EMERGENCY AIRWAY MANAGEMENT SOLUTIONS

Transcription

1 Your Need... Our Innovation company for EMERGENCY AIRWAY MANAGEMENT SOLUTIONS Infant T-Piece Resuscitator with Override Button Masked Laryngeal Airways Disposable Manometer with Integrated Timing Light

2 Contents Flow-Safe CPAP Systems n Flow-Safe II 2-3 n Flow-Safe II EZ 4-5 n Flow-Safe II & II EZ Apnea Alarm Accessory 6-7 n Flow-Safe Mask Styles 8-9 EZflow & EZflow MAX Continuous Nebulizers CPR BVM Bags n LiteSaver Manometer n All-Weather BVM Bags 14 n CPR-2 BVM Bags 15 n CPR BVM Bag Accessories T-Piece Resuscitators n Neo-Tee Infant T-Piece Resuscitator w/override Button n Neo-Tee Infant T-Piece Resuscitator naso-flo Nasopharyngeal Airway Device 22 air-q Masked Laryngeal Airways n air-q sp (Self-Pressurizing) Disposable n air-q sp (Self-Pressurizing) Blocker Disposable n air-q Blocker Disposable n air-q Disposable AnapnoGuard Cuffill Parker Medical Airway Products n Parker Flex-Tip Endotracheal Tube n Parker ThinCuff Tube with Parker Flex-Tip n Parker EasyCurve Endotracheal Tube 37 n Parker Flex-It Directional Stylet 38 Environmental Statement Diversity Statement air-q, Property of Cookgas, LLC Patents US: Patents Canada: Patents UK: 5,937,860 2,231,331 GB B US 6,422,239 B1 2,371,435 GB B US 6,892,731 B2 2,410,043 GB B US 7,331,347 B2 GB B US 6,705,321 B2 US 7,357,845 B2 Patents Japan: US 7,900,632 B US 7,780,900 B2 US 7,934,502 B2 US 7,784,464 B2 US 8,622,060 B2 US 8,631,796 B2 US 9,320,864 B2 Other USA & Foreign Patents Pending References to manufacturers, trademarks and/or trade names contained within this publication are the property of the respective manufacturer. 5/2016 ML Rev. B 1

3 Flow-Safe II Disposable CPAP System A Revolution in Emergency Care When life-saving Emergency Care is in your hands, count on the new Flow-Safe II CPAP System. A major leap in product innovation, it takes Emergency Care to a whole new level over 50% less oxygen consumption than original Flow-Safe, and uses standard flowmeters. Its advantages are many. Which clearly puts you at an advantage. Product Advantages - Over 50% Less Oxygen Consumption than original Flow-Safe Uses less oxygen while delivering high FiO 2. - Built-In Manometer Verifies delivered CPAP pressure & Pressure Relief Valve Automatically adjusts to avoid excess pressure. - Nebulizer (In-Line Capability) Clinicians can administer meds without the need for mask removal. - Advanced Mask Design Lightweight contoured mask and elastic head harness provide a better seal and comfort. - Accepts standard CO 2 Sampling Port Consistent CPAP pressure during inhalation & exhalation SAFE. SURE. SUPERIOR. CPAP When time is of the essence. When accuracy is critical. Count on the new Flow-Safe II CPAP System. Experience the advantages! ADVANTAGE NO 1 ADVANTAGE NO 2 ADVANTAGE NO 3 Uses 50% less oxygen ADVANTAGE NO 4 ADVANTAGE NO 5 50% Less Oxygen than Original Flow-Safe Built-in Manometer Nebulizer (In-Line Capability) Deluxe Face Mask Accepts Standard CO 2 Sampling Port 2 Patents: US 8,522,618 B1 Other patents pending

4 Flow-Safe II Disposable CPAP System ORDERING INFORMATION* Part # Description Packaged # Flow-Safe II CPAP System w/ large adult deluxe mask w/ straight swivel port, head harness 5/Box # Flow-Safe II CPAP System w/ medium/small adult deluxe mask w/ straight swivel port, head harness 5/Box # Flow-Safe II CPAP System w/ child deluxe mask w/ straight swivel port, head harness 5/Box # Flow-Safe II CPAP System w/ large adult mask w/ straight swivel port, headstrap, nebulizer, tee, O 2 tubing 5/Box # Flow-Safe II CPAP System w/ medium/small adult mask w/ straight swivel port, headstrap, nebulizer, tee, O 2 tubing 5/Box # Flow-Safe II CPAP System w/ child mask w/ straight swivel port, headstrap, nebulizer, tee, O 2 tubing 5/Box # Large adult deluxe contoured mask, straight rotating port (22mm female), head harness 5/Box # Medium/Small adult deluxe contoured mask, straight rotating port (22mm female), head harness 5/Box # Child deluxe contoured mask, straight rotating port (22mm female), head harness 5/Box * Other configurations available O 2 Tank Time Chart** CPAP/PEEP Flow/L/min D Cylinder E Cylinder M Cylinder (cm H 2 O) Minutes of oxygen by cylinder size based on full 2000 PSI cylinders ** Conducted by an Independent Test Lab Example of One Competitive Disposable CPAP Device Average O 2 Tank Time Chart CPAP/PEEP Flow/L/min D Cylinder E Cylinder M Cylinder (cm H 2 O) <8 25+ <14 <23 <140 3

5 Flow-Safe II EZ Disposable CPAP System... With Integrated Nebulizer. A major leap in product innovation, it takes Emergency Care to a whole new level. When lives hang in the balance, you need a disposable CPAP System that lives up to the challenge. The Flow-Safe II EZ Disposable CPAP System from Mercury Medical is the only system that has so many advantages, it gives you an advantage in life-saving emergencies. - CPAP & Nebulizer System in One - Less Parts Easy Set-up - Only One O 2 Source Off On On/Off nebulizer switch incorporated in new integrated design SAFE. SURE. SUPERIOR. CPAP Product Advantages - Integrated Nebulizer The Flow-Safe II EZ offers the capability of an in-line nebulizer. - Uses only one oxygen supply source. - Easy Set-up, less parts. - CPAP System Consumes 50% Less Oxygen than original Flow-Safe The Flow-Safe II EZ conserves oxygen while maintaining high FiO 2 delivery. Saves resources and represents a major advantage on long transports. Increasing flow may be necessary when activating the nebulizer. - Built-in Manometer and Pressure Relief Valve Only the Flow-Safe II EZ system features a built-in manometer for verified pressure readings. No assembly of separate apparatus. And the pressure relief valve automatically adjusts to avoid excess pressure. - Advanced Mask Design The Flow-Safe II EZ mask is lighter, easier to handle and is designed to form a better anatomical seal. The elastic head harness is easy-to-place with velcro straps that easily adjust for patient comfort. - Includes Quick Connect Clips - Straight Rotating Port - Soft Forehead Padding easily adjusts reducing pressure on the nose - Accepts standard CO 2 Sampling Port 4 Patents: US 8,522,618 B1 Other patents pending

6 Flow-Safe II EZ Disposable CPAP System ADVANTAGE NO 1 ADVANTAGE NO 2 ADVANTAGE NO 3 Uses 50% less oxygen Integrated Nebulizer One Oxygen Source ADVANTAGE NO 4 50% Less Oxygen* than Original Flow-Safe ADVANTAGE NO 5 Built-in Manometer Deluxe Face Mask Accepts Standard CO 2 Sampling Port Clinicians can now deliver aerosol & CPAP therapy with just one integrated oxygen source. ORDERING INFORMATION Part # Description Packaged # Flow-Safe II EZ CPAP System, large adult deluxe mask with ports and EZflow Max Nebulizer 5/Box # Flow-Safe II EZ CPAP System, medium/small adult deluxe mask with ports and EZflow Max Nebulizer 5/Box # Flow-Safe II EZ CPAP System, child deluxe mask with ports and EZflow Max Nebulizer 5/Box # Flow-Safe II EZ CPAP System, without mask with EZflow Max Nebulizer 5/Box CO 2 Sampling Port Fits In-Line (supplied separately) * Increasing flow may be necessary when activating nebulizer 5

7 Flow-Safe II/Flow-Safe II EZ w/apnea Alarm Accessory Clinicians can now deliver aerosol & CPAP therapy with just one oxygen source and the added safety of an apnea alarm accessory. (OSA) Obstructive Sleep Apnea is a disorder in which oropharyngeal soft tissue intermittently obstructs the airway during sleep. 1-4 If undetected, OSA can lead to serious health problems and is associated with important peri-operative complications Apnea Alarm Accessory Increasing prevalence for sleep apnea requires the integration of a sleep apnea management (SAM) program to reduce the risk of experiencing an adverse event after receiving sedation. 1 Implementing a sleep apnea monitoring program for patients undergoing sedation for medical or surgical procedures will reduce patient health risks, reduce professional medical liabilities and create new revenue streams for disease management services. 1 WITh APNEA ALARM ACCESSORy WITh APNEA ALARM ACCESSORy 1-4, 5-11 D. John Doyle, MD, PhD, Obstructive Sleep Apnea And the Surgical Patient, ANESThESIOLOGy NEWS GUIDE TO AIRWAy MANAGEMENT 2015, pg 60 1 Kathryn hansen, BS, REEGT, CPC Sleep Center Management Institute Senior Advisor, Sleep Diagnosis and Therapy (A Medical Journal for Sleep Professionals), pg 1 of 4, of patients at risk for sleep apnea who receive sedation, kathryn hansen/ 6

