Masks Latex Free Soft Edges Eliminating the risk of allergic reactions to latex The moulded texture of the rim has been designed to ensure maximum patient comfort and a tight seal Fully Autoclavable Venticaire silicone masks are designed to be autoclaved up British Standard Compliant Connector to 50 times 22mm and 15mm connectors ensures compatibility with all standard catheter mounts and breathing systems Transparent Face Piece Allows patient monitoring at all times and is better tolerated by the patient i Silicone Reusable Anaesthetic Face Mask a n Product Code Description Size Pack Size D a 038 51 400 SIL Large Adult 5 10 038 51 410 SIL Adult 4 10 038 529 415 SIL Large Child 3 10 038 592 490 SIL Medium child 2 10 038 529 430 SIL Small Child 1 10 038 53 440 SIL Neonatal 9 10 For total airway management with confidence VentiSorb is a carbon dioxide absorbent with excellent efficiency and low resistance for use with
3. Flexicare offers a wide range of single patient use components and accessories to compliment the Breathing Systems and Breathing Filters using anaesthesia and intensive care Anaesthetic Face Masks There is an increasing trend for clinical practices to adopt the use of single patient devices to prevent the risk of cross contamination Anaesthetic Face Masks come into close contact with patients and have traditionally been made of black rubber However studies have shown that even after sterilisation there still remains evidence of bacterium which has the potential to cross infect another patient Flexicare have a wide range of single patient use Anaesthetic Face Masks available in all sizes to meet patient requirements All the face masks share a clear dome construction which provides visual inspection of the patient status VentiSorb VentiSoro is a carbon dioxide absorbent with excellent efficiency and low resistance for use within closed circle systems Used in conjunction with either a parallel lack system or bain circuit the soda lime will absorb the patient s exhaled COs and therefore allowing reoreathins of the expired anaesthetic gases Catheter Mounts The purpose of a catheter mount Is to reduce the drag on the endotracheal tube or laryngeal mask by transferring the weight of the breathing system away from the patient It has the added benefit that the filter does not need to rest on the patient s head and thus elimi
4. Tracheostomy Mask Tracheostomy masks are provided with a stud button non latex strao with a 360 swivel connector for maximum patient comfort The connector is 22mm allowing for connection to corrugated tubing and providing humidified oxygen when used with a venturi and humidifier adaptor see page 18 PRODUCT CODE DESCRIPTION PACK SIZE 039 10 097 Adult Tracheostomy Mask Box of 50 039 10 099 Paediatric Tracheostomy Mask BOX Of aU The leading edge in Oxygen and Aerosol Therapy 15 Aerosol Therapy Explained Medication Nebulisers also referred to as small volume Nebulising Time is the time from starting nebulisation or jet nebulisers SVN are devices used to turn until continuous nebulisation has ceased and medication into an aerosolised mist to deliver depends on the flow rate compressed air and directly into the patient s lungs Inhaled aerosols the construction of the nebuliser These are a have considerable advantages in the treatment of major influence on aerosol size distribution many lung diseases including bronchitis and Optimal flow rates recommended are between cystic fibrosis The required dose is much smaller compared to that taken systemically and the side effects are therefore negligible The onset of the action is quicker and the drug itself is more selective 6 8 litres per minute with 8 l min providing a the solution within 15 minutes Nebuliser Performance Important charact
5. Ventilatory strategies in the management of the adult 5 Use and Dangers of Oxygen Therapy 1960 respi distress soia Scottish H d Health Dept HMSO Edinburgh Cin Au ERIE cottish Home and Hea ep inourg 1990 11 755 79 6 oe Hath faca iaca elena seats 13 Jamieson D Chance B Cadenas E Boneris A Phvsioth Vol 69 No 5 XY3 a The relation of free radical production to hyperoxia ii di ie e dal z Annu Rev Physiol 1986 48 703 19 7 Jones H Turner S Hughes JMB 1984 Performance of the Large Reservoir Oxygen Mask Ventimask Lancet June 30th 1427 1431 Crapo JD Peters Golden M Marsh Salin J Pathologic changes in the lungs of oxygen adapted rats a morphometric analysis Lab Invest 1978 39 640 653 Aerosol Therapy 1 Miller WC Mason JW 3 Alberts WM Small Volume Nebulisers Versus Metered Dose Inhalers Occupational Asthma in Respiratory Care Workers Chaet Resp Care 103 655 1993 38 9 977 1004 2 Dolovich M e al 4 Morrow PE Clinical Evaluation of a simple Demand Inhalation MDI Aerosol Characterisation and deposition Am Aerosol Delivery Devices Respir Dis Chest 1974 88 99 84 34 41 The leading edge in Oxygen and Aerosol Therapy Breathing System Products Valve Function Mapleson Classification APL Circuits Adult Ventilator Circuits Humidification Chamber and Systems For total airway management with confidence Introduction General Anaesthe
6. 0 07p 0 04 0 03p 0 02 0 0174 Independent tests confirm that the Venticaire range of breathing filters prevent bacteria and viruses from passing between patients and ventilator equipment Dead Space This is the internal air filled volume of the filter or HMEF Dead Space contributes to the compliance of the breathing system as filters are placed between breathing systems and the patient Moisture Output This may be an important requirement for some patients who are being intubated over a long period of time The unfortunate consequence of intubation is that the upper airway is bypassed and results in a loss of humidification of inspired air Dry gases can have adverse effects and thus to prevent causing the patient trauma HMEF s play the role of acting as the humidifier in lieu of the upper airway However Humidification can cause rain out in either direction Venticaire Filter medium has a double sided hydrophobic membrane which repels water and helps to maintain effective performance of the filter during its use The picture illustrates that even large droplets of water are impervious to the filter medium Universal Connection The 22M 15F connectors comply to BS EN ISO 5356 standard Secure Luer Lock The tethered Luer Lock cap is of a push fit design which Is easy to operate and is secured with a strap eliminating the risk of misplacement or accidental loss Reduced Risk of Pressu
7. The satin surface finish of the cuff provides a similar texture to silicone thus providing ease of insertion while providing a secure seal Cost Effective Universal Connection 15mm M connector complies to BS EN ISO 5356 standard Non Kinking Main Tube The main tube wall is of high grade PVC While resisting kinking it is more secure for accidental patient bite Metal Free Inflation Valve The metal free construction of the valve allows the LarySeal to be used in MRI Eliminate the need for the costly and time consuming process of cleaning and re sterilising DESCRIPTION PRODUCT CODE 22 PACK SIZE 038 94 410 Laryseal MRI size 1 10 038 94 490 Laryseal MRI size 2 10 038 94 495 Laryseal MRI size 2 5 10 038 94 430 Laryseal MRI size 3 10 038 94 440 Laryseal MRI size 4 10 038 94 450 Laryseal MRI size 5 10 For total airway management with confidence Nasopharyngeal Airway NasoSa NasoSafe is a new and innovative Nasopharyngeal Airway The swivel safety grip eliminates the risk of the airway from travelling down the nasal passage while providing the maximum comfort for the patient Swivel Safety Grip Size Colour Coding The NasoSafe swivel grip protects the The swivel safety grip is colour coded to Nasopharyngeal airway from loss in match suction catheter size colour coding the nasal passage The swivel grip allows for positioning of the airway In Patie
8. VentiSorb updated with the latest 5 5 With ower 20 years experience as manufacturers ond suppliers of medical devices to the healthcare industry and information On neW product Ventrfiow Medical organisations Aexicare Medical Limited has bunt a world class reputation si In addition b Hee supply of its own branded products the company also offers a contract manutachurin g service bo launches exhibition dates and ive heslincare Iu For Male MiraN Brest ek hate News Flesicane offers a full range of arma management and respiratary care products known under the brand names of Venticalre and Yentimask For a tull range of respiratory care and alrway management products please click BriteBlade here The Urology products of the company are marketed under Ube Flexicare brand name The products include a full range of Urine Bags Bag Hangers Bedside Bag Stands Leg Straps and All Silicone Foley Catheters For more information please click here aan Fiewicure Miel Limits biletai Arson Thecapy amani Thetis L mplairu epi os erat Mejana Linseed Pui AL EA p i Cintoal Fivtatt is the interactive on line training programme that allows rae you to measure yourself in six different categories Fienie Merial Lined Producti Dygen Thetipy derciol Maks Wain Venturi Marki d Martini aval Hatuape a butter diet Ea ring el i rae ial air Then a the Ge fer urbe iat in iul tices e
9. 037 10 008 Ventimask Low 02 Concentration Set Box of 50 with 24 98 amp 35 Venturi 037 10 009 Ventimask High 02 Concentration Set Box of 50 with 40 amp 60 Venturi 037 10 019 Ventimask with 5 Venturies Box of 40 94 98 35 40 amp 60 The leading edge in Oxygen and Aerosol Therapy 9 Single Venturi Masks These masks sometimes called High Air Flow Og Enrichment HAFOE masks incorporate a Venturi Barrel and uses the Bernoulli principle to deliver a predetermined and fixed concentration of Og to the patient regardless of the patient s respiratory pattern by providing a higher gas flow than the peak inspiratory flow rate Due to the exhalation holes on the mask expired gas is flushed out resulting in minimal reoreathins and little increase in dead space jew Vi Ma N The performance of small venturi masks are not considered to be as accurate as large volume masks The concentration is very much dependent on patients breathing rate and minute volume PRODUCT CODE DESCRIPTION PACK SIZE me 032 10 040 Adult Venturi Mask 24 Box of 50 E Peay 032 10 040T Adult Venturi Mask 24 with Tubing Box of 50 032 10 041 Adult Venturi Mask 98 Box of 50 032 10 041T Adult Venturi Mask 28 with Tubing Box of 50 032 10 042 Adult Venturi Mask 35 Box of 50 032 10 049T Adult Venturi Mask 35 with Tubing Box of 50 032 10 043 Adult Venturi Mask 40 Box of 50 032 10 043T Adult Venturi Mask 40 with Tubing Box of 50 032 10
10. ORAL CURVED NASAL 038 982 055 038 984 055 one 038 981 055 0 5 038 981 065 038 982 065 038 984 065 I 038 981 075 038 982 075 038 984 075 one 038 981 085 038 982 085 9 5 038 981 095 a 10 5 038 981 105 For total airway management with confidence 87 Laryngeal Mask Airway Reduced risk of blockage and turbulence Ease of use for endoscopy Anatomically shaped patient port allows for better flow with lower resistance The deep design of this port reduces the risk of blockages by soft tissues The open patient end port allows the use of endoscope without ere F ae Printed info on the gf main tube x Guidance for air volume 3 and size printed on by the main tube d a s Readily available in 6 colour coded sizes Products are readily available in 6 O sizes from size 1 to 5 and have colour coded pilot balloons for ease of identification Full Glottis view The supraglottic airway device allows for a clear view of the glottis using an endoscope Clearly labelled Laryngeal SV packaging Airway Mask menee aA Instructions for use are a at ae 0 clearly shown on the easy opening packaging WRGOO 50 CAN Oo For total airway management with confidence 88 Laryngeal Mask Airway Laryngeal Mask Airway Colour Coding All of the LarySeal range has a colour coded pilot balloon which corresponds to the size of the Laryngeal Mask
11. 044 Adult Venturi Mask 60 Box of 50 032 10 044T Adult Venturi Mask 60 with Tubing Box of 50 039 10 050 Paediatric Venturi Mask 24 Box of 50 032 10 050T Paediatric Venturi Mask 24 with Tubing Box of 50 032 10 051 Paediatric Venturi Mask 28 Box of 50 032 10 051T Paediatric Venturi Mask 28 with Tubing Box of 50 039 10 059 Paediatric Venturi Mask 35 Box of 50 032 10 059T Paediatric Venturi Mask 35 with Tubing Box of 50 032 10 053 Paediatric Venturi Mask 40 Box of 50 032 10 053T Paediatric Venturi Mask 40 with Tubing Box of 50 032 10 054 Paediatric Venturi Mask 60 Box of 50 032 10 054T Paediatric Venturi Mask 60 with Tubing Box of 50 032 10 055T Paediatric Venturi Mask with 5 Venturies Box of 50 94 298 35 40 60 with Tubing The leading edge in Oxygen and Aerosol Therapy 10 Aerosol Masks Multi Venturi Masks amp Venturi Barrels When the required concentration needs to change during oxygen therapy the adult aerosol mask with the choice of 6 venturies or a multi venturi mask kit will offer the choice to suit the individual patients requirements The aerosol mask can be used with a nebuliser or 22mm corrugated tubing for combined oxygen therapy and humidification Integrated Plastic Nose Bridge 22mm Male Connector Soft Feathered Edges Stepped Mask Construction Latex Free Strap am Blank 24 28 31 35 40 60 Venturi 9 litres 4 litres 6 litres 8 litres 10 litres 15 litres minute m
12. 49 386 Paediatric Pleated Hydrophobic 99 9999 25mg 9 8cm 56 47 50 H90 L Ho0 at 74ml at Vt500 30l min Bacterial Viral Filter with Luer Lock port Expandable Catheter Mount with Double Swivel Eloow and Elastomeric Cap Hedley RM Allt Graham J Heat and moisture exchangers and breathing filters Br J Anaesth 1994 73 227 236 N Le Bourdelles G Mier L Fiquet B et al Comparison of the effects of heat and moisture exchangers and heated humidifiers on ventilation and gas exchangers during weaning trials from mechanical ventilation Chest 1996 110 1294 1298 W Ackerstaff AH Hilgers FJ Aaronson NK et al Improvements in respiratory and psychosocial functioning following total laryngectomy by the use of a heat and moisture exchanger Ann Otol Rhinol Laryngol 1993 102 878 83 PB Pelosi P Solca M Ravagnan et al Effects of heat and moisture exchangers on minute ventilation ventilatory drive and work of breathing during pressure support ventilation in acute respiratory failure Crit Care Med 1996 24 1184 11188 Djedaini K Billiard M Mier L et all Changing heat and moisture exchangers every 48 hours rather than 24 hours does not affect their efficacy and the incidence of nosocomial pneumonia Am J Crit Care Med 1995 152 1562 1569 Roustan JP Kielan J Aubas P du Cailar J Comparison of hydrophobic heat and moisture exchangers with heated humidifier during prolonged mechanical
13. Airways providing a clear visual indication of the size therefore facilitating quicker selection lOKg 20Kg 20Kg 30Kg 30Kg 50Kg 50Kg 70Kg 70Kg 100Kg For total airway management with confidence Laryngeal Mask Airway LarySeal Multiple Silicone Reusable Laryngeal Mask Airway 2 y b TT e High Quality Silicone e Autoclavable e Easy to Purchase Universal Connection 15mm M connector complies to BS EN ISO 5356 standard Colour Coded Pilot Balloon y 9 Ease of identification of sizing by 3 i colour coded pilot balloons Pi A S ma ed e main tube wall is of hi A j grade Silicone While A Secure Seal for kinking it is more secure for Airway Management po accidental patient bite Highly Elastic Silicone material allows the cuff of the mask to form itself to the contour of the oropharyngeal area Easy indication of the cuff pressure through pilot balloon Thin wall pilot balloon indicates the inflation of the cuff and provide a secure seal Autoclavable Reusable Durable high temperature resistant material Recommended for up to 40 times autoclaving DESCRIPTION PACK SIZE PRODUCT CODE 038 94 110 Laryseal Multiple size 1 10 038 94 120 Laryseal Multiple size 2 10 038 94 195 Laryseal Multiple size 2 5 10 038 94 130 Laryseal Multiple size 3 10 038 94 140 Laryseal Multiple size 4 10 m annie aere mee on bud E cai ee 038 94 150 La
14. Bag with 10s Weter Trap Trap i 15mm Female Connector Pack of 10 Pack of 10 open tail PA 010 630 010 631 010 633 010 634 29mm Male Male Male 29mm Male Male Female 29mm Male Male Male 29mm Male Male Female T Piece T Piece T Piece with Port T Piece with Port Pack of 50 Pack of 50 Pack of 50 Pack of 50 a r N A P yp i e y 010 620 010 621 010 622 010 623 020 620 020 621 29mm Plain Parallel 29mm Parallel 29mm Parallel 29mm Swivel 15mm Plain Parallel 15mm Y Piece with Y Piece Y Piece with Y Piece with COo Y Piece Y Piece monitoring ports Pack of 50 Monitoring Ports Luer Lock Port Pack of 50 Pack of 50 Pack of 50 Pack of 50 Pack of 50 For total airway management with confidence Breathing Systems Components Accessories Connectors el j PAA H A kA 010 601 010 602 010 603 010 604 29mm Male Female with Barbed 29mm Male Female with Luer 29mm Female Female with Luer 29mm Female Female Connector Right Angled Connector Right Angled Port Right Angled Port with Port and Plug Pack of 50 Pack of 50 Pack of 50 Pack of 50 Washington T Pieces 010 605 010 638 010 639 29mm Male Female Connector 15mm Male 29mm Male 15mm 15mm Male 22mm Male 15mm with Port and Plug Female with Luer Right Angled Female with Baroed Right Angled Pack of 50 Port Connector Pack of 50 Pack of 50 Recommended for Further Reading 1 Kleemann PP Humidity of anaesthetic gases with respect to low flow anaesthesia A
15. Nebuliser Box of 50 032 10 016 Adult Aerosol Mask with 22mm Nebuliser and Tubing Box of 50 032 10 017 Paediatric Aerosol Mask with 22mm Nebuliser and Tubing Box of 50 032 10 064 29mm Mouth Piece Box of 100 010 636 T Piece Box of 100 032 10 065 29mm Mouth Piece and T Piece Box of 100 The leading edge in Oxygen and Aerosol Therapy 19 Humidity Adaptor and Bubble Humidifier Humidity Adaptor Normally enough moisture is present in Humidified air is transported from the bubble ambient air entrained into a venturi barrel to humidifier or heated humidifier to the humidity provide sufficient humidification Patients adaptor then it is mixed with fixed however with thick mucous secretions in the concentration Oxygen airway undergoing controlled oxygen therapy This is the most accurate method of giving may require additional humidification Fixed Concentration Humidified Oxygen To provide this a humidity adaptor has to be to the patient attached to the venturi barrel with the open end away from the mask and connected to either a large volume nebuliser or humidifier When oxygen is delivered at a flow rate of 1 4 l min by mask nasal cannula or nasal catheters the oropharynx or nasopharynx provide adequate humidification At a higher flow rate or when oxygen is delivered directly to the trachea humidification is necessary Ultimately it might be necessary to increase the moisture content of the inspired gases in order to prev
16. anaesthesia Evaluation using a physical lung model and classification British Journal of Anaesthesia 1988 60 555 64 Miller DM Palm A Comparison in soontaneous ventilation of the Maxima with the Humphrey ADE breathing system and between four methods for detecting rebreathing Anaesthesia and intensive care 1995 23 296 01 10 Meakin G Jennings AD Beatty PCW Healy TEJ Fresh gas requirements of an enclosed afferent reservoir breathing system during controlled ventilation in children British Journal of Anaesthesia 1999 68 43 47 11 Beatty PCW Meakin G Healy TEJ Fractional delivery of fresh gas a new index of the efficiency of semiclosed breathing systems British Journal of Anaesthesia 1992 68 474 77 For total airway management with confidence Section 3 Breathing Filters amp HMEF s Breathing Filters amp HMEF s Introduction Filtration Principles Adult Electrostatic Breathing Filters amp HMEF s Mini Electrostatic Breathing Filters amp HMEF s Adult Pleated Hydrophobic Bacterial Viral Filters Paediatric Pleated Hydrophobic Bacterial Viral Filters Further Reading For total airway management with confidence Filtration Since 1965 an awareness as to contaminated ventilating machines causing infections to subsequent patients has resulted in a universal acceptance to use filters to protect the patient staff and machinery Filters and Heat Moisture Exch
