CRITICAL CARE CPAP Systems

CRITICAL CARE CPAP Systems Continuous Positive Airway Pressure

Contents Face Masks & Headgear 02 Clariti PEEP Valves 03 Bi-Level Full Face Mask & Headgear 04 V2 Face Mask & Headgear 05 CPAP Systems 06 NIV Systems 10 CPAP Components 11 MAXBlend Flow Generator 12 MaxVenturi Flow Generator 13

CPAP Systems Continuous Positive Airway Pressure Continuous Positive Airway Pressure (CPAP) is used to administer fresh gas pressure to the spontaneously breathing patient. By opening more alveolar spaces, CPAP increases the number of functional airways, thereby reducing total resistance.this has been demonstrated in many chronic or acute situations, whether in the post-operative period or in home ventilation. CPAP Benefits: l Increases Functional Residual Capacity (FRC) l Reduces the patient s Work of Breathing (WB) l Maximises alveolar ventilation l Maximises blood oxygenation and reduces carbon dioxide retention l Mobilises respiratory secretions l Improves lung compliance l Shortens stay in intensive care The success of CPAP therapy is highly influenced by patient compliance and the level of comfort provided by the CPAP mask and headgear. We have developed a diverse range of CPAP products and accessories to help ensure total comfort for your patient. 01

Face Masks & Headgear ur CPAP face masks are double-ported with unidirectional valves to eliminate rebreathing and are fitted with an anti-asphyxia valve. Masks are also equipped with a pressure monitoring port to enable proximal readings. The clear crown ensures easy visibility and low dead space while the anatomically shaped, large volume, inflatable cuff is designed to provide an effective, low pressure seal. Masks are available in 3 sizes; small, large and large deep to fit a wide range of patient profiles thereby ensuring a comfortable, secure seal. ur deluxe headgear is made from a soft, breathable fabric which is designed to remove moisture from the patient s skin thereby reducing the risk of skin erosion. Soft Velcro fastenings allow for easy fitting and adjustment. Headgear designs are also available in latex-free rubber. Key Features: l Double-ported with unidirectional valves Ensures clear separation of inspiratory and expiratory gas l Anti-asphyxia valve Provides air entrainment to mask if gas supply is interrupted or gas delivery fails l Pressure monitoring port Provides real time measurement of airway pressure l Clear crown Allows visualization of breathing patterns and presence of foreign matter (e.g. Vomitus) l Low mechanical dead space Minimises rebreathing of alveolar C 2 l Anatomically shaped, large volume, inflatable cushion ptimises patient comfort, position of mask and provides an airtight seal l 22mmM inspiratory port Allows direct connectivity to standard 22mm connectors (no need for intermediate adapter) l Available in 3 sizes ptions to suit all patients indicated for high flow CPAP therapy l Soft breathable headgear ptimises patient comfort and mask tolerance Product Information: Box Qty AMFM8881 CPAP face mask, double-ported, small 20 AMFM8882 CPAP face mask, double-ported, large 20 AMFM8883 CPAP face mask, double-ported, large deep 20 AMHS8151 Basic head strap in latex-free rubber 20 AMHS8152 UltraSeal CPAP headgear in latex-free rubber 20 AMHS8154 UltraSeal CPAP headgear in Breathoprene textile 20 AMCP1422/5/1 Pressure monitoring line, length 2.1m 20 AMCA1422/2 xygen tubing, length 2.1m (non-coloured) 20 02

Clariti PEEP Valves Positive End ory Pressure (PEEP) is used to maintain pressure on the lower airways at the end of the breathing cycle which prevents the alveoli from collapsing during expiration. Clariti s are fixed valves made from a transparent material which enables monitoring of the patient s respiratory rate and blockage assessment while a highly fluorescent valve facilitates observation of valve functionality. Key Features: l Transparent casing enables monitoring of patient s respiratory rate and blockage assessment l Fluorescent valve facilitates observation of valve functionality l Available in 7 sizes and colour coded l Available as part of a CPAP kit including face mask, headgear and circuit The Clariti range includes seven s ranging from 2.5 to 20cmH 2 which are colour-coded for ease of identification. All our valves are 100% leak-free guaranteed. Product Information: Box Qty Colour AMPV9003 2.5cmH 2 10 AMPV9005 5.0cmH 2 10 AMPV9007 7.5cmH 2 10 AMPV9010 10.0cmH 2 10 AMPV9012 12.5cmH 2 10 AMPV9015 Safety valve 15.0cmH 2 10 AMPV9020 Safety valve 20.0cmH 2 10 03