8 Flow-Safe II/Flow-Safe II EZ w/apnea Alarm Accessory ORDERING INFORMATION Part # Description Packaged # Flow-Safe II CPAP with large adult cushion mask, blue headstrap 5/Box # Flow-Safe II CPAP with medium/small adult cushion mask, blue headstrap 5/Box # Flow-Safe II CPAP with child cushion mask, blue headstrap 5/Box # Flow-Safe II CPAP without mask 5/Box # Flow-Safe II CPAP with large adult deluxe mask with 90 elbow, anti-asphyxia, head harness 5/Box # Flow-Safe II CPAP with medium/small adult deluxe mask with 90 elbow, anti-asphyxia, head harness 5/Box # Flow-Safe II CPAP with child deluxe mask with 90 elbow, anti-asphyxia, head harness 5/Box # Flow-Safe II CPAP with large adult deluxe mask with straight swivel port, head harness 5/Box # Flow-Safe II CPAP with medium/small adult deluxe mask with straight swivel port, head harness 5/Box # Flow-Safe II CPAP with child deluxe mask with straight swivel port, head harness 5/Box # Flow-Safe II CPAP with large adult cushion mask with valve, blue headstrap 5/Box # Flow-Safe II CPAP with medium/small adult cushion mask with valve, blue headstrap 5/Box # Flow-Safe II CPAP with child cushion mask with valve, blue headstrap 5/Box # Flow-Safe II CPAP with intermediate large adult cushion mask with valve, black headstrap 5/Box # Flow-Safe II CPAP with intermediate medium/small adult cushion mask with valve, black headstrap 5/Box # Flow-Safe II CPAP with intermediate child cushion mask with valve, black headstrap 5/Box # Flow-Safe II CPAP with large adult deluxe mask with straight fixed port, head harness 5/Box # Flow-Safe II CPAP with medium/small adult deluxe mask with straight fixed port, head harness 5/Box # Flow-Safe II CPAP with child deluxe mask with straight fixed port, head harness 5/Box # Flow-Safe II CPAP with large adult deluxe mask with straight swivel port, headstrap, nebulizer, Tee, O 2 tubing 5/Box # Flow-Safe II CPAP with medium/small adult deluxe mask with straight swivel port, headstrap, nebulizer, Tee, 5/Box O 2 tubing # Flow-Safe II CPAP with child deluxe mask with straight swivel port, headstrap, nebulizer, Tee, O 2 tubing 5/Box With Gas Sampling Line and In-Line Tee (Apnea Accessory) # Flow-Safe II CPAP with large adult deluxe mask with straight swivel port, headstrap, Tee, O 2 tubing, 5/Box Gas Sampling Line # Flow-Safe II CPAP with medium/small adult deluxe mask with straight swivel port, headstrap, Tee, O 2 tubing, 5/Box Gas Sampling Line # Flow-Safe II CPAP with child deluxe mask with straight swivel port, headstrap, Tee, O 2 tubing, 5/Box Gas Sampling Line # Flow-Safe II CPAP without mask, Tee, O 2 tubing, Gas Sampling Line 5/Box All Flow-Safe items include a Manometer, Pressure Relief Valve and 7 Oxygen Tubing ORDERING INFORMATION Part # Description Packaged # Flow-Safe II EZ, Large Adult Deluxe Mask with O 2 Ports and EZflow Max Nebulizer 5/Box # Flow-Safe II EZ, Medium/Small Adult Deluxe Mask with O 2 Ports and EZflow Max Nebulizer 5/Box # Flow-Safe II EZ, Child Deluxe Mask with O 2 Ports and EZflow Max Nebulizer 5/Box # Flow-Safe II EZ, without Mask, with EZflow Max Nebulizer 5/Box With Gas Sampling Line and In-Line Tee (Apnea Accessory) # Flow-Safe II EZ, Large Adult Deluxe Mask with O 2 Ports and EZflow Max Nebulizer w/ Gas Sampling Line 5/Box # Flow-Safe II EZ, Medium/Small Adult Deluxe Mask with O 2 Ports and EZflow Max Nebulizer w/ Gas 5/Box Sampling Line # Flow-Safe II EZ, Child Deluxe Mask with O 2 Ports and EZflow Max Nebulizer w/ Gas Sampling Line 5/Box 7

9 Flow-Safe Disposable CPAP System Mask Styles The First Disposable CPAP System with built-in Safety Features for less. Features - 4 Mask Styles - Accepts Standard Nebulizers - Accepts CO 2 Sampling Port - highly Portable, Easy Set-Up - Latex-Free Intermediate Cushioned Mask Deluxe Mask w/ Straight Rotating Port Flow-Safe CPAP Mask Descriptions: Cushioned Mask Deluxe Mask w/90 Swivel Port & Anti-Asphyxia Valve Deluxe Mask with Straight Rotating Port This Flow-Safe mask style is ideal for EMS. The netted headgear fabric is cool and easily stretches when placing on patients. The velcro straps allow easy adjustment for proper fit. Soft cushion tabs on the forehead decrease pressure on the patient s nose. This deluxe CPAP mask port style accepts a standard nebulizer in-line and is key to agencies that have added asthma patients to their CPAP protocols. Should the patient require medication delivery after the mask has been placed, the mask easily lifts up and/or the blue quick connect clips can be removed providing easy access for delivering nitroglycerin or other meds. Available with or without oxygen ports. Deluxe Mask with 90 Swivel Port & Anti-Asphyxia Valve While some EMS agencies like this mask style, it is well suited for hospital use where they may prefer the anti-asphyxia valve for their CPAP patients. The Mercury Flow-Safe CPAP system is an open system so asphyxia is not a concern. It includes the same headgear fabric that stretches and is easy to place on patients and the velcro straps easily adjust to fit. Soft cushion tabs on the forehead decrease pressure on the patient s nose. This deluxe CPAP mask port style accepts a standard nebulizer in-line. Due to the swivel feature, this mask will require an additional adapter to maintain the nebulizer in the upright position. Should the patient require medication delivery after the mask has been placed, the mask easily lifts up and/or the blue quick connect clips can be removed providing easy access to the patient s mouth. Available with or without oxygen ports. 8

10 Flow-Safe Disposable CPAP System Mask Styles The First Disposable CPAP System with built-in Safety Features for less. Features - 4 Mask Styles - Accepts Standard Nebulizers - Accepts CO 2 Sampling Port - highly Portable, Easy Set-Up - Latex-Free Intermediate Cushioned Mask Deluxe Mask w/ Straight Rotating Port Flow-Safe CPAP Mask Descriptions: Cushioned Mask Deluxe Mask w/90 Swivel Port & Anti-Asphyxia Valve Intermediate Cushion Mask with Fabric Headstrap Similar to the original cushion mask, this mask also includes an inflation valve. It features a comfortable material headstrap, in place of the blue headstrap, offering an affordable option. This mask also features quick connect clips to the cushion mask allowing for easier access for administering medication after CPAP therapy is implemented. Cushion Mask with Blue TPR (Thermoplastic Rubber) Headstrap The original cushion mask with blue headstrap is available when cost is a consideration. Standard nebulizers connect in-line. The cushion mask contains a color-coded hook ring for attaching the blue neoprene headstrap. If the patient requires medication after CPAP therapy has begun, they can detach the blue headstrap to access the oral cavity and re-attach the straps to the hook rings to continue CPAP. 9

11 Family of EZflow Continuous Nebulizers family of Better Design = Better Outcomes It has been clinically demonstrated that CONTINUOUS nebulization is more effective than INTERMITTENT treatments. The EZflow/EZflow MAX Continuous Nebulizers design provides: EZflow 3 LPM flow rate EZflow MAX 6-10 LPM flow rate - Continuous medication delivery to patients for up to 4 hrs with EZflow and hrs with EZflow MAX. - higher concentrations of medication, up to 9.1 mg/hr of Albuterol vs. only 6.9 mg/hr of Albuterol from competitive brands (In-Vitro Comparison of Six Continuous Nebulizers) 1. - The nebulizer design with the reservoir attached directly to the mask reduces rainout and subsequent inadequate dosing issues. - A spillproof design helps to eliminate waste and cleanup. The advanced design of the EZflow continuous nebulizers deliver higher concentrations of medication. The Design That Delivers... Product Advantages - Eliminates the need for aerosol tubing, IV pole and bracket. - Quick, easy setup. - More comfortable for patient. - Allows up to 4 hours of continuous therapy with a small volume nebulizer. - Optimal drug delivery for entire treatment. - Minimizes medication waste, ideal for ventilator patients. - Enhances oxygen delivery. - Eliminates cleanup and waste. - Easy to refill. 1. PMP Publication, December 10, 1999 (From Piper Medical Products, March 9, 1999) , 10 Patents: US 6,338,443 B1