17. coil in dispensing box 038 01 230 29mm Corrugated Tubing 2 metres long with Box of 20 two 22mm female connectors 010 650 Adult Self Sealing Water Trap Box of 10 020 650 Paediatric Self Sealing Water Trap Box of 10 032 10 117 Oxygen Tubing T Connector Box of 95 039 10 118 Oxygen Tubing Right Angle Connector Box of 95 032 10 119 Oxygen Tubing Straight Connector Box of 95 032 10 110 Oxygen Tubing Swivel Connector Box of 25 032 10 111 Oxygen Tubing Swivel Connector with Clip Box of 95 Recommended for further reading Oxygen Therapy 1 CoxD Gilloe 1982 9 Morgan JF Robinson LA Lowe JE Wolfe WG Effects of Fixed Performance Oxygen Masks Hypoxic Hazard of Low oxygen toxicity on regional ventilation and perfusion in the Capacity Designs orimate lung Anaesthesia 36 958 964 Surgery 1981 89 575 81 2 Campbell EJM 1960 10 Havgaard N A Method of controlled Oxygen Administration which Cellular mechanisms of oxygen Toxicity Reduces the Risk of Caroon Dioxide Retention Lancet ii 12 Phsyiol Rev 1968 48 311 73 3 Leigh JM 1970 Variation in Performance of Oxygen Therapy Devices 11 Welch BE Morgan TE Jr Clamann MG Anaesthesia 25 210 290 Time concentration effects in relation to oxygen toxicity in man Federation Proc 4 Leigh JM 0 f General Anaesthesia vol 1 4th Edition 1980 1 708 AG Ed By Gray TC Nunn JF and Utting JE Butterworth London Methods of Oxygen Therapy 12 Stoller JK Kacmarek RM
18. fit to the ventilator Flexicare can produce a wide range of Custom Smooth Bore Circuits to meet specific requirements For total airway management with confidence Smooth Bore Circuits The diagram shows the composition of the smooth bore tubing with the smooth inner lumen surrounded by the kink resistant spiral bound casing with an additional protective outer The smooth bore tube allows flow of the gases with less resistance and reduced turbulence that can be associated with some corrugated tubing circuits Anaesthetic Breathing Systems PRODUCT CODE 038 01 104 038 01 107 038 01 194 038 01 127 038 01 108 038 01 109 038 01 128 038 01 129 038 01 193 038 09 166 038 09 169 038 09 163 038 09 164 DESCRIPTION PACK SIZE Adult Smooth Bore Circuit 1 6 Metre 90 Adult Smooth Bore Circuit 2 4 Metre 90 29mm lightweight smooth bore tubing with parallel Y piece and flexible 22mm F connectors Adult Smooth Bore Circuit 1 6 Metre 90 Adult Smooth Bore Circuit 2 4 Metre 20 29mm lightweight smooth bore tubing with parallel Y piece and flexible 22mm F connectors 0 8m F F Limo Adult Smooth Bore Circuit 1 6 Metre 90 Adult Smooth Bore Circuit 2 4 Metre 90 29mm lightweight smooth bore tubing with detachable parallel Y piece and flexible 22mm F connectors Adult Smooth Bore Circuit 1 6 Metre 20 Adult Smooth Bore Circuit 2 4 Metre 90 29mm lightweight smooth bore tubing with detachab
19. further than is possible with the conventional designed laryngoscopes to allow positive identification of the airway For total airway management with confidence Standard Macintosh Blades High Quality Stainless Steel The distance from the bulb to the blade tip will protect the patient from accidental burns Fully Autoclavable Blades Full Range of Blade Sizes Conforming to BS EN ISO 7376 w The standard Range of Laryngoscopes are manufactured from high quality stainless steel giving long life to both blades and handles The light bulb in the blade can easily be changed and the distance from the bulb from the blade tip will protect the patient from accidental burns whilst providing a high level of illumination PRODUCT CODE PACK SIZE DESCRIPTION 040 110 Standard Macintosh No 1 Standard Macintosh No 2 040 111 040 112 Standard Macintosh No 3 040 113 Standard Macintosh No 4 1 For total airway management with confidence Standard Miller Blades PRODUCT CODE DESCRIPTION PACK SIZE 040 197 Standard Oxy Miller No 00 1 040 129 Standard Miller No 00 1 040 128 Standard Oxy Miller No O 1 040 130 Standard Miller No 0 1 040 131 Standard Miller No 1 1 040 132 Standard Miller No 2 1 040 133 Standard Miller No 3 1 040 134 Standard Miller No 4 1 For total airway management with confidence Fibre Optic Green Spec Macintosh Blades amp Flexible Blades
20. of an overactive bladder and how are they managed A population based prevalence study Br J Urol Int 2001 87 760 6 6 Mcgshan WF Cost effectiveness and quality of life considerations in the treatment of patients with overactive bladder Am J Manag Care 2001 7 S62 75 Further Help and Information is also available from The Continence Foundation Helpline 9 30am 1 00pm Mon Fri Telephone number 0845 345 0165 Association For Continence Advice Telephone Number 020 7820 8113 Total Quality Total Care 116 Section 10 Barium Enema Tips and Accessories Barium Enema Tips amp Accessories Flexicare has been a manufacturer of medical devices for over 30 years and has built a world class reputation for the supply of medical devices to the healthcare market Epiflex is the new range of barium enema tips bags and accessories providing clinicians with maximum choice Flexicare offer a wide range of enema tips with choice of cuffed and uncuffed depending on the procedure required Universal Connection Smooth tip Stepped connector design allows fitting to most enema bags and provides a secure fit The rounded edge design of the tip and soft material reduces the risk of injury to the patient The tips are offered with and without cuff P The Epiflex barium mixing bag with it s large snap fit cap makes it easy to fill the bag The floating ball fitted in the outlet tube preven
21. or chronic congestive cardiac failure higher oxygen concentrations 35 60 are often required and can be administered safely Monitoring of arterial oxygen while Ventimasks are in use will indicate whether the lungs are improving or deteriorating When parenchymal lung failure is so severe that 60 inspired oxygen is not sufficient to achieve satisfactory blood oxygen levels IPPV is indicated even if alveolar ventilation assessed by COo measurement is adequate In the flow chart below selection of the appropriate Ventimask is related to the various types of respiratory disorders Controlled Oxygen Therapy 28 35 40 60 IPPV for Ventimask Og concentration identification How a fixed performance mask works a Principles of operation concentration flows into the face piece E for patient A fixed performance device utilises the HAFOE principle High Preathing Surplus gas leaves the mask through the holes F Air Flow with Oxygen Enrichment Og A flows into a jet B to flush out expired COs to entrain air through apertures C in the venturi barrel D When oxygen flow is increased more air is entrained The resultant air oxygen mixture containing the prescribed Oo to maintain a constant oxygen concentration m D O gt i C F b Calculating total gas mixture flow rates If a patient is known to be hyperventilating it may be necessary n s _ to increase the oxygen flow rate to generate a greater gas
22. stand is powder coated to ensure that there are no sharp edges PRODUCT CODE DESCRIPTION PACK SIZE p 00 0099 Bedside Bag Stand gt 00 0032C Lycra Anti Slip Leg Straps 5 De J 00 0032 Lycra Anti Slip Leg Straps 100 Total Quality Total Care 113 PP wf P i a i Overnight Drainage Bags PRODUCT CODE DESCRIPTION PACK SIZE 00 1200 F4 Community Pack 10 L 9 Litre Drainable Sterile Bag i _ Inlet Connector Guarded Sampling Port and T Tap 00 1201 FAL Community Pack 10 9 Litre Drainable Sterile Bag K Inlet Connector Guarded Sampling Port and Lever Tap 00 9909C F2 10 j T Sterile Bag Non Drainable Non Return Valve and Tear to Open SSS eee SSS SSS y ON J 00 2203C F2 EZ 10 B aa i Non Sterile Bag Non Drainable Non Return Valve and Snap Twist 00 1204 F4 Hospital Pack 100 9 Litre Drainable Sterile Bag with Inlet Connector Guarded Sampling Port and T Tap 00 1204L F4L Hospital Pack 100 9 Litre Drainable Sterile Bag with Inlet Connector Guarded Sampling Port and Lever Tap 00 2901 F2 Non Sterile Hospital Pack 950 2 Non Sterile Bag Non Drainable z Non return Valve and Tear to Open 00 2909 F2 Sterile Hospital Pack 100 Sterile Bag Non Drainable Non Return Valve and Tear to Open 00 2903 F2 EZ Hospital Pack 100 Non Sterile Bag Non Drainable Non Return Valve and Snap Twist Leg Bags PRODUCT CODE DESCRIPTION PACK SIZE 00 1359 350ml Leg Bag Short Tube Ster
23. ventilation Intens Care Med 1992 18 97 100 Thomachot L Vialet R Viguier JM et al Efficacy of heat and moisture exchangers after changing every 48 hours rather than 24 hours Crit Care Med 1998 26 477 488 Conti G Dr Blasi RA Rocco M et al Effects of the heat moisture exchangers on dynamic hyperinflation of mechanically ventilated COPD patients Intens Care Med 1990 16 144 443 Skerrett S J Associate Professor of Medicine Division of Pulmonary amp Critical Care Medicine University of Washington Seattle USA N line Heat and Moisture Exchange filter and Heated Wire Humidifiers chest 112 4 October 1997 Kirton et al 1997 Aprospective Randomised comparison of an In American Association of Respiratory Care AARC Respiratory Care 1992 37 887 890 N B There is no International Standard BS EN ISO 9360 1 2000 MDA Breathing System Filters Evaluation 02069 UI Catheter Mounts Anaesthetic Face Masks Soda Lime amp Accessories Anaesthetic Face Masks Catheter Mounts amp Accessories Introduction Catheter Mounts Standard 15mm Tube Expandable Flexilock Smooth Bore Anaesthetic Face caci i ie Masks Pre Inflated Reusable Silicone VentiSorbd Accessories Connectors Corrugated Tubing Geudel Airways Elbows Monitoring Lines Reservoir Bags Water Traps T Pieces y Pieces Washington T Pieces Further Reading For total airway management with confidence 54 Introduction
24. volume i e 12 16 litres min is required to prevent reoreathing during spontaneous respiration Due to the risk of reoreathing and reduced SS delivery of oxygen rich gases to the patient this system is no longer used Mapleson C This system is similar to Mapleson B however the bag is positioned very close to the Ser meat ea Adult Direct and Paediatric patient This system is used for manual ventilation during resuscitation A flow rate of FGF 1 5 2 times of the Minute Volume is required to avoid rebreathing MD N Mapleson D Coaxial Bain N This system is mainly used with spontaneous respiration The Fresh Gas Flow is close to the patient and the APL valve is placed away from the patient The risk of rebreathing in this circuit will be high especially in patients who have a short expiratory pause or do not have an expiratory pause infants To overcome this problem a high FGF of 2 4 times of the patient s Minute Volume is required If Mapleson D is used with controlled or assisted ventilation a high FGF is required to prevent all reoreathing In practice some rebreathing is tolerated and in an adult an FGF of 6 7 litres minute will maintain a normal arterial CO tension Mapleson E g This system is primarily for use in neonates and paediatrics where low resistance is of great id d vile Bag a FG importance There is no APL valve to reduce resistance and a high FGF 2 4 times of the a patient s Minute V
25. 90 29mm lightweight extra flexible corrugated tube with Swivel Y piece and 22mm F connectors 0 8m F F Limo spare 22mm M connectors 038 01 110 Basic Parallel with Eloow 1 6 Metre 90 and YL Reservoir Bag 29mm lightweight extra flexible corrugated tube with parallel Y piece and 22mm F connectors 0 8m F F Limb Low Profile Eloow 2 litre Reservoir Bag spare 22mm M connectors 038 01 106 Flexi Lock Parallel 90 Flexiole expandable tube with clear parallel Y piece and 22mm F connectors 0 8m F F Limo spare 22mm M connectors Adult Bain Systems pa e m 038 01 200 Basic Bain Coaxial System 1 6 Metre 90 038 01 210 Basic Bain Coaxial System 2 4 Metre 90 29mm lightweight flexible corrugated tube with 29mm M swivel connector and Low Profile Elbow a 038 01 201 Basic Bain Coaxial System 1 6 Metre 90 eee aa 292mm lightweight low compliance corrugated tube with 22mm M swivel connector and Low Profile Elbow For total airway management with confidence Venticaire APL Function The function of APL valve is to allow expired and excess fresh gas to escape spill from a breathing system without allowing entry of the outside air into the breathing system even during inspiration The Venticaire Adjustable Pressure Limiting valve is of a variable orifice design The unique design of the Venticaire valve allows adjustment of the escape of expiratory and excess fresh gas as required in order to mai
26. 92 970 10mm corrugated 1 6 metre fresh gas tube with 90 1 Litre Reservoir Bag and Paediatric APL Valve Paediatric Bagging System Mapleson C FGF gt 038 09 971 10mm corrugated 1 6 metre fresh gas tube with 90 0 5 Litre Reservoir Bag and Paediatric APL 038 02 272 10mm corrugated 1 6 metre fresh gas tube with 90 1 Litre Reservoir Bag and Paediatric APL For total airway management with confidence Anaesthetic Breathing Systems VentiFlow Co Axial Breathing Systems The Innovative Solution for Open and Closed Systems a Coloured Connectors T 22mm Patient End Allows for visual inspection Swivel Connector of the inner tube and Provides flexibility of the connection integrity f circuit and reduces drag on the patient end devices Integrated Monitoring Port The machine end luer lock port allows for secure connection and its integrated construction maintains the patency of the monitoring line and reduces the risk of kinking LA eS t a Centrally Positioned Patient End Monitoring Port Located in the centre of the Swivel Inner Connectors Reduce the risk of the tubes and the monitoring line from twisting thus a patient end connector reducing potential patient drag and allows for a more accurate the risk of disconnection sampling of COs The VentiFlow Breathing System can be used as an open or closed system providing maximum flexibility for use in both Intensive Care and Anaesthetic procedure
27. Flexicare we strive to exceed our customer s expectations in Quality Service and Value In addition to supplying high quality products we have a strong commitment to provide a first class service and achieve the highest standards of professionalism and efficiency in all areas of our operations We encourage new and innovative ideas from our customers and Flexicare s experienced Technical and Manufacturing Team will be pleased to discuss developmental projects as well as custom products for your specific needs Flexicare s Customer Care Department is able to respond promptly to your enquiries and provide up to date information regarding our product range or to simply discuss your orders and their status Our team of Territory Sales Executives with nationwide coverage and supported by our Customer Care Department at Flexicare s headquarters will be pleased to arrange to visit you to discuss the comprehensive range of flexicare products and any specific products or any other requirements you may have AY A tw TOTAL QUALITY i a a P N ji D EA d 4 A ake Ue F T L040106
28. Fully Autoclavable Blades Full Range of Blade Sizes Conforming to BS EN ISO 7376 Venticaire s Fibre optic Laryngoscope is manufactured without an inner sleeve thus producing a lightweight handle The halogen bulb produces a cold yet bright illumination providing an intensity of light required during examination and intubation PRODUCT CODE DESCRIPTION PACK SIZE _ 040 831 Fiore Optic Macintosh No 1 1 040 832 Fiore Optic Macintosh No 2 1 040 833 Fiore Optic Macintosh No 3 1 040 834 Fiore Optic Macintosh No 4 1 040 835 Flexible Fiore Optic No 3 1 040 836 Flexible Fiore Optic No 4 1 For total airway management with confidence Fibre Optic Green Spec Miller Blades PACK SIZE PRODUCT CODE DESCRIPTION 040 840 Fiore Optic Oxy Miller No 00 1 040 849 Fiore Optic Miller No 00 1 040 841 Fiore Optic Oxy Miller No 0 1 040 850 Fiore Optic Miller No 0 1 040 851 Fiore Optic Miller No 1 1 040 852 Fiore Optic Miller No 2 1 040 853 Fiore Optic Miller No 3 1 040 854 Fiore Optic Miller No 4 1 For total airway management with confidence Standard Handles and Box Sets All handles are Bi Polar allowing the Laryngoscope to function PRODUCT CODE DESCRIPTION PACK SIZE irrespective of which way the batteries are inserted The handles can also be opened from both ends top and 040 097 Standard Size Rough Finish 1 bottom in order to remove swelled batteries with ease 040 011 Seen eco eee 1 040 029 Mini Si
29. ION PACK SIZE 00 0012 Flexihang Bag Hanger 10 00 0014 Flexihang Bag Hanger 100 E Z Flow Catheter Valve The Flexicare E Z Flow is a discreet lightweight catheter valve designed to offer patients flexibility of choice in urine drainage management 100 Tested Patient Comfort All E Z Flow Catheter Valves are 100 The outlet sleeve of the catheter valve is tested to guarantee leak free valves made of soft PVC that will not put any pressure marks or cause any discomfort High User Confidence for the patient when in situ The 90 lever action provides positive assurance of the catheter valve being Secure Fitting y either open or closed The ridged connector ensures a secure fit with the catheter PRODUCT CODE DESCRIPTION PACK SIZE 00 0060 E Z Flow Catheter Valve 5 FlexiSleeve Leg Bag Holder FlexiSleeve is a knitted leg bag holder to replace leg straps FlexiSleeve offers more comfort to the bag wearer by distributing the weight of the bag evenly around the leg or thigh This will helo to reduce any potential pressure sore that could occur with leg straps if fastened tightly FlexiSleeve also helps to dampen the noise created by movement of the fluid in the bag PRODUCT CODE DESCRIPTION PACK SIZE 00 0035 Small size leg bag holder 00 0036 Medium size leg bag holder 3 00 0037 Large size leg bag holder 3 00 0038 Extra Large size leg bag holder 5 Bag Stand and Leg Straps The Flexicare bag
30. In most clinical situations the minimum recommended oxygen mixture flow to ensure this is in excess of patients demand flow rate will entrain sufficient air to provide a gas mixture flow Using the mixing graph the total gas flow rate available to the rate to match or exceed the patient s inspiratory flow rate patient can be assessed 15 60 40 35 1a 4 13 12 A fk O m O Litres Min O N W FU WO Ia CO SO 0 10 20 30 40 50 60 70 80 90 100 110 Example Air Litres Min 94 Ventimask At the minimum Og flow rate of 2 litres min this mask will generate a total flow rate of 52 litres min To calculate the total flow rate from the same mask if Og flow is increased to say 4 litres min simply look for 4 litres min on the vertical axis of the graph and follow the horizontal line unit it intersects the 24 line At this point of the intersection look to see what air flow rate on the horizontal axis is appropriate In this case it is 100 litres min Add the Oo flow rate for the final mixture flow rate 100 air entrained 4 oxygen flow 104 litres min Similar calculations can be carried out for the remaining mask concentrations at varying Og flow rates In summary note that the increasing Oo flow rate maintains the Oo concentration but delivers it at a higher flow rate The leading edge in Oxygen and Aerosol Therapy 8 Clinically Proven only Ventimask is able to provide a fixed Ventimask is the accepted st
