OUR NEONATAL & PAEDIATRIC ANAESTHESIA & LARYNGOSCOPE RANGE. because you shouldn t have to make things fit INSTRUMENTS FOR LIFE TM

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1 OUR NEONATAL & PAEDIATRIC ANAESTHESIA & LARYNGOSCOPE RANGE because you shouldn t have to make things fit B.A.001/1 Timesco of London Ltd, Timesco House, 3 Carnival Park, Carnival Close, Basildon, Essex SS14 3WN, England T: +44 (0) F: +44 (0) E: info@timesco.com INSTRUMENTS FOR LIFE TM

2 I N T R O D U C T I O N CONTENTS Single use Reusable The Timesco Neonatal and Paediatric Anaesthesia & Laryngoscope Range. 4 Europa Macintosh 5 Europa Miller 6 Callisto Macintosh 7 Callisto Miller 8 Orion Macintosh 9 Orion Miller 10 Optima CLX Macintosh 11 Optima CLX Miller 12 Optima CLX Robertshaw Optima CLX Oxford 13 Optima CLX Wisconsin Optima CLX Seward 14 Optima Eclipse 15 Optima Viewmax Optima Magill 16 Europa & Callisto Handles 17 Orion & Optima XL Handles When UK Anaesthetist Dr Frank Leonard Robertshaw ( ), developed his laryngoscope, like E.H.Seward before and R.A.Miller before that, he had in mind the needs of both the infant and paediatric patient. The Macintosh laryngoscope was invented with the adult patient in mind and although paediatric and neonatal sizes were later developed and manufactured, they were simply scaled down versions of the adult size - unlike the Robertshaw blade or for that matter the Seward, Miller, Oxford, Magill blades and others, such as the Cardiff blade all of which are/were specifically designed with the paediatric or neonatal patient in mind. We have extended the range of products from laryngoscopy and intubation to include our ranges of stethoscopes, portable suction devices, rescusitation bags, face masks and forceps. We have also included a section on the Clarus Paediatric Optical Stylet which we feel will be very useful to those interested in difficult airway management. This brochure is not necessarily a complete solution to the needs of all neonatal and paediatric, but whether you are a clinician, nurse or other clinical team member we hope, nevertheless, that it will help you in making the right choice of Timesco product for this important patient group. Graham Dodds Anaesthetic Business Manager, Timesco of London Ltd. 18 Shikani SOS Optical Stylet All our reusable laryngoscopes are covered with our unrivalled Lifetime Guarantee against faulty material or manufacture. Should any part of the system fail whilst being used for the intended purpose, we will simply repair or replace it free of charge. This guarantee applies throughout the working life of the instrument. Consumable parts such as bulbs and fibre optic cores, are not covered by the lifetime guarantee as they may deteriorate over a period of time. INSTRUMENTS FOR LIFE TM 20 Magill Forceps 21 Res-Q-Vac Aspirator 22 Littmann Classic II Stethoscope 23 Diamond Stethoscope 24 Single Use Face Masks 25 Economy Face Mask Silicone Face Mask 26 Timesco Single Use Resuscitator Key = Single use products References Miller R.A. A new laryngoscope for intubation of infants. Anaesthesiology 7: , 1946 Seward E.H. A laryngoscope for resuscitation of the newborn. Lancet 2:1041, 1957 Robertshaw F.L. A new Laryngoscope for Infants and Children. Lancet 2:1034, 1962 Jephcott A. The Macintosh laryngoscope. A historical note on its clinical and commercial development. Anaesthesia 39:474-9, 1984 Westhorpe R.N. The position of the larynx in children and its relationship to ease of intubation. Anaesthesia and Intensive Care 15:384-8, 1987 R.M. Jones et al The Cardiff paediatric laryngoscope blade: a comparison with the Miller size 1 and Macintosh size 2 laryngoscope blades Anaesthesia 59, pp , 2004