12 Family of EZflow Continuous Nebulizers Sample Guidelines for Preparing Rx Dosing: EZflow 5mg (1cc/Hr.) 10mg (2cc/Hr.) 15mg (3cc/Hr.) 20mg (4cc/Hr.) Output Albuterol Saline Output Albuterol Saline Output Albuterol Saline Output Albuterol Saline 3Lpm in cc s Mixture 3Lpm in cc s Mixture 3Lpm in cc s Mixture 3Lpm in cc s Mixture 1 hr 6cc 1cc 5cc 1 hr 6cc 2cc 4cc 1 hr 6cc 3cc 3cc 1 hr 6cc 4cc 2cc 2 hr 12cc 2cc 10cc 2 hr 12cc 4cc 8cc 2 hr 12cc 6cc 6cc 2 hr 12cc 8cc 4cc 3 hr 18cc 3cc 15cc 3 hr 18cc 6cc 12cc 3 hr 18cc 9cc 9cc 3 hr 18cc 12cc 6cc 4 hr 24cc 4cc 20cc 4 hr 24cc 8cc 16cc 4 hr 24cc 12cc 12cc 4 hr 24cc 16cc 8cc EZflow MAX 5mg (1cc/Hr.) 10mg (2cc/Hr.) 15mg (3cc/Hr.) 20mg (4cc/Hr.) Output Albuterol Saline Output Albuterol Saline Output Albuterol Saline Output Albuterol Saline 6Lpm in cc s Mixture 6Lpm in cc s Mixture 6Lpm in cc s Mixture 6Lpm in cc s Mixture 1 hr 12cc 1cc 11cc 1 hr 12cc 2cc 10cc 1 hr 12cc 3cc 9cc 1 hr 12cc 4cc 8cc 2 hr 24cc 2cc 22cc 2 hr 24cc 4cc 20cc 2 hr 24cc 6cc 18cc 2 hr 24cc 8cc 10Lpm 10Lpm 10Lpm 10Lpm Flow 1 hr 16cc 1cc 15cc 1 hr 16cc 2cc 14cc 1 hr 16cc 3cc 13cc 1 hr 16cc 4cc 12cc 1.5 hr 24cc 1.5cc 22.5cc 1.5 hr 24cc 3cc 21cc 1.5 hr 24cc 4.5cc 19.5cc 1.5 hr 24cc 6cc 18cc ORDERING INFORMATION Part # Description Packaged Low Flow EZflow Continuous Nebulizer (up to 3 LPM Flow) 25/Box Low Flow EZflow Continuous Nebulizer with Adult Mask and Oxygen Tubing (up to 3 LPM Flow) 25/Box high Flow EZflow MAX Continuous Nebulizer (up to 10 LPM Flow) 25/Box high Flow EZflow MAX Continuous Nebulizer with Adult Mask and Oxygen Tubing (up to 10 LPM Flow) 25/Box high Flow EZflow MAX Continuous Nebulizer with Pediatric Mask and Oxygen Tubing (up to 10 LPM Flow) 25/Box 11

13 LiteSaver The LiteSaver Manometer with integrated timing light for improved adult and pediatric ventilation. After pulling the red tab, a red light is activated and will blink every six (6) seconds as an indication for the clinician to squeeze the bag and ventilate the patient. (Time Sequence - 10 Breaths Per Minute/BPM). The LiteSaver Manometer sequence is specifically for adult and pediatric patients with advanced airways in place. (AhA Guidelines 2015) - Variety of BVM configurations with LiteSaver Manometer - Easy-to-Use timing light with Pull Tab for activation - Blinks every 6 seconds - Assists in Reduced risk of aspiration - Assists in Reduced stacking of breaths Manometer Pull Tab to Activate Activated As an added measure of safety, by integrating the compact LiteSaver timing light to the manometer, there are no separate pieces or bulky components to gather or to affix to the BVM (CPR bag) - which also adds additional costs. LiteSaver Manometer not only provides a time indicator for the initial breath, it assists clinicians in delivering a safer, slower ventilation resulting in sufficient expiration time avoiding breath stacking. The Manometer Advantage having a manometer with timing light integrated with a BVM (CPR bag) is critical for validating delivered pressures and to help reduce the incidence of aspiration which can occur between cm h 2 O as shown in the following illustration. Relaxed muscles Bolus of food Longitudinal muscles contract, shortening passageway ahead of bolus Circular muscles contract, constricting passageway and pushing bolus down Relaxed muscles Gastroesophageal sphincter open Gastroesophageal Sphincter opens at cm of h 2 O, combined with ventilation could cause aspiration.* Using a manometer on an adult bag can help to prevent this occurrence. Gastroesophageal sphincter closed * A Reappraisal of Mouth-to-Mouth Ventilation during Bystander-Initiated Cardiopulmonary Resuscitation: Circulation Magazine Patents: US 8,522,618 B1 / US D 748,773S Other patents pending

14 LiteSaver Manometer Disposable Color-Coded Manometer with Integrated Timing Light 0-60 cm H 2 O CPR & CPR-2 LiteSaver Manometer Configurations LiteSaver Manometer Specifications: Manometer Range: 0-60 cm h 2 O Variance: ± 3 cm h 2 O up to 15 cm h 2 O ± 5 cm h 2 O over 15 cm h 2 O Port Size: 4.25 mm nominal Directions for Timing Light: 1. Pull red tab to activate light. 2. Timing Light will appear every six (6) seconds, prompting user to squeeze bag and deliver 10 breaths per minute. Integrated Timing Light Specifications: Ventilation Rate: *Approx. 10 breaths per minute L x W x h 64 mm x 33 mm x 20 mm (including pull tab): (2.51 x 1.29 x.78 ) Weight: 4.3 g Light Cadence Time: 1.5 hr. (light stays on at end of cadence) Brightness of LED: 900 Millicandela (MCD) Battery Shelf Life: 1 year Storage Temperature: -20 to 50 C (-4 to 122 F) per battery performance data provided by manufacturer Operating Temperature: -5 to 40 C (23 to 104 F) * Specifications may vary depending on device and test methods. = CPR-2 PVC = CPR Thermoplastic Rubber ORDERING INFORMATION Part # Adult Small Oxygen Aerosol Expandable Adult Small Adult Pediatric Anatomical PEEP Pop-Off Flex-Link Exhale In-Line Bag StatCO 2 LiteSaver Adult Bag Tubing Large Bore Cushion Cushion Mask Color-Coded Valve Bacteria Bacteria handle Detector Timing Light w/ Reservoir Reservoir Oxygen Mask Mask Sized Mask Filter Filter (Strap) 0-60 cm h 2 O (22mm) Reservoir #3 Manometer # X X X X # X X X X # X X X X X # X X X X # X X X X X # X X X X X # X X X X X # X X X X # X X X X X X # X X X X X # X X X X X # X X X X # X X X X X # X X X X X # X X X X X X # X X X X # X X X X X # X X X X # X X X X X X # X X X X # X X X X # Stand Alone LiteSaver Manometer X # Right Orientation LiteSaver Manometer X # Left Orientation LiteSaver Manometer X Note: Adult - 1,200 ML Small Adult - 1,000 ML 13

15 All Weather BVM Bags Mercury s All Weather BVM goes from one extreme to the other... Many BVM s may not perform optimally under extreme environmental conditions, making resuscitation efforts difficult or impossible. Synthetic Rubber Material (Latex-Free) Large Bore Expandable Reservoir Size #4 All Weather Bag Size #2 Size #3 Size #1 Anatomical Color-Coded Sized Masks The Mercury Medical All Weather bag meets your needs by performing in extreme conditions. Available with Optional Manometer Expands up to 3 n Synthetic rubber bag material performs better in: - Extreme cold environments providing adequate recoil. - Extreme hot environments, competitive bags may collapse. n Choice of masks including the optional unique, anatomically-shaped, color-coded, sized masks for superb patient comfort and a tight seal. All Weather Bag with Flex-Link Tubing - 14 and expands to 3. n BVM with Flex-Link expandable tubing for facilitating resuscitation during patient transport and in tight spaces. Operating Environmental Limits: Storage Environmental Limits: -18 to +50 C -40 to +60 C ORDERING INFORMATION Part # Size Description Packaged # Adult BVM (CPR), Standard O 2 Bag Reservoir, Anatomical Color-Coded Size #3 Mask (yellow) 6/Box # Adult BVM (CPR), Standard O 2 Bag Reservoir, Anatomical Color-Coded Size #3 Mask, Flex-Link 6/Box # Adult BVM (CPR), Large Bore Expandable Reservoir, Anatomical Color-Coded Size #3 Mask 12/Box # Child BVM (CPR), Standard O 2 Bag Reservoir, Anatomical Color-Coded Size #2 Mask (White) 6/Box # Infant BVM (CPR), Standard O 2 Bag Reservoir, Anatomical Color-Coded Size #1 Mask (Gray) 6/Box Other configurations with anatomical cushion masks are also available. 14