Bi-Level Full Face Mask & Headgear ur Bi-Level face mask adjusts perfectly to the patient s face preventing air leakage and the headgear is made from a soft, breathable fabric which encapsulates the entire head without covering the ears. The headgear has also been designed in such a way that it can be easily fitted by one person while emergency release straps allow for quick and easy removal. Accessories Face masks are also supplied with a unique nasal gastric tube adapter which provides a leak-free seal around the nasal gastric tube. Additional ports provide for supplemental oxygen, EtC 2 measurement and/or pressure monitoring. A bulb pump allows for convenient inflation/deflation of the mask when fitting. Key Features: l Special contour adaptation of cushion provides secure seal and minimises skin erosion l Special connector with ports for 2, EtC 2 and pressure monitoring l Connector design permits use of nasogastric probe, even while patient is being ventilated l Soft breathable headgear l Low dead space l Available in 5 sizes Customised face mask, headgear and tubing kits are available upon request. Product Information: Box Qty KFM001M Full face mask with headgear, large 50 KFM002M Full face mask with headgear, medium 50 KFM003M Full face mask with headgear, small 50 KFM004M Full face mask with headgear, extra small 50 KFM001L Full face mask with headgear, extra large 50 AMNM200.115 Nasal mask with headgear, small 50 AMNM200.116 Nasal mask with headgear, medium 50 AMNM200.117 Nasal mask with headgear, large 50 KEV02597 C 2 exhalational valve 10 AMCA1402/6 22mmØ, 1.8m smoothbore tubing PU 20 04

V2 Face Mask & Headgear This mask with its soft face piece and lightweight design offers comfort, a wide range of vision and freedom of movement. A patented seal design with moulded ridges which conform to the contours of the face ensures a comfortable, secure seal. Headgear with easy release clips and adjustable straps make fitting this mask quick and simple. The mask is supplied with a swivel elbow connector, vented or non-vented. Single use and reusable options are also available. Key Features: l Soft medical grade TPE l ne piece mould design l Patented seal design allows mask to conform to facial contours l Deep sealing flange in nose bridge area helps create secure seal l Chin Cup provides easy positioning of mask, stability and comfort l Swivel elbow connector; non-vented or vented with anti-asphyxia valve l Available in 5 sizes, single use or reusable Product Information: Box Qty HRFM113530 6500 V2 face mask non-vented, large with headgear 1 HRFM113531 6500 V2 face mask non-vented, medium with headgear 1 HRFM113532 6500 V2 face mask non-vented, small with headgear 1 HRFM113533 6500 V2 face mask non-vented, extra small with headgear 1 HRFM113534 6500 V2 face mask non-vented, petite with headgear 1 HRFM113555 6600 V2 face mask vented, AAV, large with headgear 1 HRFM113556 6600 V2 face mask vented, AAV, medium with headgear 1 HRFM113557 6600 V2 face mask vented, AAV, small with headgear 1 HRFM113558 6600 V2 face mask vented, AAV, extra small with headgear 1 HRFM113559 6600 V2 face mask vented, AAV, petite with headgear 1 HRFM113485 7600 V2 face mask, reusable, vented, AAV, large with headgear 1 HRFM113486 7600 V2 face mask reusable, vented, AAV, medium with headgear 1 HRFM113487 7600 V2 face mask reusable, vented, AAV, small with headgear 1 HRFM113488 7600 V2 face mask reusable, vented, AAV, extra small with headgear 1 HRFM113489 7600 V2 face mask reusable, vented, AAV, petite with headgear 1 05

