Airway Management. Catalogue 2011 Anaesthesia & Critical care

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1 Airway Management Catalogue 2011 Anaesthesia & Critical care 3

2 Welcome Medisize to Medisize Filters Medisize Corporation We bring smart solutions to life Medisize and airway management: the breath saving combination. People in operation theatres, intensive care and lung function departments need to rely on their medical devices. Medisize products are in many ways unique when it comes to functionality, safety, hygiene and ease-of-use. Medisize tests its products all the time on the demands and wishes of users and on the perception of patients. The core of the Medisize airway management program exists of the complete range breathing filters, with or without HME, complemented with all necessary accessories. 4

3 Medisize Delivery times Notes: The mentioned delivery times are for sterile products, if you wish for non sterile products, the delivery time will be reduced with 2 weeks. If you would like to receive samples, please contact our customer service department, we can arrange for shorter delivery times. If you place a year order -for better planned delivery times- we guarantee to have the goods available on the requested date. If you have a rush order or a special request, please do not hesitate to contact us. We are willing to help you in supplying your customer. Regarding the breathing circuits, we have mentioned a part of our assortment in this catalogue. If you would like to have a special configuration, we are always able to make a custom made circuit. Please do not hesitate to contact us for the possibilities. Product group Number of units Delivery time Filters and Filters/HME < weeks > weeks Hygrovent Child and Climatrach < weeks > weeks Hygrovent Gold < weeks > weeks Breathing circuits PVC < weeks > weeks Breathing circuits EVA < weeks > weeks Spiral tubing < weeks > weeks Catheter mounts PVC and EVA < weeks > weeks Breathing sets < weeks > weeks Connectors < weeks > weeks Accessories* * Please contact our customer service department for the latest status, as this group contains many different products. 4

4 Medisize Filters index Filtration and humidification Filters 9 HME s 10 HME s for tracheotomy 11 Filter/HME s 12 HME Booster 14 Hygrovent Gold 16 Breathing therapy: Medisize Zephyros Medisize Zephyros ventilator 19 Medisize Zephyros accessories 20 Medisize NIV Helmet for Zephyros 22 Medisize CPAP Helmet for Zephyros 23 Medisize Zephyros Masks 24 Breathing therapy: Masks CPAP Masks 25 NIV Masks 28 Breathing circuits CPAP / with exhalation valve Sets for CPAP 29 Medisize CEV compact exhalation valve 31 Breathing circuits with exhalation valve 32 Breathing circuits: Smooth bore tubing Passive humidification, adult 34 Passive humidification, paediatric 39 Passive humidification, neonatal 40 Active humidification, adult 41 Active humidification, adult, with heating wires 42 Active humidification, paediatric 46 Active humidification, paediatric with heating wires 50 Active humidification, neonatal with heating wires 52 All products are sterile, except where Non Sterile is mentioned in the description 6

5 Medisize index Medisize Filters Breathing circuits orrugated tubing adult 58 paediatric 59 Spiral tubing Adult, 22 mm 60 Paediatric and Neonatal 61 Catheter mounts Smooth bore, 22F machine side connector 63 Smooth bore, 15M machine side connector. 66 Extendible 67 Corrugated / extendible 68 Breathing sets Catheter mounts smooth bore 22F machine side connector with Filter/HME 69 Catheter mounts smooth bore 15M machine side connector with Filter/HME 70 Catheter mounts smooth bore 22F machine side connector with Barr-Vent filter 71 Catheter mounts corrugated 15F/22F machine side connector with Barr-Vent filter 72 Catheter mounts corrugated 15F/22F machine side connector with filter/hme 73 Connectors Double swivel and elbow 75 Mouth piece, straight and T-connector. 76 Parts, combi, with swivel and T-port 77 MDI and valved T-pieces 78 Oxygen therapy / Nebulisation therapy Oxygen nebulisation therapy Medisize 80 Aerosol therapy 83 7 All products are sterile, except where Non Sterile is mentioned in the description

6 Medisize Filters index Accessories - Anaesthesia Silicone reservoir bags 86 Headcare pillows 87 Guedels 88 Anaesthesia masks 89 Tube fixation 91 Soda lime HC 92 Laryngoscope blades 93 Accessories Critical Care Respiratory trainer 95 Closed suction systems 96 Oral Care Products 100 Suction catheters 101 Mucus collection devices 102 Resuscitation mask 104 Manuel resuscitators 105 Pressure infusion bags 108 King Systems Products Universal F 111 Universal F2 113 Universal PedF2 114 Universal Flex2 116 Breathing bag 117 Anaesthesia masks 118 All products are sterile, except where Non Sterile is mentioned in the description 8

7 9 Write your notes here

8 Filtration and Humidification 10

9 Filtration and Medisize Humidification Filters Medisize Filters The Medisize filter products are named Barr-vent filters. This group contains breathing filters that protect patients against bacterial and viral infections. The Medisize Barr-Vent filter contains a hydrophobic filter which acts mechanically and electrostatic. Therefore an optimal balance is created for resistance, compressible volume and filtration efficiency. The connectors are according to ISO standards to assure the right assembly. All Medisize Barr-Vent Filters are equipped with a red color ring. Application: Filtration of gasses meant for respiratory care (protection patient and machine). Features: High filtration efficiency Low flow resistance Round design CO 2 -port ISO connectors Suitable for patients > 20kg Latex and chlorhexidine free Article Description Inner/outer box Min. Order Medisize Barr-vent Filter 50/ Barr-vent Filter Weight 35g, internal volume 99 ml Medisize Barr-vent S Filter 50/ Barr-vent Filter Small Weight 22g, internal volume 37 ml Medisize Barr-vent S-A Filter 50/ Barr-vent Filter Small Angled Weight 23g, internal volume 43 ml Medisize Barr-vent S MC 50/ Barr-vent Filter Small, 22mm female connection machine side Weight 22g, internal volume 37 ml 11 Also available as non-sterile products, art. numbers 301 xxx 000