16 CPR-2 BVM Bags Positive Pressure Ventilation and Self-inflating bags In the long run, Mercury Medical offers you the most comprehensive resuscitation systems designed to manage health care costs more efficiently. - Fills spontaneously after they are squeezed, pulling oxygen or air into the bag - Remains inflated at all times - Can deliver positive pressure ventilation without a compressed gas source - Requires attachment of an oxygen reservoir to deliver 90% - 100% oxygen Available with Optional Manometer Adult CPR-2 Small Adult CPR-2 Child CPR-2 Infant CPR-2 ORDERING INFORMATION* Part # Description Packaged # Adult CPR-2, w/ Mask, w/ Manometer, Expandable Reservoir 12/Box # Adult CPR-2, w/ Mask, Expandable Reservoir 12/Box # Adult CPR-2, w/ Mask, w/ Manometer, O 2 Reservoir Bag 6/Box # Adult CPR-2, w/ Mask, O 2 Reservoir Bag 6/Box # Small Adult CPR-2, w/ Small Adult Mask, O 2 Reservoir Bag, Pop-off, Manometer 6/Box # Child CPR-2, No Mask, w/ Manometer, O 2 Reservoir Bag 6/Box # Child CPR-2, w/ Mask, w/ Manometer, O 2 Reservoir Bag 6/Box # Child CPR-2, w/ Mask, O 2 Reservoir Bag 6/Box # Infant CPR-2, w/ Mask, w/ Manometer, O 2 Reservoir Bag 6/Box # Infant CPR-2, w/ Mask, O 2 Reservoir Bag 6/Box * Other configurations available 15

17 CPR BVM Bags - Accessories More affordable accessories with the Mercury Medical quality you can count on. (See the chart on page 17 for accessories ordering information.) Neo-StatCO 2 <Kg CO 2 Detector Mini StatCO 2 CO 2 Detector StatCO 2 CO 2 Detector PEEP Valve PEEP Valve with Filter Exhalation Filter 0-25 cm Manometer 0-40 cm Manometer 0-60 cm Manometer 16 Face Masks Omni-Link/ Flex-Link Anatomical Color-Coded Sized Masks (Available in 4 sizes)

18 CPR BVM Bags - Accessories ORDERING INFORMATION Part # Description Packaged # Neo-StatCO 2 <Kg (for patients within 0.25 kg - 6 kgs body weight) 20/Box # Mini StatCO 2 (for patients within 1 kg - 15 kgs body weight) 20/Box # StatCO 2 (for patients over 15 kgs body weight) 20/Box # PEEP Valve (MR Conditional - Tesla 3.0, 30mm Female Fitting & Adjustable Range 0-20 cm h 2 O) 12/Box # Disposable PEEP Valve with Integral Filter (30mm Female Fitting & Adjustable Range 0-20 cm h 2 O) 12/Box # Exhalation Filter (30mm O.D. X 30mm I.D.) 20/Box # Color-Coded Manometer (Single-Patient-Use, 0-25cm h 2 O) 20/Box # Color-Coded Manometer (Single-Patient-Use, 0-40cm h 2 O) 20/Box # Color-Coded Manometer (Single-Patient-Use, 0-60cm h 2 O) 20/Box # Neonatal Clear Anatomical Face Mask 20/Box # Infant Clear Anatomical Face Mask 20/Box # Pediatric Clear Anatomical Face Mask 20/Box # Child Clear Anatomical Face Mask 20/Box # Adult Small Clear Anatomical Face Mask 30/Box # Adult Large Anatomical Face Mask 30/Box # Omni-Link (Flexible, Corrugated Tubing, 12" Segment) 50/Box # Omni-Link (Flexible, Corrugated Tubing, 6" Segment) 25/Box # Flex-Link (36 extended) 50/Box # Flex-Link (36 extended) 25/Box #DM-7194 Large Face Mask (Size #4, Green) 50/Box #DM-7193 Medium Face Mask (Size #3, yellow) 50/Box #DM-7192 Small Face Mask (Size #2, White) 50/Box #DM-7191 Infant Face Mask (Size #1, Grey) 50/Box 17

19 Neo-Tee w/override Button Providing affordable T-Piece Resuscitation for every NICU bed and for Transport Introducing a better way to deliver positive pressure ventilation to your infant patients with convenient in-line viewing and reliable easy-to-read airway pressure manometer with optional pressure relief override button. The Neo-Tee is flow-controlled and pressure limited. It offers the ability to measure a more consistent, targeted Peak Inspiratory Pressure (PIP) and Positive End-Expiratory Pressure (PEEP). With the new Neo-Tee, there s absolutely NO capital equipment to purchase and it is completely disposable. Even Better... No fatigue from squeezing a bag since there is no bag to squeeze! NEW OPTIONAL PRESSURE RELIEF Override Button New style manometer has larger numbers and is easier to view, especially in dim NICU lighting conditions. Undoubtedly an industry first, Neo-Tee is the only disposable T-Piece device on the market today that offers an improved built-in, easy-to-read monitor on the Tee with optional pressure relief override button for clinicians to override pressure to ranges between cm h 2 O providing convenient, in-line viewing of delivered airway pressure. Product Advantages In-Line Controller Disposable Portable, Built-in Manometer on Tee Adjustable PIP Controller/ Built-in Pressure Relief Variable PEEP Knob Variety of Mask Sizes & Styles - Allows clinicians to change airway pressure in-line close to the patient - Reduced chance of cross-infection, no cleaning required - No capital equipment costs, Affordable at every bedside - Space saving - Lightweight and easily transported - Convenient in-line viewing, accurate and easy-to-read dial (± 3 cm h 2 O up to 15 cm h 2 O and ± 5 cm h 2 O above 15 cm h 2 O) accuracy (0-60 cm h 2 O) - Compact for setting/adjusting pressure - Connects to a flowmeter - Optional PIP controller with override button enables pressure to go to ranges between cm h 2 O when required - Increasing/Decreasing Pressure made easy - Easy-to-turn dial, stays put at desired pressure - Choice of clear anatomical and round silicone face masks in both neonatal and infant sizes 18 Patents: US 8,522,618 B1 / US D672,454 Other patents pending

20 Neo-Tee w/override Button The Neo-Tee includes a built-in pressure relief valve as an added safety measure, limiting ventilatory pressures to 60 cm of h 2 O and the stay-put PEEP valve allows for quick and easy PEEP pressure adjustments as needed. Standard adjustable, easy-to-read PIP controller and safety pressure relief Infant T-Piece Resuscitator Adjustable PIP Controller w/built-in pressure relief (Shown on Flowmeter) 0-60 cm H 2 O PRODUCT SPECIFICATIONS Delivered Oxygen Concentration Up to 100% Cycling Pressure Range 0-60 cm h 2 O Dead Space 4 ml Expiratory Resistance 0.2 cm h 2 O at minimum PEEP 6 LPM Inspiratory Resistance 1.6 cm h 2 O at minimum PEEP 6 LPM Input Gas Flow Range Minimum 5 LPM / Maximum 15 LPM Integral Patient Circuit Manometer Accuracy - Up to 15 cm h 2 O ± 3 cm h 2 O - Greater than 15 cm h 2 O ± 5 cm h 2 O Maximum Pressure on Controller (dependent on flow rate) 60 cm h 2 O ± 5 cm h 2 15 LPM Operation Time Full E LPM - 44 minutes Device Mass 83 g Patient Connection on T-Piece 15 mm taper female (ISO ) PIP Controller Connection Mates with fittings that meet CGA 1240 Oxygen D.I.S.S. Standard Gas Delivery Pressures: Peak Inspiratory Pressure Range 0-60 cm h 2 O Positive End Expiratory Pressure PEEP 05 LPM up to approximately 02 cm h 2 08 LPM up to approximately 06 cm h 2 10 LPM up to approximately 09 cm h 2 15 LPM up to approximately 15 cm h 2 O ORDERING INFORMATION Part # Description Packaged # Neo-Tee Infant T-Piece Resuscitator, Circuit, 0-60 cm h 2 O Manometer, Controller & Override Button, 10/Box Clear Anatomical Infant Face Mask # Neo-Tee with In-line Controller 0-60 cm h 2 O Manometer & Override Button, Clear Anatomical Infant 10/Box Face Mask, packaged in drawstring bag # Neo-Tee with In-line Controller 0-60 cm h 2 O Manometer & Override Button, No Mask, 10/Box packaged in drawstring bag # Neo-Tee with In-line Controller 0-60 cm h 2 O Manometer & Override Button, Clear Anatomical Infant 10/Box Face Mask & Neonatal Mask, packaged in drawstring bag NOTE: All In-line Neo-Tee are packaged in a drawstring poly bag. 19