413 Phar a Systems, Sweden CE0413 - VENT BA FREE xpirat From 0120 Fro 413 From CPAP Systems ur range of CPAP systems includes configurations for face mask CPAP, tracheal tube CPAP and dual CPAP. The following is only a representation of our offering in CPAP systems. Should you wish to design a system to meet your particular requirements please refer to the CPAP components section or contact your local representative. Face Mask CPAP System AMCPUK01042 Face mask CPAP system, non-heated, length 2.0m with large, double-ported CPAP face mask, Breathoprene UltraSeal headgear, 5cmH 2 PEEP valve and breathing filter. 2m Mask Size Small 5cmH 2 AMCPUK01103 7.6mm port Face mask CPAP system, heated for 850 series heater humidifier, length 1.6m, with large double-ported CPAP face mask, UltraSeal head strap, 5cmH 2 with 1.2m humidification limb, safety valve, oxygen analyser T-piece and auto-fill humidification chamber. 7.6mm port Auto fill humidification chamber Heated limb 1.6m 1.2m 5cmH 2 For 2 analyser 20cmH 2 Safety valve 22M(15F) AMCPSI01050 7.6mm port Face mask CPAP system, heated for 730 series heater humidifier, length 1.6m with small double-ported CPAP face mask, Breathoprene UltraSeal headgear, manometer line with 0.2µm hydrophobic filter with 0.8m humidification limb, breathing filter and auto-fill humidification chamber. Auto fill humidification chamber Heated limb 1.6m 0.8m FREE - VENT BA Phar a Systems, Sweden CE0413 06

Fro 0120 From 0120 - VENT BA FREE 0120 From Tracheal Tube CPAP System Tracheal tube CPAP systems facilitate an effective transition from the ventilator to face mask CPAP, without having to remove the tracheal tube at an early stage. AMCP02000 Tracheal tube CPAP system, non-heated, length 1.6m with flow-by limb, suction-ported tracheal T-piece, 5cmH 2 PEEP valve and safety valve. 0.4m 7.6mm port 1.6m 15cm H 2 Safety valve 5cm H 2 AMCPUK01151 Tracheal tube CPAP system, heated for 850 series heater humidifier, length 1.6m with flow-by limb, 5.0cmH 2, plain tracheal T-piece, 0.8m humidification limb, breathing filter and auto-fill humidification chamber. 5.0cmH 2 7.6mm port 0.4m 1.6m 0.8m Auto fill Humidifcation chamber AMCPUK01068 7.6mm port Tracheal tube CPAP system, heated for 730 series heater humidifier, length 1.6m with flow-by limb, 5.0cmH 2, suction-ported tracheal T-piece and 0.8m humidification limb. 5cmH 2 0.4m 1.6m 0.8m 07

xpirat Fro Fro 0120 0120 xpirat Fro 0120 - VENT BA FREE From From Dual CPAP System For face mask or intubated patients Dual CPAP systems enable change over from a tracheal tube set up to a face mask set up without the requirement to hold stock of separate assembled systems. Dual systems come assembled in the tracheal tube configuration. To change the configuration to a face mask set up please amend as follows: l l l l l l Replace sealing cap on patient T-piece Assemble to bottom port of CPAP mask Assemble adapter to top port of CPAP mask and connect inspiratory tubing to adapter Attach manometer line to spigot on CPAP mask Connect assembled system to patient, using headgear provided Confirm pressure measurement and commence therapy AMCP03000 Dual CPAP system for face mask or intubated patients, non-heated, length 2.0m with flow-by limb, suction-ported tracheal T-piece, 5cmH 2, large double-ported CPAP face mask, Breathoprene UltraSeal headgear and safety valve. 5.0cmH 2 0.4m Mask Size Large 2.0m 15.0cmH 2 safety valve AMCPUK01208 Dual CPAP system for face mask or intubated patients, heated for 850 series heater humidifier, length 1.6m with flow-by limb, tracheal T-piece, 5cmH 2, large double-ported CPAP face mask, Breathoprene UltraSeal headgear and safety valve. 5.0cmH 2 Mask Size Large 7.6mm port 0.4m 1.6m 0.8m Auto fill Humidifcation chamber AMCP03010 0.4m 7.6m port 1.6m Dual CPAP system for face mask or intubated patients, heated for 730 series heater humidifier, length 1.6m with flow-by limb, suction-ported tracheal T-piece, 5cmH 2, large double-ported CPAP face mask, Breathoprene UltraSeal headgear and safety valve. 5.0cmH 2 0.8m Mask Size Large 15.0cmH 2 Safety valve 08