31. K SIZE 032 10 090 Bubble Humidifier with PVC diffuser 300ml 6 psi Box of 20 Recommended for home use 032 10 089 Bubble Humidifier with Ceramic difffuser 400ml 4 psi Box of 20 Recommended for hospital use The leading edge in Oxygen and Aerosol Therapy 20 Tubing Water Traps amp T Pieces In addition to our full range of products a selection of Oxygen Tubes Corrugated Tube Water Traps and T Piece are offered to provide maximum flexibility for clinicians to custom make the device that meets the specific patient s needs Venticaire oxygen connecting tubes provide a wide choice to suit all applications The table below provides product description and code numbers The leading edge in Oxygen and Aerosol Therapy 21 PRODUCT CODE DESCRIPTION PACK SIZE 032 10 060 Star Lumen kink resistant Oxygen Tubing Box of 100 with connectors 2 1 metre 032 10 063 Star Lumen kink resistant Oxygen Tubing Box of 100 with one narrow and one wide connector 2 1 metre 039 10 059 Star Lumen kink resistant Oxygen Tubing Box of 1 100 metre 032 10 069 Oxygen Bubble Tubing 1 8 metre Box of 100 032 10 067 Oxygen Bubble Tubing 3mm 30 metre coll Box of 1 in dispensing box 032 10 068 Oxygen Bubble Tubing 3mm 100 metre coil Box of 1 in dispensing box 038 01 996 29mm Corrugated Tubing with 45cm repeat Box of 1 50 metre coil in disoensing box 038 01 298 29mm Corrugated Tubing with 15cm repeat Box of 1 50 metre
32. Profile Eloow 22M 15F 30l min 038 49 356 Mini Bacterial Viral Filter HME 99 99 31mg l 9 7cm 35ml 30 50 with Luer Lock Port air Ho0 at Low Profile Elbow 22M 15F 30l min 038 42 357 Mini Bacterial Viral Filter HME 99 99 31mg 9 7cm 46 41 50 with Luer Lock Port Expandable alr Ho0 at 64ml Catheter Mount with Double Swivel 30l min Elbow amp Elastomeric Cap Ideal for Long Term and ITU Use Secure Luer Lock The tethered Luer Lock cap is of a push fit design which is easy to operate and is secured with a strap eliminating the risk of misplacement or accidental loss Wide Choice Venticaire offers a wide range of filters to suit Including HMEF with eloow or catheter mounts F PRODUCT CODE 038 41 370 Adult Pleated Hydrophobic Bacterial Viral Filter Bacterial Viral Filter with Luer lock Port Bacterial Viral Filter with Luer Lock Port exoandable Catheter Mount with Double Swivel Elbow and Elastomeric Cap A 7 HUMIDI RESISTANCE DEAD WEIGHT PACK FICATION DESCRIPTION EFFICIENCY 99 99999 25mg H90 L at Vt500 038 41 375 Adult Pleated Hydrophobic 99 99999 95mg 1 4cm 74ml 48 50 Ho0 L H90 at at Vt500 301 min 95mg 1 4cm 99 50 Ho0 L Ho0 at 110ml at Vt500 301 min 038 41 376 Adult Pleated Hydrophobic 99 99999 Universal Connection The 22M 15F connectors comply to BS EN ISO 5356 standard Reduced Risk of Pressure Mark The rounded s
33. The MaxiNeo compressor has a dedicated compartment to safe keep the nebuliser and accessories ensuring that all the necessary items are at hand when required The MaxiNeb System The MaxiNeb System comprises of MaxiNeo Compressor MaxiNeo Nebuliser Aerosol Mask Mouthpiece Star Lumen Tubing Instructional Manual Operational Benefits The MaxiNeo Compressor is very quiet when in use and produces 6 lom providing optimal output to the nebuliser to deliver the drug When used in conjunction with MaxiNeb Nebuliser systemic reaction to beta stimulators is reduced by the absence of large particles which are deposited in the mouth pharyngeal and gastric tract Each MaxiNeo Compressor is supplied with all the essential items including clear instruction and operational guidance Specifications Dimensions WxDxH 28 5 x 20 5 x 11 0cm 11 2 x 8 1 x 4 3 Fuse see note 3 T5A 250VAC for 120V system TI 6A 250VAC for 230V system Operation 10 C to 40 C 50 F to 104 F Temperature Electrical Rating OOVAC 60Hz 1 2A OOVAC 50Hz 1 2A Note Refere to the rating labelon 20VAC 60Hz 1 2A 230VAC 50Hz 0 6A HEU 230VAC 60Hz 0 6A 230 240VAC 50Hz 0 6A Maximum Compressor Approx 35psi Approx 35psi Pressure Operating Flow Rate Approx 6 lpm Approx 5 5 Ipm Nebulisation Rate 0 3 ml min Storage 15 C to 50 C 5 F to 122 F Transport 15 C to 70 C 5 F to 158 F Operation 10 to 90 RH non condensing Humidity Sto
34. ach blade is clearly marked as Single Patient Use avoiding the possibility of confusion with Reusable Blades PRODUCT CODE DESCRIPTION PACK SIZE Box of 10 Macintosh 7 040 431 040 439 Macintosh 2 Box of 10 040 433 Macintosh 3 Box of 10 040 434 Macintosh 4 Box of 10 040 430 Handle Box of 10 For total airway management with confidence Recommended for Further Reading 1 JRHal 3 MD Ester LC Baines D J Wilkinson and R M Langford Blood contamination of equipment Decontamination of Laryngoscopes a survey of national Anaesthesia and Analgesia 1994 78 1136 9 practice Anaesthesia 1999 54 2 S J Twigg B McCormack amp T M Cook Randomised Evaluation of the Performance of Single Use Laryngoscopes in Simulated easy and difficult Intubation Br J Anaesth Jan 2003 90 8 13 For total airway management with confidence Section 6 Endotracheal Tubes Laryngeal Mask Airway amp Nasopharyngeal Airway Endotracheal Tubes Laryngeal Mask Airway amp Nasopharyngeal Airway Introduction Plain Tubes Without Cuffs VentiSeal Tubes High Volume Low Pressure Cuffs Standard Tubes Low Pressure Cuff LarySeal Laryngeal Mask Airway NasoSafe Nasopharyngeal Airway Further Reading For total airway management with confidence 82 Cuff Pressure Endotracheal Tubes An Endotracheal Tube is a device inserted int
35. and Reservoir Bag without a pressure relief valve 038 72 850 Paediatric Silicone Reusable Resuscitator Bag with Mask 5 Oxygen Line and Reservoir Bag 038 73 850 Neonatal Silicone Reusable Resuscitator Bag with Mask 5 Oxygen Line and Reservoir Bag 038 71 855 Resuscitaton Pack 1 Set Adult Paediatric and Neonatal Silicone Reusable Resuscitator Bag with Masks Oxygen Lines and Reservoir Bags 038 71 857 Reservoir Bag and Og line for Adult Paediatric Box of 10 Silicone Resuscitators 038 73 857 Reservoir Bag and Oo line for Neonatal Box of 10 Silicone Resuscitators For total airway management with confidence 103 Resuscitation Mask Venticaire Protect Patients against Cross Contamination with the Venticaire Single Patient Use Resuscitator Mask d FIRST AID MASK Venticaire Flexicare Medical Limited 45 an UA Aub Mid Chao C Amen fet AA 1443 474A CE 0120 e Pre filled cushion Providing maximum seal e Non return valve Prevents reflux contamination whilst allowing gas escape through side vents e Built in Og line port with cap Allows connection of Og if required no need to change mask during transportation PRODUCT CODE 010 999 e Integral Bacterial Viral Filter Protecting both patient and resuscitator e Latex free strap Assists in maintaining mask in secure position eliminates risk of Latex reaction e Secure durable carrying case Mask carefully protected until
36. andard for controlled oxygen and predictable oxygen concentration with changing and n for exact oxygen concentration delivery optimum variable breathing patterns 1 performance with greater patient acceptability Latex Free Straps Eye irritation is avoided due to Horizontal Gas Flow ensuring delivery to mouth and nose Air dilution is minimised due to Large Capacity 280ml face piece Extraneous air dilution is greatly reduced by Exhalation Vents enhancing CO washout and orevents pressure build up Soft and Flexible facemask ensures maximum comfort during sleep Lower input oxygen flows are required when compared to other fixed performance venturi masks Fixed and predictable oxygen concentrations are unaffected by variable breathing patterns inspiratory flow and mask fit PRODUCT CODE DESCRIPTION PACK SIZE 037 10 001 Ventimask with 94 Blue Venturi 9 litres minute Box of 50 ie cee d 037 10 002 Ventimask with 28 White Venturi Box of 50 SAN 4 litres minute 037 10 003 Ventimask with 35 Yellow Venturi BOX Ol SO 8 litres minute 10 litres minute N al M i 037 10 004 Ventimask with 40 Red Venturi Box of 50 oe 9 litres minute for use at home fe x i l 037 10 005 Ventimask with 60 Green Venturi Box of 50 see iil 7 15 litres minute 4 De ma 037 10 006 Ventimask with 28 White Venturi in situ Box of 40 ta SoN 037 10 007 Ventimask No Venturi Box of 50
37. angers HME have developed since then not only to prevent bacterial and viral contamination but to also compensate for bypassing the upper airway during anaesthesia or intubation The blood born virus advisory panel of the Association of Anaesthetists of Great Britain and Ireland recommended that an appropriate filter should be placed between the patient and the breathing system with a new filter being used for each patient This protection may be achieved by two different filtration methods either by mechanical filtration or by electrostatic charge filtration Mechanical filters also known as pleated paper filters have a tightly packed medium with a hydrophobic coating providing a small pore size membrane that physically stops the passage of organisms Typically these filters have very high levels of efficiency and their hydrophobic properties also provide a degree of humidification for the patient Electrostatic filters use a medium that is loosely woven and given a charge the holds onto micro organisms allowing filtration in a small light casing Filtration Principles The primary objective of breathing filters is to stop bacteria and viruses entering leaving the patient Electrostatic filters achieve this by holding onto micro organisms through the static electric charge in the medium The pleated paper filter also known as a mechanical filter achieves this by tightly packed layers of mixed strands of glass fibres physically orev
38. ap Infant T Piece Mapleson F 9 1 metre Star Lumen tube fresh gas line with 22mm connector with 0 5 Litre open tail Reservoir Bag Ayres T Piece Mapleson F 9 1 metre Star Lumen tube fresh gas line with 22mm connector with 0 5 Litre open tall Reservoir Bag and Double Swivel Eloow with Elastomeric Suction cap Ayres T Piece Mapleson F 9 1 metre Star Lumen tube fresh gas line with 22mm connector with 1 0 Litre T Tap vented Reservoir Bag and Double Swivel Eloow with Elastomeric Suction cap For total airway management with confidence PACK SIZE 90 90 90 20 20 20 APL Product List PRODUCT CODE DESCRIPTION PACK SIZE lu Bain System Mapleson D 038 01 957 1 6 metre 2 Litre Reservoir Bag and Adult APL Valve 90 038 01 253 9 4 metre 2 Litre Reservoir Bag and Adult APL Valve 90 038 01 954 5 4 metre 2 Litre Reservoir Bag and Adult APL Valve 10 Magill System Mapleson A 038 01 256 29mm corrugated 1 6 metre long fresh gas tube 90 with 2 Litre Reservoir Bag and Adult APL Valve Parallel Lack Mapleson A 038 01 257 292mm corrugated 1 6 metre long fresh gas tube 90 with 2 Litre Reservoir Bag Adult Bagging System Mapleson C 038 01 255 10mm corrugated 1 6 metre long fresh gas tube with 90 9 Litre Reservoir Bag and Adult APL Valve 038 01 958 9 1 metre star lumen tubing with 2 Litre 90 Reservoir Bag and Adult APL Valve Direct System Mapleson C ee 3 038 0
39. athing system with APL Valve 2L Reservoir Bag Monitoring Line and FlexiLock expandable limb 038 01 520 Ventiflow Plus 1 6m 90 1 6m breathing system with APL Valve OL Reservoir Bag and FlexiLock expandable limb ae e 038 01 595 Ventiflow Plus 2 4m 90 i 9 4m breathing system with APL Valve OL Reservoir Bag and FlexiLock expandable limo 038 01 510 Ventiflow Standard 1 6m 90 1 6m breathing system with Monitoring Line and FlexiLock expandable limbo I 038 01 515 Ventiflow Standard 2 4m 90 i 9 4m breathing system with Monitoring Line and FlexiLock expandable limo 038 01 501 Ventiflow Basic 1 6m 90 1 6m breathing system Reservoir Bag and FlexiLock expandable limo 038 01 506 Ventiflow Basic 2 4m 90 i 9 4m breathing system Reservoir Bag and FlexiLock expandable limo 038 01 500 Ventiflow 1 6m 90 1 6m breathing system and FlexiLock expandable limo 038 01 505 Ventiflow 2 4m 90 i 2 4m breathing system and FlexiLock expandable limo For total airway management with confidence Smooth Bore Circuits Kink Resistant Easy and secure fitting The spiral outer casing of the Smooth Bore tubing is 29mm flexible Connectors providing a secure fitting to the designed to maintain the patency of the inner lumen machine ensuring flow of fresh gas SAIS AE IE Hs Le eee A a gt adi Es Ad TRAR TDO O P Ai apo PA the A yii yaad a Flexible Connectors 29mmF Flexible Connectors provide a positive secure
40. ce and Fixed performance 1 Variable Performance These devices administer uncontrolled oxygen therapy because the patient creates the inspired mixture by the act of breathing Examples of these are nasal catheters nasal cannulae and mask shells with or without a rebreathing bag see pictures below Various factors cause unpredictability in knowledge and control of inspired oxygen concentration when using these devices Firstly because the oxygen flow is less than the patient s inspiratory flow the patient obtains some oxygen and some air but in unknown proportion because normal breathing has an irregular pattern o Litres Min 3 The resulting oxygen concentration varies not only on a breath by breath basis but also from patient to patient Secondly the size of the mask size and placement of the vents and fit of the mask to the face will cause variation in inspired oxygen concentrations Variable performance devices Nasal cannula High capacity systems Nasal catheter non re breathing mask The disadvantage of using a variable performance device is that blood gas values cannot be easily interpreted since they only reflect performance variation of the mask patient interface rather than a true change in the condition of the lungs under treatment The leading edge in Oxygen and Aerosol Therapy 3 2 Fixed Performance These devices see pictures below allow controlled known fixed and selectable oxygen
41. change colour indicating that the soda lime needs to be changed This should be used alongside a CO2 monitor to confirm compound exhaustion PRODUCT CODE DESCRIPTION PACK SIZE 038 05 601 1 3 kg Ventisoro supplied in resealable bags Pink to White 12 038 05 602 4 5 kg Ventisoro supplied in closable container Pink to White 2 038 05 603 1 3 kg Ventisoro supplied in resealable bags White to Violet 12 038 05 604 4 5 kg Ventisoro supplied in closable container White to Violet 2 For total airway management with confidence Breathing Systems Components Accessories Connectors Ap ps wi a E 010 610 010 611 010 612 010 613 010 614 010 617 29mm Male Female 29mm Male 22mm 29mm Female 15mm 15mm Male Male 15mm Male Female 29M 30F Scavenging Serrated Connector M 15mm F Connector Male Connector Connector Connector Connector Pack of 100 Pack of 100 Pack of 100 Pack of 100 Pack of 100 Pack of 50 Corrugated Tube 038 01 225 038 01 226 038 01 227 038 02 225 29mm Corrugated Tube 45cm repeat in dispensing box 29mm Corrugated Tube 45cm repeat in dispensing box Blue 22mm Corrugated Tube for scavenging 45cm repeat in 15mm Corrugated Tube 45cm repeat in dispensing box 50 metre 50 metre Low Compliance for dispensing box 50 metre 50 metre 1 roll Ventilators 1 roll 1 roll 1 roll Elbows ce Er b d 010 640 010 641 010 642 010 643 010 645 Eloow Low Profile Eloow with Luer Lock Port Elbow with Elastomer
42. cipating in the social arena without the undue worry of incontinence Flexicare offer a wide range of Leg Bags and Night Drainage Bags to meet individual patient requirements so that they may continue with their normal daily activities The Urine Bags have been designed and manufactured with every user s requirements taken into consideration achieving a high level of user confidence and comfort d Continence Products Flexicare urine bags have been designed and manufactured with every user s requirements taken into consideration Achieving a high level of users confidence and comfort is a fundamental criteria in the making of Flexicare s range of Urology products All Flexicare bags are made and tested to meet International Standards BS EN ISO 8669 f ead ad N j 7 Flexicare F4 y i 2000 mi i Drainage Bag LE pa Pow e l Flexicare i 750 mil r c i Leg Bag 0120 Vi i Flexicare ze A Flexicare Simme ia Lye Su ai A 500 ml Leg Bag Leg Bag c Mesra Uw tataa i mat LA f 0120 d 0120 ly oa oe 1 o A A Flexicare leg bags give you the choice of 350ml 500ml and 750ml capacity All three 9 Litre bedside Bags are available leg bag capacities are available in short and long tube lengths and for those requiring with and without tap that little bit extra our 60cm length adjustable length tube should fit the bill A ra Secure Attachment To Cathete
43. cope and the Fiore Optic Laryngoscope is the location of the bulb In the Fiore Optic System the bulb is housed within the handle with the light transmitted via an optic bundle The main advantage that this System presents is that its transmits light but does not transfer heat and thus eliminating the risk of burns within the patient s oral cavity There is also the added advantage of one piece autoclaving The fibre optic bundle can remain in situ and does not have to be removed during the cleaning process Disposable Blades Until recently laryngoscopes were primarily made of stainless steel However due to the recent Issues involving CJD prions where decontamination of the blades could not be ensured there remains a risk of cross infection As a measure to combat the potential risk of cross contamination there has been a move towards Disposable Blades Recent studies have also shown that Laryngoscope Handles are a major source of cross contamination with few being sterilised as often as needed The BriteBlade is a Disposable Fibre Optic Blade designed for single patient use which eliminates the risk of cross contamination from both blade and handle It has a unique and patented hinge design that prevents the folded blade from touching the handle Thus eliminating the need for disposable handles or sleeves Difficult Intubation Flexicare also provide Laryngoscopes for difficult intubations The Mc Coy system clears the tongue
44. cy of the CO absorption without significantly increasing resistance Simulated Use Test 1 0 A 0 9 G 0 8 lt 0 7 3 lt 0 6 5 D o 0 5 lt x 0 4 2 A m 0 3 S Vv 8 0 2 E m E 0 50 100 150 200 250 300 350 400 Time min The graph depicts the results using Ventisoro and a non granular brand under simulated and controlled minimal flow conditions It clearly shows that the amount of time that elapses before CO begins to breakthrough is substantial and that there is a constant rate of utilisation after 270 minutes giving Ventisoro a greater than 10 performance advantage For total airway management with confidence Ventisorb CO Absorbent Operator Benefits The benefits of using closed circle systems for their low flow anaesthesia delivery capabilities extends beyond patient benefits The implication for the operating department being that anaesthetic gases used to induce patients does not unnecessarily pollute the operating room Secondly it has the added advantage of being cost efficient in that the amount of fresh gas needed to maintain anaesthesia is lower than that of open systems The difference being the opportunity of cost between 9 3 litres min for closed systems and 6 8 litres min for open systems Specification Grade Particle Size CO Capacity Hardness mesh litres COo kg US Pharmacopoeia USP 4 8 9 5 5 0 gt 140 gt 90 When exhausted Ventisorb will