3 E U R O P A m a c i n t o s h Our Europa range of laryngoscope blades were developed and designed over 3 years ago as a real alternative to reusable laryngoscope blades, but without compromising on safety or performance. Europa Miller blade rear profile Clinical evaluations of our Europa range, published in both Anaesthesia and the BJA, have been very positive. References Twigg S.J.; McCormick B.; Cook T.M Randomized evaluation of the performance of single use laryngoscopes in simulated easy and difficult intubation. BJA 90:1 pp Goodwin N.; Wilkes A.R.; Hall J.E. Flexibility and light emission of disposable paediatric Miller 1 laryngoscope blades Anaesthesia 61:8 pp DS Europa Macintosh Child No.2 100x17mm DS Europa Miller Child No.2 158x13mm DS Europa Macintosh Infant No.1 92x14mm DS Europa Miller Neonate No.0 75x9.5mm DS Europa Miller Infant No.1 105x9.5mm Maximum rigidity from the metal stainless steel spatula 3 ball bearings for secure reuse on the same patient or for routine checks on crash trolleys Bright focused light, provided by a fixed bulb which will not work loose Latex free Permanent single patient use markings for control of cross infection Fully compatible with ISO 7376 standard light handles Profiles and blade shapes are identical to a reusable blade DS Europa Robertshaw Neonate No.0 100x17mm DS Europa Robertshaw Infant No.1 112x14.5mm E U R O P A m i l l e r 4 5

4 C A L L I S T O m a c i n t o s h Our Callisto range of laryngoscope blades were developed and designed over 3 years ago as a real alternative to reusable laryngoscope blades, but without compromising on safety or performance. Callisto Miller blade rear profile Clinical evaluations of our Callisto range, published in Anaesthesia have been very positive. References Twigg S.J.; McCormick B.; Cook T.M Randomized evaluation of the performance of single use laryngoscopes in simulated easy and difficult intubation. BJA 90:1 pp DS Callisto Macintosh Child No.2 100x17mm DS Callisto Miller Child No.2 153x11mm DS Callisto Robertshaw Infant No.1 107x13.5mm DS Callisto Macintosh Infant No.1 102x8.5mm DS Callisto Miller Infant No.1 102x8.5mm Maximum rigidity from the metal spatula 3 ball bearings for secure reuse on the same patient or for routine checks on crash trolleys Wide 4mm fibre light guide for maximum illumination Latex free Fully compatible with ISO 7376 fibre-optic handles Profiles and blade shapes are identical to a reusable blade New no touch design prevents blade and handle cross infection. DS Callisto Robertshaw Neonate No.0 94x10mm DS Callisto Miller Neonate No.0 75x8.5mm Permanent single patient use markings for control of cross infection DS Callisto Seward Infant No x 13.5mm C A L L I S T O m i l l e r 6 7

5 O R I O N m a c i n t o s h Our Orion blade brings standard light systems into the 21st century, its major benefits include ISO 7376 fitting. The Macintosh blade, developed by R. Macintosh in 1941, is the most popular blade in use for intubation of adult patients under normal circumstances. The curvature of the blade allows the tip to fall naturally into position in the vallecula of the patient and the wide flange assists in holding the tongue safely aside during intubation. Orion Miller blade rear profile The Miller pattern blade is the most popular of the straight blade styles. This is especially true for paediatric use where the extended curve at the tip of the blade facilitates easy anterior lifting of the epiglottis which is comparatively larger and harder to control than in an adult patient. The straight design also allows a more direct view of the larynx, which can be of great benefit in cases of difficult intubation Orion Macintosh Child No.2 100x17mm Orion Miller Child No.2 153x11mm Orion Miller Infant No.1 102x8.5mm Orion Macintosh Infant No.1 92x14mm Orion Miller Neonate No.0 75x8.5mm Orion Miller Premature No.00 68x8mm Orion Macintosh Neonate No.0 80x14mm O R I O N m i l l e r 8 9