21 Neo-Tee Infant T-Piece Resuscitator First and Only Disposable Infant T-Piece Resuscitator Undoubtedly an industry first, Neo-Tee is the only disposable T-Piece device on the market today that allows consistent PIP & PEEP and offers a built-in monitor on the Tee for convenient, in-line viewing of delivered airway pressure. IN-LINE Flowmeter ORIGINAL Color-Coded Neo-Tee Adjustable PIP Controller with Pressure Relief Variable PEEP Knob PEEP Knob hole Built-in Color-Coded Manometer The In-Line Controller allows clinicians to change airway pressure close to the patient. Adjustable Pressure Knob Circuit/Tubing A better, more consistent way to deliver positive pressure ventilation and PEEP to your infant patients with convenient in-line viewing and reliable easy-toread airway pressure dial. Product Advantages In-Line Controller Disposable Portable, Built-in Manometer on Tee Adjustable PIP Controller/ Built-in Pressure Relief Variable PEEP Knob Variety of Mask Sizes & Styles - Allows clinicians to change airway pressure in-line close to the patient - Reduced chance of cross-infection, no cleaning required - No capital equipment costs, Affordable at every bedside - Space saving - Lightweight and easily transported - Convenient in-line viewing, accurate and easy-to-read dial (± 3 cm h 2 O up to 15 cm h 2 O and ± 5 cm h 2 O above 15 cm h 2 O) accuracy (choice of 0-40 cm h 2 O or 0-60 cm h 2 O) - Compact for setting/adjusting pressure - Connects to a flowmeter - Safety Pressure Relief activates at 40 cm h 2 O, - The Adjustable PIP Controller allows clinicians to limit airway pressure to 40 cm h 2 O - Increasing/Decreasing Pressure made easy - Easy-to-turn dial, stays put at desired pressure - Choice of clear anatomical and round silicone face masks in both neonatal and infant sizes 20 Patents: US 8,522,618 B1 / US D672,454 Other patents pending

22 Neo-Tee Infant T-Piece Resuscitator PRODUCT SPECIFICATIONS Delivered Oxygen Concentration Up to 100% Cycling Pressure Range 0 to 40 cm h 2 O Dead Space 4 ml Expiratory Resistance 0.2 cm h 2 O at minimum PEEP 6 LPM Inspiratory Resistance 1.6 cm h 2 O at minimum PEEP 6 LPM Input Gas Flow Range Minimum 5 LPM / Maximum 15 LPM Integral Patient Circuit Manometer Accuracy - up to 15 cm h 2 O ± 3 cm h 2 O - Greater than 15 cm h 2 O ± 5 cm h 2 O Maximum Pressure on Controller (dependent on flow rate) 40 cm h 2 O ± 5 cm h 2 15 LPM Operation Time Full E LPM - 44 minutes Device Mass 83 g Patient Connection on T-Piece 15 mm Taper Female (ISO ) PIP Controller Connection Mates with fittings that meet CGA 1240 oxygen D.I.S.S. standard Gas Delivery Pressures: Peak Inspiratory Pressure Range 0-40 cm h 2 O Positive End Expiratory Pressure PEEP 05 LPM up to approximately 02 cm h 2 08 LPM up to approximately 06 cm h 2 10 LPM up to approximately 09 cm h 2 15 LPM up to approximately 15 cm h 2 O ORDERING INFORMATION Part # Description Packaged # Neo-Tee Infant T-Piece Resuscitator, Circuit, Controller, No Mask, 0-60 cm h 2 O Manometer 10/Box # Neo-Tee Infant T-Piece Resuscitator, Circuit, Controller, Clear Anatomical Infant Face Mask, 10/Box 0-60 cm h 2 O Manometer # Neo-Tee Infant T-Piece Resuscitator, Circuit, Controller, No Mask, 0-40 cm h 2 O Low Range Manometer 10/Box # Neo-Tee Infant T-Piece Resuscitator, Circuit, Controller, Clear Anatomical Infant Face Mask, 10/Box 0-40 cm h 2 O Low Range Manometer # Neo-Tee Infant T-Piece Resuscitator, In-Line Controller, Circuit, No Mask, 0-60 cm h 2 O Manometer 10/Box # Neo-Tee Infant T-Piece Resuscitator, In-Line Controller, Circuit, Clear Anatomical Infant Face Mask, 10/Box 0-60 cm h 2 O Manometer # Neo-Tee Infant T-Piece Resuscitator, In-Line Controller, Circuit, No Mask, 0-40 cm h 2 O Low 10/Box Range Manometer # Neo-Tee Infant T-Piece Resuscitator, In-Line Controller, Circuit, Clear Anatomical Infant Face Mask, 10/Box 0-40 cm h 2 O Low Range Manometer # Neo-Tee Infant T-Piece Resuscitator, Circuit, Controller, Clear Anatomical Infant Face Mask, 10/Box 0-60 cm h 2 O Manometer, packaged in drawstring bag # Neo-Tee Infant T-Piece Resuscitator, Circuit, In-Line Controller, Clear Anatomical Infant Face Mask, 10/Box Clear Anatomical Neonatal Face Mask, 0-40 cm h 2 O low range Manometer # Connector Adaptor for Transport (non in-line application) 10/Box # Replacement Oxygen Tubing, D.I.S.S. Male x D.I.S.S. Female - 7 Length 25/Box MASKS # Clear Anatomical Infant Face Mask 20/Box # Clear Anatomical Neonatal Face Mask 20/Box # Round Type Silicone Face Mask, Size 0 (48mm) 10/Box # Round Type Silicone Face Mask, Size 1 (60mm) 10/Box TEST LUNG #CK-1021 Infant Test Lung (64 ml) 10/Pkg Connector Adaptor for Transport Clear Anatomical Face Masks Round Type Silicone Face Masks Infant Test Lung 21

23 naso-flo Nasopharyngeal Airway Device Nasopharyngeal Airway Device - Oxygen port and elbow allow for direct connection to O 2 source (higher FiO 2 % delivery) - Soft silicone material designed for less traumatic insertions - humidification vents allow for heat/moisture transfer on inhalation - Color-coded elbows aid in correct size selection - Optional filtered respiratory indicator (CO 2 monitor connection) naso-flo w/oxygen Port 10/Box Part # Inside Diameter French Size Outside Diameter Length JQ-NF mm 18FR 6.0mm 100mm JQ-NF mm 22FR 7.3mm 115mm JQ-NF mm 25FR 8.3mm 130mm JQ-NF mm 29FR 9.6mm 140mm JQ-NF mm 32FR 10.7mm 170mm JQ-NF mm 36FR 12.0mm 190mm naso-flo w/oxygen Port/EtCO 2 Connector w/filter 10/Box Part # Inside Diameter French Size Outside Diameter Length JQ-NF mm 18FR 6.0mm 100mm JQ-NF mm 22FR 7.3mm 115mm JQ-NF mm 25FR 8.3mm 130mm JQ-NF mm 29FR 9.6mm 140mm JQ-NF mm 32FR 10.7mm 170mm JQ-NF mm 36FR 12.0mm 190mm Patent Pending 6 Sizes Available naso-flo with Oxygen Port naso-flo with Oxygen Port/EtCO 2 Connector with Filter 22

24 air-q sp Masked Laryngeal Airways Disposable The Only SELF-PRESSURIZING Mask Cuff Takes the Guesswork out of Mask Cuff Inflation - No inflation line necessary - Eliminates the extra step of inflating the mask cuff - Eliminates mask cuff overinflation - Creates a good seal SAFE. SIMPLE. SELF-PRESSURIZING. Product Advantages n n n The New air-qsp eliminates the extra step and guesswork for mask cuff inflation and the potential for over-inflation. - The new design allows Positive Pressure Ventilation to self-pressurize the mask cuff. The increase in cuff seal pressure occurs at the exact time you need it, during the upstroke of ventilation. On exhalation, the cuff decompresses to the level of the PEEP. - The intra-cuff pressure cycles between the Peak Airway Pressure usually cm h 2 O and the level of PEEP < 10 cm h 2 O. Seal Pressure on exhalation averages cm h 2 O. The result is a safer, efficient, low-pressure seal during the majority of the case. The cyclical lowering in intra-cuff pressure may assist in diminishing complications such as: - Mucosal and nerve trauma that result from overinflating traditional peripheral laryngeal mask cuffs. n Allows intubation like the regular air-q. n The SP version can be used as an everyday airway that facilitates intubation. air-q sp 4.5 Large Adult continued on next page air-q, Property of Cookgas, LLC Patents: 5,937,860 / US 6,422,239 B1 / US 6,892,731 B2 / US 7,331,347 B2 / US 6,705,321 B2 / US 7,357,845 B2 / US 7,900,632 B2 / US 7,780,900 B2 / US 7,934,502 B2 / US 7,784,464 B2 / US 8,622,060 B2 / US 8,631,796 B2 / US 9,320,864 B2 Patents Canada: 2,231,331 / 2,371,435 / 2,410,043 Patents UK: GB B / GB B / GB B / GB B Patents Japan: Other USA & Foreign Patents Pending 23