45. d N e Single Use y e Cost Effective Universal Connection 15mm M connector complies to BS EN ISO 5356 standard e Easy to Purchase Colour Coded Pilot Balloon Ease of identification of sizing by Be colour coded pilot balloons Non Kinking Main Tube The main tube wall is of high grade PVC While resisting kinking it is more secure for Less risk of slipping accidental patient bite or dislocation The satin surface finish of the cuff provides a similar texture to silicone thus providing ease of insertion while providing a secure seal we Easy indication of the cuff pressure through pilot balloon Thin wall pilot balloon indicates the inflation of the CUN Cost Effective Eliminate the need for the costly and time consuming process of cleaning and re sterilising PRODUCT CODE DESCRIPTION PACK SIZE 038 94 310 Laryseal Clear size 1 10 038 94 320 Laryseal Clear size 2 10 038 94 395 Laryseal Clear size 2 5 10 038 94 330 Laryseal Clear size 3 10 038 94 340 Laryseal Clear size 4 10 038 94 350 Laryseal Clear size 5 10 For total airway management with confidence Laryngeal Mask Airway LarySeal MRI PVC Single Patient Use Laryngeal Mask Airwa e Medical Grade PVC ryng Y e Single Use s e Cost Effective e MRI Compatible Colour Coded Pilot Balloon Ease of identification of sizing by colour coded pilot balloons Less risk of slipping or dislocation
46. dosage They create a constant proportion of air oxygen mixture in excess of patient inspiratory flow rate and are independent of patient factors or fit to the face With gas flow constantly in excess of patient demand and with enhanced CO washout reoreathing is virtually eliminated N e 5 Venturi mask Ventimask Respiratory Result Disorder Inappropriate relationships between blood and gas in alveoli Ventilation abnormalities Perfusion Abnormalities Ventilation exceeds perfusion increased dead space decreased alveolar ventilation Perfusion exceeds ventilation venous admixture or shunting To work efficiently and to prevent air dilution a fixed performance device should incorporate e A large volume face piece not less than 280ml e Gas mixture flowing directly towards the nose and mouth Vents positioned well away from the patient airway For details on how a fixed performance mask works refer to the illustration on page 8 Fixed performance devices are sometimes referred to as venturi or air entrainment masks Causes Chronic COo retention as a result of long standing obstructive airways disease e Pneumonitis from any cause Infective pneumonia Lung contusion Shock lung Acid aspiration etc Lung Congestion of cardiac failure Excess oxygen can be harmful Like many drugs oxygen can be associated with toxicity and excess oxygen can be harmful to the lungs oulmonary end
47. dult 4 Large Child 3 Medium child 2 Small Child 1 Neonatal 9 Strawberry Scented Inflatable Disposable Anaesthetic Face Mask PRODUCT CODE 038 59 415 SFS 038 52 490 SFS 038 59 430 SFS 038 53 440 SFS PRODUCT CODE 038 51 400 SFP 038 51 410 SFP 038 592 415 SFP 038 529 420 SFP 038 592 430 SFP 038 53 440 SFP DESCRIPTION SIZE Large Child 3 Medium child 2 Small Child 1 Neonatal 9 Inflatable Disposable Anaesthetic Face Mask DESCRIPTION SIZE Large Adult 5 Adult 4 Large Child 3 Medium child 2 Small Child 1 Neonatal 9 For total airway management with confidence PACK SIZE 50 519 50 50 50 50 PACK SIZE 50 50 50 50 PACK SIZE 50 50 50 50 50 50 Inflatable Anaesthetic Face Mask Pre inflated Cushion Clear Dome Construction The cushion is filled to an optimum level ensuring a maximum Enables visual inspection of patient status and provides a seal reducing the risk of leakage secure grip for the user Eliminating Risk of Allergic Reaction to Latex ISO Standard Fitting The mask is totally latex free Ensures compatibility with all standard catheter mounts and breathing systems with 22mm and 15mm connectors Eliminates Risk of Cross Contamination The single patient use mask eliminates the risk of cross Size Colour Coding contamination Available in six sizes from Neonatal to Large Adult with individually colour coded hooks for ease of visual identification
48. e Adult Paediatric Neonatal Dead Space Mask Valve 168ml 113ml 46ml Pressure Relief Valve 60 10 cm H2O 40 5 cm H2O 40 5 cm H2O Resuscitator Bag Volume 1500ml 550ml 280ml Oxygen Reservoir Bag Volume 9500ml 9500ml 600ml Stroke Volume 800ml one hand 350ml 100ml 1350ml two hands Maximum Breath per 45 BPM 105 BPM 98 BPM Minute BPM Mask Size 5 3 1 Oxygen Tube 3 0m Star 3 0m Star 3 0m Star Lumen Tubing Lumen Tubing Lumen Tubing For total airway management with confidence 101 Single Patient Use Resuscitator Bags PRODUCT CODE DESCRIPTION 10 41743 038 71 840 Adult Single Patient Use Resuscitator Bag with Mask 5 Oxygen Line and Reservoir Bag 038 71 841 Adult Single Patient Use Resuscitator Bag with Mask 5 Oxygen Line and Reservoir Bag without a oressure relief valve 038 72 840 Paediatric Single Patient Use Resuscitator Bag with Mask 5 Oxygen Line and Reservoir Bag 038 73 840 Neonatal Single Patient Use Resuscitator Bag with Mask 5 Oxygen Line and Reservoir Bag 038 71 845 Resuscitaton Pack 1 Set Adult Paediatric and Neonatal Single Patient Use Resuscitator Bag with Masks Oxygen Lines and Reservoir Bags For total airway management with confidence 102 Silicone Reusable Resuscitator Bags DESCRIPTION Le 1743 038 71 850 Adult Silicone Reusable Resuscitator Bag with Mask 5 Oxygen Line and Reservoir Bag 038 71 851 Adult Silicone Reusable Resuscitator Bag with Mask 5 Oxygen Line
49. e Masks or Eloows The Frosted Connection check marks on the connector on the patient side of the Y Piece allows visual inspection confirming secure attachment Ports for temperature and pressure monitoring Maximised Water Collection Self sealing Water Trap will close when the receiver is removed for contents discharge hence securing ventilation pressure The dual action valve inside the Water Trap orevents condensate flowing back into the system should the container be moved from its vertical position Vertical inlet ports enhance gravity induced flow of condensate maximising water collection from the circuit A wide range of ITU Breathing Systems are offered to match your individual requirements For total airway management with confidence ITU Breathing Systems Adult Ventilator Systems PRODUCT CODE DESCRIPTION PACK SIZE 038 01 130 Standard Ventilator Breathing System 1 6 Metre 90 038 01 139 Standard Ventilator Breathing System 2 4 Metre 90 4 n on 2 99 mm lightweight low compliance corrugated j tube with parallel Y piece and 22mm F connectors spare 22mm M connectors 038 01 135 Standard Ventilator Breathing System with Limo 1 6 Metre 22mm lightweight low 90 compliance corrugated tube with parallel Y piece and 22m F connectors 0 8m F F Limo spare 22mm M connectors 038 01 140 Ventilator Breathing System with Monitoring 90 Ports 1 6 Metre 22mm lightweight low compliance corrugat
50. e superior than 2ml as a diluent formula Dead Volume is the volume of nebulisation and exists as the volume left in the nebuliser at combination of aerosolised Nebuliser and Aerosol Therapy Products MaxiNeb Nebuliser MaxiNeb is a high output nebuliser which delivers medication quickly and efficiently In comparing the performance of nebulisers for Dead Volume Nebulising Time MMAD and percentage of aerosol mass in the respirable range MaxiNeo performed among the most efficient in each of these categories Patient Choice 292mm connector allows MaxiNeb to be connected to either an aerosol mask or mouth piece providing users choice of delivery Easy Dilution The chamber has clearly visible graduation marks to facilitate easy dilution of drugs as necessary Specification e Large volume medication chamber capacity of 15ml allows for high rate of dilution of drugs when required e Graduation marking on the chamber assisting drug dilution when required e Low Dead Volume 1 1m e Nebulisation time of 8 10 minutes e Anti Spill cap design with large capacity 10ml e Efficient nebulising in upright position and at angles up to 45 e Leak proof and Secure Seal turn closing design Leading Nebuliser The leading edge in Oxygen and Aerosol Therapy 17 Anti Spill Cap The easy turn closing design of the cap provides confidence in a secure seal whilst also incorporating a large 10ml re
51. e to speak eat or drink Local irritation and dermatitis may occur with high flow rates Use of humidified oxygen is recommended to reduce dryness of the mucousal wall in the nasal cavities particularly when using flows of greater than 4 l min DESCRIPTION PACK SIZE PRODUCT CODE Box of 100 039 10 090 Adult Nasal Cannula 039 10 099 Adult Nasal Cannula with Tubing Box of 100 032 10 100 Sterile Nasal Catheter Box of 100 032 10 101 Adult Soft Tip Curved Nasal Cannula with Tubing Box of 100 032 10 102 Adult Soft Tip Curved Nasal Cannula without Tubing Box of 100 032 10 103 Paediatric Soft Tip Curved Nasal Cannula with Tubing Box of 100 032 10 104 Paediatric Soft Tip Curved Nasal Cannula without Tubing Box of 100 032 10 105 Neonatal Soft Tip Curved Nasal Cannula with Tubing Box of 100 032 10 108 Adult Nasal Cannula with CO Monitoring Box of 100 032 10 109 Adult Nasal Cannula with 02 CO Combination Monitoring Box of 100 032 10 114 Adult High Flow Soft Tip Nasal Cannula Box of 100 032 10 115 Infant Soft Tio Nasal Cannula Box of 100 032 10 116 Premature Soft Tip Nasal Cannula Box of 100 The leading edge in Oxygen and Aerosol Therapy 13 Non Rebreathing Mask The Non Rebreathing Mask provides a high concentration of oxygen and the reservoir bag allows for adequate oxygen to be available to meet the unpredictable patient s breathing pattern and tidal volume It is mainly recommended for Paramedic and Accide
52. eal Tube enables the pressure to be distributed over a larger surface thus minimising the pressure placed on the tracheal wall and reducing the risk of trachael wall necrosis Figure 1 Eo N igure 1 Y ae ar 1A oh a VU PN A i j y SIZE ID MM ORAL NASAL CURVED ORAL SOUTH ANATOMICAL ORAL CURVED NASAL NORTH 95 038 971 025 E E E 3 0 038 971 030 E 4 0 038 971 040 45 038 971 045 E f gt E 5 0 038 971 050 038 979 050 5 5 038 971 055 038 972 055 6 0 038 971 060 038 979 060 038 973 060 038 974 060 038 975 060 6 5 038 971 065 038 972 065 038 973 065 038 974 065 038 975 065 7 0 038 971 070 038 972 070 038 973 070 038 974 070 038 975 070 7 5 038 971 075 038 972 075 038 973 075 038 974 075 038 975 075 8 0 038 971 080 038 972 080 038 973 080 038 974 080 038 975 080 8 5 038 971 085 038 972 085 038 973 085 038 975 085 9 0 038 971 090 038 972 090 038 973 090 038 975 090 9 5 038 971 095 10 0 038 971 100 10 5 038 971 105 Mo 038 971 110 For total airway management with confidence Standard Low Pressure Cuff Fay The Standard Range of Low Pressure Endotracheal tubes are designed for short term intubation The cuff size and shape make the Standard Low Pressure Endotracheal tube ideal for emergency intubation as the slim line shape facilitates easy and quick intubation to maintain an open airway SIZE ID MM ORAL NASAL CURVED
53. ed tube with parallel Y piece with 2 monitoring ports 22mm F connectors 0 8m F F Limo soare 22mm M connectors B o 038 01 150 Ventilator Breathing System with Monitoring Ports and one Water Trap 1 6 Metre 90 4 29mm lightweight low compliance corrugated ij tube with parallel Y piece with 2 monitoring ports 22mm F connectors one self sealing water trap uE 0 8m F F Limo soare 22mm M connectors 038 01 155 Ventilator Breathing System with 90 Monitoring Ports and two Water Traps 1 6 Metre S 29mm lightweight low compliance corrugated i tube with parallel Y piece with 2 monitoring m W ports 22mm F connectors and two self sealing water LE traps 0 8m F F Limb spare 22mm M connectors 038 01 160 Heated Wire Breathing System with Water Trap and 20 Monitoring Ports 1 6 Metre 22mm lightweight low compliance heat resistant corrugated tube with parallel Y piece two monitoring ports 22mm F connectors self sealing Water Trap 0 8 m F F Limb spare 22mm M connectors 038 01 163 As above with Cloverleaf end connector 90 038 01 161 Dual Heated Wire Breathing System 20 1 6 Metre with Y piece and Monitoring Ports 038 01 164 As above with Cloverleaf end connector 90 For total airway management with confidence Humidity Principles of Humidity Inspired gas is normally warmed filtered and moistened during its passage through the upper airways a process which Is prevented by endotracheal intubation and t
54. efficiency in eliminating carbon dioxide during spontaneous respiration The breathing systems are classified in order of increased requirement of fresh gas flow FGF to prevent rebreathing during spontaneous respiration System A requires 0 8 1 times B and C require 1 5 2 times and D E and F require 2 4 times of the patient s minute volume Mapleson A This system consists of a reservoir bag close to the fresh gas outlet with the APL valve placed Magill Parallel Lack and Co Axial Lack at the patient end Magill A or expiratory limb Parallel Lack During inspiration as the lt FGF patient s inspiratory flow is greater than the Fresh Gas Flow additional gases will be drawn out from the reservoir bag During the expiratory phase exhaled gases will force the fresh LON gas back into the circuit and reservoir bag This will result in increasing the pressure in the breathing system and thus forcing the exhaled gases to escape through the APL valve scavenging port The system requires a low flow 0 8 1 times of Minute Volume approximately 6 8 litres minute during soontaneous respiration to prevent reoreathing This system is not recommended for intermittent positive pressure ventilation IPPV Mapleson B EGF In this system the Reservoir bag fresh gas supply and APL valve are closer to the patient This will cause mixing of inspiratory and expiratory gases and therefore a higher flow rate 1 5 2 times of the patient s minute
55. ent the possible detrimental effect of dry gases on the airway structure The humidity adaptor fixes over a venturi barrel and oxygen tubing is attached to the venturi barrel as normal The adaptor has a 29mm arm which is connected to a humidifier via 22mm corrugated elephant tubing PACK SIZE DESCRIPTION PRODUCT CODE Humidity Adaptor 22mm Box of 10 Bubble Humidifier Oxygen is a dry gas when it is delivered in excess of 4 l min or when using a Nasal Cannula or Nasal Catheter it is recommended that oxygen is humidified to prevent damaging the respiratory tract Bubble humidifiers are used to provide humidified oxygen cold humidification to patients both at hospital and at home Eliminate the Risk of Cross Contamination Increased Humidification Single Patient Use The ceramic filter at the end of inlet tube Safety Pressure Valve produces very small bubbles of gas thus increasing contact surface providing maximum The pressure valve automatically opens at 6psi humidity picked up by the bubbles At the same should the outlet line occlude time the tiny bubbles produce very low noise PVC Nipple Diffuser unlike larger bubbles helping patient rest For home use the pvc nipple diffuser extends the Recessed Nipple Connector with Screw Cap life of the humidifier and eliminates the clogging of the diffuser apertures Protecting the connector from accidental breakage PRODUCT CODE DESCRIPTION PAC
56. enting bacteria and viruses from passing through HME s use the patients own moisture and humidity from expiration to humidify anaesthetic gases during inspiration When endotracheal tubes are used the upper airway that usually warms inspired air is bypassed and for patients that are anticipated to be under anaesthesia for long periods or ventilated patients it is recommended that an HME HMEF be used as prolonged dry gas exposure can have adverse effects Properties of Filters and HMEF s When considering filters a number of important properties should be taken in to account 1 Filtration Efficiency As many as 10 15 of intubated patients develop pneumonia at a level of 1 3 per day of intubation These pneumonia s may prolong hospital stays by 4 9 days and contribute to as many as 15 of all hospital deaths From this it is evident that filtration efficiency is paramount to protect the patient and ventilators from cross contamination Flexicare filters orovide protection against bacteria and viruses at a very high level of efficiency This level of effectiveness is independently tested and verified by the Applied Centre for Microbiology and Research at Porton Down Salisbury giving confidence in our filter properties Flexicare filters will maintain the specified level of efficiency for the full recommend period of use 2 Humidification Abilities To counteract the risk of actelectasis epithelial damage and reduction of m
57. er Mounts A wide range of catheter mounts are available with either Standard Flexi Lock or Smooth Bore tubing with a variety of fixed or swivel elbows and connectors offering total flexibility Standard 15mm Tube PRODUCT CODE 038 61 301 038 61 302 038 61 303 038 61 304 038 61 305 038 61 306 PRODUCT CODE 038 61 310 038 61 311 038 61 312 038 61 313 038 61 314 038 61 315 038 61 316 DESCRIPTION PACK SIZE 29mm F and 15mm F connectors 50 29mm F connector and 15mm F 22mm M Low Profile Eloow 50 29mm F connector and 15mm F 22mm M Luer Lock Elbow 50 299mm F connector and 15mm F 22mm M Elbow with Elastomeric Cap 50 29mm F connector and 15mm F 22mm M Double Swivel Elbow 50 99mm F connector and 15mm F 22mm M Double Swivel Eloow with Elastomeric Cap 50 Expandable Flexi Lock Tube DESCRIPTION PACK SIZE 15mm M and 15mm F connectors 50 29mm F and 15mm F connectors 50 29mm F connector and 15mm F 22mm M Low Profile Eloow 50 29mm F connector and 15mm F 22mm M Luer Lock Elbow 50 29mm F connector and 15mm F 22mm M Elbow with Elastomeric Cap 50 22mm F connector and 15mm F 22mm M Double Swivel Elbow 50 29mm F connector and 15mm F 22mm M Double Swivel Eloow with Elastomeric Cap 50 Smooth Bore Tube PRODUCT CODE 038 61 321 038 61 322 038 61 323 038 61 324 038 61 325 038 61 326 DESCRIPTION PACK SIZE 29mm F and 15mm F connectors 50 29mm F connector and 15mm F 22mm M Low Profile Elb
58. eristics of nebuliser performance include the aerosol particle size generated drug output nebulising time and the amount of drug delivered to the patient Device construction fill volume flow temperature humidity of the driving gas are factors affecting the performance of a nebuliser Reconcentration in a SVN is greater at a medication not delivered to the patient during Particle Size is an important characteristic of nebuliser performance Large particles do not reach the lower respiratory tract depositing themselves in the mouth upper airways and gastric tract Particles too small will not be taken up by the alveoli and are exhaled Respirable particles taking part in lung deposition has been accepted to range from 0 5 microns to 5 0 microns in diameter size the end of nebulisation Respirable Mass is the drug output and the percentage of particles in the respirable range This is the amount of aerosolised drug available to the patient on inspiration Aerosol Particle Deposition 0 5 2um 2 5um gt 5um Alveoli Deposition Deposition in Deposition Trachea Bronchus in Mouth Bronchiles Pharynx gt amp Se 7 t The leading edge in Oxygen and Aerosol Therapy 16 smaller particle size and shorter nebuliser time the time it takes for the volume to completely nebulise A SVN should deliver at least 80 of diluent volume of 2ml than one of 4 ml and for that reason it is suggested 4ml mayb