10 Filtration and Humidification Medisize HME s The Medisize HME (Heat and moisture exchanger) products are named Climavent. This group contains artificial noses that effectively warm and moisten the air to be inhaled. They can, in consultation with a physician, replace an active humidifier. All Medisize Climavents are equipped with a green color ring. Application: Humidification of air to be inspired. Features: Excellent HME performance Very low flow resistance Round design CO 2 -port ISO connectors Latex and chlorohexidine free Article Description Inner/outer box Min. Order Medisize Climavent HME 50/ HME, weight 44g internal volume 95ml Medisize Climavent S HME 50/ HME Small, weight 33g internal volume 55ml Medisize Climavent S-A HME 50/ HME Small Angled, weight 34g internal volume 61ml Medisize Climavent Child Angled HME 50/ HME child, weight 9g internal volume 15ml Medisize Climavent Child straight HME 50/ HME child, weight 9g internal volume 12ml Medisize Climavent XS HME 50/ HME extra small, weight 13g internal volume 22ml Medisize Climavent XS HME with port 50/ HME extra small with port, weight 14g internal volume 24ml Also available as non-sterile products, art. numbers 301 xxx

11 Filtration and Medisize Humidification Filters Medisize HME s for Tracheotomy The Medisize HME s for tracheotomy are named Climatrach. This group contains heat and moisture exchangers which take over the function of the upper respiratory tract in patients with a tracheotomy. The Medisize Climatrachs are intended for spontaneously breathing patients. It effectively warms and humidifies the inhaled air by means of the HME medium. The Medisize Climatrach is available with two options: a safety valve and/or oxygen port. The safety valve opens when the pressure within the Medisize Climatrach temporarily becomes to high, for instance during coughing. When the pressure reaches normal values, the valve closes again. The oxygen port is positioned in such a way that the oxygen to be inhaled is also humidified and heated. Application: Humidification of air to be inhaled (passive humidification). Features: Good HME performance Light Round design ISO connector Suitable for patients > 20kg Latex and chlorohexidine free The weight of the Medisize Climatrach is 5.7g and the volume is 12.5ml Article Description Inner/outer box Min. Order Medisize Climatrach 50/ HME standard Medisize Climatrach with O 2 -port 50/ HME with O 2 -port Medisize Climatrach with valve 50/ HME with safety valvel Medisize Climatrach with valve and O 2 -port 50/ HME with safety valve and O 2 -port 13 Also available as non-sterile products, art. numbers 301 xxx 000

12 Filtration and Humidification Medisize Filter / HME s The Medisize filter/hme products are named Hygrovent. This group contains breathing filters with an integrated HME. They protect against bacterial and viral infections and they effectively warm and moisten the air to be inhaled. All Medisize Hygrovent Filter/HMEs are equipped with a blue color ring. Application: Filtration of gasses meant for respiratory care and humidification of air to be inspired. Features: High filtration efficiency Excellent HME performance Low flow resistance Round design CO 2 -port ISO connectors Latex and chlorohexidine free Article Description Inner/outer box Min. Order Medisize Hygrovent 50/ Filter/HME, weight 45g internal volume 95ml Medisize Hygrovent S 50/ Filter/HME Small, weight 34g internal volume 55ml Medisize Hygrovent S-A 50/ Filter/HME Small Angled, weight 35g internal volume 61ml Medisize Hygrovent Child angled 50/ Filter/HME, weight 9g internal volume 15ml Medisize Hygrovent Child straight 50/ Filter/HME, weight 9g internal volume 12ml Also available as non-sterile products, art. numbers 301 xxx

13 Filtration and Humidification Medisize HME Booster for active humidification Passive humidification of an HME is transformed into active humidification with the use of the HME-Booster. Where passive humidification is not enough, the HME Booster can add extra heat & moisture to the output of an HME. How does it work? An aluminium grid in the T-Piece transfers heat from the heating element through the membrane. This results in the evaporation of the administered water, allowing vapours to go through the membrane to heat and humidify the gasses passing through the ventilatory circuit. The physical properties of the Gore-Tex membrane only allows vapour to pass, and not liquid. See also the illustration. The HME-Booster thus enhances the humidification to the critically ill in a simple, safe, efficient and cost-effective way as an alternative to expensive and cumbersome hot water bath humidifiers. How it Works The HME-Booster The HME-Booster is a T-shaped device equipped with a hydrophobic membrane, allowing water to pass only when it evaporates. The purified water saturates the hydrophobic membrane. The water is then heated to the vaporization point and passes through the membrane and enters the delivered gas stream. Dry & Cool air becomes warm & moist Water enters the HME-Booster by way of a luer lock connection (250mls of water will last 3 days). The moisture in the saturated membrane is heated by the Positive Temperature control element. The HME-Booster improves absolute humidity, relative humidity and the temperature delivered by the HME. Tracheal temperature also increases. Not only does the HME-Booster delivers heat and moisture directly to the patient with every inspiration, during expiration it also increases the performance of the HME for the next respiratory cycle. We can guarantee the good qualities of the HME Booster when it is used in combination with the Medisize Hygrovent or the Hygrovent S. 15 Note: for an optimal quality we recommend to use the HME Booster for a maximum of 3 days.