0120 From 0120 From CPAP Kits ur CPAP face masks, headgear and s are available as kits ready for use in a variety of combinations and designed for use with our CPAP breathing systems. CPAP kits offer convenience, choice and reduced packaging. Below are some of our more popular combinations. AMCPUK01056 Large double-ported CPAP face mask with UltraSeal headgear and 5.0cmH 2. AMCPUK8882/004 Large double-ported CPAP face mask with Breathoprene UltraSeal headgear and 5.0cmH 2. 22M 5cmH 2 AMCPUK8883/006 Large deep double-ported CPAP face mask with Breathoprene UltraSeal headgear and 7.5cmH 2. 22M 7.5cmH 2 09

NIV Systems ur range of NIV systems includes both nasal and oronasal masks suitable for a range of Bi-Level and NIPPV machines. Masks are available with or without C 2 venting. All mask configurations are available in bespoke kits with ventilator tubing. The following is only a representation of our offering in NIV systems. Should you wish to design a system to meet your particular requirements please contact your local representative. AMVC1792/092 Ventilator circuit, single limb, adult, non-heated, length 1.8m in smooth bore PE tubing with bacterial viral breathing filter. AMVC1792/016 Ventilator circuit, adult, single limb, non-heated, length 1.8m in smooth bore tubing with exhalation valve with double swivel plain patient elbow with bacterial viral breathing filter with supplemental oxygen tubing. AMVC1792/004 Ventilator circuit, adult, single limb, heated for use with 850 series heater humidifier, length 1.5m in smooth bore tubing with exhalation valve with tubing and 0.2µm hydrophobic gas filter with humidification limb length 0.8m in corrugated tubing with auto-fill humidification chamber with bacterial viral breathing filter. 10

CPAP Components A range of CPAP components are available for use with our CPAP face masks, headgear and breathing systems. Components can be assembled to your requirements or purchased separately. Product Information: Box Qty AMFM8881 CPAP face mask, double-ported, small 20 AMFM8882 CPAP face mask, double-ported, large 20 AMFM8883 CPAP face mask, double-ported, large deep 20 AMHS8151 Basic head strap in latex-free rubber 20 AMHS8152 UltraSeal CPAP headgear in latex-free rubber 20 AMHS8154 UltraSeal CPAP headgear in Breathoprene textile 20 AMCP1422/5/1 Pressure monitoring line, length 2.1m 20 AMPV9003 2.5cmH 2 10 AMPV9005 5.0cmH 2 10 AMPV9007 7.5cmH 2 10 AMPV9010 10.0cmH 2 10 AMPV9012 12.5cmH 2 10 AMPV9015 Safety valve 15.0cmH 2 10 AMPV9020 Safety valve 20.0cmH 2 10 AMCA9005/A Mask connector, 30mmM/22mmM 20 AMCA1300 Straight connector, 22mmM/22mmM(15mmF) 50 AMCA1303 Straight connector, 22mmM/22mmF with 7.6mm port 50 AMCA1328 Straight connector, 22mmM/22mmM with 7.6mm port 50 AMCA1450 T-piece, 22mmM/22mmM/22mmM(15mmF) 50 AMCA1452 T-piece, 22mmM/22mmF/22mmM(15mmF) 50 AMCA1453 T-piece, 22mmM/22mmM/22mmM(15mmF) with 7.6mm port 50 AMCA1454 T-piece, 22mmM/22mmF/22mmM(15mmF) with 7.6mm port 50 AMCA1455 T-piece, 22mmM/22mmF/22mmF 50 AMCA1400/1/1 Tubing limb, 0.4m length, 22mmF/22mmF 20 AMCA1400/1/2 Tubing limb, 0.8m length, 22mmF/22mmF 20 AMCA1400/1/3 Tubing limb, 1.2m length, 22mmF/22mmF 20 AMCP1407 Heated tubing limb, length 1.2m, for 730 series heater humidifier 20 AMCP1408 Heated tubing limb, length 1.4m, for 730 series heater humidifier 20 AMCP1409 Heated tubing limb, length 1.6m, for 730 series heater humidifier 20 AMCP1407/001 Heated tubing limb, length 1.2m, for 850 series heater humidifier 20 AMCP1408/001 Heated tubing limb, length 1.4m, for 850 series heater humidifier 20 AMCP1409/001 Heated tubing limb, length 1.6m, for 850 series heater humidifier 20 11

MAXBlend TM Flow Generator The MAXBlend TM is designed to provide a continuous air/oxygen gas mixture to paediatric and adult patients. Specifically designed for high flow CPAP, the MAXBlend TM uses leading air/oxygen blending technology in combination with oxygen monitoring technology. It is unique from all other flow generators, as oxygen flow control is separate from air flow control enabling 21% oxygen concentration with any size of at any flow rate. MAXBlend TM with its built-in monitor provides the ability to measure oxygen percentage in a clean and dry environment away from the patient. Key Features: l Three-in-one blender enables precise mixing of medical air and oxygen l Helps eliminate cross-contamination l Provides measurements free from temperature, pressure & humidity l Digital display of oxygen concentration in the range of 21 100% at any flow rate up to 120L/min l 18% low to 99% high alarm capabilities (visible and audible) l Connects directly to wall mounted oxygen and air supplies or gas cylinders l Compact and quiet l Highly portable l Simple to use l 24-month warranty Product Information: AMMBCS1 AMMBFG1 AMMBPS AMMBPM1 AMMBPH1 AMMBPH2 AMMBFM1 AMMBFC1 AMMBMA AMMBFA MAXBlend TM CPAP Flow Generator complete system with pole mount, oxygen and medical air high pressure hoses, rotameter flow meter and oxygen fuel cell MAXBlend TM CPAP Flow Generator Stand with pole, stainless steel with locking casters Pole mount for MAXBlend TM CPAP Flow Generator xygen high pressure hose for MAXBlend TM CPAP Flow Generator Medical air high pressure hose for MAXBlend TM CPAP Flow Generator 120L/min rotameter flow meter for MAXBlend TM CPAP Flow Generator Galvanic oxygen fuel cell for MAXBlend TM CPAP Flow Generator Analogue manometer with pole mount 22mmM flow meter adapter, black 12

MaxVenturi TM Flow Generator The MaxVenturi TM has been specially designed to interface with high flow humidification systems. It provides users with the ability to mix ambient air and oxygen without the need for piped medical grade air, creating the perfect system for patients requiring high flow therapy. Key Features: l Ability to mix ambient air and oxygen without the need for piped medical air l Independent adjustable 2 % and flow l Long battery life on analyser (approximately 5,000 hours) l All-in-one oxygen/air mixer, Max 2 + analyser and flow meter l 24-month warranty Product Information: MTV211P03-003 MaxVenturi TM with oxygen sensor and Hewitt clamp MTV211P03-004 MaxVenturi TM with oxygen sensor and basic clamp MTSR115P85 xygen sensor for MaxVenturi TM AMMBPH3 xygen hose for MaxVenturi TM (NIST), length 2.0m 13

Armstrong Medical Wattstown Business Park Newbridge Road Coleraine BT52 1BS T +44 (0) 28 7035 6029 F +44 (0) 28 7035 6875 E info@armstrongmedical.net W www.armstrongmedical.net Creating Support for Life Creating Support for Life All Armstrong Medical products are manufactured to quality systems under IS 13485 and EC Directive 93/42/EEC. Distributed by: AMCPBR01 Armstrong manufacture a complete range of disposable respiratory products for anaesthesia and critical care applications. For supply of these products or any product within the Armstrong range, please contact your local representative.