59. ethlefsen M Cane RD Unplanned endotracheal extubation in the intensive care unit J Clin Anesth 1996 8 989 993 Cohen Weinberg PF Fein A Rowinski GS Endotracheal tube occlusion associated with the heat and moisture exchangers in the intensive care unit Crit Care Med 1988 16 277 279 Stauffer JL Silvestri RE Complications of endotracheal Intubation tracheostomy and artificial airways Respir Care 1982 27 41 7 434 10 Extubation criteria after weaning from intermittent mandatory ventilation and continuous positive airway pressure Crit Care Med 1983 11 9 709 707 11 Use of Laryngeal Mask Airway in Children with Upper Respiratory Tract Infections A Comparison with Endotintubation Anesth Anaig 86 706 711 1998 12 Villaafane MC Cinnella G Lofaso F et al Gradual reduction of endotracheal tube diameter during mechanical ventilation via different humidification devises Anesthesiology 1996 85 1341 9 For total airway management with confidence Flexicare Medical Limited bhar i pad Geers CFS UER UK ni Aah Had a CPAS L gt ran ae ii ATi CE AH Section 7 Resuscitation Bag Valve Mask Resuscitation Introduction Resuscitation Bags Single Patient Use Resuscitation Bags Silicone Reusable Resuscitation Mask Pocket Mask For total airway management with confidence 98 Introduction Advanced Airway Management Oropharyngeal Airways Guedel Flexicare Medica
60. f 40 to 50 depending on patients breathing rate and tidal volume Clear Observation of face colour and Eliminate Risk of Patient Injury vital signs Mask is made of colourless The design of the plastic nose bridge has and transparent soft pvc to allow visual eliminated the need for a Metal Nose Inspection bridge thus eliminating the risk of injury to patients especially children Reduces patient s eye irritation The angled Og Inlet directs oxygen into the nostrils not uowards towards the eyes Eliminated Risk of Latex Allergy Latex free mask and elastic bands eliminates the risk of allergic reaction to Patient Comfort The adult mask is latex offered with headstrap or earloops This will allow easy fitting of the mask to patients whose head movements need to be restricted Easy fit with good seal ensuring patient comfort The soft and pliable mask moulds easily to the patient s face The feather rim provides Stepped Oxygen Inlet ensures easy and maximum comfort to the patient safe connections to oxygen tubing Swivel Connector Nose Clip The adult mask is also available with a nose clip The products can be identified by an NC suffix The swivel connector fits to all oxygen connecting tubes meeting ISO standards and provides maximum patient comfort by allowing to be rotated to the required position All Masks are supplied with Knitted Latex Free Straps The knitted strap maintains i
61. fication of tube position and location during x ray Pilot Ballon The tube size batch number and an outline of the cuff type are shown on the pilot ballon to provide easy identification ORAL NASAL 038 961 025 038 961 030 038 961 035 038 961 040 038 961 045 038 961 050 038 961 055 038 961 060 038 961 065 038 961 070 038 961 075 038 961 080 038 961 085 038 961 090 038 961 095 038 961 100 038 961 105 038 961 110 CURVED ORAL SOUTH 038 962 050 038 962 055 038 962 060 038 962 065 038 962 070 038 962 075 038 962 080 038 962 085 038 962 090 CURVED NASAL NORTH 038 964 030 038 964 035 038 964 040 038 964 045 038 964 050 038 964 055 038 964 060 038 964 065 038 964 070 For total airway management with confidence REINFORCED 038 965 030 038 965 035 038 965 040 038 965 045 038 965 050 038 965 055 038 965 060 038 965 065 038 965 070 038 965 075 038 965 080 038 965 085 038 965 090 VentiSeal Tracheal Tubes Reduced Risk of Vocal Injury and Trachea Necrosis An optimum volume cuff with ideal pressure distribution and effective sealing The smaller thin wall cuff reduces abrasive creases and folds The ultra smooth material permits gentle conformity to tracheal contours enti The diagram demonstrates the difference between the surface area that is in contact with the trachea when using an VentiSeal Cuffed Tube and a competitor tube The cuff length of the VentiSeal Endotrach
62. fidence Single Patient Use Fibre Optic Blades Eliminate Cross Contamination Risk Folded Blade does not touch the handle All blades are Single patient use and individually packed Low Profile Design Reduces the risk of accidental pressure or damage to the upper teeth True Macintosh Curve E f 4 Provides maximum view l Bright and Cool Light y I No risk of accidental burning of patient or dropping of bulb Cost Effective Lower than overall reusable and sterilisation costs Patented Hinge Design Stops the blade from touching the handle when folded The folded position of the Brite Blade prevent the blade Fits all Green Spec Handles from touching the BS EN ISO 7376 Standard handle PRODUCT CODE DESCRIPTION PACK SIZE 040 611 Macintosh No 1 Box of 10 040 619 Macintosh No 2 Box of 10 040 613 Macintosh No 3 Box of 10 040 614 Macintosh No 4 Box of 10 040 590 Miller O Box of 10 040 591 Miller 1 Box of 10 040 599 Miller 2 Box of 10 Briteblades will fit all Green Soec Handles complying to BS EN ISO 7376 For a list of handles and part numbers see page 73 For total airway management with confidence Disposable Metal Blades Reduce Cross Contamination Risk The disposable metal laryngoscope blade range is designed and manufactured for Single Patient Use The blade can be reused for re intubation of the patient thus eliminating the need for a new blade Visible Markings E
63. g infection Maximum Comfort AIl of our community leg bags have a durable skin friendly non woven fabric backing to reduce skin irritation and perspiration conditions often associated with non fabric backed leg bags Secure and Comfortable Fit Anti slip latex free Lycra Velcro straps provide secure comfortable support and help maintain the inlet tube and NRV in position preventing kinking of the tube or folding of the NRV A situation that can lead to backflow often associated with bladder irritability and subsequent catheter or sheath separation Universal Secure Over Night Connection The silicone overnight connection fitted to outlet taps of Flexicare leg bags provide a secure and reliable connection to a bedside night drainage bag Optional Tube Lengths The table below shows the different tube lengths available TUBE DESCRIPTION TUBE LENGTH Short Tube 7cm 9 3 4 inches Long Tube 30cm 11 34 inches Extra Long Adjustable Tube 60cm 23 34 inches All 2 Litre Bags 100cm 29 inches Total Quality Total Care 111 S L i 8 A n A i E 4 ra th mg f iai Drainable Non Drain ainable 2L Bag Twist and na o is f a F2 EZ is an innovative YL drainage bag designed for Pe me and controlled drain age oi hi The hess twist and snap connector is located at the top of the bag thus elli iminating the possibility of F and cross contamination associated with other tear bags and bottom located tap si
64. g0 at 105ml Catheter Mount with Double Swivel 30l min Eloow amp Elastomeric Cap Ideal for Paediatric Use and Short term Adult Use Universal Connection Very Low Dead Space The 22M 15F connectors comply Reduces the volume of reoreathing to BS EN ISO 5356 standard Secure Luer Lock Reduced Risk of The tethered Luer Lock cap is of a push Pressure Mark fit design which is easy to operate and is The rounded shape of the filter body secured with a strap eliminating the risk of with no sharp edges reduces misplacement or accidental loss the risk of leaving pressure mark on the patient Reduced drag on breathing systems Wide Choice The light weight of Venticaire filters Venticaire offers a wide range and HMEF reduces the drag on of filters and HMEF with Breathing System and without luer PRODUCT CODE DESCRIPTION EFFICIENCY HUMIDI RESISTANCE DEAD WEIGHT PACK FICATION SPACE GRAMS SIZE 038 49 350 Mini Bacterial Viral Filter 99 99 31mg oem 28ml 99 50 HME air Ho0 at 30l min 038 49 355 Mini Bacterial Viral Filter 99 99 31mg l 29 7cm 28ml 93 50 HME air Ho0 at with Luer lock Port 30l min 038 49 360 Mini Bacterial Viral Filter 99 99 N A 1 9cm 98ml 19 50 Ho0 at 30l min 038 49 365 Mini Bacterial Viral Filter 99 99 N A 1 9cm 98ml 90 50 with Luer Lock Port H90 at 30l min 038 49 366 Mini Bacterial Viral Filter 99 99 N A 1 9cm 35ml 99 50 with Luer Lock Port H90 at Low
65. h Cloverleaf end connector 10 038 32 765 Paediatric Heated Wire Breathing System with 10 Y Piece Monitoring Ports Water Trao amp Venticaire Humidification Chamber 038 392 766 As above with Cloverleaf end connector 10 038 31 745 Dual Heated Wire Breathing System 1 6m with 10 Y Piece Monitoring Ports amp Venticaire Humidification Chamber 038 31 746 As above with Cloverleaf end connector 10 For total airway management with confidence Recommended for further reading Moritz AR Weisger JR Effects of cold air on the air passages and lungs Arch Intern Med 1945 75 233 240 Eager El Ethans C T The effects of inflow overflow and valve placement on economy of circle system Anesthesiology 1968 29 93 100 Benson RD Humidification of inspired gases during mechanical ventilation 1991 3 55 66 M C Blunt amp K R Burchett Editorial 1 Variant Creutzfeldt Jakob Disease and disposable anaesthetic equipment balancing the risks Br J Anaesth Jan 1 2003 90 1 1 3 Chiaranda M Verona L Pinamonti O et al Use of heat and moisture exchanging HME filters in mechanically ventilated ICU patients influence on airway flow resistance Intensive Care Med 1993 19 469 6 Miller DM Breathing systems reclassified Anaesthesia and intensive care 1995 93 981 83 Conway C M Anaesthetic breathing systems British Journal of Anaesthesia 1985 57 649 57 Miller D M Breathing systems for use in
66. hape with no sharp edges reduces the risk of leaving pressure marks on the patient Reduced drag on breathing Systems The light weight of Venticaire filters and HMEF reduces the drag on Breathing System SPACE GRAMS SIZE 1 4cm Hg0 at 30I min Ideal for Paediatric Long Term and ITU Use Secure Luer Lock Universal Connection The tethered Luer Lock cap is i of a push fit design which k ii The 22M 15F connectors comply to l i BS EN ISO 5356 standard is easy to operate and is secured with a strap eliminating the risk of 1 i Reduced Risk of misplacement or mm B accidental loss DD Pressure Mark The rounded shape with no sharp edges reduces the risk of leaving pressure marks on the patient Wide Choice Venticaire offers a wide range of filters to suit Including HMEF with elbow or catheter mounts Reduced drag on breathing Systems The light weight of Venticaire filters and HMEF reduces the drag on Breathing System PRODUCT DESCRIPTION EFFICIENCY HUMIDI RESISTANCE DEAD WEIGHT PACK CODE FICATION SPACE GRAMS SIZE 038 492 380 Paediatric Pleated Hydrophobic 99 9999 25mg Oem 38ml 26 50 gt oN Bacterial Viral Filter H90 L H90 at at Vt500 30I min tj 038 492 385 Paediatric Pleated Hydrophobic 99 9999 25mg 97cm 38ml 99 50 a Bacterial Viral Filter H90 L Ho0 at with Luer Lock Port at Vt500 30l min 038
67. he shallow corrugations minimise flow resistance and turoulence ensuring that gases reach the expectant patient Entonox Systems PRODUCT CODE DESCRIPTION PACK SIZE 038 01 176 Entonox Circuit with Mouthpiece 20 i 038 01 177 Entonox Circuit with Mask 90 s 038 01 178 Entonox Circuit with Mouthpiece and Mask 20 032 10 066 Entonox Mouthpiece 50 038 41 369 BV Filter and HME and Mouthpiece for Entonox 50 For total airway management with confidence ITU Breathing Systems Low Compliance with reduced pressure and drag on the patient Low Compliance Ventilator Tubes are made with a high density flexiole co polymer providing compliance to a level which is required for use in ventilated patients Heated Wires Each Heated Wire System is tested to ensure it meets the required resistance level Compatible with most commonly used humidifiers and ventilators complying with the required standards Easy and secure fitting 292mm Serrated Connectors providing a secure fitting to the machine Secure hand grip enabling easy removal from the machine Soft lightweight and flexible material ensures a secure seal while still allowing ease of connection and disconnection Easy to manage The Parallel Y Piece allows for a greater control of the system The Double Walled 22mmM 15mm F patient end connection allows for ease of fitting to Catheter Mounts Endotracheal Tubes Laryngeal Masks Fac
68. ic Double Swivel Eloow Double Swivel Elbow Q9M 15F Q9M 15F Cap for suction Q2M 15F 99M 15F with Elastomeric Cap for Pack of 50 Pack of 50 Pack of 50 Pack of 50 suction 22M 15F Pack of 50 Guedel Airways Sterile dle gt amp a 038 93 900 038 92 902 038 92 900 038 91 910 038 91 920 038 91 930 038 91 940 Size 000 without Size 00 with Blue Size O with Black Size 1 with White Size 2 with Size 3 with Size 4 with Red Bite Block Bite Block Bite Block Bite Block Green Bite Block Orange Bite Block Bite Block Pack of 100 Pack of 100 Pack of 100 Pack of 100 Pack of 100 Pack of 100 Pack of 100 For total airway management with confidence Breathing Systems Components Accessories Monitoring Lines 010 700 010 705 010 710 Monitoring Line with Male Male Luer Lock Monitoring Line with Female Female Monitoring Line with Male Female Luer Lock Connectors 2Ymetre tubing Luer Lock Connectors 2metre tubing Connectors 2 metre tubing Pack of 25 Pack of 25 Pack of 25 Reservoir Bags Latex Free Water Trap 038 81 830NL 3 litre Reservoir Bag with 10 s 29mm Female Connector 038 81 820NL 2 litre Reservoir Bag with 10 s 29mm Female Connector 038 82 810NL 1 0 litre Reservoir Bag with 10 s 29mm Female Connector 038 83 805NL 0 5 litre Reservoir Bag with 10 s A A 020 650 010 650 29mm Female Connector closed tail Paediatric Self Sealing Adult Self Sealing Water m 038 82 805NL 0 5 litre Reservoir
69. ile 10 00 9352 350ml Leg Bag Long Tube Sterile 10 N d 00 1502 500ml Leg Bag Short Tube Sterile 10 ji 4 00 2502 500ml Leg Bag Long Tube Sterile 10 A 00 3502 500ml Leg Bag Extra Long Adjustable Sterile 10 La ia 00 3501 500ml Leg Bag Extra Long Adjustable Non Sterile 10 TF i 00 1752 750ml Leg Bag Short Tube Sterile 10 I 00 9759 750ml Leg Bag Long Tube Sterile 10 00 1503L 500ml Leg Bag Short Tube Sterile without backing 100 00 9503L 500ml Leg Bag Long Tube Sterile without backing 100 Total Quality Total Care a 7 114 Flexicare offer a Home pack to patients leaving the hospital and returning home There are several different Home packs available depending on patient requirements ensuring that they have all the items during their first week away from the hospital All Home packs include a user booklet written by a Continence Advisor designed specifically for patients to ensure they use the products correctly as well as emphasing the importance of hygiene The booklet also answers the most frequently asked questions thus helping the patient in adapting to using continence products lt Cake the hog san ef tty cate ran masking stati tic tuf n ia ias elask porik e Tirang the trage Maigh the setate de tnt tap dnd anora of tag Ray the sipag adorat poss cinei the mke sobe wed tap Pike wadeysidie ot Te NEE Das a whine rase which davai Be wom agaaa the log Facer the fey bag ie fing e
70. in closed circle systems A a ji j i ii J VentiSoro is a medical grade soda lime prepared in granulated form The individual granules are specifically non uniform in shape and size so that COg filtration is maximised without restricting airflow VentiSoro offers excellent efficiency in absorbing carbon dioxide and other acidic contamination from the gas stream while minimising dust particle formation The chemical attributes of the active compound is naturally porous and hard which acts as a heat and moisture exchange The use of closed circuit systems within the theatre environment has increased dramatically over the last few years in that low flow capability allows for use on paediatrics as well as adults The use of VentiSoro in closed systems offers the following benefits e Increased Moisture Output e Improved Heat Retention e Minimal Anaesthetic Agent Degradation 62 Ventisorb CO Absorbent H 0 and Heat Moisture Output When the patient is incubated the upper airway is bypassed and results in a loss of humidity through exhaled gases Oxygen and anaesthetic gases are dry and can have adverse effects and damage the mucosal wall of the respiratory tract While the nature of closed systems allows for expired gases to be returned to the patient and thus some of the moisture VentiSoro plays an active role in producing moisture The chemical reaction between the expelled carbon dioxide gases and
71. inute minute minute minute minute PRODUCT CODE DESCRIPTION PACK SIZE Q 032 10 006 Adult Aerosol Mask Box of 50 he 039 10 006NC Adult Aerosol Mask with Nose Clip Box of 50 7 032 10 010 Paediatric Aerosol Mask Box of 50 039 10 094 Adult Mask with 4 Venturies 24 28 35 amp 40 Box of 50 032 10 025 Adult Mask with 4 Venturies 24 298 35 amp 40 with Tubing Box of 50 039 10 096 Adult Mask with 2 Venturies 40 amp 60 Box of 50 032 10 027 Adult Mask with 2 Venturies 40 amp 60 with Tubing Box of 50 032 10 028 Adult Mask with 5 Venturies 24 28 35 40 amp 60 Box of 50 i 032 10 028T Adult Mask with 5 Venturies 24 28 35 40 amp 60 with Tubing Box of 50 pd 039 10 028NC Adult Mask with 5 Venturies 24 98 35 40 amp 60 with Nose Clip Box of 50 034 10 096 Venturi Barrel 24 Blue Box of 50 034 10 097 Venturi Barrel 28 White Box of 50 034 10 032 Venturi Barrel 31 Orange Box of 50 034 10 098 Venturi Barrel 35 Yellow Box of 50 034 10 029 Venturi Barrel 40 Red Box of 50 034 10 030 Venturi Barrel 60 Green Box of 50 034 10 031 Blank Venturi Oxygen Connector Box of 50 The leading edge in Oxygen and Aerosol Therapy 11 Medium Concentration Mask Venticaire Medium Concentration Mask is a small capacity variable performance mask designed for use when precise control of inspired oxygen concentration is not mandatory Venticaire MC mask at a flow rate of 6 8 litres minute delivers an oxygen concentration o
72. ip of the tube was fixed to the tracheal wall or occluded by secretions Standard Cuff 0 O 0 A 0 0 O HVLP Cuff Volume Figure 1 a gt Figure 3 For total airway management with confidence Endotracheal Tubes Venticaire offer a comprehensive range of Endotracheal Tubes with unique features to ensure patient s safety and comfort allowing intubation with total confidence Each individual tube is tested for integrity and safety Kink Resistant Thermosensitive Tube Ensures tube patency for patient safety whilst softening at body temperature to conform to the patient s respiratory tract Kink Resistant Inflation Tube Ensures the inflation tube remains open hence the pilot ballon provides accurate indication of the cuff pressure Smooth Bevelled Tip Smoothly rounded bevelled tip reduces risk of damage to vocal cords during intubation and minimises contact with tracheal mucosa Optimum Size Murphy Eye The optimum size murphy eye is smoothly rounded to reduce patient trauma during intubation whilst minimising risk of occlusion For total airway management with confidence SIZE LD MM 2 0 a0 3 0 4 0 4 5 5 0 one 6 0 6 5 100 Jad 8 0 8 5 9 0 9 5 10 0 10 5 Ws Plain Tubes Without Cuff Depth Guide The double line guide facilitates accurate cuff placement below vocal cord High Resolution Radiopaque Line Guarantees easy and accurate identi
73. kes places To ensure that the lungs are being ventilated at all times and protect against potential blockages by the tip of the tube resting on the tracheal wall all Flexicare Endotracheal Tubes have a Murphy Eye as standard The Murphy Eye also helps to maintain flow during suctioning and also aids in maintaining the flow of the gases to both lungs should the tube move further into one of the bronchuses Flexicare offer endotracheal tubes with two different cuff tyoes Standard Low Pressure Cuffs VentiSeal High Volume Low Pressure Cuffs HVLP The graph demonstrates the difference between the two types of Endotracheal tubes in relation to cuff pressure and cuff volume The pressure necessary for the Standard Cuff to form an adequate seal increases as cuff volume increases This happens at a higher ratio than compared with the Endosoft HVLP cuff This characteristic determines the term of use of the respective cuffed endotracheal tubes The Standard Low Pressure Endotracheal Tubes are ideal for short term intubation while the VentiSeal HVLP cuff is designed for longer term anaesthesia where cuff forms a seal without putting excess pressure on the wall of the trachea Over inflation of a Standard Cuff and prolonged use will occlude the capillaries in the tracheal wall and will cause necrosis as shown in Figure 2 The Murphy Eye is standard on all Venticaire Endotracheal Tubes to ensure that adequate ventilation is maintained even if the t
74. l Limited are dedicated to continually These may be used as an adjunct to Bag Valve Masks on developing and providing high quality disposable airway unconscious patient s in order to depress the tongue and management equipment to aid trained Health Care Professionals establish and maintain the patency of the upper airway in Resuscitation Practice Venticaire offer a full range of Oropharyngeal Airways in sizes 000 through to Adult Size 4 Advanced effective airway management will ventilate the patient s lungs providing the highest possible oxygen See page 62 concentration levels aiming for 100 Bag Valve Masks are frequently utilised for effective airway management as an alternative to tracheal intubation Flexicare offer a full range of single patient use and reusable resuscitator bags in three sizes of Adult Paediatric amp Neonatal All products are latex free and are supplied complete with mask reservoir bag and star lumen oxygen tube ready to use a sealed polyethylene bag with easy tear off opening T save valuable time in emergencies and critical situatior For total airway management with confidence 99 Resuscitators Protect Patients against Cross Contamination with the Venticaire Single Patient Use Resuscitator Bag The Venticaire Single Use Resuscitator Bag is designed for manual ventilation of patients The ready to use pack allows for speed and efficiency that is required especially during the ea
75. l buliratica GUS Aero Paces MALI TE MASH Ss 7 Lean meas am gt fat creed and depicts on Eor ice rai E Venturi Barret Serie Teepe OUO mania Puriri n perzait toto sae asi and Erc comfucien of She Mei oS 7 cha nectprirticn of mata partare arua reine Thess ore p maven infancy an Brarinisg Eyadema ween am PACH LJA a reir aes ae ice nibanan Doinei foe ratei let mt Dire irail heartened ii betet 8 Beh a hinis tt torte pat pe e iii Babee aay pn prti E a Fim misi mr magi agii miti ey mia si 5 Pe rih bal mil pAr Pa iuni Ba mii Pilar ie pir tf Pa m rile Thm rc ra ab muza abha muchie o Zimmer corinne tubtag fer cerbi sr pin thos ari iai ta reni Maxicare Medical Lir nari Froducns Aacsantinatiee 7 em Tab Bhenicare Medical Limened Pred For our latest full product range and news from Flexicare _ visit our web site at a on coe www flexicare com oes tell ae Our e mail address is enquiries flexicare com Total Quality Total Care 120 Flexicare UK Flexicare Medical Limited Cynon Valley Business Park Mountain Ash Mid Glamorgan CF45 4ER Tel 44 0 1443 474647 Fax 44 0 1443 474999 Email enquiries flexicare com Www flexicare com Flexicare Worldwide EIN Sa MS International Sales Offices Portugal 351 214 996 345 6 Jordan Middle East 962 777 200 144 China 867 6983 713 371 Total Quality Total Care At
76. le parallel Y piece and flexible 22mm F connectors 0 8m F F Limbo Adult Smooth Bore Circuit 1 6 Metre 90 29mm lightweight smooth bore tubing with detachable swivel parallel Y piece and flexible 22mm F connectors 0 8m F F Limo Paediatric Smooth Bore Circuit 1 5 Metre 90 15mm lightweight smooth bore tubing with parallel Y piece and flexible 22mm F connectors Paediatric Smooth Bore Circuit 1 5 Metre 90 15mm lightweight smooth bore tubing with Y piece and flexiole 22mm F connectors Paediatric Smooth Bore Circuit 1 5 Metre 90 15mm lightweight smooth bore tubing with detachable Y piece and flexible 22mm F connectors Paediatric Smooth Bore Circuit 1 5 Metre 90 15mm lightweight smooth bore tubing with Low Dead Space Y piece CO monitoring ports and flexible 292mm F connectors For total airway management with confidence Paediatric Breathing Circuits 15mm Y Piece Allows for connection to all 15mm standard compliant connectors Crush Resistant Made from 15mm corrugated tubing to the same high a ee i specification as the Venticaire 22mm F connectors with 2 spare gt j wag Anaesthetic and ITU Circuits 22mm M M connectors supplied with each circuit Paediatric Systems PRODUCT CODE DESCRIPTION PACK SIZE 4 038 029 165 Basic Parallel 1 5metre 90 Low resistance 15mm corrugated tube Parallel Y piece 22mm F connectors 2 spare 22mm M connectors 038 02 180 Flexi Lock Pa
77. naesthesia and Intensive Care 1994 99 4 396 408 For total airway management with confidence Section 5 Laryngoscopes Laryngoscopes Introduction Standard Macintosh Blades Laryngoscopes Miller Blades Fibre Optic Fibre Optic Macintosh Laryngoscopes Fibre Optic Flexible Blade Fibre Optic Miller Standard Handles amp Box Sets Fibre Optic Handles amp Box Sets BriteBlade single patient use ABS Disposable Metal Laryngoscopes Further Reading For total airway management with confidence 70 Introduction First introduced by Sir Robert Macintosh and Sir Ivan Magill in the early 1940 s the Laryngoscope has evolved since its inception It followed the creation of the Endotracheal tube to permit leverage to push the tongue back and provide light to allow visualisation of the vocal chords for accurate placement of the airway Laryngoscopes can be primarily classified into two categories as defined by their light source 1 Standard Laryngoscopes The Standard Laryngoscope also referred to as Conventional Laryngoscopes has a light bulb incorporated into blade approximately 1 3 of the distance from the tip The light bulb screws Into position and is Powered via an integral line that transfers the power from the source The power source is located within the handle in the form of conventional batteries 2 Fibre Optic Laryngoscopes The major difference in between the Standard Laryngos
78. nates pressure marks that would alternatively been left on the patient There is a wide range of catheter mounts available to meet clinician and patient needs The standard range of catheter mounts use 15mm corrugated tubing with the corrugation depth being minimal to decrease airflow disturoance Flexicare also offer the catheter mounts in the Flexi lock tubing which allows clinicians to alter dead space and have greater control of the attached filter and breathing system position during surgery or in the ITU environment There is also the choice of Smooth Bore Tube catheter mounts The internal diameter measures 15mm and has a protective outer casing to reduce the risk of kinking For total airway management with confidence Catheter Mounts Total Flexibility 15mm standard or Flexi Lock corrugated tubing allows ultimate flexibility during operative and clinical procedures when patient manoeuvring may be required Maximum Choice Wide Range of Fixed or Swivel eloows with or without ports providing total flexibility for patient airway management in all clinical situations Secure Fitting 22mm F or 15mm M end connectors allow for secure A wide range of Catheter Mounts with either fitting to all Y Pieces meeting the approved standards standard or Flexi Lock corrugated tubing and a wide variety of fixed or swivel elbows and connectors offering total flexibility For total airway management with confidence Cathet
79. nd oand poetica mummy the Nokes tab e 40 the atrape auc tes long irion them with pur of morte at the cad withont the Yoke te The rap seat tod mcate bee aot tage aor cerry F Phe inlet tobe conassior has e Maw cap L ANUNT Free piatan n p 7 a P CEE oa ote gt Ro t fae sty sat de i angh imienne Make sane the tap ze is ter font pension khen sow hase fariasi sare any The thay Don t forget to wash your hands PRODUCT CODE DESCRIPTION 00 0040 1 x F4 1 x F2 1x 500ST Leg Bag 00 0042 4x FO 1 x 500ST Leg Bag 00 0045 2 x FAL 1 x 500ST Leg Bag 00 0046 2 x FAL 1 x 500LT Leg Bag 00 0047 9 x FOS 1 x 500ST Leg Bag 00 0048 2X ES X OO leo Bag Total Quality Total Care 115 Recommended for Further Reading sen P Pompeius R Wadstrom LB 1983 Long term 9 135 143 Oberst MT Graham D Geller NL Stearns MW Tierman E 1981 Catheter management programs and postoperative urinary dysfunction Res Nurs Health 4 175 181 Lowthian P 1989 Catheters preventing trauma Nursing Times 85 21 73 75 Abrams P Cardozo L Fall M Griffiths D Rosier P Ulmsten U et al The standardisation of terminology of lower urinary tract function Report from the standardisation sub committee of the International Continence Society Neurourol Urod 2002 91 167 78 al drainage and bladder capacity Neurol Urodynamics 5 Milson Abrams P Cardozo L Roberts RG Thuroff J Wein AJ How widespread are the symptoms
80. ngle use p F2 EZ Twist and Snap Connector Innovative easy to open angled connector with wide bore for rapid drainage Opposing Diagonal Eyelet Can be used to hang the bag to empty Non Return Valve Stepped Connector Eliminates reflux and maintains O a Provides a secure connection to all directional flow of fluids bags and catheters F2 EZ is designed for single use and once the Twist and Snap connector is broken the bag must be discarded 1 Keep the F2 EZ in the upright position 3 The top half of the connector should snap off and be discarded 4 To drain the fluids use the the opposite diagonal corner eyelet and empty Discard the bag in accordance with hospital policy old the bottom half of the conr Ma and with the other sk a N isi ned SIA Bag Hanger Catheter Valve amp Bag Holder Flexihang bag Hanger The Flexinang bag hanger is a uniquely designed universal 2 litre urine bag hanger for use on beds fitted with or without side bars Flexihang can also be secured between the mattress and bed frame in divan bed The grips incorporated into the hook section of the hanger will provide a positive grip keeping the hanger and bag in position Flexihang ensures the urine bag is held firmly in place with two snap fit locks and secures the outlet tube in a vertical position to ensure good flow to the bag and reducing accidental separation PRODUCT CODE DESCRIPT
81. nt amp Emergency departments To ensure patient safety the mask Is now totally latex free Reduced Risk of Patient Trauma Star Lumen Tubing Secured Oxygen Delivery The elasticated earloop bands on the adult mask Star Lumen Tubing supplied with British Standard eliminate the need for the patient s head to be conforming connectors ensures that the flow of moved to apply the mask reducing the risk of oxygen is maintained even if the tube is further injury to the traumatised patient accidentally kinked Reduced Risk of Bag Occlusion Ease and Speed of Fitting the Mask The castelation on the swivel connector ensures The swivel connector and earloops allow the mask the flow of oxygen from the bag to the patient to be fitted swiftly with the connector being is uninterrupted rotated to suit the patient s position Totally Latex Free Eliminates the risk of allergic reaction to latex ty i Adult Non Rebreathing Mask Adult Non Rebreathing Mask Paediatric Non Rebreathing Mask with Head Strap with Earloops with Head Strap PRODUCT CODE DESCRIPTION PACK SIZE 032 10 070 Adult Non Rebreathing Mask with Earloops amp Tubing Box of 50 032 10 071 Adult Non Rebreathing Mask with Earloops Box of 50 032 10 072 Adult Non Rebreathing Mask with Head Strap amp Tubing Box of 50 032 10 072NC Adult Non Rebreathing Mask with Nose Clip Head Strap amp Tubing Box of 50 032 10 073 Adult Non Rebreathing Mask with Head Strap Bo
82. nt Comfort the most comfortable position The swivel safety grip can be positioned so that it does not block the free nostril Reduced Risk of Injury During Intubations Reduced Risk of Patient Reaction The rounded edge of the tip combined with angle cut design helps to reduce the NasoSafe is made of medical grade PVC and is Implant tested risk of injury during intubation e Better tolerated by patients than e Swivel grip provides maximum patient oropharyngeal airways comfort and safety e Ideal when oral passage not e Size Colour Coded to match suction accessible catheter colour coding e Allows access for nasotracheal suctioning For total airway management with confidence 94 Nasopharyngeal Airway NasoSafe is best inserted when the patient is in the supine position The airway should be lubricated with a water soluble lubricant prior to insertion The rounded bevelled tip reduces mucusal wall trauma and guides the airway along the floor of the nasal passage When correctly in place the tip of the airway should be visible behind the uvula NasoSafe has a patented safety grip that can be rotated through 360 to place the airway in the most convenient position without blocking the free nostril The extended lip of the safety grip prevents the airway being sucked in while in situ Right Nostril Position Left Nostril Position NasoSafe is available in 4 sizes with colour coded swivel
83. ntain a constant pressure in the breathing system As soon as the pressure inside the breathing system increases above Rotate cap to adjust orifice and spillage clockwise to close anti clockwise to open Variable orifice 60cm of HO in the adult valve and stem supported by 35cm HO in the paediatric valve spring opens when the pressure Exhaust gases out to the stem of the valve is pushed up in the system scavenging system via allowing spillage of excess gas As increases 30mm male port 30 22mm scavenging connector available in the product range soon as the pressure drops below the values mentioned above the l l l Exhaled gases from spring will push the stem back to its patient and excess pre set position This will maintain fresh gas the pressure within the breathing Sierat P CONSTEN IVE protects against over inflation of the reservoir bag This The simple mechanism of the Venticaire Adjustable permits a minimal resistance to expiration so preventing Pressure Limiting valve produces a linear performance and pneumothorax or trauma to the airways Venticaire APL Valve To set the valve initially test the valve in the open position to check for flow and then test the valve in the closed position to ensure correct function In use depending on the fresh gas flow and the type of breathing system you adjust the valve by turning the cap to a position that permits the rebreathing bag to inflate and deflate with breathing wi
84. o the patient s trachea through the mouth or nose to maintain an open airway It is used to assist the delivery of anaesthetic gases or air to and from the patient Control of the airway with Endotracheal tube is usually regarded as the Gold Standard C McCartney and D J Wilkinson Current Anaesthesia and Critical Care 1995 Tracheal Intubation Objectives 1 Guarantee patency of the upper airway 2 Protect the airway from gastric contents 3 Allow mechanical positive pressure management 4 Permits tracheobronchial suction Anatomy and Physiology of the Respiratory System The respiratory system can be broadly defined into the upper respiratory tract and the lower respiratory tract The organs of the system Include the nasal cavities the pharynx the larynx the trachea the bronchi and their smaller branches and the lungs which contain the terminal air sacs or alveoli Air inhaled through the nasal cavity is filtered by cilia The air is also warmed and moistened by the capillary blood supply to the mucosa of the upper respiratory tract The air then goes into the pharynx larynx and followed by the trachea The trachea stretches and descends during inspiration and recoils during expiration The cartilage rings prevent it from collapsing and maintaining patency during breathing Air enters the right and left bronchus before reaching the bronchioles and later the alveoli which contain capillaries where the gaseous exchange ta
85. of 24 hours under relative humidity of 96 or more and temperature of 34 1 at a tidal volume of 500ml at 20 breaths per minute with I E ratio of 1 2 Following this pre conditioning the filters are challenged with microbial aerosols using the Henderson Apparatus to deliver a challenge of over 10 000 000 Bacillus Subtilis Var Niger Spores NCTC10073 For viral efficiency a RNA Phage MS 2 Coliphage which is similar to the smallest human viruses is used to test the efficiency of the filter The test results certify the proven high efficiency of Venticaire filters The efficiency of the Venticaire filter is tested by the Centre for Applied Microbiology and Research at Porton Down Salisbury UK Testing was done for bacterial and viral efficiency using Today s Research e Tomorrow s Health Bacillus Subtilis and MS 2 Coliphage Within the next few months the means for testing for filter efficiency will be undergoing changes 46 The diagrams below highlight the size of test particles used in evaluating the efficiency of the Venticaire Filter Bacterial Particle Size u microns Bacillus Subtilis Staphyococcus Pseudomonas Pseudomonas Serratia Mycobacterium 1 0u x 0 7 Aureus Diminuta Aeruginosa Marcescens Tuberculosis 1 0p 0 5 0 5u 0 45H 0 3p x 1 0p Viral Particle Size u microns 0 1 ee ago O OOo eo Orthomyxovirus Cytomegalovirus HIV Adenovirus Hepatitis C Hepatitis B Bacteriophage MS 2 TI Coliphage 0 1p 0 4p 0 08
86. of the System The double walled 22mmM 15mmF patient end connection allows for ease of fitting to Catheter Mounts Endotracheal A wide range of Venticaire Anaesthetic Tubes Laryngeal Masks Face Masks or Eloows Breathing systems are offered to match your specific requirements A Swivel Y Piece on selected circuits facilitates the most All systems are supplied with one spare 22mm convenient position during anaesthesia male connector allowing for most connection l configurations Improved design of the Y Piece provides for optimum flow with minimal resistance For total airway management with confidence Anaesthetic Breathing Systems Adult Circular Systems PRODUCT CODE DESCRIPTION HSS SEE 038 01 100 Basic Parallel 1 6 Metre 20 ar 038 01 105 Basic Parallel 2 4 Metre 7 29mm lightweight extra flexible corrugated tube with parallel Y piece and 22mm F connectors spare 22mm M connectors 038 01 120 Basic Parallel with Limb 1 6 Metre 90 038 01 195 Basic Parallel with Limb 2 4 Metre 90 29mm lightweight extra flexible corrugated tube with parallel Y piece and 228mm F connectors 0 8m F F Limo spare 22mm M connectors 038 01 109 Basic Parallel with Swivel Y 1 6 Metre 90 038 01 103 Basic Parallel with Swivel Y 2 4 Metre 29mm lightweight extra flexible corrugated tube with Swivel Y piece and 22mm F connectors spare 22mm M connectors 038 01 199 Basic Parallel with Swivel Y 1 6 Metre Limb
87. olume with a minimum flow of 3 litres minutes is required to eliminate reoreathing risk during spontaneous ventilation This system is recommended for up to 22kg approximate tidal volume of 140ml N Mapleson F Sa Jackson Rees made a great improvement to T Pieces Mapleson E by adding an open tail oe eas Ul Li EGF 0 5 litre reservoir bag to the end of expiratory reservoir limb This allows manual ventilation sii and the application of Positive End Expiratory Pressure PEEP to help maintain open airways For controlled ventilation normocapnia can be maintained with a FGF of 1000ml 100ml kg body weight aN For total airway management with confidence APL Breathing Systems PRODUCT CODE i 038 092 973 FGF il 038 029 191 FGF TE 3 038 02 196 il 038 029 190 FGF Ces 4 038 092 195 FGF 9 3 09 198 DESCRIPTION Ayres T Piece Mapleson F with Paediatric APL Valve 1 6 metre 10mm corrugated tube fresh gas line with 0 5 Litre closed tail Reservoir Bag and Paediatric APL Valve Infant T Piece Mapleson F 1 6 metre 10mm corrugated tube fresh gas line with 15mm male connector and spare 22mm female adapter with 0 5 Litre open tail Reservoir Bag Ayres T Piece Mapleson F 1 6 metre 10mm corrugated tube fresh gas line with 15mm male connector and spare 22mm female adapter with 0 5 Litre open tail Reservoir Bag and Double Swivel Elbow with Elastomeric Suction c
88. othelium The use of inspired oxygen greater than 60 should be avoided if possible Decreasing the amount of supplemented oxygen at the earliest possible time should be routine practice 1 Irrespective of the cause hypoxia should be treated using a Ventimask which gives an appropriate dosage to bring oxygen tension and saturation to near normal When acute ventilatory failure exists Indicated by COo retention then Og therapy is only indicated if there is a concomitant hypoxia Examples would be CNS depression Guilllan Barr syndrome and flail chest all of which require treatment by IPPV if severe When chronic ventilatory failure and COo retention occur such as in chronic bronchitis and emphysema patients rely on hypoxia to drive respiration Excess Og dosage in such Diagnostic points History Examination plus Blood Gas Analysis Arterial co A Arterial Og often pH Normal or pH alkaline Arterial Oo Arterial COo t normal or Standard bicarbonate A Standard bicarbonate patients will thus cause respiratory depression and narcosis However they will benefit from a small increase in inspired Og 24 and 28 Ventimasks are appropriate under these circumstances and will produce dramatic improvement in saturation and levels of consciousness Where there is excess shunting of venous blood without COg retention as in infective pneumonia direct lung trauma or contusion shock lung acid aspiration syndrome
89. ow 50 29mm F connector and 15mm F 22mm M Luer Lock Elbow 50 29mm F connector and 15mm F 22mm M Elbow with Elastomeric Cap 50 29mm F connector and 15mm F 22mm M Double Swivel Eloow 50 99mm F connector and 15mm F 22mm M Double Swivel Elbow with Elastomeric Cap 50 For total airway management with confidence Some patients receiving anaesthesia particularly children can find the experience unpleasant The Venticaire range of scented anaesthetic face masks offered in two aromas helps to overcome this problem Scented Inflatable Anaesthetic Face Masks Scented Mask Available in Lemon Strawberry and Plain Inflatable Cushion The seal can be enhanced by inflating deflating the cushion to suit the patient s anatomical contour Colour Coding The masks are colour coded to identify the flavour Yellow Lemon Red Strawberry Clear Plain Ease of Observation Clear face piece allows visual observation of patient status Soft Cushion Smooth material used for the cushion allows for a tight seal whilst providing patient comfort Size Colour Coding The hooks are colour coded to provide mask size identification For total airway management with confidence Scented Inflatable Anaesthetic Face Masks Lemon Scented Inflatable Disposable Anaesthetic Face Mask PRODUCT CODE 038 51 400 SFL 038 51 410 SFL 038 59 415 SFL 038 59 490 SFL 038 59 430 SFL 038 53 440 SFL DESCRIPTION SIZE Large Adult 5 A
90. r and Sheath The conical shaped smooth surfaced connector glides easily into both catheter and sheath providing a secure connection that will withstand the most vigorous user activity The absence of ridges in the connector reduces the risk of contamination when disconnecting a problem frequently experienced with ridged connectors Reduced Risk of Needle Stick Injury The carefully designed shrouded sample port reduces the risk of needle stick Injury while aiding the accurate introduction of the needle during sampling Free and Rapid Flow The satin finished wide bore drainage tubing allows for the unimpeded flow of urine optimising drainage and providing observation of urinary flow at a glance The tubing is both firm and flexible affording comfort to the user Total Quality Total Care 110 Continence Products Easy to Operate Leak Free Taps Both the Lever Tap and T Tap fitted to Flexicare bags are 100 leak tested and are easy to operate The Lever Tap requires a lower force to open and close the tap and this design is preferred by the elderly where dexterity may be impaired 2 i I 180 lever tap 90 lever tap Safe and Secure Drainage The unique design and manufacture of our non return NRV valves allows low pressure drainage without compromising its anti reflux property a balance required to allow free flow of urine into the bag and at the same time protect the patient against potential ascendin
91. racheostomy exposing the lungs and airways to dry cold gas giving rise to a number of adverse effects including e An increase in mucus viscosity e Depressed ciliary activity e Obstruction of the airways by tenacious secretions Artificial humidification of inspired gases is therefore essential when the upper respiratory tract is bypassed For total airway management with confidence The Venticaire Humidification Chamber All Chambers have Integrated Water Feed Sets with Universal Connectors Maximum amp Minimum Water Level Indicators Temperature Probe Port with attached Security Plug Impact Resistant Compatible with Durable construction all Circuits using 22mm connectors 220mL Capacity Constant Monitoring of Water Clear Chamber Effective Heat Transfer from Aluminium Base Available with clover leaf connector Venticaire ITU amp Humidification Systems PRODUCT CODE DESCRIPTION PACK SIZE 038 31 750 Venticaire Humidification Chamber 90 038 31 755 Ventilator Breathing System 1 6m with Y Piece 10 Monitoring Ports Water Trap amp Venticaire Humidification Chamber 3 038 31 760 Ventilator Breathing System 1 6m with Y Piece 10 Monitoring Ports Two Water Traps amp Venticaire Humidification Chamber 038 31 765 Heated Wire Ventilator Breathing System 1 6m with 10 F Y Piece Monitoring Ports Water Trapo amp Venticaire Humidification Chamber 038 31 766 As above wit
92. rage 10 to 90 RH non condensing Transport 10 to 90 RH non condensing Particle Size 0 5 5 microns tested for Sodium Fluoride Environment Classification Class Il not applicable for ULI431 BF equipment not applicable for UL1431 IPXO No AP APG protection Supplied Components Mouthpiece Note T Piece 1 Values are varied depending on the nebuliser used and type of drug used MaxiNiab Nebuliser 2 Consult distrioutor s or contact Flexicare Medical for additional technical Mask documents 2 Metre Tube 3 The Nebuliser is fitted with a fuse as specified in the Specification column it is designed to be maintained by the manufacturer or it s agents The leading edge in Oxygen and Aerosol Therapy 18 Nebuliser and Aerosol Therapy Products PRODUCT CODE DESCRIPTION PACK SIZE 6001 1CN MaxiNeb Compressor Chinese Australian Plug Box of 1 60029GB MaxiNeo Compressor British Plug 9R619001 Box of 1 60033FR MaxiNeo Compressor French Plug 9R619002 Box of 1 60044 IT MaxiNeo Compressor Italian Plug Box of 1 amp 032 10 003 MaxiNeb Nebuliser Box of 50 032 10 004 MaxiNeb Nebuliser with T Piece and Mouthpiece w o Tubing Box of 50 032 10 005 MaxiNeb Nebuliser with T Piece and Mouthpiece with Tubing Box of 50 fe 032 10 007 Adult Aerosol Mask with MaxiNeb Nebuliser and Tubing Box of 50 O 032 10 011 Paediatric Aerosol Mask with MaxiNeb Nebuliser and Tubing Box of 50 032 10 015 299mm
93. rallel 90 15mm expandable up to 1 8metres corrugated tube with Parallel Y piece 22mm F connectors 2 spare 22mm M connectors or fa 038 09 190 Infant T Piece 90 2 1metre crush resistant gas line with 22mm F connector 0 45metre corrugated 15mm tube and 0 5 litre open tail Reservoir Bag i 038 029 191 Infant T Piece Mapleson F 90 1 6metre 10mm corrugated tube fresh gas line with 15mm male connector and spare 22mm female adapter with 0 5 Litre open tail Reservoir Bag FGF 038 02 195 Ayres T Piece 90 e A 2 1metre crush resistant gas line with 22mm F connector 0 45metre corrugated 15mm tube 0 5 litre open tail Reservoir Bag and Double Swivel Elbow with elastomeric cap 4 038 02 196 Ayres T Piece Mapleson F 90 1 6 metre 10mm corrugated tube fresh gas line with 15mm male connector and spare 22mm female adapter with 0 5 Litre open tail Reservoir Bag and Double Swivel Eloow with Elastomeric Suction cap For total airway management with confidence Entonox T Piece p The T Piece incorporates 2 non return valves to E v allow for inspired gases to mr S be delivered through the system and preventing expired gases re entering the circuit Patient Choice The entonox circuits are Lightweight available for use with a 292mm corrugated tube will N mouthpiece or mask retain its shape and resist providing patient choice crushing Flow is still maintained even when twisted through 180 T
94. re Mark The rounded shape of the filter body with no sharo edges reduces the risk of leaving pressure marks on the patient Wide Choice Reduced drag on breathing systems Venticaire offers a wide range The light weight of Venticaire filters and HMEF of filters and HMEF with reduces the drag on Breathing System and without luer PRODUCT CODE DESCRIPTION EFFICIENCY HUMIDI RESISTANCE DEAD WEIGHT PACK FICATION SPACE GRAMS SIZE 038 41 350 Adult Bacterial Viral Filter 99 99 32ms 0 9cm 69ml 98 50 HME air Hg0 at 30l min 038 41 355 Adult Bacterial Viral Filter 99 99 32msg 0 9cm 69ml 99 50 HME air Ho0 at with Luer lock Port 30l min 038 41 360 Adult Bacterial Viral Filter 99 99 N A 0 6cm 69ml 94 50 Hg0 at 30l min 038 41 365 Adult Bacterial Viral Filter 99 99 N A 0 6cm 69ml 25 50 with Luer lock Port Hg0 at 30 min 038 41 366 Adult Bacterial Viral Filter 99 99 N A 0 cm 76ml 39 50 with Luer lock Port Hg0 at Low Profile Eloow 99M 15F 30l min 038 41 356 Adult Bacterial Viral Filter HME 99 99 32mg 1 0cm 76ml 36 50 with Luer lock Port air Hg0 at Low Profile Elbow 29M 15F 30l min 038 41 357 Adult Bacterial Viral Filter HME 99 99 32msg 1 1cm 96ml 46 50 with Luer lock Port 15mm tube air Hg0 at with 29F amp 99M 15F 30l min Low Profile Elbow 038 41 359 Adult Bacterial Viral Filter HME 99 99 32msg 1 0cm 87 4 50 with Luer lock Port Exoandable air H
95. required easy open release catch with printed easy to follow instructions DESCRIPTION First Aid Mask For total airway management with confidence 104 10 41743 Box of 20 uction Tubin Sterile Suction Tubing Clear Non Coiling PVC The wall thickness prevents the tube from collapsing when the tube is used under high negative pressure Universal Female Connector The rio design elastomeric connectors provide secure connection to adaptors and catheters Connectors are colour coded for ID size Yellow 7mm Green 6mm Blue 5mm Spare Male Male Connector All sterile suction connecting tubes are supplied with one spare Male Male connector for connection to Female connectors in the suction catheters or for connecting two tubes should extended length be required Peel Pouch Sterile Packing All sterile suction connecting tubes are supplied in double wrap non stick inner bag and outer easy to open peel pouch Suction Bubble Tube The suction bubble tube is available in 5 and 7 mm ID with 1 metre bubble repeat The product is supplied in a 30 metre coil dispensing box PRODUCT CODE DESCRIPTION PACK SIZE 1020 25 7mm ID Suction Tube Sterile 2Metres with F F connector 25 1020 6 6mm ID Suction Tube Sterile 2Metres with F F connector 95 1094 95 7mm ID Suction Tube Sterile 2 4Metres with F F connector 95 1027 95 7mm ID Suction Tube Sterile 2 7Metres with F F connector 95 1030 95 7mm ID Suction Tube Ste
96. rile 3Metres with F F connector 25 1030 5 5mm ID Suction Tube Sterile 3Metres with F F connector 95 1030 6 6mm ID Suction Tube Sterile 3Metres with F F connector 25 1035 95 7mm ID Suction Tube Sterile 3 5Metres with F F connector 25 1037 25 7mm ID Suction Tube Sterile 3 7Metres with F F connector 95 10830 5 Suction tube 30m coil 5mm ID with bubble non conductive 1 roll 10830 7 Suction tube 30m coil 7mm ID with bubble non conductive 1 roll Total Quality Total Care 106 Continence Care Urine Drainage Bags amp Accessories Continence Care Introduction F2 EZ Catheter Valves amp Accessories Leg amp Night Bags Home Packs Further Reading Total Quality Total Care intecduction i lt ildren to the elderly male or female the disabled as well as om ak with 1 in 4 women experiencing incontinence ad 3 spies with women during or after pregnancy due to the pelvic floor muscles gans s beins stretched or and weakened It can also occur during a laugh cough sneeze or vigorous tress incontinence post prostrate operations This Is Whi d which suppo mer Men ca Urge Incontinence This is when the individual experiences a sudden need to empty the bladder but without sufficient notice to reach a toilet in time Overflow Incontinence This is when the bladder remains full and does not empty properly and can be accompanied by constant dribbling and poor flow It is mo
97. rly critical stages of CPR Reduced Risk of Patient Rebreathing The integrated duck bill design of the non return valve prevents oatient s exhaled gases to enter the resuscitator bag providing one way flow of fresh gas from the bag to the patient Eliminate Lung Over Inflation The Pressure Relief Valve supplied with all bags opens at 60cm H O for adults The paediatric and neonatal valve opens at 40 5 cm of H O The pressure Relief Valve can be locked when increased oressure is required The adult size is also available without a pressure relief valve User Mobility An integrated Double Swivel Connector allows the Resuscitator bag to be rotated fully through 360 without the need to stop bagging the patient and providing most convenient position for the resuscitator For total airway management with confidence 100 Resuscitators Positive Grip The outer textured surface of the Resuscitator Bags provide a positive grip during resuscitation The design of the bags allow for ease of manual ventilation with least resistance and minimal hand fatigue Supplementary Oxygen The bags can be connected to an oxygen source to deliver supplemental oxygen Oxygen concentration is dependant on flow rate frequency and tidal volume delivered to the patient Space Saving Design The Adult Resuscitator is supplied fully assembled in a collapsible space saving format which Is easily and quickly extendible for patient us
98. rmanently bipolar charged rectangular split fiores which are able to capture airoorne particles The nature of this fibre material provides good strength and guarantees a long service life without significant degradation This type of filter is recommended for applications where high efficiency and low pressure drop is required It offers excellent efficiency for anaesthetic breathing filters and pulmonary function filters Mechanical Filters Pleated paper filters use tightly packed layers of mixed strands of glass fiore filter paper This non uniform method of packing produces a thick layer of material Particles are trapped in the tortuous path created by the crisscross mat In principle the medium used acts as a sieve holding back unwanted particles while allowing anaesthetic gases and humidified air to travel through with minimum obstruction Efficiency Testing The effectiveness of a filter is stated as a percentage efficiency and is defined as cfu or pfu collected without BSF in place cfu or pfu with BSF in place x 100 cfu or pfu without BSF in place cfu colony forming units pfu plaque forming units BSF Breathing System Filter Efficiency is measured by microbial penetration value which is defined as the number of colony forming units or plaque forming units passing through the filter per 10 000 000 challenge micro organisms To test a filter for bacterial efficiency the filter is subjected to a pre conditioning
99. ryseal Multiple size 5 10 For total airway management with confidence Laryngeal Mask Airway LarySeal Blue Silicone Single Patient Use Laryngeal Mask Airwa A e High Quality Silicone ae a AA e Single Use e Cost Effective Universal Connection 15mm M connector complies to BS EN ISO 5356 standard e Easy to Purchase Colour Coded Pilot Balloon Ease of identification of sizing by ee colour coded pilot balloons Non Kinking Main Tube The main tube wall is of high grade Silicone While resisting kinking it is more secure for Less risk of slippin pping accidental patient bite or dislocation The silicone matt surface finish of the cuff provides a good adhesion to the oropharyngeal A area and reduces the P risk of movement A and dislocation of the cuff Easy indication of the cuff pressure through pilot balloon Thin wall pilot balloon indicates the inflation of the CUN Reduce the risk of cross contamination Sterile product in secure packaging PRODUCT CODE DESCRIPTION PACK SIZE 038 94 210 Laryseal Blue size 1 10 038 94 290 Laryseal Blue size 2 10 038 94 295 Laryseal Blue size 2 5 10 038 94 230 Laryseal Blue size 3 10 038 94 240 Laryseal Blue size 4 10 038 94 250 Laryseal Blue size 5 10 For total airway management with confidence Laryngeal Mask Airway LarySeal Clear PVC Single Patient Use Laryngeal Mask Airwa e Medical Grade PVC ans L
100. s Its construction makes Ventiflow ideal for Low Flow Anaesthesia Low Flow Anaesthesia provides significant cost savings in reducing the amount of anaesthetic agents used during the induction and maintenance period of the patient as well as enabling the gases to be flushed out more rapidly in the recovery room and bringing the patient to consciousness quickly and safely Flexicare s disposable Adjustable Pressure Limiting Valve APL is of a variable orifice design providing linear performance The valve can be set at different levels to allow for spillage and will open at 60cm HsO adult APL Valve gives complete confidence in inducing patients and during maintenance for anaesthesia Outer tube The 30 mm expiratory limb warms the inspiratory limbo gases that are delivered to the patient The diameter of the tube reduces resistance to flow ensuring effective au a A Cd i aa administration at low flow making this circuit ideal for both spontaneously breathing and ventilated patients Inner tube Monitoring line For total airway management with confidence Anaesthetic Breathing Systems U is available in 10 variations with and without APL Valve and a choice of with and without monitoring lines PRODUCT CODE DESCRIPTION PACK SIZE 038 01 530 Ventiflow Max 1 6m 90 1 6m breathing system with APL Valve QL Reservoir Bag Monitoring Line and FlexiLock expandable limb 038 01 535 Ventiflow Max 2 4m 90 i 2 4m bre
101. safety grips to coordinate with suction catheter sizes 6 0mm ID 7 0mm ID 8 0mm ID 9 0mm ID PRODUCT CODE DESCRIPTION 10 1743 ee 038 95 006 6 0 mm ID Green 10 038 95 007 7 0 mm ID Orange 10 038 95 008 8 0 mm ID Red 10 038 95 009 9 0 mm ID Purple 10 Patent No GB9391819 For total airway management with confidence Recommended for Further Reading Scheidegger D Tutorial on emergency medicine and trauma Emergency aspects of difficult airway management in ARDS The difficult intubation tips and tricks Program and abstracts of the 15th Annual Congress of the European Society of Intensive Care Medicine September 29 October 9 2002 Barcelona Spain Fisher MM Raper RF The cuff leak test for extubation Anaesthesia 1992 47 1 10 12 Gmec S Comparison of three different methods to confirm tracheal tube placement in emergency intubation Intensive Care Med 2009 98 701 704 Salem MR Verification of endotracheal tube position Anesthesiol Clin North Am 2001 2001 19 813 839 de lassence A Alberti C Azoulay E et al Impact of unplanned extubation and reintubation after weaning on nosocomial Pneumonia risk in the intensive care unit a prospective multicenter study Anesthesiology 2002 97 148 156 Shapiro M Wilson RK Casar G Bloom K Teague RB Work of breathing Through different sized endotracheal tubes Crit Care Med 1986 14 1028 1031 PubMed Abstract 7 Christie JM D