6 O P T I M A C L X m a c i n t o s h The Macintosh blade, developed by R. Macintosh in 1941, is the most popular blade in use for intubation of adult patients under normal circumstances. The curvature of the blade allows the tip to fall naturally into position in the vallecula of the patient and the wide flange assists in holding the tongue safely aside during intubation. Optima CLX Miller blade rear profile The Miller pattern blade, developed by Dr Robert Miller of San Antonio, Texas, is the most popular of the straight blade styles. This is especially true for paediatric use where the extended curve at the tip of the blade facilitates easy anterior lifting of the epiglottis which is comparatively larger and harder to control than in an adult patient. The straight design also allows a more direct view of the larynx, which can be of great benefit in cases of difficult intubation. The fibre-optic core in Optima Clx clicks in and out for easier disassembly and assembly; thus reducing the likelihood of protein deposits remaining after sterilisation. The core is an average of 4mm in diameter and increases light output by over 25% Optima CLX Macintosh Child No.2 100x17mm Optima CLX Macintosh Infant No.1 92x14mm Optima CLX Miller Child No.2 153x11mm Optima CLX Miller Infant No.1 102x8.5mm Optima CLX Miller Neonate No.0 75x8.5mm Optima CLX Neonate No.0 80x14mm Optima CLX Miller Premature No.00 68x8mm O P T I M A C L X m i l l e r 10 11

7 O P T I M A C L X r o b e r t s h a w O P T I M A C L X w i s c o n s i n The Robertshaw paediatric blade features a straight tongue with a gently curved tip, designed to lift the epiglottis indirectly. It is also beneficial for nasotracheal intubation as it facilitates the use of Magill forceps with a minimum loss of view. The Wisconsin blade features a more open rear profile allowing even greater visualisation than the Miller blade. The flange of the Wisconsin widens slightly towards the distal end to give better control of the epiglottis Optima CLX Robertshaw Infant No.1 112x12mm Optima CLX Wisconsin Infant No.1 102x11mm Optima CLX Wisconsin Neonate No.0 76x9.5mm Optima CLX Robertshaw Neonate No.0 94x10mm Optima CLX Seward Child No.2 130x13mm Optima CLX Oxford Infant No.1 102x12mm Optima CLX Seward Infant No.1 105x7mm The Oxford blade is suitable for premature infants and children up to the age of 4. The design prevents the lips from obscuring vision and the broad, flat flange is a major benefit in children with an extreme degree of cleft palate. The Seward blade is similar in application and design to the Robertshaw blade but features a small Z-shaped flange. O P T I M A C L X o x f o r d O P T I M A C L X s e w a r d 12 13

8 O P T I M A e c l i p s e O P T I M A v i e w m a x The tilting tip style Macintosh blade was designed for performing difficult intubations. Our Eclipse version of the blade, incorporating the Viewmax spatula profile and fibre optic light source, enables the user to see clearly and position the tip of the blade quickly and easily into the vallecula, using minimum force. The levered tilting tip can then be used to raise the epiglottis and offer comfortable access to the trachea for intubation. Fibre optic illumination provides the user with a bright, white light (courtesy of a 2.8v halogen bulb) which is directed to exactly where illumination is needed by the fibre optic core. Optima CLX Viewmax blade rear profile The Viewmax blade features a concave blade spatula, which actually allows an improved view of the larynx and surrounding structures. This enables the user to visualise the vocal cords without having to apply nearly as much lifting force to the handle Optima Viewmax Child No.2 100x17mm Flexible tilting tip for clearer visualisation even in cases of difficult airways Optima Eclipse Child No.2 100x17mm Optima Magill Infant No.2 130x17mm Optima Magill Neonate No.0 92x12mm Optima Eclipse Child No.2 with Optima XL Handle The Optima Magill blade is set to be angled 10 degrees towards the handle and features an open rear profile for greater visibility. The angling of the blade allows the user to exert force to open the airway in a more natural, horizontal direction when performing intubation. Due to the straight profile, improved visibility and flattened tip, these blades are especially useful for paediatric cases Optima Magill Child No.2 130x17mm Optima Magill blade rear profile O P T I M A m a g i l l 14 15

9 S I N G L E U S E h a n d l e s O R I O N h a n d l e s O P T I M A X L h a n d l e s Europa S and Callisto S single use laryngoscope handle systems have undergone rigorous tests in order to far exceed existing standards. The new lightweight plastic design is a third of the weight of comparable metal disposable handles. Orion laryngoscope handles are made to the ISO 7376 fitting and accommodate most standard, bulb-on-blade laryngoscopes. All handles powered by standard alkaline batteries are identified by a black band. All Orion fibre handles are covered by our lifetime warranty. Optima XL fibre optic laryngoscope handles are made to ISO 7376 or green fitting to accommodate any Optima, Viewmax or Eclipse blade and are identified by a green band. All handles are powered by standard alkaline batteries and feature a new powerful Xenon bulb for maximum illumination. DS Europa S Handle 30mm ø DS Callisto S Handle 30mm ø Optima XL Stubby AA 32mm ø Optima XL Small AA 29mm ø Optima XL Medium C 29mm ø Orion Small AA 18mm ø 16 17

10 S O S o p t i c a l s t y l e t Just as the management of the difficult airway is a challenge in the adult patient, it is no less so in the Paediatric patient. The Clarus Shikani Paediatric Optical Stylet has been designed to fit the needs of paediatric and neonatal patients with pre-existing difficult airways; these include such conditions as Pierre Robin, Treacher Collins and Goldenhar syndromes. The Stylet consists of a malleable stainless steel fibre-optic stem that comes in a pre-formed J shape, an eyepiece that can be connected to any proximal camera system or used stand-alone and a simple adaptor enabling a laryngoscope handle to be used as the light source. The stylet is 27cm long and can accommodate a range of ETT from size 3.0 up to size 5.0 ID Laryngoscope Handle / LED Adaptor SOS-Paed Ultralight LED Light Source References Pfitzner L.; Cooper M.G. The Shikani Seeing Stylet for difficult intubation in children: Initial experience anaesthesia & intensive care 30:pp , 2002 Shukry M. et al Management of the Difficult Pediatric Airway with Shikani Optical Stylet Paediatric Anaesthesia 15:pp , Shikani SOS Optical Stylet Paediatric (Sixe 3.5TT to size 9TT) Tube Stop for Shikani SOS Optical Stylet (Only Paediatric9TT) 18 19

11 I N T U B AT I O N f o r c e p s R E S - Q - VA C a s p i r a t o r Forceps can be used to direct a tracheal tube into the larynx or a gastric tube or other device into the oesophagus. The Magill pattern is designed to enable the user to use the laryngoscope with their left hand while holding the forceps in their right. The angle in the forceps between the handles and the jaws enables them to be used with the handles out of the direct line of sight. All Timesco reusable Magill intubation forceps are fully autoclaveable and guaranteed for life Magill Intubation Forceps Infant 6 S/J Magill Intubation Forceps Child 7.25 S/J The Res-Q-Vac is a hand-operated advanced suction system which provides a full range of suction options for every medical requirement. It consists of a high-quality non-electric suction pump and disposable canisters with appropriate catheters. The system is totally portable and has a very long shelf life providing suction anywhere and anytime it is needed. Wall suction level performance in a portable unit >600 mmhg Always ready to go - no set up required, no batteries to recharge or replace Powerful enough to suction in all situations Patented 0.22 equivalent micron filter ensures maximum infection control - complete range of catheters for all requirements (sterile/non-sterile) Convenient one-handed operation In addition, the Res-Q-Vac is available with a patented Full Stop Protection* 0.22u HEPA style filter: D Magill Intubation Forceps Child Disposable (pack of 10) D Magill Intubation Forceps Infant Disposable (pack of 10) TDM-RQV-120 Res-Q-Vac Aspirator with Child Canister / Small Catheter (10FG) TDM-RQV-130 Res-Q-Vac Aspirator with Neonatal Canister / Small Catheter (8FG) TDM-RQV-220 Spare Child Canister / Small Catheter (10FG) TDM-RQV-230 Spare Neonatal Canister / Small Catheter (8FG) The system s patented Full Stop Protection filter prevents all contamination (viral & bacterial), fluids or pathogens, from exiting the canister and contaminating the health professional or surrounding area. With the Full Stop Protection filter, fluids and pathogens can get into the bottle, but only clean air gets out. The Full Stop Protection filter eliminates overflow, and eliminates any contamination from entering the pump handle or running onto the user. The Full Stop Protection filter reduces exposure and prevents the spread of infectious disease

12 L I T T M A N N c l a s s i c I I D I A M O N D s t e t h o s c o p e The Littmann Classic II paediatric and infant stethoscopes feature stainless steel chestpieces optimally sized for paediatric and infant auscultation. The Paediatric stethoscope features a 1-inch traditional bell combined with a patented floating diaphragm. The infant stethoscope features a 3/4-inch bell with a patented floating diaphragm. The Timesco Diamond range of stethoscopes are made to the highest specifications with internal binaural springs and a quality chestpiece for excellent acoustics. The diaphragm and bell have plastic non-chill sleeves for improved patient comfort. All models are supplied with black tubing, soft sealing eartips and come complete in their own foam lined box. Both stethoscopes feature: Solid stainless steel chestpieces Single-lumen tubing Patented Littmann Snap Tight soft-sealing eartips Comfortably angled anatomically correct headsets Patient friendly nonchill rims and diaphragms TSL-2114 Littmann Classic II Infant Stethoscope 28 (71.25cm) (Black) TSL-2113 Littmann Classic II Paediatric Stethoscope 28 (71.25cm) (Black) TD Diamond Infant Stethoscope (Black) Each stethoscope is supplied with a 3 year warranty TD Diamond Paediatric Stethoscope (Black) TD Diamond Neonatal Stethoscope (Black) 22 23

13 F A C E m a s k s The Timesco range of face masks come in 3 different versions: Single use standard, single use economy and silicone reusable. The single use standard face masks are made of transparent soft vinyl. Each mask has an adjustable pressure valve to ensure minimum leakage and maximum efficacy and patient comfort. The mask hook rings are removable for hand-held procedures. The single use economy face masks are exactly the same as those supplied with our single use resuscitators. The silicone reusable face masks are transparent to allow for visual checking of the patient response. Each mask is latex free. TDM-MP-1450 Neonatal Face Mask Size 0 Single Use (Box of 50) Our single use face masks are made from a transparent soft vinyl which makes them ideal for observing patients lip colour. Each mask has an adjustable air pressure valve to ensure minimum leakage and maximum patient comfort. Hook rings are removable for hand held procedures. The economy face masks are exactly the same masks that are supplied with our disposable resuscitators and are available in six sizes, neonate, infant, paediatric, medium and large adult. TDM-MP-1300 Neonatal Economy Face Mask Size 0 Single Use (Box of 10) TDM-MP-1301 Infant Economy Face Mask Size 1 Single Use (Box of 10) TDM-MP-1302 Paediatric Economy Face Mask Size 0 Single Use (Box of 10) TDM-MP-1451 Infant Face Mask Size 1 Single Use (Box of 50) Silicone face masks are transparent to allow visual checks for bleeding and vomiting. Available in neonate, infant, paediatric, medium and large adult. Latex free and reusable. TDM-MP-1452 Paediatric Face Mask Size 2 Single Use (Box of 50) TDM-MP-1500 Neonatal Silicone Face Mask Size 0 TDM-MP-1501 Infant Silicone Face Mask Size 0 TDM-MP-1502 Paediatric Silicone Face Mask Size

14 T I M E S C O r e s u s c i t a t o r Timesco single use resuscitators are supplied complete with oxygen tubing, an oxygen reservoir bag and a suitably sized anatomical soft sealing mask. Infant and child sizes are supplied with built-in 35cm H20 pop-off valves to protect against barotrauma in the paediatric patient. All our bags are: Latex-free Collapsible for easy storage Single use Versatile, with a 360 degree swivel Additionally, each device is supplied in its own easy-tear bag for immediate access. TDM-MP Timesco Single Use Resuscitator Child 900ml Non Lockable with Mask Size 3 TDM-MP-10422P Timesco Single Use Resuscitator Child 520ml Non Lockable with Mask Size 1 & 2 TDM-MP-10429P Timesco Single Use Resuscitator Infant 320ml Non Lockable with Mask Size 0 / 1 26