14 Filtration Medisize and Humidification Filters Medisize HME Booster for active humidification Features: Administers additional moisture and heat raising absolute and relative humidity Controls the temperature of respiratory gasses Simple, minimal time required for operation Eliminates rain out common with active humidification Requires minimal level of capital investment Lower per patient use cost than using Heated (Active) Humidification systems Article Description Inner/outer box Min. Order HME Booster T-piece 50/ This T-piece in combination with a HME and the HME Booster heating element make up the total HME Booster system HME-Booster T-piece 50/ with Hygrovent S (Filter/HME) HME-Booster set: 20/80 80 T-piece, Hygrovent S (Filter/HME) catheter mount 10 cm HME-Booster set: 25/ T-piece, Hygrovent (Filter/HME) catheter mount with double Swivel connector 10 cm HME-Booster set: 20/80 80 T-piece, Hygrovent S (Filter/HME small) catheter mount with double swivel connector 10 cm HME Booster set complete: 15/30 30 T-piece, Hygrovent S (Filter/HME small) catheter mount with double swivel connector (10 cm), and Infusion set 16

15 Filtration and Humidification Medisize Hygrovent Gold for active humidification The Medisize Hygrovent Gold combines the simplicity of an HME (Heat and Moisture Exchanger) with the features of active humidification. The system consists of an HME/filter with an adapter to which the heating element can be applied. The heating process causes evaporation, which warms and humidifies the air. Use of the Hygrovent Gold makes it possible to administer additional moisture and heat in a very simple and safe way. It is a self-regulating system. The ease of use makes it reliable, stable and effective to administer additional moisture and heat to patients and as close to the patient as possible. Features Hygrovent Gold is less labor-intensive than active humidification systems with hot water baths: No attending of equipment settings No attending of alarms No emptying of the water traps No inspecting lines Generally less sputum suctions Hygrovent Gold needs less nurse training Hygrovent Gold is plug-and-play Appreciated when solutions have equal clinical performance and lower out-of-pocket costs Perfect balance in humidification No risk of over-humidification No risk of under-humidification No spaghetti-syndrome at the patients bed Easy to switch between active and passive humidification 17

16 Filtration and Humidification Filters Medisize Medisize Hygrovent Gold for active humidification Passive humidification with HME s offers a lot of advantages, but has the limitation that no extra heat and moisture can be administered. With the Medisize Hygrovent Gold, Medisize has uniquely succeeded in getting this limitation under control. Administration of extra moisture and heat to the ventilated patient is now simpler and safer than ever before. The system consists of an HME/filter with an adapter to which the heating element can be applied. The heating process causes evaporation, which warms and humidifies the air. Medisize Hygrovent Gold, the benefits of HME combined with the advantages of active humidification. Article Description Min. Order Medisize Hygrovent Gold Basic 200 The core of the product: it consists of a filter/hme with the special placement for the heating element and its water feed Medisize Hygrovent Gold Standard 100 Hygrovent Gold + catheter mount with straight connector (PVC 10cm) Medisize Hygrovent Gold Standard 90 incl. administration set Medisize Hygrovent Gold Comfort 100 Hygrovent Gold + catheter mount with double swivel elbow connector (PVC 10cm) Medisize Hygrovent Gold Comfort 90 incl. administration set 18

17 Filtration and Humidification Medisize Hygrovent Gold for active humidification Article Description Min. Order Medisize Hygrovent Gold Flex 60 Hygrovent Gold + catheter mount with soft connector 15F (PVC 10cm) Medisize Hygrovent Gold Flex 60 incl. administration set HME Booster heating element USA 1 4 m cable, second version adapter HME Booster heating element Europe 1 4 m cable, second version adapter HME Booster heating element UK 1 4 m cable, second version adapter HME Booster heating element Japan 1 4 m cable, second version adapter THA1085 Valve Tee-Adapter for nebulizer T-piece 15M/15F with spring loaded valve, Non Sterile 19

18 Breathing Therapy 20

19 Breathing Medisize Therapy: Medisize Filters Zephyros Medisize Zephyros Non-invasive ventilation (NIV) is a trend. Improved masks and helmets provide doctors the option to move away from intubation. Infection risks decrease, patient comfort increases. This trend requires adaptation of the ventilation machines to NIV operations. To provide flexibility on the wards a combined ventilator for NIV, CPAP and BiLevel therapies is key to success. This requires an easy to operate and robust ventilator. The Medisize Zephyros combines several non-invasive breathing therapy modes thereby providing flexibility and is the first machine that combines helmet and mask operation. Also invasive modes are available, with tube compensation for inspiration and expiration. Article Description Inner/outer box Min. Order Medisize Zephyros breathing therapy ventilator AG Medisize Zephyros Machine V ac 1 1 NIST connections (without IFU, Hoses) with power cord CEE7/4 Available languages on machine and Instructions for use are English, French, German, Italian and Dutch. Other languages available on request. 21 This product is non-sterile

20 Breathing Therapy: Medisize Zephyros Accessories and parts Article Description Inner/outer box Min. Order Accessories AZ Cart for Zephyros, with basket for accessories 1 1 AZ Holding arm for breathing crcuit 1 1 AZ Rail mount for Zephyros for standard medical rails 1 1 Parts BM Expiration valve, complete 1 1 BM PEEP Membrane Unit 1 1 CM Flow screen 1 1 EB O 2 Sensor 1 1 Supply hoses AZ AIR Gas supply hose m, color code = white/black ventilator connection = NIST, other hose side = no connector AZ O 2 Gas supply hose m, color code = white ventilator connection = NIST, other hose side = no connector AZ AIR Gas supply hose m, color code = yellow ventilator connection = DISS, other hose side = no connector AZ O 2 Gas supply hose m, color code = green ventilator connection = DISS, other hose side = no connector AZ AIR Gas supply hose, m, DIN-ISO, color code = black with symbol AIR, ventilator connection = NIST, other hose side = DIN connenctor AZ O 2 Gas supply hose m, DIN-ISO, color code = black with symbol O 2 ventilator connection = NIST, other hose side = DIN connector AZ AIR Gas supply hose m, ISO, color code = white/black ventilator connection = NIST, other hose side = DIN connector AZ O 2 Gas supply hose m, ISO, color code = white ventilator connection = NIST,other hose side = DIN connector These products are non-sterile 22

21 Breathing Medisize Therapy: Medisize Filters Zephyros Breathing circuits Article Description Inner/outer box Min. Order Zephyros Standard-system NIV 8/32 32 for Helmet 2 spiral tubes 1,50 m, 1 filter Barr-vent S Zephyros CPAP-System 10/40 40 for Helmet, spiral tube 1,50 m with filter Hygrovent S Zephyros CPAP Tube system 8/32 32 for Mask with corrugated tube 1,80 m with safety valve Zephyros CPAP-system 8/32 32 for Mask spiral tube, 1,80 m with safety valve Zephyros Standard system 8/32 32 BIPAP + NIV for Mask, Y piece, 2 spiral tubes 1,50 m, 1 filter Barr-vent S 23 These products are non-sterile products.