25 air-q sp Masked Laryngeal Airways Disposable continued from previous page 6 Sizes With the new SELF-PRESSURIZING air-qsp there is no need to inflate the mask; it self-pressurizes to the proper inflation pressure automatically during Positive Pressure Ventilation. ORDERING INFORMATION Part # Size Description Packaged Patient Weight # air-qsp (Self-Pressurizing) Masked Laryngeal Airway Disposable (light blue connector) 10/Box 4-7 kgs # air-qsp (Self-Pressurizing) Masked Laryngeal Airway Disposable (light green connector) 10/Box 7-17 kgs # air-qsp (Self-Pressurizing) Masked Laryngeal Airway Disposable (orange connector) 10/Box kgs # air-qsp (Self-Pressurizing) Masked Laryngeal Airway Disposable (yellow connector) 10/Box kgs # air-qsp (Self-Pressurizing) Masked Laryngeal Airway Disposable (red connector) 10/Box kgs # air-qsp (Self-Pressurizing) Masked Laryngeal Airway Disposable (purple connector) 10/Box kgs # #00 Disposable Removal Stylet for 1.0 & 1.5 airway 10/Box # #0 Disposable Removal Stylet for 2.0 & 2.5 airway 10/Box # #1 Disposable Removal Stylet for 3.5 & 4.5 airway 10/Box 24

26 air-q sp/blocker Masked Laryngeal Airways Disposable The NEW patented SELF-PRESSURIZING, disposable air-qsp/blocker incorporates a soft, flexible guide tube allowing access to the posterior pharynx and upper esophagus. There is no need to inflate the mask; it self-pressurizes to the proper inflation pressure automatically. - No inflation line necessary - Eliminates the extra step of inflating the mask cuff - Eliminates mask cuff overinflation - Flexible guide tube allows access to the posterior pharynx and upper esophagus Removable color-coded connector facilitates intubation The Only Self-Pressurizing Mask Cuff Product Advantages Self-pressurizing mask cuff n n n n n The New air-qsp/blocker eliminates the extra step and guesswork for mask cuff inflation and the potential for over-inflation. - The new design allows Positive Pressure Ventilation to self-pressurize the mask cuff. The increase in cuff seal pressure occurs at the exact time you need it, during the upstroke of ventilation. On exhalation, the cuff decompresses to the level of the PEEP. - The intra-cuff pressure cycles between the Peak Airway Pressure usually cm h 2 O and the level of PEEP < 10 cm h 2 O. Seal Pressure on exhalation averages cm h 2 O. The result is an efficient, low-pressure seal during the majority of the case. The cyclical lowering in intra-cuff pressure may assist in diminishing complications such as: - Mucosal and nerve trauma that result from overinflating traditional peripheral laryngeal mask cuffs. Designed to suction the pharynx or suction, vent and block the upper esophagus. The air-qsp/blocker version can be used as an everyday airway that facilitates intubation. continued on next page air-q, Property of Cookgas, LLC Patents: 5,937,860 / US 6,422,239 B1 / US 6,892,731 B2 / US 7,331,347 B2 / US 6,705,321 B2 / US 7,357,845 B2 / US 7,900,632 B2 / US 7,780,900 B2 / US 7,934,502 B2 / US 7,784,464 B2 / US 8,622,060 B2 / US 8,631,796 B2 / US 9,320,864 B2 Patents Canada: 2,231,331 / 2,371,435 / 2,410,043 Patents UK: GB B / GB B / GB B / GB B Patents Japan: Other USA & Foreign Patents Pending 25

27 air-q sp/blocker Masked Laryngeal Airways Disposable continued from previous page air-qsp/blocker with Blocker Tube in place 3 Sizes Available air-q Blocker Tube Creating the color standard for masked laryngeal airways Extended Flexible Swivel Elbow Compressed Flexible Swivel Elbow Ventilate Intubate Block Esophagus ORDERING INFORMATION Part # Size Description Packaged Patient Weight # air-qsp/blocker Disposable Airway only (yellow connector) 10/Box kgs # air-qsp/blocker Disposable Airway only (red connector) 10/Box kgs # air-qsp/blocker Disposable Airway only (purple connector) 10/Box kgs # air-qsp/blocker Disposable Airway Kit w/lubricant (yellow connector, swivel elbow) 10/Box kgs # air-qsp/blocker Disposable Airway Kit w/lubricant (red connector, swivel elbow) 10/Box kgs # air-qsp/blocker Disposable Airway Kit w/lubricant (purple connector, swivel elbow) 10/Box kgs # air-q Blocker Tube for airway size /Box # air-q Blocker Tube for airway size /Box # air-q Blocker Tube for airway size /Box # #0 Disposable Removal Stylet for 2.5 airway 10/Box # #1 Disposable Removal Stylet for 3.5 & 4.5 airway 10/Box 26

28 air-q Blocker Masked Laryngeal Airways Disposable The Everyday Disposable Rescue Airway designed to facilitate intubation... and manage the upper esophagus A design incorporating a soft, flexible guide tube allowing access to the posterior pharynx and upper esophagus. - Use as a primary airway device when an oral endotracheal tube is not necessary. - As an aid to intubation in difficult airway situations. - Well suited when access to posterior pharynx and upper esophagus is desired. Blocker Tubes are designed to suction the pharynx or suction, vent and block the upper esophagus. Removable Color-Coded Connector allows intubation through the airway tube with any standard ET tubes. (Color-coding sets the standard for masked laryngeal airways.) Blocker Channel accepts NG or Blocker Tubes for accessing posterior pharynx and managing the esophagus. Built-up Mask heel for Improved Seal. BLOCKER Product Features - Blocker Channel - heel of mask cuff - Elevation Ramp (built into airway outlet.) - Specially-designed ridges inside mask cavity - Keyhole-Shaped Airway Outlet - Removable, tethered connector for direct access to airway tube Advantages Allows for use with an NG tube or Blocker Tube for managing the esophagus Built-up for improved seal Facilitates placement, directs ET tube toward laryngeal inlet Easier positioning and improved airway alignment Elevates epiglottis to provide unobstructed access to laryngeal inlet Allows intubation through tube with any standard ET tube continued on next page air-q, Property of Cookgas, LLC Patents: 5,937,860 / US 6,422,239 B1 / US 6,892,731 B2 / US 7,331,347 B2 / US 6,705,321 B2 / US 7,357,845 B2 / US 7,900,632 B2 / US 7,780,900 B2 / US 7,934,502 B2 / US 7,784,464 B2 / US 8,622,060 B2 / US 8,631,796 B2 / US 9,320,864 B2 Patents Canada: 2,231,331 / 2,371,435 / 2,410,043 Patents UK: GB B / GB B / GB B / GB B Patents Japan: Other USA & Foreign Patents Pending 27

29 air-q Blocker Masked Laryngeal Airways Disposable continued from previous page air-q Blocker with Blocker Tube in place Blocker Channel BLOCKER 3 Sizes Available Suction air-q Blocker Tube Further blocks the esophagus Vent ORDERING INFORMATION Part # Size Description Packaged Patient Weight # air-q Blocker Masked Laryngeal Airway Disposable only (yellow connector) 10/Box kgs # air-q Blocker Masked Laryngeal Airway Disposable only (red connector) 10/Box kgs # air-q Blocker Masked Laryngeal Airway Disposable only (purple connector) 10/Box kgs # air-q Blocker Disposable kit w/lubricant & 10 cc syringe with swivel elbow 10/Box kgs # air-q Blocker Disposable kit w/lubricant & 10 cc syringe with swivel elbow 10/Box kgs # air-q Blocker Disposable kit w/lubricant & 10 cc syringe with swivel elbow 10/Box kgs # air-q Blocker Tube for airway size /Box # air-q Blocker Tube for airway size /Box # air-q Blocker Tube for airway size /Box # #0 Disposable Removal Stylet for 2.5 airway 10/Box # #1 Disposable Removal Stylet for 3.5 & 4.5 airway 10/Box 28

30 air-q Masked Laryngeal Airways Disposable The next generation supralaryngeal airway. Developed and designed by an anesthesiologist following 8 years of clinical research... for use with Confidence! The design has evolved into a superior airway providing: - Six Sizes - Ease of placement - Better Seal in Everyday Use - Improved Intubation Success The Removable Tethered Connector Avoids Misplacing the Connector. Removable Color-Coded Connector allows intubation through the airway tube with any standard ET tubes. Integrated Bite Block - Easier to place - Reinforces the tube - Diminishes the need - for separate bite block Elevation Ramp...Facilitates Intubation. Directs the ET Tube toward the Laryngeal Inlet. Built-up Mask heel for Improved Seal. air-q 3.5 Small Adult Disposable Product Features - heel of mask cuff - Elevation Ramp (built into airway outlet.) - Specially-designed ridges inside mask cavity - Keyhole-Shaped Airway Outlet - Removable, tethered connector for direct access to airway tube Advantages Built-up for improved seal Facilitates placement, directs ET tube toward laryngeal inlet Easier positioning and improved airway alignment Elevates epiglottis to provide unobstructed access to laryngeal inlet Allows intubation through tube with any standard ET tube continued on next page air-q, Property of Cookgas, LLC Patents: 5,937,860 / US 6,422,239 B1 / US 6,892,731 B2 / US 7,331,347 B2 / US 6,705,321 B2 / US 7,357,845 B2 / US 7,900,632 B2 / US 7,780,900 B2 / US 7,934,502 B2 / US 7,784,464 B2 / US 8,622,060 B2 / US 8,631,796 B2 / US 9,320,864 B2 Patents Canada: 2,231,331 / 2,371,435 / 2,410,043 Patents UK: GB B / GB B / GB B / GB B Patents Japan: Other USA & Foreign Patents Pending 29