102. servoir to reduce the risk of spillage Clear Construction Allows clinicians to view the nebulisation of the drug and orovides visual assurance of the functioning device Stable Stand Design The wide legs of the MaxiNeb provides a stable upright position 0 275 0 250 0 225 0 200 AR pa oO E 0 175 3 2 ae 3 3 By 5 E 5 Z g 0 150 E s 2 aj gt gt 3 3 w Z 0 125 Z Z gt 0 100 mm a 0 075 0 050 0 025 Nebuliser The above chart shows that MaxiNeb produces the highest output rate in comparison to other nebulisers MaxiNeb s fast nebulisation time of 9 minutes compared to an average 12 minutes allows the required medication to be delivered to the lungs and alveoli heloing with patient compliance Nebuliser and Aerosol Therapy Products Compressor The new MaxiNeo Compressor was developed in conjunction with MaxiNeb Nebuliser to provide a complete system for both hospital and home use to deliver different medications Quiet Operation The modern design of the housing facilitates a low noise level output minimising the ambient noise and reducing Irritation to the user Clear Instructions In addition to the User Manual the operational information is visible through the clear case construction for quick reference Changeable Air Filter MaxiNeb has a interchangeable filter easily changed by the user Integrated Compartment
103. sia is usually obtained by a preliminary intravenous injection of a sleep inducing agent which will render the patient unconscious within a relatively short period of time during which the patient will be induced using a gaseous mixture d Oxygen Nitrous Oxide and an anaesthetic agent to maintain unconsciousness The anaesthetic breathing system is the device used in transporting the gases to and from the patient Breathing Circuit iii Dorea cae Ventilator Essential Requirements of a Breathing System The most important criteria that a Breathing System must satisfy is that it delivers the intended inspired gaseous mixture from the machine to the alveoli The fresh gas flow FGF rate required to prevent rebreathing of alveolar gas is a measure of the efficiency of a breathing system It must also effectively dispose of exhaled waste gases Two other aspects that affect the patient directly is the amount of resistance there is within the system and the amount of dead space that Is added by the system Patient Components of a Breathing System There are several components used In the construction of an anaesthetic breathing system a A fresh gas entry port in the form of a delivery tube ob APL Valve cC Reservoir Bag d Carbon Dioxide Absorbent only if used in reoreathing system The tubing used in the circuits are either made of corrugated tubing or smooth bore tubing The design of Flexicare corrugated tubing is s
104. sms Upon entering the lungs O molecules dissolve in the lipid and aqueous phase of tissues and diffuse across alveolar membranes and into alveolar capillaries The vast majority of oxygen is bound to haemoglobin and only a small fraction of less than 2 Is dissolved in the plasma Following the transport to various tissues oxygen diffuses into the cells for metabolism Objective of Oxygen Therapy Normally a reduction in arterial oxygenation is compensated for by an increase in cardiac output to avert tissue hypoxia When this ceases to be adequate tissue hypoxia is accompanied by acidosis a fall in standard bicarbonate and pH Oxygen therapy becomes necessary when the arterial oxygen tension lies on the steep part of the oxyhaemoglobin dissociation curve see below i e below 50mm Hg Oxyhaemoglobin Dissociation Curve 100 90 80 70 60 50 40 30 Arterial Oxygen Saturation 20 20 40 60 Oxygen Tension mm Hg 80 100 The objective of oxygen therapy is to increase arterial oxygen tension so that normal O delivery to the tissue Is restored The essential aim of oxygen therapy in respiratory disorders is to keep out of the shaded zones and prevent further clinical deterioration Patients rarely remain viable with arterial blood values in the red area 25mm Hg or below Oxygen Administration Methods Oxygen therapy devices for the spontaneously breathing patient fall into two categories Variable performan
105. st commonly seen in men with an enlarged prostate gland or with some restriction to the flow of urine from the bladder The Urinary System The basic principle of the urinary system Is to remove unwanted elements from the body The initial stage of the process begins with the Kidneys The Kidneys act as the body s filtration system by taking the blood and removing the waste products transforming it into urine This is then transported by the Ureters from the kidneys to the Bladder where the urine is then stored Surrounding the bladder is the detrusor muscle which is covered by millions of nerve endings These nerve endings send messages to the brain when the bladder is full and thus needs to be emptied The bladder can hold between 400 600ml of urine when full and after voiding there is still 200 300ml retained in the bladder When emptying of the bladder begins the urethral sphincter opens Ureters Bladder Urethral _ sohincter Urethra Total Quality Total Care 109 to allow the passage of urine down the urethra and finally leaving the body Micturition for the average person occurs between four to seven times a day however this can vary between individuals While some incontinence problems can be cured there are still a large number of people affected by an underlying disorder The use of foley catheters catheter valves leg bags and night bags can aid individuals in parti
106. tal Quality Total Care s ction 4 D Introduction Anaesthetic Face Masks Catheter Mounts Anaesthetic Face Masks Qe da Lime Catheter Ventisorb Accessories Section 5 Introduction Standard Laryngoscope Blades La ryngoscopes Fibre Optic Laryngoscope Blades Handles and Box Sets Pages 69 80 Disposable Laryngoscope Blades Section 7 Introduction 99 101 Resuscitation Resuscitator Bags 102 103 First Aid Masks 104 Pages 97 104 Section 8 Suction Tubing 106 Suction Tubing Pages 105 106 Section 10 Barium Enema Tips Bags Puffers and Accessories Enema Tips amp Accessories Pages 117 119 Oxygen amp Aerosol Oxygen Therapy Medium Concentration Masks Nasal Cannula amp Nasal Catheter Non Rebreathing Masks Aerosol Therapy Introduction Aerosol Therapy Explained Nebu li sers Nebuliser and Aerosol Therapy Products Humidification Humidity Adaptor Bubble Humidifier Accessories T Pieces Tubing Water Traps amp Connectors The leading edge in Oxygen and Aerosol Therapy 4 Oxygen is the most important single substance in animal biology It constitutes nearly 50 of the mass of our planet 21 of the air we breathe 50 of rock and 89 of water And yet it took man a surprisingly long time to discover the significance of oxygen in terms of combustion respiration and animal metabolism Oxygen is essential for normal respiration in aerobic organi
107. that of the calcium and sodium hydroxide compound releases water molecules that can then be used to humidify the inspired air in lieu of the upper airway Heat Retention VentiSoro s active ingredients when exposed to CO not only produces moisture but releases heat as a by product This reaction warms the gases and creates ambient humidity Minimal Agent Degredation VentiSoro does not contain any added Potassium Hydroxide KOH therefore minimising agent degredation products such as compound A and Caroon Monoxide Physical Characteristics COo expired by patient The graphs below demonstrates VentiSoro s physical characteristics in comparison to other Soda Lime absorbers Attrition Resistance Hardness Passing 0 43 96 0 50 0 40 94 0 30 92 0 20 90 0 10 88 0 00 Typical Typical non VentiSorb Typical granular granular granular For total airway management with confidence Dust Typical non VentiSorb granular Ventisorb CO Absorbent Colour Change Indicator Ventisoro is available in two different colour change indicators both conforming to international standards They are either from Pink to White or from White to Violet Both give clear visual indications as to the extent of the CO absorption and the life extent of the soda lime Particle Packing Ventisoro granules range from 2 5 5 0 in size allowing for a tightly packed layered canister increasing the efficien
108. thout allowing over inflation or collapse of the reservoir bag Adult APL Valve Adjustment Pressures Paediatric APL Valve Adjustment Pressures Maximum Pressure N W A UI O O O O Maximum Pressure Venticaire Valve 0 Open Position Mid Position Closed Position Open Position Mid Position Closed Position Cap Position Cap Position Cap position degrees Cap position degrees 90 180 270 0 90 180 270 360 __ open closed 3 7 28 55 60 360 closed 5 16 31 35 Pressure Adjustment with Cap Rotation The results show that the Variable Orifice design of the Venticaire Adult and The Adult and Paediatric APL valves were tested for their maximum pressures Paediatric APL valves offer the clinician a wide range of pressures The whilst varying the cap position from open to closed at 15 l min mechanism of the valve also allows for very fine control of these pressures The unique variable orifice design of the Venticaire APL Valve produces a linear performance For total airway management with confidence Mapleson Classification In general anaesthesia recovery and emergency resuscitation procedures involve the use of a breathing system The principle of anaesthetic systems is to efficiently eliminate exhaled carbon dioxide without greatly increasing dead space or resistance In 1954 Mapleson classified breathing systems based on their
109. ts barium lumps entering the tube before it is mixed Le 8 The outlet tube is fitted with a slide clamp to allow N easy opening and closing 4 a a 4 a r a4 pus lp Ni ua gt Total Quality Total Care 118 Barium Enema Tips amp Accessories 01 Q11 01 Q06 Pa tes 01 Q09 01 Q08 01 Q07 01 Q12 01 Q15 01 Q14 PRODUCT CODE DESCRIPTION Cuffed Enema Tip with Air Line and Non Return Valve Cuffed Enema Tip Standard Enema Tip with Air Line and Non Return Valve Standard Enema Tip Extra Large Enema Tip with Air Line and Non Return Valve Enema Bag Single Shot Cuff Indicator Blue Air Puffer Barium Enema Tips and Accessories are all latex free PACK SIZE 10 10 10 10 10 10 10 10 Total Quality Total Care 119 www flexicare com Cc e a Flexicare Medical Limited Home Netscape a ex ar e T New Tab Sy gt Flenicare Medical Limited Home Ld 4E p CX icare About us News Contact We look forward to providing 7 a ri you with one of the most essential ingredients in the successful implementation of our products and services a comprehensive in service training and support package that will allow you to call on us for assistance with confidence A world class reputation for medical devices Verti k The Website is continuously
110. ts width when stretched and this will reduce the pressure on patients skin and can protect patients from pressure sores PRODUCT CODE DESCRIPTION PACK SIZE 032 10 001 Adult MC Mask with Head Strap Box of 50 039 10 002 Adult MC Mask with Head Strap and Tubing Box of 50 039 10 009NC Adult MC Mask with Nose Clip Head Strap and Tubing Box of 50 032 10 013 Adult MC Mask with Earloops BOX of 50 039 10 014 Adult MC Mask with Earloops and Tubing Box of 50 032 10 014NC Adult MC Mask with Nose Clip Earloops and Tubing Box of 50 032 10 008 Paediatric MC Mask with Head Strap Box of 50 032 10 009 Paediatric MC Mask with Head Strap and Tubing Box of 50 The leading edge in Oxygen and Aerosol Therapy 12 Nasal Cannula amp Nasal Catheters Nasal Cannulae or nasal Catheters are used for their simplicity and patient convenience There is entrainment of ambient air through the nostrils The FiOe achieved is proportional to a the flow rate of oxygen 1 6 l min the patients tidal volume inspiratory flow rate and c the volume of the nasal pharynx Mouth breathing causes Inspiratory air flow which produces a venturi effect in the posterior pharynx entraining oxygen from the nose At an oxygen flow rate of 2 l min the oxygen concentration in the hypopharynx of a resting person is 95 30 Nasal Cannula prevents re oreathing and are comfortable for long periods There is increased patient compliance with nasal cannulae as patients are abl
111. uch that it aids in flexibility and prevents kinking and occlusion The height of the corrugations are minimal so that there is minimum air disruption and it also captures water vapour which occurs naturally during expiration Smooth bore tubing is as its name suggests and is completely smooth on the inside Some Anaesthetists argue that these tubes eliminate air turoulence and thus perform better enabling lower FGF than with corrugated tubing Smooth bore tubing has an integral spiral running the entire length of the tube to help reduce the risk of kinking and occlusion For total airway management with confidence Anaesthetic Breathing Systems Crush Resistant Easy and 29mm corrugated tube made of a flexible secure fitting co polymer providing an elasticity within the tube which will resist crushing Flow will be maintained even when twisted through 180 99mmF Serrated Connectors providing a secure fitting to the machine The lightweight system minimises Drag Secure hand grio enablin and pressure on the patient SIR 3 easy removal from the machine ee tube de eee low a Soft lightweight and flexible material ensures Si emilee requira OW rate Is a secure seal while still allowing ease of maintain a ATAY connection and disconnection j j a Sa EN re w N E i r ore Sta Ly Viv i Lai aa bea WAR ti N A lalii LN j Easy to manage The Parallel Y Piece allows for greater control
112. ucocillary transport adequate humidification should be provided to long term intubated patients HMEF s may not only act against these factors by providing humidification their use is also thought to reduce the incidence of late onset Ventilator Associated Pneumonia compared to heated wire systems It is recommended that HMEF humidification levels should be at least 30mg L H2O at an inspired air at a temperature of 30C All Flexicare HMEF s exceed this minimum by providing a maximum moisture output performance of 32 3mg L H2O as independently tested and verified by the Medical Device Agency MDA 3 Light weight and ergonomically shaped Flexicare Filters and HMEF s designs provide a rounded ergonomical shape to prevent pressure marking or discomfort for the patient They are of light weight design thus reducing drag on breathing systems and are made of a clear material allowing visual observation in terms of potential obstructions 4 Minimal Dead Space and Minimal Pressure drop Design of the filter housings must provide the smallest dead space possible whilst at the same time allowing a good gas flow with minimal resistance pressure drop through the filter media The design of Flexicare Filters and HMEF s has incorporated a balance of these critical requirements to create a filter with minimal resistance to flow while maintaining a low dead space Electrostatic Filters Electrostatic filters use a medium constructed of pe
113. ucts with CE mark Accreditation Flexicare is also registered with the USA Food and Drug Administration FDA US FDA Reg No 8021995 Flexicare Medical Limited Images Shown Opposite page Flexicare Medical s Headquarters Flexicare products are marketed Customer Services Department Product Testing under the following trade marks Below Manufacturing Technical Design and Develooment Financial Department Customer Services and Losistics Oxygen and Aerosol Therapy amp Airway management products L gt Po N E ia PP sv 9 P za ee A a 7 a a 4 d q i 4 d SO OI Aa AS x a i a A Yea Pez N nee LAS xygen Therapy products I __ e a a om VV A a a m TA 4 A LAN fo el x wT Se i a PA RR PE Endotracheal Tubes Nasopharyngeal airway products pp R si f A A 7 N ay Y P k dae N T d yh N 4 f TA 7 oo XN A j nee La ryngeal Mask Airway products Single Patient use fibre optic Laryngoscope blades SO Flexicare Medical Limited Cynon Valley Business Park Mountain Ash epl Mid Glamorgan CF45 4ER UK 44 0 1443 474647 8 44 0 1443 474999 enquiries flexicare com Barium Enema tips amp accessories www flexicare com LE pie care Continence products To
114. x of 50 032 10 080 Paediatric Non Rebreathing Mask with Tubing Box of 50 Neg ee OS 770505 Paediatric Non Rebreathing Mask Box of 50 The leading edge in Oxygen and Aerosol Therapy 14 Oxygen T Piece Gilston amp Tracheostomy Mask Oxygen T Piece Oxygen T Piece is used for delivering oxygen in the recovery room to patients with a laryngeal mask in situ Clinically Tested for oxygen Concentration Accuracy Confidence in providing your patient with the precise level of oxygen prescribed Crystal Clear Connector Allowing Visual Observation of mist formation confirming breathing function Complying to the British Standard BS EN 13544 3 Pie i f f Hie A ini a lw i n U e VV H CEANA IE Assures compatibility with all British standard compliant connectors Wide Range of Venturi Barrels Providing a choice to meet individual patient needs 24 28 31 35 amp 40 PRODUCT CODE DESCRIPTION PACK SIZE b3 p 032 10 540 40 Oxygen T Piece Box of 50 z Gilston T Piece Gilston T Piece is designed to provide oxygen to patients with tracheostomy tubes The sliding cover allows easy access for suction and a venturi could be fitted to one end of the tube to provide oxygen at the required concentration or combined with a humidity adaptor for humidification see page 18 PRODUCT CODE DESCRIPTION PACK SIZE 5060 Box of 5 Adult Gilston T Piece 5061 Paediatric Gilston T Piece Box of 5
115. ze Rough Finish 1 pa Mle 040 019 Mini Size Satin Finish 1 i ney me 040 023 Stubby Size Rough Finish 1 siete ae 040 013 Stubby Size Satin Finish 1 PRODUCT CODE DESCRIPTION PACK SIZE 041 401 Small Kryton Bulo 1 041 409 Standard Kryton Bulo 1 ent ee Mini Standard Satin Finish PRODUCT CODE DESCRIPTION 040 239 Handle plus 3 Macintosh Blades no s 9 3 and 4 040 240 Handle plus 3 Macintosh Blades no s 1 2 and 3 040 241 Handle plus 4 Macintosh Blades nos 1 2 3 and 4 Mini Standard For total airway management with confidence Fibre Optic Handles and Box Sets All handles are Bi Polar allowing the Laryngoscope to function PRODUCT CODE DESCRIPTION PACK SIZE irrespective of which way the batteries are inserted The handles can also be opened from both ends top and bottom 040 811 Standard Size Rough Finish 1 in order to remove swelled batteries with ease 040 897 E OEI 040 819 Mini Size Rough Finish 1 040 899 Mini Size Satin Finish 1 040 893 Stubby Size Rough Finish 1 N 040 894 Stubby Size Satin Finish 1 Ny PRODUCT CODE DESCRIPTION PACK SIZE 041 601 Halogen Bulo 1 041 606 Halogen Bulo 6 Mini Standard Satin Finish PRODUCT CODE DESCRIPTION 040 860 Handle plus 3 Macintosh Blades no s 1 2 and 3 040 861 Handle plus 4 Macintosh Blades no s 1 2 3 and 4 Mini Standard Stubby 040 862 Handle plus 3 Macintosh Blades no s 9 3 and 4 For total airway management with con

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