22 Breathing Therapy: Medisize Zephyros Medisize Zephyros masks King Systems inflatable full face masks are known to meet your patient s and your demands for safety and comfort. The tear drop or round shape of the face mask assures an anatomical fit. The inflatable supple cushion seals on the patient s face with little downward pressure. By means of the valve in the cushion it is easily adjustable. The mask s grooved cushion and smooth rounded edges provide the anaesthesia professional with a comfortable grip. The transparency of the entire mask allows for continuous visual identification of the patient s vital signs and alleviates the stress of the patient prior to induction and during pre-oxygenation. Article Description Inner/outer box Min. Order KSC1045 Full face King Systems CPAP mask, size KSC1055 Full face King Systems CPAP mask, size KSC1065 Full face King Systems CPAP mask, size KSC1075 Full face King Systems CPAP mask, size These products are non-sterile 24

23 Breathing Therapy Medisize CPAP Silicone Full Face Mask These CPAP reusable full face masks are ideal for use in combination with the Medisize Zephyros. The high quality mask with smooth rounded edges and the headband are very comfortable for the patient. The CPAP masks have ventilation openings and an anti-suffocation valve. The masks are available in several sizes. Medisize CPAP Silicone Full Face Mask Made of soft and odorless silicone rubber Standard 22M connection (with connector GO4107 is 22F connection possible) Swivel connector with anti-suffocation valve To be used in combination with most CPAP equipment Autoclavable to 134 C (excl. head gear) Article Description Inner/outer box Min. Order HSI10243 CPAP Silicone Full Face Mask size 3 1/10 10 (small), incl. premium head gear HSI10244 CPAP Silicone Full Face Mask size 4 1/10 10 (medium) incl. premium head gear HSI10245 CPAP Silicone Full Face Mask size 5 1/10 10 (large) incl. premium head gear 25 These products are non-sterile

24 Breathing Therapy Medisize CPAP Silicone Nasal Mask These CPAP reusable nasal masks are ideal for use in combination with the Medisize Zephyros. The high quality mask with smooth rounded edges and the headband are very comfortable for the patient. The CPAP masks have a swivel connector with an anti-suffocation valve. The masks are made of silicone and they are available in several sizes. Medisize CPAP Silicone Nasal Mask Made of soft and odorless silicone rubber Standard 22M connection (with connector GO4107 is 22F connection possible) Swivel connector with anti-suffocation valve To be used in combination with most CPAP equipment Autoclavable to 134 C (excl. head gear) Article Description Inner/outer box Min. Order HSI10253 CPAP Silicone Nasal mask size 3 1/10 10 (small) incl. premium head gear HSI10254 CPAP Silicone Nasal mask size 4 1/10 10 (medium) incl. premium head gear HSI10255 CPAP Silicone Nasal mask size 5 1/10 10 (large) inclusief premium head gear These products are non-sterile 26

25 Breathing Therapy Medisize Economy Full Face Mask Medisize CPAP economy full face mask. Economic alternative for the silicone masks. These disposable CPAP full face masks are ideal for use in combination with the Medisize Zephyros. The masks are available in several sizes. Medisize CPAP Economy full face masks Economic alternative for the silicone masks; Standard 22M connection (with connector GO4107 is 22F connection possible) With 360 swivel connector; To be used with most CPAP equipment Article Description Inner/outer box Min. Order HSI10234 CPAP Economy full face mask size 4 10/50 50 (medium) incl. head gear HSI10235 CPAP Economy full face mask size 5 10/50 50 (large) incl. head gear 27 These products are non-sterile

26 Breathing Therapy Medisize NIV Mask Medisize NIV masks 3 types: Silicone full face mask, Silicone Nasal mask and Economy full face mask Design identical to the CPAP masks, with the exception that these masks are fully closed Standard 22M connection (with connector GO4107 is 22F connection possible) With 360 swivel connector; To be used in combination with most NIV equipment Article Description Inner/outer box Min. Order NIV Silicone Full Face mask HSI10217 NIV Silicone full face mask size 3 1/10 1 (small) incl premium head gear HSI10214 NIV Silicone full face mask size 4 1/10 1 (medium) incl. premium head gear HSI10211 NIV Silicone full face mask size 5 1/10 1 (large) incl. premium head gear NIV Silicone Nasal mask HSI10208 NIV Silicone nasal mask size 3 1/10 1 (small) incl. premium head gear HSI10205 NIV Silicone nasal mask size 4 1/10 1 (medium) incl. premium head gear HSI10202 NIV Silicone nasal mask size 5 1/10 1 (large) incl. premium head gear NIV Economy Face mask HSI10224 NIV Economy full face mask size 4 10/50 10 (medium) incl. standard head gear HSI10221 NIV Economy full face mask size 5 10/50 10 (large) incl. standard head gear 28

27 Breathing Therapy: CPAP CPAP Continuous Positive Airway Pressure. A mode of breathing support that helps patients to keep open certain parts of the airways. Patients suffering from sleep apnoea (caused by collapse of parts of the upper airways) benefit greatly by CPAP. Medisize CPAP systems are not used for this indication, they are used in hospital settings. Description Indication for applying CPAP in hospitals for patients with poor gas exchange. Causes for a decrease of gas exchange are liquid in the lungs, inflammations and thickening of the alveoli-wall. for patients who haven t been able to breathe on themselves for a longer period of time. These patients have to learn to breathe again. Therapies The concentration of oxygen in the lungs has to be increased. With the CPAP method the alveoli maintain a greater inflation volumes. An important physiological feature of CPAP is that as alveli are recruited the Fi0 2 needed to maintain an adequate PaO 2 will decrease there fore oxygenation becomes more efficient. With the CPAP method the muscles which are used with expiration, are being trained. higher resistance due to the higher pressure. CPAP in hospital setting CPAP has the following beneficial effects Non-invasive treatment, the patient can stay conscious. Intubation is not necessary. Increase in FRC (Functional Residual Capacity), by the recruitment of the collapsed alveoli. A decreased work of breathing due to increased compliance An improved distribution of ventilation through collateral channels. An increase in the efficiency of secretion removal 29

28 Breathing Therapy: CPAP Medisize Sets for CPAP Smooth bore PVC tubing Article Description Inner/outer box Min. Order CPAP Set Ø22mm, adult, with Barr-vent S filter, mask and latex-free headstrap Also including: Mask, Headstrap (latex-free) CPAP set Ø22mm, length 190cm, barr-vent S filter 10/40 40 mask size 3 and headstrap non-sterile CPAP set Ø22mm, length 190cm, barr-vent S filter 10/40 40 mask size 4 and headstrap non-sterile CPAP set Ø22mm, length 190cm, barr-vent S filter 10/40 40 mask size 5 and headstrap non-sterile Temperature port CPAP Set Ø22mm, adult, with heating wire, Barr-vent S filter, 22M/22M connector, connector for water chambers, mask and latex-free headstrap Also including: Mask, Headstrap (latex-free) CPAP set Ø22mm, length 190cm, barr-vent S filter 10/40 40 mask size 3 and headstrap non-sterile CPAP set Ø22mm, length 190cm, barr-vent S filter 10/40 40 mask size 4 and headstrap non-sterile CPAP set Ø22mm, length 190cm, barr-vent S filter 10/40 40 mask size 5 and headstrap non-sterile 30

29 Breathing Therapy: Medisize Compact Exhalation Valve External expiration valves are used in single limb breathing circuits.the valve is operated by the ventilator to regulate the artificial respiration. Our valve is based on proven technology, which ensures a reliable product. By smart design all features of existing valves are maintained, although the size has been reduced significantly. For that reason the name: Medisize Compact Expiration Valve. Medisize CEV Compact Exhalation Valve The smart solution for single limb breathing circuits. Reduced size compared to other valves Low resistance Low noise level Integrated pressure monitoring port Expiration diversion 22/15 mm patient connection, 22 mm machine connection Excellent resistance profile Single patient use Latex free Article Description Inner/outer box Min. Order Medisize CEV Compact Exhalation Valve Medisize CEV Exhalation Valve 50/ without pressure monitoring port, single packed, sterile Medisize CEV Exhalation Valve 50/ without pressure monitoring port, single packed, non-sterile Medisize CEV Exhalation Valve 50/ with pressure monitoring port, single packed, sterile Medisize CEV Exhalation Valve 50/ with pressure monitoring port, single packed, non-sterile 31

30 Breathing Therapy: Medisize Compact Exhalation Valve External expiration valves are found with Ventilators, used at different levels of medical care. They are found in ICU s, Medium Care departments, ER s, ambulances, intra-hospitals tranports and home care. The trend ventilators are getting smaller and easier to use. The bulky designs of existing expiration valves has trigged Medisize to start the development of the Compact Expiration Valve; a small product with improved functional characteristics. The results of our product development is a compact high quality expiration valve with a low resistance, a very low noise level, far below the noise level of benchmark products. Article Description Inner/outer box Min. Order Breathing circuit one-limb with CEV, 120cm 22mm 10/ Breathing circuit one-limb with CEV, 150cm 22mm 10/ Breathing circuit one-limb with CEV, 120cm 15mm 8/ Breathing circuit one-limb with CEV, 150cm 15mm 8/36 36 Other configurations available upon request 32

31 33 Write your notes here

32 Breathing Circuits 34

33 Breathing circuits Medisize Breathing circuits passive humidification, adult ICU and Anaesthesia Smooth bore tubing Article Description Inner/outer box Breathing circuit with parallel Y-piece, Ø 22mm, adult, with soft machine connectors 22mm Breathing circuit 22mm 120cm 10/ Breathing circuit 22mm 150cm 8/ Breathing circuit 22mm 180cm 8/ Breathing circuit 22mm 210 cm 7/ Breathing circuit 22mm 300cm 5/ Breathing circuit 22mm 400cm 5/ Breathing circuit 22mm 120cm non-sterile 10/ Breathing circuit 22mm 150cm non-sterile 8/ Breathing circuit 22mm 180cm non-sterile 8/ Breathing circuit 22mm 210cm non-sterile 7/28 Breathing circuit with parallel Y-piece and Elbow connector with port for CO 2 measurement, Ø 22mm, adult, with soft machine connectors 22mm Breathing circuit 22mm 150cm 5/ Breathing circuit 22mm 180cm 8/ Breathing circuit 22mm 180cm non-sterile 8/32 35

34 Breathing circuits Medisize Breathing circuits passive humidification, adult ICU and Anaesthesia Smooth bore tubing Article Description Inner/outer box Pressure port Temperature port Pressure port Temperature port Breathing circuit with parallel Y-piece (with pressure and temperature ports), Ø 22mm, adult, with soft machine connectors 22mm Breathing circuit 22mm 120cm 10/ Breathing circuit 22mm 150cm 8/ Breathing circuit 22mm 180cm 8/ Breathing circuit 22mm 150cm non-sterile 8/ Breathing circuit 22mm 180cm non-sterile 8/ cm 150 cm 180 cm 180 cm Breathing circuit with parallel Y-piece, elbow and tube of 150cm, Ø22mm, adult, with soft machine connectors 22mm Breathing circuit 22mm 180cm 5/20 Breathing circuit with Parallel Y-piece, elbow (with port for CO2 measurement) and tube of 120cm, Ø22mm, adult, with soft machine connectors 22mm Breathing circuit 22mm 150cm 6/ Breathing circuit 22mm 180cm 6/ Breathing circuit 22mm 150cm 6/ Breathing circuit 22mm 180cm non-sterile 6/24 36

35 Breathing circuits Medisize Filters Medisize Breathing circuits passive humidification, adult ICU and Anaesthesia Smooth bore tubing Article Description Inner/outer box Breathing circuit with parallel Y-piece and Hygrovent S (filter with HME), Ø22mm, adult, with soft machine connectors 22mm Breathing circuit 22mm 120cm 10/ Breathing circuit 22mm 150cm 5/20 Breathing circuit with parallel Y-piece (with pressure and temperature ports) and Hygrovent S filter with HME, Ø22mm, adult, with soft machine connectors 22mm Breathing circuit 22mm 150cm 5/20 Breathing circuit with parallel Y-piece, Hygrovent S (filter with HME) and catheter mount (15cm) with double swivel and double cap, Ø22mm, adult, with soft machine connectors 22mm Breathing circuit 22mm 120cm 5/ Breathing circuit 22mm 150cm 5/ Breathing circuit 22mm 180cm 7/28 37

36 Breathing circuits Medisize Breathing circuits passive humidification, adult ICU and Anaesthesia Smooth bore tubing Article Description Inner/outer box 150cm 100cm Breathing circuit with parallel Y-piece and Spiral tubing of 100cm with 2L breathing bag, Ø22mm, adult, with soft machine connectors 22mm Breathing circuit 22mm 150cm 5/20 Breathing circuit with parallel Y-piece and elbow with port for CO2 measurement, spiral tubing of 100cm with 2L breathing bag, Ø22mm, adult, with soft machine connectors 22mm Breathing circuit 22mm 150cm 5/ Breathing circuit 22mm 180cm 6/ Breathing circuit 22mm 180cm non-sterile 6/24 38

37 Breathing circuits Medisize Breathing circuits passive humidification, adult Smooth bore tubing Article Description Inner/outer box Breathing circuit Ø22mm, adult, soft machine connectors 22mm Standard circuit for Oxylog 2000 Lines for pressure measurement and operating the valve Breathing circuit 22mm, length 150cm and 165cm lines 10/ Breathing circuit 22mm, length 240cm and 260cm lines 10/ Breathing circuit 22mm, length 480cm and 500cm lines 5/ Breathing circuit 22mm, length 150cm and 165cm lines non-sterile 10/40 Breathing circuit Ø22mm, adult, soft machine connectors 22mm with expiration valve Breathing circuit 22mm, length 120cm and 150cm lines 10/40 39

38 Breathing circuits Medisize Breathing circuits passive humidification, paediatric ICU and Anaesthesia Smooth bore tubing Article Description Inner/outer box Breathing circuit with parallel Y-piece, Ø15mm, paediatric, with soft machine connectors 22mm Breathing circuit 15mm 120cm 10/ Breathing circuit 15mm 150cm 10/ Breathing circuit 15mm 180cm 10/ Breathing circuit 15mm 300cm 5/ Breathing circuit 15mm 400cm 5/ Breathing circuit 15mm 120cm non-sterile 10/ Breathing circuit 15mm 150cm non-sterile 10/ Breathing circuit 15mm 180cm non-sterile 10/40 Breathing circuit with parallel Y-piece, Ø15mm, paediatric, with soft machine connectors 22mm and Y-piece with ports for measurement of temperature and CO Breathing circuit 15mm 120cm 10/ Breathing circuit 15mm 150cm 10/ Breathing circuit 15mm 180cm 10/ Breathing circuit 15mm 220cm 10/40 40

39 Breathing circuits Medisize Breathing circuits passive humidification, neonantal ICU and Anaesthesia Smooth bore tubing Article Description Inner/outer box Breathing circuit with parallel Y-piece, Ø10mm, neonatal, with soft machine connectors 22mm Breathing circuit 10mm 120cm 10/ Breathing circuit 10mm 150cm 10/40 150cm Breathing circuit for Babylog 2000, Ø10mm, neonatal, with 15M machine connectors and line for pressure measurement 150cm Breathing circuit 10mm 120cm 10/ Breathing circuit 10mm 150cm 10/ Breathing circuit 10mm 150 cm non-sterile 10/40 41

40 Breathing circuits Medisize Breathing circuits active humidification, adult Smooth bore tubing Article Description Inner/outer box Breathing circuit with self-sealing watertraps, Ø22mm, adult Watertrap in expiration and inspiration tubing 22mm Soft Connectors Tube for connection ventilator and humidifier Parallel Y-piece Breathing circuit 22mm, length 150cm 6/24 watertraps in inspiration and expiration tubing, 40cm connection hose Breathing circuit 22mm, length 150cm 6/24 watertraps in inspiration and expiration tubing, 60cm connection hose Breathing circuit 22mm, length 150cm 5/20 watertraps in inspiration and expiration tubing, 30cm connection hose These products are Non Sterile 42

41 Breathing circuits Medisize Breathing circuits active humidification, adult Smooth bore tubing Article Description Inner/outer box Temperature port Pressure port Breathing circuit with self-sealing watertraps, Ø22mm, adult Watertrap in expiration and inspiration tubing 22mm Soft Connectors Connection tube for inspiratory connection between ventilator and humidifier Y-piece with ports for temperature and pressure measurement Breathing circuit 22mm, length 150cm 6/24 watertraps in inspiration and expiration tubing, 40cm connection hose Breathing circuit 22mm, length 150cm 6/24 watertraps in inspiration and expiration tubing, 60cm connection hose Breathing circuit 22mm, length 150cm 6/24 (insp. tube 80cm, exp. tube 60cm) watertraps in inspiration and expiration tubing, 30cm connection hose Breathing circuit 22mm, length 150cm 6/24 watertraps in inspiration and expiration tubing, 40cm connection hose non-sterile Breathing circuit 22mm, length 150cm, 6/24 watertraps in inspiration and expiration tubing, 60cm connection hose non-sterile 43

42 Breathing circuits Medisize Breathing circuits active humidification, adult Smooth bore tubing 165 cm Article Description Inner/outer box 165 cm 165cm 60 cm 60cm cm Breathing circuit with self-sealing watertraps, Ø22mm, adult Watertrap in expiration and inspiration tubing 22mm Soft Connectors Tube for connection ventilator and humidifier Y-piece with ports for temperature measurement and pressure monitoring, including line (165 cm) for pressure measurement Breathing circuit 22mm, length 150cm 5/20 watertraps in inspiration and expiration tubing, line for pressure measurement (165cm) and 60cm connection hose 60cm cm Breathing circuit with self-sealing watertraps and catheter mount 15cm, Ø22mm, adult 60cm cm 60 cm Watertrap in expiration and inspiration tubing 22mm Soft Connectors Tube for connection ventilator and humidifier Y-piece with ports for temperature measurement and pressure monitoring. 60 cm Breathing circuit 22mm, length 150cm 5/20 watertraps in inspiration and expiration tubing, catheter mount 15cm with double swivel connector with openings for bronchoscopy and suction, 60cm connection hose 44

43 Breathing circuits Medisize Breathing circuits active humidification, adult Smooth bore tubing with heating wire Article Description Inner/outer box Breathing circuit Ø22mm, adult Standard circuit for Fisher&Paykel MR730 Watertrap in expiration tubing and heating wire in inspiration tubing 22mm Soft Connectors Connection hose between ventilator and humidifier Parallel Y-piece with ports for temperature and pressure measurement Breathing circuit Ø22mm, length 150cm 6/24 watertrap in expiration tube, 40cm connection hose Breathing circuit Ø22mm, length 150cm 5/20 watertrap in expiration tube, 60cm connection hose Breathing circuit Ø22mm, length 150cm 6/24 watertrap in expiration tube, 40cm connection hose non-sterile Breathing circuit Ø22mm, adult Standard circuit for Fisher&Paykel MR730 Heating wire in expiration and inspiration tubing 22mm Soft Connectors Connection hose between ventilator and humidifier Parallel Y-piece with ports for temperature and pressure measurement Breathing circuit Ø22mm, length 150cm 8/32 dual heated, 40cm connection hose Breathing circuit Ø22mm, length 150cm 5/20 dual heated, 60cm connection hose 45

44 Breathing circuits Medisize Breathing circuits active humidification, adult Smooth bore tubing with heating wire Article Description Inner/outer box 150 cm 150cm Breathing circuit Ø22mm, adult 60cm 60 cm 60 cm Standard adult circuit for Fishel&Paykel MR850 Watertrap in expiration tubing and heating wire in inspiration tubing Parallel Y-piece with ports for temperature and pressure measurement Connecting hose of 60cm with soft connectors Breathing circuit Ø22mm, length 150cm 6/24 watertrap in expiration tubing and heating wire in inspiration tube, 60cm connection hose 150 cm 150cm 150 cm Breathing circuit Ø22mm, adult 60 60cm Standard adult circuit for Fishel & Paykel MR 850 Dual heated Parallel Y-piece with ports for temperature and pressure measurement Connecting hose of 60cm with soft connectors Breathing circuit Ø22mm, length cm 8/32 dual heated, 60cm connection hose 46

45 Breathing circuits Medisize Breathing circuits active humidification, paediatric Smooth bore tubing Article Description Inner/outer box Breathing circuit Ø15mm, paediatric Watertrap in expiration and inspiration tubing 22mm Soft Connectors Tube for connection ventilator and humidifier Breathing circuit Ø15mm 5/30 length 150cm watertrap in expiration and inspiration tubing, connection hose of 40 cm Breathing circuit Ø15mm 5/30 length 150cm watertrap in expiration and inspiration tubing, connection hose of 60 cm Breathing circuit Ø15mm 5/30 length 150cm watertrap in expiration and inspiration tubing, connection hose of 30 cm Breathing circuit Ø15mm 5/30 length 150cm watertrap in expiration and inspiration tubing, connection hose of 60 cm non-sterile 47

46 Breathing circuits Medisize Breathing circuits active humidification, paediatric Smooth bore tubing Article Description Inner/outer box Breathing circuit Ø15mm, paediatric Watertrap in expiration and inspiration tubing 22mm Soft Connectors Tube for connection ventilator and humidifier Y-piece with ports for temperature and pressure measurement Breathing circuit Ø15mm 5/30 length 150cm watertrap in expiration and inspiration tubing, connection hose of 40 cm and Y-piece with ports Breathing circuit Ø15mm 5/30 length 150cm watertrap in expiration and inspiration tubing, connection hose of 60 cm and Y-piece with ports Breathing circuit Ø15mm 5/30 length 150cm watertrap in expiration and inspiration tubing, connection hose of 30 cm and Y-piece with ports Breathing circuit Ø15mm 5/30 length 150cm watertrap in expiration and inspiration tubing, connection hose of 40 cm and Y-piece with ports non-sterile 48

47 Breathing circuits Medisize Breathing circuits active humidification, paediatric Smooth bore tubing Article Description Inner/outer box Breathing circuit Ø15mm, paediatric Watertrap in expiration and inspiration tubing 22mm Soft Connectors Y-piece with ports for temperature and pressure measurement Breathing circuit Ø15mm 5/30 length 150cm watertrap in expiration and inspiration tubing and Y-piece with ports for temperature and pressure measurement 165cm 165 cm Breathing circuit Ø15mm, paediatric 40cm 40 cm 40 cm 165 cm Standard circuit for Newport Ventilator Watertrap in expiration and inspiration tubing 22mm Soft Connectors Y-piece with ports for temperature measurement and pressure monitoring Line for presssure measurement (165cm) and connecting tube forinspiratory connection between ventilator and humidifier Breathing circuit Ø15mm 5/30 length 150cm watertrap in expiration and inspiration tubing and Y-piece with ports for temperature and pressure measurement, line for pressure measurement and connecting hose of 40cm 49

48 Breathing circuits Medisize Breathing circuits active humidification, paediatric Smooth bore tubing Article Description Inner/outer box Breathing circuit Ø15mm, paediatric Watertrap in expiration tubing 22mm Soft Connectors Y-piece with ports for temperature measurement and pressure monitoring Breathing circuit Ø15mm 5/30 length 150 cm watertrap in expiration tubing and Y-piece with ports Breathing circuit Ø15mm, paediatric Watertrap in expiration tubing 22mm Soft Connectors Y-piece with ports for temperature measurement and pressure monitoring Connecting hose of 40cm Breathing circuit Ø15mm 5/30 length 150cm watertrap in expiration and inspiration tubing and Y-piece with ports, line for pressure measurement and connecting hose of 40cm Breathing circuit Ø15mm 5/30 length 150cm watertrap in expiration and inspiration tubing and Y-piece with ports, line for pressure measurement and connecting hose of 60cm 50

49 Breathing circuits Medisize Breathing circuits active humidification, paediatric Smooth bore tubing with heating wire Article Description Inner/outer box Breathing circuit Ø15mm, paediatric Standard paediatric circuit for Fisher&Paykel MR730 Watertrap in expiration tubing and heating wire in inspiration tubing 22mm Soft Connectors Connection hose for ventilator and humidifier Y-piece with ports for temperature and pressure measurement Breathing circuit Ø15mm 5/30 length 150cm, watertrap in expiration tubing and heating wire in inspiration tubing, 40cm connection hose Breathing circuit Ø15mm 5/30 length 150cm, watertrap in expiration tubing and heating wire in inspiration tubing, 60cm connection hose Breathing circuit Ø15mm 5/20 leght 150cm, Dual heated, 40cm connecting hose, for paediatrics 51

50 Breathing circuits Medisize Breathing circuits active humidification, paediatric Smooth bore tubing with heating wire Article Description Inner/outer box 150 cm 150cm cm Breathing circuit Ø15mm, paediatric 40 cm 40cm cm Standard paediatric circuit for Fisher&Paykel MR850 Watertrap in expiration tubing and heating wire in inspiration tubing Y-piece with ports for temperature and pressure measurement Connecting hose of 40cm with soft connectors Breathing circuit 15mm, 5/30 length 150cm, watertrap in expiration tubing and heating wire in inspiration tube, connection hose of 40cm 150cm cm 150 cm 40cm cm 40 cm Breathing circuit Ø15mm, paediatric Standard paediatric circuit for Fisher&Paykel MR850 Watertrap in expiration tubing and heating wire in inspiration tubing Y-piece with ports for temperature and pressure measurement Connecting hose of 40cm with soft connectors Breathing circuit Ø15mm, 5/30 length 150cm, dual heated, connection hose of 40cm 52

51 Breathing circuits Medisize Breathing circuits active humidification, neonatal Smooth bore tubing with heating wire Article Description Inner/outer box Breathing circuit Ø10mm, neonatal 25cm Standard circuit for Dräger Babylog 8000 Watertrap in expiration tubing and heating wire in inspiration tubing 11F flexible Soft Connectors for Babylog at inspiration and expiration tube (10mm) Connection tube with soft connectors 22F/11F Temperature sensor port in inspiration at 40cm from Y-piece Breathing ciruit 10mm 5/30 length 120cm, watertrap in expiration tubing and heating wire in inspiration tube. Connector with temperature sensor port at 40cm from Y-piece. Connection hose of 25cm Breathing ciruit 10mm 5/20 length 150cm, watertrap in expiration tubing and heating wire in inspiration tube. Connector with temperature sensor port at 40cm from Y-piece. Connection hose of 25cm 53

52 Breathing circuits Medisize Breathing circuits active humidification, neonatal Smooth bore tubing with heating wire Article Description Inner/outer box Breathing circuit Ø10mm, neonatal (1) (2) Circuit for Dräger Babylog 8000 Watertrap in expiration tube and heating wire in inspiration tubing 11F flexible Soft Connectors for Babylog at inspiration and expiration (10mm) Temperature sensor port in inspiration at 40cm from Y-piece Additional tubing for connection between ventilator and specific neonatal humidifier chamber MR225 (1) Additional tubing for connection between ventilator and other waterchambers (2) Breathing circuit 10mm 5/30 length 110cm, watertrap in expiration tubing and heating wire inspiration tube. Additional connection tubing, 25cm for MR Breathing circuit 10mm 5/30 length 150cm, watertrap in expiration tubing and heating wire inspiration tube. Additional connection tubing, 30cm for MR225 54

53 Breathing circuits Medisize Breathing circuits active humidification, neonatal Smooth bore tubing with heating wire Article Description Inner/outer box 60cm cm Breathing circuit Ø10mm, neonatal Circuit for Newport Ventilator Watertrap in expiration tube and heating wire in inspiration tubing 22F Soft Connectors at inspiration and expiration (10mm) Temperature sensor port in inspiration at 40cm from Y-piece Line (180cm) for pressure monitoring Connection tubing of 60cm between ventilator and neonatal humidifier chamber MR225 Enclosed two connectors, 15F/22M and 22M/22M-15F, for connection with the water chamber Breathing circuit 10mm 5/20 length 120cm, watertrap in expiration tubing and heating wire inspiration tube. 55

54 Breathing circuits Medisize Breathing circuits active humidification, neonatal Smooth bore tubing with heating wire Article Description Inner/outer box Breathing circuit Ø10mm, neonatal 40cm Standard circuit for Dräger Babylog 8000 Watertrap in expiration tubing and heating wire in inspiration tubing 11F flexible Soft Connectors for Babylog at inspiration and expiration tube (10mm) Temperature sensor port in inspiration tube at 60cm from soft 11F connector Breathing circuit 10mm 5/30 length 150cm, watertrap in expiration tubing and heating wire in inspiration tube, connection hose of 40cm Port for measuring NO concentration Breathing circuit Ø10mm, neonatal For administration of NO 40cm Standard circuit for Dräger Babylog 8000 Watertrap in expiration tubing and heating wire in inspiration tubing 11F flexible Soft Connectors for Babylog at inspiration and expiration tube (10mm) Connection tubing of 60cm between ventilator and neonatal humidifier chamber MR225 Temperature sensor port in inspiration tube at 60cm from soft 11F connector Breathing circuit 10mm 5/20 length 150 cm, watertrap in expiration tubing and heating wire inspiration tube, connection hose of 40cm 56

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