31 air-q Masked Laryngeal Airways Disposable continued from previous page 6 Sizes ORDERING INFORMATION Part # Size Description Packaged Patient Weight # air-q Masked Laryngeal Airway Disposable (light blue connector) 10/Box 4-7 kgs # air-q Masked Laryngeal Airway Disposable (light green connector) 10/Box 7-17 kgs # air-q Masked Laryngeal Airway Disposable (orange connector) 10/Box kgs # air-q Masked Laryngeal Airway Disposable (yellow connector) 10/Box kgs # air-q Masked Laryngeal Airway Disposable (red connector) 10/Box kgs # air-q Masked Laryngeal Airway Disposable (purple connector) 10/Box kgs # air-q Disposable w/lubricant & 10 cc syringe 10/Box 7-17 kgs # air-q Disposable w/lubricant & 10 cc syringe 10/Box kgs # air-q Disposable w/lubricant & 10 cc syringe 10/Box kgs # air-q Disposable w/lubricant & 10 cc syringe 10/Box kgs # air-q Disposable w/lubricant & 10 cc syringe 10/Box kgs # #00 Disposable Removal Stylet for 1.0 & 1.5 airway 10/Box # #0 Disposable Removal Stylet for 2.0 & 2.5 airway 10/Box # #1 Disposable Removal Stylet for 3.5 & 4.5 airway 10/Box 30

32 AnapnoGuard CUFFILL The AnapnoGuard CUFFILL Accurate Cuff Pressure Control Made Easy The compact and intuitive AG CUFFILL device is the most accurate solution for measuring both pressure and volume of airway cuffs in all clinical settings. Its pocket-size, syringe-like design allows a simple and easy operation by medical professionals, including first-responders and hospital staff, and by users in the home care environment. The AG CUFFILL is designed to enhance patient safety by minimizing the potential of human error while measuring and inflating airway cuffs, as well as diminishing the risk of cross-contamination, when used for a single patient. It is recommended for single-patient use in order to reduce the risk of cross-contamination. AG CUFFILL Highlights n Volume 10 cc n Measurement range 0-99 (mmhg/cmh 2 O) n Measurement accuracy ±2 (mmhg/cmh 2 O) n Disposable, enables 100 measurements n FDA and CE approved ORDERING INFORMATION Part # Description Packaged JRhSCUFF0041 AnapnoGuard Cuffill (AG Cuffill) 10/Box Instructions for Use n Turn the CUFFILL device ON by pressing the yellow button (it will stay ON for 60 seconds) For cuff pressure measurement n The CUFFILL device should be connected to the tube when the plunger is pushed to the distal end of the syringe throughout the entire measurement For cuff inflation/deflation n The CUFFILL device should be connected to the tube when the plunger is pulled back about 3 cc (or as required) n The plunger should be pushed/pulled until the required cuff pressure is presented n Cuff pressure will change with the breathing cycle n Cuff pressure to be recorded is the lowest pressure presented continued on next page 31

33 AnapnoGuard CUFFILL continued from previous page The Clinical Need [1] Mechanical ventilation and intubation of patients for longer than 48 hours puts the patient at risk of complications. Over-inflation of the cuff may result in injury of the trachea or the vocal cords, while under-inflation may result in aspiration of contaminated subglottic secretions into the lungs, which may cause Ventilator- Associated Pneumonia (VAP). Those complications render the respiration procedure complex and costly, and may result in prolonged hospitalization and high mortality rates. [2] [3] [4] [5] Correct and accurate inflation of the cuff is a crucial element in minimizing the complications of prolonged intubation, yet several tests show that medical staff finds it hard to inflate, The Risk of Tracheal Tissue Injury The Risk of Aspiration maintain and estimate cuff pressure palpation. [6] [7] The accurate management of cuff pressure is specifically crucial in Pediatrics, yet studies show that a significant percentage of pediatric patients have a cuff pressure greater than the generally recommended upper limit. [8] [9] [1] Ramesh, Archana S. et al. An in vitro and in vivo validation of a novel monitor for intracuff pressure in cuffed endotracheal tubes. [2] Lizy, Christelle et al. Cuff Pressure of Endotracheal Tubes After Changes in Body Position in Critically Ill Patients Treated With Mechanical Ventilation; [3] Bhatti, Nasir I. et al. Cost analysis of intubation-related tracheal injury using a national database. [4] Freebairn, Ross C. et al. Endotracheal Cuff Pressures in Ventilated Patients in Intensive Care. [5] Kyaw, Moe h. et al. healthcare utilization and costs associated with S. aureus and P. aeruginosa pneumonia in the intensive care unit: a retrospective observational cohort study in a US claims database (2015). [6] hoffman, Robert J. et al. Experienced Emergency Medicine Physicians Cannot Safely Inflate or Estimate Endotracheal Tube Cuff Pressure Using Standard Techniques. [7] Bryant, Jason et al. Can the Intracuff Pressure Be Estimated by Palpation of the Pilot Balloon? [8] Tobias, Joseph D. et al. Cuffed endotracheal tubes in infants and children: Should we routinely measure the cuff pressure? [9] Schloss, Bryan et al. The laryngeal mask in infants and children: What is the cuff pressure? 32

34 Parker Flex-Tip Endotracheal Tube When Softness Counts The tapered tip of the Parker tube is designed to flex and slide gently along the airway, and to ski easily through the larynx and down the trachea on its curved backside, without catching on or traumatizing the airway anatomy. The rigid edge of standard tubes often catches on and impacts deeply into the fragile airway anatomy. The flexible tip of the Parker tube is designed to prevent such trauma by diffusing any force over a much broader area, and by yielding and sliding away from potential hang-ups. Feel, compare and believe! continued on next page 33

35 Parker Flex-Tip Endotracheal Tube continued from previous page Parker Flex-Tip (flexible, tapered, curved, rounded, centered, resilient) - The long, rigid, distal edge of standard tubes is replaced by the Parker tube s flexible, tapered tip. - Instead of being laterally-oriented, the tapered tip is centrally-oriented, so it can be advanced down the midline of the airway, without catching on lateral structures. - When the Flex-Tip is advanced against any airway structure, its tip flexes and briefly overhangs the distal opening of the tube to prevent that opening from snagging on the airway structure as it is advanced past that structure. After passing the airway structure, the resilient tip springs back to its original position, and continues to glide through the airway on its smooth, rounded, curved, posterior surface. - When the Flex-Tip encounters anatomical irregularities in the airway, it tends to flex and slide past them, or ski over them, like a ski tip. - The flexible tip tends to lie flush against most introducers, such as bougies and flexible fiberoptic scopes, thereby preventing a gap between the tube tip and the introducer that could snag on airway anatomy. Standard Tip - The rigid, long, distal edge of standard tubes is fully exposed to the airway anatomy. It tends to become impacted in soft tissues of the airway and is capable of scraping, lacerating and amputating airway structures. - The side-beveled, distal opening of standard tubes is fully exposed to, and capable of snagging on, tearing, and dislocating the lateral structures of the airway. - The standard tube s tip usually forms a gap with introducers. The gap frequently traps the tube on anatomical features of the larynx, so it cannot be advanced into the trachea without being retracted and repositioned. Attempting to achieve such repositioning frequently results in laryngeal trauma, due to repeated, blind poking of the larynx with the tube tip. Parker Flex-Tip Standard Tip ORDERING INFORMATION Part # Size (mm ID) Description Packaged #IT-h-PFhV mm high Volume Low Pressure, Cuffed 10/Box #IT-h-PFhV mm high Volume Low Pressure, Cuffed 10/Box #IT-h-PFhV mm high Volume Low Pressure, Cuffed 10/Box #IT-h-PFhV mm high Volume Low Pressure, Cuffed 10/Box #IT-h-PFhV mm high Volume Low Pressure, Cuffed 10/Box #IT-h-PFhV mm high Volume Low Pressure, Cuffed 10/Box #IT-h-PFhV mm high Volume Low Pressure, Cuffed 10/Box #IT-h-PFhV mm high Volume Low Pressure, Cuffed 10/Box #IT-h-PFhV mm high Volume Low Pressure, Cuffed 10/Box #IT-h-PFhV mm high Volume Low Pressure, Cuffed 10/Box #IT-h-PFhV mm high Volume Low Pressure, Cuffed 10/Box #IT-h-PFhV mm high Volume Low Pressure, Cuffed 10/Box 34

36 Parker ThinCuff Tube with Parker Flex-Tip Now, a thinner, gentler cuff mounted on DEhP-free tubing to accompany the unique Parker Flex-Tip. No other endotracheal tube offers this combination of features designed to make intubation faster, easier and safer. Comparative clinical studies in the U.S. and Japan found Parker Flex-Tip tubes to be significantly less traumatic to the airway than standard tip endotracheal tubes. The tapered, flexible tip of the Parker tube is designed to flex and slide easily through the airway without catching on or traumatizing the airway in any way, so as to make intubation significantly faster and safer. The new polyurethane ThinCuff is designed to seal against the tracheal wall at a lower intracuff pressure than is required for thicker, PVC cuffs, so as to reduce cuff pressure on the tracheal capillary circulation. For sound medical and environment reasons, there is a growing international preference for DEhP-free medical products. Parker ThinCuff tubes comply with this preference. Two types of Parker ThinCuff tubes are available. Magill-type: has a shorter cuff, closer to the tip of the tube, No Murphy eyes, DEhP-free tubing. Sizes Murphy-type: has a longer cuff and 2 Murphy eyes, DEhP-free tubing. Sizes Magill-type: ORDERING INFORMATION Part # Size (mm ID) Description Packaged #IT-h-PTCL mm DEhP-free, Low Pressure, Polyurethane Cuff, no Murphy eyes 10/Box #IT-h-PTCL mm DEhP-free, Low Pressure, Polyurethane Cuff, no Murphy eyes 10/Box #IT-h-PTCL mm DEhP-free, Low Pressure, Polyurethane Cuff, no Murphy eyes 10/Box #IT-h-PTCL mm DEhP-free, Low Pressure, Polyurethane Cuff, no Murphy eyes 10/Box #IT-h-PTCL mm DEhP-free, Low Pressure, Polyurethane Cuff, no Murphy eyes 10/Box #IT-h-PTCL mm DEhP-free, Low Pressure, Polyurethane Cuff, no Murphy eyes 10/Box #IT-h-PTCL mm DEhP-free, Low Pressure, Polyurethane Cuff, no Murphy eyes 10/Box #IT-h-PTCL mm DEhP-free, Low Pressure, Polyurethane Cuff, no Murphy eyes 10/Box #IT-h-PTCL mm DEhP-free, Low Pressure, Polyurethane Cuff, no Murphy eyes 10/Box Murphy-type: ORDERING INFORMATION Part # Size (mm ID) Description Packaged #IT-h-PTCy mm DEhP-free, Low Pressure, Polyurethane Cuff, 2 Murphy eyes 10/Box #IT-h-PTCy mm DEhP-free, Low Pressure, Polyurethane Cuff, 2 Murphy eyes 10/Box #IT-h-PTCy mm DEhP-free, Low Pressure, Polyurethane Cuff, 2 Murphy eyes 10/Box #IT-h-PTCy mm DEhP-free, Low Pressure, Polyurethane Cuff, 2 Murphy eyes 10/Box #IT-h-PTCy mm DEhP-free, Low Pressure, Polyurethane Cuff, 2 Murphy eyes 10/Box #IT-h-PTCy mm DEhP-free, Low Pressure, Polyurethane Cuff, 2 Murphy eyes 10/Box #IT-h-PTCy mm DEhP-free, Low Pressure, Polyurethane Cuff, 2 Murphy eyes 10/Box #IT-h-PTCy mm DEhP-free, Low Pressure, Polyurethane Cuff, 2 Murphy eyes 10/Box continued on next page 35

37 Parker ThinCuff Tube with Parker Flex-Tip continued from previous page These unique, new Parker tubes differ from conventional ET tubes in several ways: n The Parker ThinCuff is made of polyurethane instead of PVC. The polyurethane membrane is much thinner than the PVC membrane typically used to form conventional ET tube cuffs. The thinner, more pliable polyurethane cuff membrane is designed to provide a gentle cuff seal against the tracheal wall at a lower intracuff pressure than is commonly used to inflate thicker, PVC cuffs. The lower cuff pressure exerted against the tracheal wall is intended to reduce the risk of compromising the capillary blood flow in the tracheal mucosa. n The cuff and the shaft of Parker ThinCuff tubes are DEhP-free. Experts have determined that DEhP-free plastic is medically and environmentally safer than plastic which contains DEhP. 1,2,3 Widespread efforts to mandate adoption of DEhP-free plastic in medical products are gaining momentum in U.S. and European hospitals. 4,5,6,7 n The distal end of the ThinCuff tubes features the patented, Parker Flex-Tip. This revolutionary, flexible, curved, centered, tapered tip has been reported by independent clinical investigators to cause significantly less trauma and significantly less bleeding, and less post-intubation nasal pain after nasal intubation, when compared to standard-tip tubes. 8,9 Other clinical studies comparing Parker Flex-Tip tubes to standard-tip tubes have reported that the Parker tubes facilitated significantly faster and easier intubations, with a 100% first-attempt success rate, little or no impingement on surrounding tissues, and less post-operative hoarseness Tickner JA, et al. health risks posed by use of DEhP in PVC medical devices: A critical review. Am J of Industrial Medicine ;39(1): Ruzickova K, et al. Preventing harm from Phthalates, Avoiding PVC in hospitals. Health Care Without Harm:Europe. June, Schettler T. Phthalate Safety Concerns Merit Substitute Products. Risk Policy Report via EPA.com. 2/28/2006; vol 13,no Wood D. health Care Leaders. NursingJobs.com At Abington Memorial hospital: Decision to go DEhP-free pays off in waste reduction and staff satisfaction. White Paper Memorial_White_Paper.pdf 6 Atrium Clinical Update. DEhP-Free: Important for you and your Patients. Atrium Medical Corporation. March, King B. Kaiser Permanente Converts to PVC- and DEhP-Free IV Equipment. Sustainable Brands. Jan. 20, T. Sanuki, et al. The Parker Flex-Tip tube for nasotracheal intubation: the influence on nasal mucosal trauma, Anaesthesia. 2010;65: Prior S, et al. Parker Flex-Tip and Standard-Tip Endotracheal Tubes: A Comparison During Nasotracheal Intubation, Anesth Prog. 2010;57: Kristensen MS. The Parker Flex-Tip Tube versus a Standard Tube for Fiberoptic Orotracheal Intubation: A Randomized Double-blind Study. Anesthesiology. 2003;98(2): Takahashi TF, et al. Light-Guided Tracheal lntubation with Parker Flex-Tip Tube and Upper Airway Complications. Proc. of 2009 Annual Meeting of Amer. Soc. of Anethesiol. 10/17/2009;Abstracts:A Suzuki A, et al. The Parker Flex-Tip tracheal tube makes endotracheal intubation with the Bullard Laryngoscope easier and faster. European J of Anaesthesiology. 2008;25: Kitagawa h, et al. An Evaluation of Airwayscope-Assisted lntubation Using Parker Flex-Tip or Standard Endotracheal Tube. Proc, of 2009 Annual Meeting of Amer. Soc. of Anethesiol. 10/18/2009;Abstracts:A Gutierrez F, et al. A Pilot Study Comparing the Ease of lntubation over an Eschmann's Stylette of the Parker vs. the Mallinckrodt Endotracheal Tubes. Anesthesiology. 2001;95:A Ozaki M, et al. A less-traumatic way of light-guided intubation with Parker Flex-Tip tube. J Anesth (2005);19: Baraka A, et al. Posterior-beveled vs lateral-beveled tracheal tube for fiberoptic intubation. Canadian Journal of Anesthesia. 2002;49: Sanuki T, et al. Comparison of Parker-tipped and Murphy-tipped tracheal tubes in Airway Scope-assisted intubation in a manikin. J Anesth. 2009;23:

38 Parker EasyCurve Endotracheal Tube - Allows easy, continuously variable, finger-tip control of tube curvature - Soft, resilient Parker Flex-Tip replaces hard, chisel-shaped, conventional tips - Remotely curvable tip increases versatility and speed of intubations - No stylet needed ORDERING INFORMATION Part # Size Packaged #IT-h-PFEC /Box #IT-h-PFEC /Box #IT-h-PFEC /Box #IT-h-PFEC /Box 37

39 Parker Flex-It Directional Stylet The Parker Flex-It Directional Stylet is an articulating stylet whose curvature may be selected and fixed before intubation, or controlled by easy thumb action during intubation. Its convenient, one-hand operation is designed for quick, accurate, gentle intubation. It is suitable for oral and nasal use. ORDERING INFORMATION Part # Description Packaged #IT-FLEX-7580 For use in 7.5 & 8.0 tracheal tubes 25/Box #IT-FLEX-6570 For use in 6.5 & 7.0 tracheal tubes 25/Box #IT-FLEX-5560 For use in 5.5 & 6.0 tracheal tubes 25/Box #IT-FLEX-5000 For use in 5.0 tracheal tubes 25/Box 38

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42 PRSRT STANDARD U.S. POSTAGE PAID PERMIT NO. 579 ST. PETERSBURG FL PLEASE CONTACT MERCURY MEDICAL WITH ANY NEW PRODUCT IDEAS th Street North Clearwater, Florida USA Fax: