Fighting Disease with Electronics

Transcription

1 Fighting Disease with Electronics Accessories Patient Monitoring Компания Альянс Интех , г. Санкт Петербург, наб. Обводного Канала, д. 93, литер А, оф. 3/2 Бизнес центр "Нептун" м. Пушкинская Телефон: +7 (921)

2 2 Introduction Introduction Dear Customer, For more than 60 years NIHON KOHDEN has been one of Japan s leading players in medical technology development and manufacturing and has subsidiaries and representative offices in Europe, the US, as well as in the Middle and Far East. Fighting Disease with Electronics our corporate philosophy reflects the high standards we have set ourselves in combating disease by developing medical systems, contributing to higher quality of life for patients. Our large product range of accessories and consumables is known for its outstanding quality, ease of use and reliability. Please note, that only the use of original NIHON KOHDEN approved accessories and consumables guarantee optimal examination results and make an important contribution towards ensuring that your device will continue to function impeccably and reliably even in years to come, while preserving the device s features and functional capabilities. As your partner in patient care, NIHON KOHDEN provides only tested and approved product solutions from standard vital signs monitoring such as ECG, SpO2, NIBP or Temperature measurement to specific parameters like Capnography, Anesthesia Gas, EEG, TOF, IBP or ICP Measurement. Our commitment to ensure continually highest quality allows you the best care of your patients and enhances your devices performances. NIHON KOHDEN invites you to discover the quality and features of our complete accessories and consumables portfolio in this catalogue. Call today for more information or order directly!

3 3 Content Accessories for Patient Monitors User Guide 7 A Novel Technology to Non-Invasively Measure Continuous Cardiac Output from ECG and SpO2 8 Smart Cable TM Technology 8 Highest Safety and Quality Standards 9 1 ECG Measurement ECG Cables ECG 3/6-Lead Cables ECG 10-Lead Cables ECG Electrodes ECG Electrodes for Adults ECG Electrodes for Children, Infants & Neonates SpO2 Measurement NIHON KOHDEN SpO2 Cables SpO2 Adapter Cable for current patient monitors with rectangular connector SpO2 Adapter Cable for older patient monitors with round connector SpO2 Adapter Cable for OLV-2700/3100 & OPV-1500 Dual SpO2 Adapter Cable NIHON KOHDEN SpO2 Probes Reusable SpO2 Probes Disposable SpO2 Probes Disposable SpO2 Probes 24 pcs/box - cable length: 0.8 m Disposable SpO2 Probes 24 pcs/box - cable length: 1.6 m Disposable SpO2 Probes 5 pcs/box - cable length: 0.8 m Disposable SpO2 Probes 5 pcs/box - cable length: 1.6 m Disposable Multi-Site SpO2 Probes 5 pcs/box - cable length: 2.0 m Cables for Nellcor & Masimo SpO2 Probes

4 4 Content 3 NIBP Measurement (Non-Invasvie Blood Pressure) NIBP Air Hoses Reusable Standard NIBP Cuffs Reusable YAWARA NIBP Cuffs Disposable NIBP Cuffs Temperature Measurement Standard Temperature Measurement Measurement of 2 Additional Temperatures CO2 Measurement (Capnography) CO2 Mainstream Intubated expired CO2 Intubated expired and inspired CO2 Intubated and non-intubated expired CO2 CO2 Sidestream (Covidien) Combination out of sampling-line and Airway Adapter Nasal Lines for non-intubated patients Nasal Lines for non-intubated patients without oxygen supply Nasal Lines for non-intubated patients with oxygen supply Anesthesia-Gas-Measurement Accessories for AG-920 & GF-110/120R Accessories for GF-210/220R Spirometry - Flow / Paw Measurement Flow / Paw Measurement AF-900P Flow Measurement with GF-120PA/GF-220R 51 51

5 5 Content 8 FiO2 Measurement & Respiration FiO2 Measurement Respiration IBP & ICP Measurement (Invasive Blood Pressure & Intracranial Pressure) IBP Transducer Cable with Direct Connection IBP Transducer Cable with Adapter Cable K952 ICP Standard Adapter Cable ICP Sensor Cable for BSM Cardiac Output (C.O.) EEG Measurement channel EEG 8-channel EEG Further EEG Accessories BIS & TOF Measurement BIS Measurement TOF Measurement Mandatory Accessories for TOF Interface Further TOF Accessories Further Accessories Recording Paper Batteries & Battery Charger Analog Output Cable Power Cable Pens

6 6 Content Accessories for Transmitters 14 Accessories for Transmitters ECG Measurement ECG Cables ECG 3-Lead Cables for ZS-910/-920/-930/-530PG; ZM-920/-930/-940PG ECG 6-Lead Cables for ZM-920/-930/-940PG ECG Electrodes ECG Electrodes for ZS-910/-920/-930/-940/-530PG; ZM-920/-930/-940PG SpO₂ Measurement SpO₂ Probes SpO₂ Measurement with ZS-930/-940/-530PG; ZM-930/-940PG Reusable SpO₂ Probes Disposable SpO₂ Probes NIBP Measurement (Non-Invasive Blood Pressure) NIBP Measurement with ZS/ZM-940PG Reusable NIBP Cuffs for attaching transmitter to the arm NIBP Air Hoses for ZS/ZM-940PG Reusable Standard NIBP Cuffs Reusable YAWARA NIBP Cuffs Disposable NIBP Cuffs for Infants & Children Disposable NIBP Cuffs for Adults Bags, Straps & Holder for Transmitters 98 Accessory Order Form 102 Index as per 102 Index as per Code 104 Distributor Contact Details 106

7 7 User Guide User Guide Care of Environment NIHON KOHDEN is making every possible effort to ensure that the actions of the company and its employees contribute to preserving the environment. In order to avoid paper resources, we decided a more environment friendly approach which allows us to update the catalogue more frequently in the future. Therefore the new accessories and consumables catalogue was designed for view on your computer. It allows you to zoom pictures in order to see more details of the product. If you need indeed certain chapters in print version, you can easily select and print them. Find the right accessories in the catalogue You do not know exactly which article you need for your examination? Following this user guide you will find the content of this catalogue which is organized into parameter categories. In a particular category you will see a list of accessories and consumables with corresponding supply codes, model codes, descriptions and pictures. If you are not sure if one of the listed products will fit to your requirements, please contact us or one of our regional representatives. You already know the article that you need for your examination? In the index of the catalogue, from page 102 to page 103, the articles are listed alphabetically as per supply code; from page 104 to page 105, the products are listed alphabetically as per model code. They will help you to find directly the according product page. If you are using the PDF version, simply use the search function of this by entering the description, supply or model code. Or just click on the related chapter on the left side of the document. Order information To order NIHON KOHDEN accessories and consumables or to get more information, please refer to the indicated regional NIHON KOHDEN representatives below. For your convenience, we have a printable order form at the end of this catalogue so that you can fax in your order directly or mail/ it to us. Please make sure to fill out all requested information as well as the required supply code and according quantity. Please check the general terms and conditions including delivery time, payment and general warranty with your responsible regional NIHON KOHDEN representatives: For Germany, Austria, Switzerland and Benelux NIHON KOHDEN EUROPE GmbH, Vertrieb Deutschland Albert-Einstein-Ring 9, Kleinmachnow, Deutschland Fax: +49 (0) 33203/573-19, bestellung@nke.de For Spain and Portugal NIHON KOHDEN IBERICA S.L. C/Ulises, 75A, Madrid, Spain Fax: , info@nkib.es For United Kingdom NIHON KOHDEN UNITED KINGDOM Ltd. Tolworth Tower 19th Floor, Ewell Road, Surbiton, Surrey KT6 7EL, United Kingdom Fax: +44 (0) , mail@nihonkohden.co.uk For France NIHON KOHDEN FRANCE SARL 8, rue François Delage, Cachan, France Fax: +33 (0) , info@nkfrance.fr For Italy NIHON KOHDEN ITALIA S.r.l. Via Fratelli Bronzetti, 28, Bergamo, Italy Fax: +39 (0) , info@nkitaly.com For all other European Countries, Russia, Turkey and Israel NIHON KOHDEN EUROPE GmbH Raiffeisenstraße 10, Rosbach v. d. H., Germany Fax: +49 (0) 6003/ , info@nke.de

8 8 escco TM & Smart Cable Technology A Novel Technology to Non-Invasively Measure Continuous Cardiac Output from ECG and SpO₂ Estimated Continuous Cardiac Output (escco) is a new technology to determine the cardiac output using Pulse Wave Transit Time (PWTT) which is obtained by the pulse oximetry and ECG-signals from each cycle of the ECG and peripheral pulse wave. escco TM provides real-time, continuous and non-invasive cardiac output measurement alongside the familiar vital sign parameter of ECG and SpO₂. By only entering patient information such as age, gender, height and weight, and an initial NIBP measurement, escco TM determines a reference value for calibration and is ready for start the measurement. Enhanced Hemodynamic Monitoring at No Extra Cost Provided over the NIHON KOHDEN Patient Monitoring Series, escco TM represents a care enhancing and economic solution as no additional running costs (accessories) related to the regular use of the monitor appear. NIHON KOHDEN is contributing to the quality of care by providing completely non-invasive hemodynamic monitoring information in order to judge tissue oxygenation better. Figure 1: Pulse Wave Transit Time derived from ECG and pulse oximetry signal NIHON KOHDEN - Smart Cable Technology A Cost-Effective Solution to Modular Monitoring With NIHON KOHDEN Smart Cable Technology, you ll get complete modular flexibility at a significantly reduced cost and without all of the inconvenience associated with traditional modular systems. Smart Cable TM technology miniaturizes circuits found in traditional modules and embeds that circuitry into the cable. When you plug a Smart Cable TM into a MULTI connector, it automatically detects the type of parameter and starts measuring. Smart Connector Technology is available for the following parameters: Version 08/2012; Subject to change without notice Current Products Older Products Parameter PVM-2700 BSM-3000 BSM-6000 BSM-9100 BSM-2300 BSM-4100 BSM-5100 FloTrac BISx with YJ-671P with YJ-230P with YJ-510P Bisx remarks via JA-60xP (DAU) only over AUX port only over AUX port only Dual SpO₂ (Second SpO₂) IBP (Invasive Blood Pressure) C.O. (Cardiac Output) EtCO₂ (Capnography) with PVM-2703 TEMP (Temperature) RESP (Respiration) FiO₂ (Fraction of inspired oxygen) = Available = N/A

9 9 Highest Safety and Quality Standards Highest Safety and Quality Standards Comprehensive quality assurance systems ensure that each of the more than 4,000 NIHON KOHDEN staff members makes his/her contribution towards development, manufacture, marketing and customer services such that maximum product quality is guaranteed. NIHON KOHDEN is certified according to ISO 9001, ISO and ISO NIHON KOHDEN designs and manufactures medical equipment in conformity with the standards of IEC (Medical Electrical Equipment: General Requirements for Safety). NIHON KOHDEN products have earned a reputation for quality and long life. One reason is that all export products and major components are manufactured in our own ISO 9001 and IEC certified factories. In 1984, NIHON KOHDEN implemented a comprehensive companywide quality system, IQC Integrated Quality Control. Under this system, quality begins at the earliest stage of every product s life. Our IQC applies to the entire manufacturing process, from the planning stage through product development, design, parts procurement, production, inspection, storage, sales, distribution and after-sales support. IQC also involves nearly every employee. Our rigid test procedures are structured to exceed the provisions of the GMP, Good Manufacturing Practice, codes enforced by the US Food and Drug Administration. NIHON KOHDEN also has 130 in-house quality control inspection staff to ensure that standards are implemented and maintained in every department of the company. IQC extends beyond production and into sales and support at each subsidiary. This staff is responsible for ongoing contact with customers to determine their needs and making sure that these changing requirements are reflected in new products. Service engineers are responsible for communicating any problem that may arise in the use of NIHON KOHDEN products, and assuring the customers of NIHON KOHDEN s commitment to their satisfaction. In 1995, Nihon Kohden received ISO 9001 certification, the international standard for quality systems. In addition, NIHON KOHDEN s four manufacturing facilities in Japan are the first factories in the medical equipment industry to be certified by the CSA, Canadian Standards Association, under their category certification system. Most products sent to North America carry the CSA label. Quality improvement is and always has been an ongoing process for Nihon Kohden. Convince yourself of our expertise and the high quality of our products and services! Order directly!

10 0 10 ECG Measurement Highly accurate ec1 arrhythmia analysis NIHON KOHDEN s ec1 arrhythmia analysis provides superior elimination of false alarms. ec1 has been evaluated with worlds standard arrhythmia databases as well as NIHON KOHDEN s ECG database, with a result of 80% reduction of false alarms Number of false alarms V. Rhythm Tachy VPC Run VT Ext. Tachy VF Without ec1 With ec1

11 11 ECG Cables 3/6-Lead 12-Lead

12 12 Patient Monitors ECG Measurement ECG 3/6-Lead Cables V4 V5 6-lead ECG measurement Powerful ECG measurement 96% of an ischaemia change can be detected by 6 electrodes (II, V4, V5) ST Change Detection Report Only with I lead symbol 33% Only with V5 lead symbol 75% II + V5 lead symbol 80% II + V5 + V4 lead symbol 96% More accurate ischaemia detection Connection Cable Cover for DIN Type Electrodes for K922 For current products: all BSM/PVM/TEC-8300 K120 NA-0003 Electrode Lead Tube for K911/K910A For current products: TEC-55/77/8300/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG Packing unit: 5 pcs K910A BR-913P 3-Lead ECG Electrode Cable, snap, cable length: 0.8 m TEC-55/7700: for connection to defibrillators L153 is required BSM/PVM/TEC-8300: for connection to monitors K922 is required For current products: TEC-55/77/8300/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG K911 BR-903P 3-Lead ECG Electrode Cable, clip, cable length: 0.8 m TEC-55/7700: for connection to defibrillators L153 is required BSM/PVM/TEC-8300: for connection to monitors K922 is required For current products: TEC-55/77/8300/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG K912 BR-906P 6-Lead ECG Electrode Cable, clip, cable length: 0.8 m, requires K922 For current products: all BSM/PVM/TEC-8300; ZM-920/930/940PG K915 BR-916P 6-Lead ECG Electrode Cable, snap, cable length: 0.8 m, requires K922 For current products: all BSM/PVM/TEC-8300; ZM-920/930/940PG K922 JC-906P 3/6-Lead ECG Connection Cable for K910A/K911/K912/K915 to patient monitors/defibrillator, cable length: 3.0 m For current products: all BSM/PVM/TEC-8300

13 13 Patient Monitors ECG Measurement ECG 10-Lead Cables K901 BJ-900P 10-Lead ECG Patient Cable (12 channel ECG), cable length: 3.8 m, incl. patient electrode lead & connection cable For TEC-8300 AC-831V is required! For current products: BSM-3000/5100/6000/9100/TEC-8300 K921 JC-900P 10-Lead ECG Patient Cable (12 channel ECG), cable length: 3.0 m, for AY-900/910/920, for connection of pre-wired disposable electrodes with DIN type connector For current products: BSM-3000/5100/6000/9100/TEC-8300 Leads, Cables and Cords Note: Do not touch the socket pin. Do not wet the socket. Cleaning the Leads, Cables and Cords Wipe with a soft cloth moistened with neutral soap, water or alcohol and wipe with a dry cloth or gauze. Disinfecting the Leads, Cables and Cords Wipe with a non-abrasive cloth moistened with any of the disinfectants listed below. Use the recommended concentration. Disposing of Leads, Cables and Cords For detailed information about disposal, contact your NIHON KOHDEN representative. Disinfectant Chlorhexidine gluconate solution Benzethonium chloride solution Glutaraldeyde solution Benzalkonium chloride Alkyldiaminoethylgycine hydrochloride Concentration %

14 14 ECG Electrodes NIHON KOHDEN VITRODE Disposable ECG Electrodes The result of over 30 years experience in disposable electrode manufacturing. The ECG electrodes are the most important portions of the ECG/arrhythmia monitoring system. It is through these electrodes that the electrical signals are conducted from the patient and into the monitoring system. If the electrodes are left in place for an extended period of time (over 48 hours), or they are reused once they are removed, they do not adhere to the patient s skin and they cause noisy ECG signals because of the poor conduction. In addition, the patient s movement causes the electrodes to lose conducting capabilities intermittently, and this leads to a wandering ECG waveform and muscle artifact. The standard monitoring practice is to change these electrodes at least every 48 hours. Please contact us for individual offer based on your annual volume! Use the possibility of call orders!

15 15 Patient Monitors ECG Measurement Standard Electrodes Placements It is important to prepare the skin before attaching the electrodes by cleaning it and removing chest hair. After this please attach the lead wire to the electrodes before placing them on the skin. This avoids pain to the patient. Secure the lead wire to the skin (stress loop) preventing moving of the lead wire and therefore noise on the ECG signal. Three electrodes Six electrodes Ten electrodes ECG Electrodes for Adults G203 L-150 ECG Electrode Vitrode L, Ag/AgCl, adult, size: 35 mm dia, foam tape, solid gel, general use Packing unit: 5 x 30 pcs G204 C-150 ECG Electrode Vitrode C, Ag/AgCl, adult, size: 47 mm dia, breathable cottony softcloth with an elastic quality for tension, solid gel Packing unit: 5 x 30 pcs G207 L-150X ECG Electrode Vitrode L, Ag/AgCl, adult, size: 35 mm dia, radiolucent (X-ray, MRI, CT), foam tape, solid gel Packing unit: 5 x 30 pcs G210D F-150M ECG Electrode Vitrode F, Ag/AgCl, adult, size M: 25 x 45 mm, cotton tape especially for sensitive skin, adhesive gel Packing unit: 3 x 50 pcs G236 M-150 ECG Electrode Vitrode M, Ag/AgCl, child/adult, size: 40 mm dia, foam tape, higbrid gel, for stress test Packing unit: 5 x 30 pcs G250 J-150 ECG Electrode Vitrode J, Ag/AgCl, adult, size: 40 mm dia, foam tape, solid gel, excellent adhesion even on sweaty skin Packing unit: 5 x 30 pcs

16 16 Patient Monitors ECG Measurement G272A V-09OM3 ECG Electrode Vitrode V, Ag/AgCl, child/adult, size: 25 x 45 mm, cable length: 1.0 m, radiolucent (X-ray, MRI, CT), hydrogel, foam & cotton tape, 3 pre-wired electrodes with DIN connector Packing unit: 30 x 3 pcs G272B V-040M4 ECG Electrode Vitrode V, Ag/AgCl, child/adult, size: 25 x 45 mm, cable length: 1.0 m, radiolucent (X-ray, MRI, CT), hydrogel, foam & cotton tape, 4 pre-wired electrodes with DIN conector for limb leads Packing unit: 10 x 4 pcs G272C V-06OM6 ECG Electrode Vitrode V, Ag/AgCl, child/adult, size: 25 x 45 mm, cable length: 1.0 m, radiolucent (X-ray, MRI, CT), hydrogel, foam & cotton tape, 6 pre-wired electrodes with DIN conector for chest leads Packing unit: 10 x 6 pcs G278A V-09IO3 ECG Electrode Vitrode V, Ag/AgCl, child/adult, size: 25 x 45 mm, cable length: 1.5 m, radiolucent (X-ray, MRI, CT), solid gel, foam tape, 3 pre-wired electrodes with DIN connector Packing unit: 30 x 3 pcs ECG Electrodes for Children, Infants & Neonates G210C F-150S ECG Electrode Vitrode F, Ag/AgCl, neonate/child, size S: 18 x 36 mm, cotton tape especially for sensitive skin, adhesive gel Packing unit: 3 x 50 pcs G271A V-120S3 ECG Electrode Vitrode V, Ag/AgCl, neonate/infant, w/o motif print, size: 20 mm dia, cable length: 0.6 m, radiolucent (X-ray, MRI, CT), foam & cotton tape, 3 pre-wired electrodes with DIN connector Packing unit: 40 x 3 pcs G300A N-03IS3 ECG Electrode Vitrode N, Ag/AgCl, for NICU, size: 14 x 25 mm, cable length: 0.6 m, radiolucent (X-ray, MRI, CT), foam tape, adhesive gel, 3 pre-wired electrodes with DIN connector Packing unit: 10 x 3 pcs

17 17 SpO₂ Measurement A Pulse Oximeter is a non-invasive device used to percutaneously measure oxygen saturation in the blood by use of a clip-on finger probe. Pulse oximeter works with the integration of a probe placed onto patient s fingertip or toe, obtains signals from the probe and the main device calculates oxygen saturation in the body. Oxygen saturation measured by pulse oximeter is SpO₂. P stands for pulse, and the measurement principle is based on beat-by-beat changes in blood volume. In general, arterial oxygen saturation measured by spectroscopic analysis is called SaO₂, and oxygen saturation measured by pulse oximeter is called SpO₂. The method for determination of arterial oxygen saturation, based on the photoelectric plethysmography, was conceptualised and implemented in 1972 by the Japanese bio-engineer Takuo Aoyagi (NIHON KOHDEN Corporation). This idea came about while using an ear densitometer for recording dilution curves for dyes (pigments). The first commercial oximeter OLV-5100 was presented by NIHON KOHDEN back in Dr. Aoyagi s innovative technology, pulse oximetry, has rapidly spread worldwide and become essential in critical care. In 2002, Dr. Aoyagi was awarded the Medal of Honor in Japan, in recognition of his great contribution to clinical medicine. The NIHON KOHDEN SpO₂ Sensors of the BluPRO Series are at the cutting edge of this progressive technology.

18 18 Patient Monitors SpO2 Measurement NIHON KOHDEN SpO₂ Cables SpO₂ Adapter Cable for current patient monitors with rectangular connector K931 JL-900P SpO2 Connection Cable, cable length: 2.5 m, rectangular connector For current products: all BSM/PVM/TEC-8300 SpO₂ Adapter Cable for older patient monitors with round connector L301 JC-024P Adapter Cable for SpO2 Measurement, cable length: 3.0 m, round connector For old products: BSM-2000 L302 JC-025P Adapter Cable for SpO2 Measurement, cable length: 1.5 m, round connector For old products: BSM-2000 SpO₂ Adapter Cable for OLV-2700/3100 & OPV-1500 L311 JL-302T SpO2 Connection Cable, cable length: 2.5 m For current products: OLV-2700/3100; OPV-1500 Dual SpO₂ Adapter Cable Y094A JL-500P2 Dual SpO2 Cable for Input Boxes AY-661/663P, cable length: 2.5 m For current products: BSM-6000/9100

19 19 NIHON KOHDEN SpO₂ Probes BluPRO SpO₂ Probes A Unique Sensing Technology Reliability and high quality of our probes provide a continuous accurate and safe monitoring with highest patient comfort. The comfortable, sure fitting and lightweight characteristic reduces the effect of hand movement for highly reliable SpO2 measurement. This ensures patient safety, reduces the costs of care and increases therefore clinical efficiency and cost effectiveness. NIHON KOHDEN BluPRO SpO2 Probes are comfortable, durable, accurate and needs-oriented. Note that accurate and safe measurement is assured only when you use probes, connection cords and parts manufactured by NIHON KOHDEN. Some probes in the market may advertise as compatible with NIHON KOHDEN probes. We strongly recommend you to avoid these probes as a correct measurement cannot be guaranteed on NIHON KOHDEN devices. NIHON KOHDEN is not responsible for problems caused by using other manufacturer s probes. Please contact us for an individual offer based on your annual volume! Use the possibility of call orders! Disposable

20 20 Patient Monitors SpO2 Measurement SpO₂ Probes () Cable length (m) Packing unit Low birth weight Neonate Infant Child Adult 1000 g 2 kg 3 kg 10 kg 20 kg 30 kg 40 kg 50 kg P203A (TL-271T) P203E (TL-271T3) P204A (TL-271T) P204E (TL-271T3) P203B (TL-272T) P203F (TL-272T3) P204B (TL-272T) P204F (TL-272T3) P203C (TL-273T) P203G (TL-273T3) P204C (TL-273T) P204G (TL-273T3) Disposable P203D (TL-274T) P203H (TL-274T3) P204D (TL-274T) P204H (TL-274T3) P228A (TL-051S) P228B (TL-052S) P229A (TL-061S) P229B (TL-062S) Tape S Tape L Tape S With P205A ear clip P205A (TL-260T) P260A (Tape S) P260B (Tape L) 24 P256 P225F (TL-201T) 1.6 Reusable P225H (TL-201T1) P225G (TL-220T) P311C (TL-631T3) 1.6 P310C (TL-630T3) 1.6

21 21 Patient Monitors SpO2 Measurement Reusable SpO₂ Probes Reusable, but always clean NIHON KOHDEN washable probes. The reusable probes of the BluPRO series are durable and washable, so you can clean them under running water or even immerse them in a soapy alkaline or disinfectant solution (glutaraldehyde solution 2.0 % or hydrochloric alkyl diaminoethylene glycine 0.5 %)! P225F / P225H P225G Durable, washable, needs-oriented! P310C / P311C Facts NIHON KOHDEN reusable SpO2 finger-clips probes have paraellel mounted upper and lower sensor shells, thus, providing on the one hand, exact alignment of the optical sensor components vis-à-vis one another and on the other hand, markedly enhanced comfort during long-term attachment. In addition, flexible lateral flaps shield the measuring signals from the external light, thus resulting to minimize the interference by additional artificial light sources! Bright LEDs provide more accurate measurement even for thicker fingers or dark skin tones. The finger-clip reusable probe is the most popular type of SpO2 probes. Instead of the typical hinge near the finger tip, P225F/P225H have a unique sure fitting and comfortable mechanism using two sliding pieces for the front and back of the finger with two rubber flaps along both sides of the finger. When you press the button, the two halves of the probe slide directly open, parallel to each other. No additional fixation tape is needed. For a stable and comfortable measurement P225F/P225H, always keep the light emitters and detector aligned. NIHON KOHDEN provides unique reusable SpO2 probes. P225F TL-201T SpO₂ BluPRO Finger-Clip Probe, child/adult (> 20 kg) finger, cable length: 1.6 m, reusable P225H TL-201T1 SpO2 BluPRO Finger-Clip Probe, child/adult (> 20 kg) finger, cable length: 0.6 m, reusable Facts The multi-site probe P225G can be used for neonatal feet as well as adult fingers as its curved contact surface is designed to fits on different attachment sites. The light emitter and detector are separate which allows especially an accurate alignment of the LED on the infant/neonatal instep. A unique sliding adjuster gives the best fit on the attachment site secured by taping. P225G TL-220T SpO2 BluPRO Multi-Site Probe, neonate (< 3 kg) instep, child/adult ( > 3 kg) finger/toe, cable length: 1.6 m, reusable For current products: all BSM/PVM/TEC/EEG; ZS-930/530/940PG; ZM-930/940PG

22 22 Patient Monitors SpO2 Measurement Facts Our special designed finger-tip probes, P310C and P311C, fit immediately on the finger and are perfect for long-term measurement. A less covered finger area and cushioned materials lead to decrease pressure to the attachment site. The 3D molding attachment ensures a comfortable fit. In combination with the soft and lightweight design the patient stress or discomfort is reduced and the probes can be remained up to 8 hours to one attachment site. A stable measurement is assured by gentle fixation tapes P263 or P267 that avoid the falling off of the probes and reduce artefacts from cable movement. Reusable but with the comfort of a disposable probe, P310C and P311C are also applicable for sleep studies, for patients that are often bending their fingers or obese patients. P310C TL-630T3 SpO2 BluPRO Finger-Tip Probe L, child/adult (> 50 kg) finger, cable length: 1.6 m, long-term use, reusable P311C TL-631T3 SpO2 BluPRO Finger-Tip Probe M, child/adult (> 20 kg) finger, cable length: 1.6 m, long-term use, reusable P263 Disposable Probe Cable Fixing Tape for P310C/P311C, size: 15 x 130 mm Packing unit: 3 x 30 pcs P267 YS-093P2 Reusable Probe Fastener Tape for P310C/P311C, size: 15 x 140 mm For current products: all BSM/PVM/TEC/EEG; ZS-930/530/940PG; ZM-930/940PG Packing unit: 30 pcs

23 23 Patient Monitors SpO2 Measurement Facts The multi-site probe P205A can be used for SpO2 measurement for children and adults as well as for prematures in combination with special attachment tapes. For measuring SpO2 on children or adults with P205A, the ear clip P256 is required. The ear clip is designed to hold the light emitters and detector of the probe P205A and be clipped onto the earlobe of the patient. P256 is intended for use when SpO2 measurement on a finger or toe is difficult and the patient is at rest with little body movement. The P205A can be inserted in the special designed slots on the ear clip without sticking out of the clip edge. A secure fit is provided by additional cable slots, silicone surfaces for the earlobe and supplementary fixation of the cable with tape near the earlobe. The multi-site probe is intended for single-patient use and needs to be replaced after each patient measurement. The ear clip can be reused. Clean it after every use with a soft cloth moistened with 70% ethanol solution. Dry the clip thoroughly after cleaning. P205A TL-260T SpO2 Multi-Site Probe, cable length: 2.0 m, neonate (< 3kg ) instep, child/adult (> 3 kg) finger/toe, fixed with P260A/B or for P256, single-patient use For current products: all BSM/PVM/TEC/EEG Packing unit: 5 pcs P SpO2 Ear-Clip for P205A, child/adult (> 30 kg) For current products: all BSM/PVM Disposable SpO₂ Probes NIHON KOHDEN disposable probes, from neonate to adult sizes, place special emphasis on the exact positioning of the LEDs and detector. For this reason the two optical components are designed separately and can thus be brought into precise alignment with each other by the user. All probes have breathable material and can be remained up to 8 hours on one attachment site. Paediatric probes have a cute cartoon character printed on the tape to reassure children. Self-adhesive, soft and thin tape provides a secure fit. The special design allows an easy application to the attachment site. To get the most comfortable fit, please bend the probe before attaching, do not strongly pull the attachment tape when attaching and do not push the tip of the finger with the attachment tape. Disposable SpO₂ Probes 24 pcs/box cable length: 0.8 m P203A TL-271T SpO2 BluPRO Probe, adult (> 30 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 24 pcs P203B TL-272T SpO2 BluPRO Probe, child (10 50 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 24 pcs

24 24 Patient Monitors SpO2 Measurement P203C TL-273T SpO2 BluPRO Probe, neonate (< 3 kg) instep, adult (> 40 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 24 pcs P203D TL-274T SpO2 BluPRO Probe, infant (3 20 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 24 pcs Disposable SpO₂ Probes 24 pcs/box - cable length: 1.6 m P203E TL-271T3 SpO2 BluPRO Probe, adult (> 30 kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 24 pcs P203F TL-272T3 SpO2 BluPRO Probe, child ( kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 24 pcs P203G TL-273T3 SpO2 BluPRO Probe, neonate (< 3 kg) instep, adult (> 40 kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 24 pcs P203H TL-274T3 SpO2 BluPRO Probe, infant (3 20 kg) finger/toe, cable length: 1.6 m Packing unit: 24 pcs Disposable SpO₂ Probes 5 pcs/box - cable length: 0.8 m P204A TL-271T SpO2 BluPRO Probe, adult (> 30 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 5 pcs

25 25 Patient Monitors SpO2 Measurement P204B TL-272T SpO2 BluPRO Probe, child (10 50 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 5 pcs P204C TL-273T SpO2 BluPRO Probe, neonate (< 3 kg) instep, adult (> 40 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 5 pcs P204D TL-274T SpO2 BluPRO Probe, infant ( 3 20 kg) finger/toe, cable length: 0.8 m disposable Packing unit: 5 pcs Facts Absolutely cost-effective, the series P228 and P229 are intended for long-term measurement on a single patient. The probes do not need to be replaced with a new one before 96 hours by changing the attachment site every 8 hours. So your running costs can be reduced! The light emitter and detector are covered by sponge and the entire attachment site has a flat surface. This reduces the risk of skin burn and irritation. Since the probe itself is not self-adhesive, you can easily remove and attach the probe to change the attached finger. For fixation, wrap the probe around the finger with attachment tape P259. P228A TL-051S SpO2 BluPRO Probe, neonate (< 3 kg) instep, adult (> 50 kg) finger, cable length: 0.8 m, disposable Packing unit: 5 pcs P229A TL-061S SpO2 BluPRO Probe, infant/child (3 15 kg) toe, child (15 50 kg) finger, cable length: 0.8 m, disposable Packing unit: 5 pcs P259 COTTONY Tape for fixing disposable SpO2 Probes, disposable For current products: all BSM/PVM/TEC/EEG; ZS-930/530/940OPG; ZM-930/940PG Packing unit: 20 pcs

26 26 Patient Monitors SpO2 Measurement Disposable SpO₂ Probes 5 pcs/box - cable length: 1.6 m P204E TL-271T3 SpO2 BluPRO Probe, adult (> 30 kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 5 pcs P204F TL-272T3 SpO2 BluPRO Probe, child (10 50 kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 5 pcs P204G TL-273T3 SpO2 BluPRO Probe, neonate (< 3 kg) instep, adult (> 40 kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 5 pcs P204H TL-274T3 SpO2 BluPRO Probe, infant (3 20 kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 5 pcs Facts Absolutely cost-effective, the series P228 and P229 are intended for long-term measurement on a single patient. The probes do not need to be replaced with a new one before 96 hours by changing the attachment site every 8 hours. So your running costs can be reduced! The light emitter and detector are covered by sponge and the entire attachment site has a flat surface. This reduces the risk of skin burn and irritation. Since the probe itself is not self-adhesive, you can easily remove and attach the probe to change the attached finger. For fixation, wrap the probe around the finger with attachment tape P259. P228B TL-052S SpO2 BluPRO Probe, neonate (< 3 kg) instep, adult (> 50 kg) finger, cable length: 1.6 m, disposable Packing unit: 5 pcs P229B TL-062S SpO2 BluPRO Probe, infant/child (3 15 kg) toe, child (15 50 kg) finger, cable length: 1.6 m, disposable Packing unit: 5 pcs P259 COTTONY Tape for fixing disposable SpO2 Probes, disposable Packing unit: 20 pcs

27 27 Patient Monitors SpO2 Measurement Disposable Multi-Site SpO₂ Probes 5 pcs/box - cable length: 2.0 m Facts The probe P205A is specially designed for extremely sensitive skin. It uses soft and breathable sponge for the attachment tape. The attachment tape and sensor parts are separate. You can select from two sizes of attachment tape: P260A or P260B. When using the probes without those tapes for prematures, SpO2 measurement may be incorrect and the skin at the attachment site may be irritated. The attachment tape consists of two parts: adhesive and non-adhesive part. To get best fit, place the tape at the required attachment site. Wrap the sponge attachment tape (non-adhesive part) around the attachment site. Confirm that the light emitters and detector face to each other before removing backing paper of the adhesive part. Then continue wrapping to fasten the probe. Replace the sponge attachment tapes every 24 hours. P205A TL-260T SpO2 Multi-Site Probe, cable length: 2.0 m, neonate (< 3 kg) instep, child/adult (> 3 kg) finger/toe, fixed with P260A/B or for P256, single-patient use For current products: all BSM/PVM Packing unit: 5 pcs P260A Sponge Attachment Tape Type S for P205A, premature (< 1 kg) instep, neonate/infant (> 3 kg) finger/toe, disposable Packing unit: 24 pcs P260B Sponge Attachment Tape Type L for P205A, neonate (> 3 kg) instep, disposable Packing unit: 24 pcs Handling of the probe affects measurement accuracy and patient safety For the proper placement of the probe on the finger, it is advisable that the light emitters and detector are placed just opposite to each other. When using a clip-finger probe, it is necessary to ensure that the probe covers the finger properly, otherwise some portion of the light never passes through the body tissues and may reach the light-receiving part directly, leading to incorrect measurement results. The more distant the light-emitters and detector gets, the weaker the transmitted light intensity becomes. Additionally, a thinner body part tends to have small amount of blood, wich makes it difficult to extract the arterial blood signal component. The most suitable thickness of the probe site is about 10 mm. Too loose probes may interfere with alignment of LEDs and detector, come off easily by body movement, cause larger motion artifacts or be effected by venous pulse. Too tight probes may cause venous pulsation, cause skin injuries such as burn and necrosis or unstable measurement because of a lower pulsatile signal.

28 28 Nellcor & Masimo SpO₂ Probes Please order Nellcor & Masimo SpO2 Probes from your local Nellcor & Masimo supplier! Only initial sales packages together with patient monitors and/or input units can be provided by NIHON KOHDEN!

29 29 Patient Monitors Nellcor & Masimo SpO2 Measurement Cables for Nellcor SpO₂ Probes K935 JL-650P Nellcor SpO2 Connection Cable, for modules AY-651/653P, cable length: 3.0 m Cables for Masimo SpO₂ Probes K936 JL-630P Masimo Connection Cable modules for LNOP SpO2 Probes, for modules AY-631/633P, cable length: 6.0 m K937 JL-631P Masimo Connection Cable for LNCS SpO2 Probes, for modules AY-631/633P, cable length: 3.0 m

30 30 NIBP Measurement (Non-Invasive Blood Pressure) Blood pressure (BP) is the pressure exerted by circulating blood against the artery walls. During each heartbeat, the blood pressure varies between a maximum (systolic) and a minimum (diastolic) pressure. The variation indicates the condition of the pumping function of the heart as an important vital sign. A non-invasive indirect method to measure the blood pressure is the oscillometric blood pressure measurement. This method is using an inflated blood pressure cuff which is applied to the patient s arm or thigh. The blood pressure is detected by partial occlusion of the artery by the cuff. The so called Korotkoff sound is generated by the distension of the arterial wall with each cardiac impulse. Systolic and diastolic blood pressures are determined by an algorithmic interpretation of the device based on the mean arterial pressure and changing amplitude of the Korotkoff sounds. For a proper non-invasive measurement it is important to use the correct cuff size due to the fact that a cuff too small will lead to faulty high pressure, while a large cuft can lead to wrong low pressure readings. Please contact us for an individual offer based on your annual volume! Use the possibility of call orders!

31 31 Patient Monitors NIBP Measurement NIBP Air Hoses S901 YN-900P Child/Adult NIBP Air-Hose, cable length: 1.5 m For current products: all BSM/PVM/TEC-77/8300 S902 YN-901P Child/Adult NIBP Air-Hose, cable length: 3.5 m For current products: all BSM/PVM/TEC-77/8300 S903 YN-990P NIBP Air-Hose Extension Cable, cable length: 1.5 m For current products: all BSM/PVM/TEC-77/8300; ZS/ZM-940PG S904 YN-920P Neonate NIBP Air-Hose, cable length: 1.5 m For current products: all BSM/PVM S905 YN-921P Neonate NIBP Air-Hose, cable length: 3.5 m For current products: all BSM/PVM

32 32 Patient Monitors NIBP Measurement Reusable Standard NIBP Cuffs S943A YP-960T Infant NIBP Cuff, width: 5 cm, arm-circumference: 8 to 13 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG S943B YP-961T Child NIBP Cuff, width: 7 cm, arm-circumference: 12 to 18 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG S943C YP-962T Child NIBP Cuff, width: 10 cm, arm-circumference: 15 to 23 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG S944B YP-963T Adult NIBP Cuff, width: 13 cm, arm-circumference: 21 to 30 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG S944C YP-964T Adult NIBP Cuff, width: 15 cm, arm-circumference: 26 to 36 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG S944D YP-965T Adult NIBP Cuff, thigh, width: 19 cm, thigh-circumference: 33 to 45 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300

33 33 Patient Monitors NIBP Measurement Reusable YAWARA NIBP Cuffs Facts NIHON KOHDEN YAWARA-CUFF means soft and strong. The name YAWARA is based on the Japanese words YAWARAkai = Soft (in Japanese), YAWARA Judo (in Japanese) and Judo means Strong. The softness of the cuff is realized in the soft and smooth polyester with a buffer sheet over the skin contact area reducing the risk of wrinkling the patient s skin and the risk of internal bleeding. The buffer sheet also evenly distributes the air pressure to prevent too much pressure on one point. The strongness is realized both in the nylon cable in the air tube preventing incidents caused by tube kinking and the durable bladder material (polyurethane). In addition to this the YAWARA-CUFF is characterized by easy handling. A wide opening lets you easily remove and insert the bladder for cleaning. The cloth is water-resistant, so you can wipe it without any problem. The watertight connector cap prevents fluid from getting into the air tube while cleaning and is provided with each cuff. An outside printed cuff scale behind the arm helps you quickly check if the cuff has the right size for the patient. The upper arm should be between the minimum and maximum scale. S949A YP-702T Child NIBP YAWARA Cuff, width: 10 cm, arm-circumference: 15 to 23 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG S949B YP-703T Adult NIBP YAWARA Cuff, width: 13 cm, arm-circumference: 21 to 30 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG

34 34 Patient Monitors NIBP Measurement Disposable NIBP Cuffs Disposable NIBP Cuffs for Neonates NKD-S948A Neonate NIBP Cuff, width: 1 cm, arm-circumference: 3 to 6 cm, color: orange, latex-free, disposable For current products: all BSM/PVM Packing unit: 10 pcs NKD-S948B Neonate NIBP Cuff, width: 2 cm, arm-circumference: 4 to 8 cm, color: light blue, latex-free, disposable For current products: all BSM/PVM Packing unit: 10 pcs NKD-S948C Neonate NIBP Cuff, width: 3 cm, arm-circumference: 6 to 11 cm, color: green, latex-free, disposable For current products: all BSM/PVM Packing unit: 10 pcs NKD-S948D Neonate NIBP Cuff, width: 4 cm, arm-circumference: 7 to 14 cm, color: dark blue, latex-free, disposable For current products: all BSM/PVM Packing unit: 10 pcs NKD-S948E Neonate NIBP Cuff, width: 5 cm, arm-circumference: 8 to 15 cm, color: red, latex-free, disposable For current products: all BSM/PVM Packing unit: 10 pcs

35 35 Patient Monitors NIBP Measurement Disposable NIBP Cuffs for Infants & Children NKD-S947A Infant NIBP Cuff, width: 6 cm, arm-circumference: 8 to 14 cm, color: blue, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs NKD-S947B Child NIBP Cuff, width: 8 cm, arm-circumference: 13 to 20 cm, color: green, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs Disposable NIBP Cuffs for Adults NKD-S947C NKD-S947D NKD-S947E NKD-S947F NKD-S947G NKD-S947H Small Adult NIBP Cuff, width: 10 cm, arm-circumference: 18 to 26 cm, color: orange, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs Adult NIBP Cuff, width: 14 cm, arm-circumference: 26 to 35 cm, color: blue, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs Adult Long NIBP Cuff, width: 15 cm, arm-circumference: 29 to 38 cm, color: red, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs Adult Large NIBP Cuff, width: 7 cm, arm-circumference: 32 to 42 cm, color:green, latex-free, disposable For current products: all BSM/PVM, TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs Large Adult Long NIBP Cuff, width: 18 cm, arm-circumference: 35 to 44 cm, color: orange, latex-free, disposable For current products: all BSM/PVM, TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs Adult Thigh NIBP Cuff, width: 20 cm, thigh-circumference: 42 to 50 cm, color: blue, latex-free, disposable For current products: all BSM/PVM, TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs

36 36 Temperature Measurement Please contact us for an individual offer based on your annual volume! Use the possibility of call orders!

37 37 Patient Monitors Temperature Measurement Standard Temperature Measurement NKD-P240A YSI-401 Esophagus/Rectum Thermistor Probe, adult, 6.3 mm jack connector, size: 4 mm dia, length: 3.5 m For current products: all BSM/PVM-2703/TEC-8300 NKD-P241A YSI-402 Esophagus/Rectum Thermistor Probe, neonate/child, 6.3 mm jack connector, size: 3.3 mm dia, length: 3.5 m For current products: all BSM/PVM-2703/TEC-8300 NKD-P242B YSI-409B Body Surface Temperature Probe, 6.3 mm jack connector, disk size: 9.5 mm dia, cable length: 3.5 m, reusable Use NKD-Temphearts4009/4012 to fix this probe! For current products: all BSM/PVM-2703/TEC-8300/MEB-9200/MEB-2300 NKD-P249 Temperature Probe Cover for NKD-P240A/241A For current products: all BSM/PVM-2703/TEC-8300 Packing unit: 10 pcs NKD-TEMPHEARTS4009 Tempheart Adhesive Pads, to fix temperature probes, size: 1.5 cm dia For current products: all BSM/PVM-2703/TEC-8300/MEB-9200/MEB-2300 Packing unit: 100 pcs NKD-TEMPHEARTS4012 Mini-Tempheart Adhesive Pads, to fix temperature probes, size: 1.13 cm dia For current products: all BSM/PVM-2703/TEC-8300/MEB-9200/MEB-2300 Packing unit: 100 pcs Measurement of 2 Additional Temperatures K961 JT-900P Temperature Connection Cable for NKD-P241/242x, cable length: 0.3 m For current products: BSM-5100/6000/9100/ TEC-8300

38 38 CO₂ Measurement (Capnography) Reasons to measure EtCO₂ (the level of carbon dioxide in the air exhaled from the body - normal value is about 38 mmhg): Capnography helps to detect life-threatening problems in Airway, Breathing (ventilator or anesthesia circuit problems), Circulation and the Metabolism. Capnography is a fast and reliable help to determinate respiratory difficulties, wrong connections of airway adapters, leaks in the ventilator circuit due to its placement in the respiratory circuit. An early detection by capnography might help to avoid inadequate oxygen supply of the body.

39 39 Patient Monitors CO2 Measurement (Capnography) CO₂ Measurement (Capnography) The necessity of monitoring EtCO₂ is recognized by various health care associations guidelines: Canadian Anesthesia Society (CAS) Guidelines for Sedation January, 2012 Anesthesia Patient Safety Foundation (APSF) Monitoring with Use of Post-op Opioids August, 2011 American Society for Anesthesiologists (ASA) Standards for Basic Anesthetic Monitoring July, 2011 Association of Anaesthetists of Great Britain & Ireland (AAGBI) The use of capnography outside the operating theatre May, 2011 American Association of Respiratory Care (AARC) CPG for Capnography/Capnometry During Mechanical Ventilation April, 2011 British Royal College of Anesthetists Airway Recommendation (NAP4) March, 2011 European Resuscitation Council (ERC) Guidelines for Resuscitation November, 2010 American Heart Association (AHA) Resuscitation Guideline November, 2010 capnometer CO₂ Sensor capnometer CO₂ Sensor Suck in Sampling tube Mainstream Method In a mainstream system, the sensor is located directly in the patient s breathing circuit. Real time measurement values. Sidestream Method In a sidestream system, a gas sample is removed from the patient s airway and delivered to a distant sensor. Measurement values delayed. Yes CO₂ Selection Guide Start Is CO₂ the only gas to measure? No Multi-gas measurement Yes Is the patient a neonate? No Multi gas unit GF-110/120PA GF-210/220R Sidestream measurement Mainstream measurement Yes Is the patient intubated? AG-400RA/K CO₂ unit No Is the patient intubated? Filterline Capnoline Yes No Is a humidifier or nebulizer used? Yes No CO₂ sensor kit P907 (TG-920P) Both intubated & non-intubated With nebulizer CO₂ sensor kit P909 (TG-970P) R805 (YG-121T) Airway adapter adult (>7 kg) R806 (YG-213T) Airway adapter neonate/infant (2 to 7 kg) CO₂ sensor kit P903 (TG-900P) R801 (YG-101T) Airway adapter adult, (>10 kg) Intubated R804 (YG-111T) Airway adapter (>7 kg) Non-intubated V921 (YG-120T) Nasal adapter (> 10 kg) V922 (YG-121T) Nasal/Oral adapter (>10 kg) V923 (YG-122T) Nasal adapter with O₂ supply tube adapter (>10 kg) NKD-02-Cap Oxygen cannula

40 40 Patient Monitors CO2 Measurement (Capnography) CO₂ Mainstream Application Fields of Airway Adapters for Intubated Patients OR Checking if endotracheal intubation is correctly done and checking situations of low air ventilation, shock (sudden drop of blood pressure), and pulmonary embolism, checking respiration circuit during anesthesia. ER Checking airway control, heart massages, checking if endotracheal intubation is correctly done. ICU/Ward Preventing ventilator accidents/leaks. Application Fields of Nasal Adapters for Non-Intubated Patients ICU/Recovery room/pacu/transport Where anesthetic drug effects may linger and ventilation may be insufficient. ER/Cardiac cath lab/gi Endoscopy/Pain management Where sedation and supplemental oxygen are frequently administrated. OR/Abdominal surgery/obstetric/orthopedic/eye surgery/ Plastic surgery/dental surgery During surgery without intubation, such as under spinal/ epidural/local anesthesia. CO₂ Mainstream Intubated expired CO₂ P903 TG-900P CO2 Sensor Kit for Intubated Patients, semi-quantitative measurement, incl. P922A/K981, expiratory CO2, cable length: 3.0 m For Aiway Adapters: R801 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 P922A TG-101T CO2 Sensor for Expiratory CO2 for Intubated Patients, part of CO2 Sensor Kit P903, cable length: 1.0 m Requires Adapter Cable: K981 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 K981 JG-900P CO2 Adapter Cable for P922A/P903, cable length: 2.0 m For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 R801 YG-101T Airway Adapter for P903/P906/P922A, intubated, semi-quantitative method, child/adult (>10 kg), dead space: 5 ml for P903: all BSM/PVM-2703/OLG-2800/TEC-8300 for P906: TEC-5500/7700 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 Packing unit: 50 pcs

41 41 Patient Monitors CO2 Measurement (Capnography) Intubated expired and inspired CO₂ Opening a New Era in Capnography Facts NIHON KOHDEN CO2 Sensor Sensation - P909 World s smallest and lightest mainstream EtCO2 Sensor (quantitative method) with only 4 g (±2 g). This avoids tube pressures and increases patient comfort. Especially for this reason as well as the dead space of approximately 1 ml it is perfectly suited to the most sensible intubated patients - neonates in critical care. Besides this P909 can be also applied to children and adults. Easy and simple handling is guaranteed by its waterproofness (IPX7 standard) and our Smart Cable TM Technology so that no additional module is needed. Just plug in and start a continuous measurement after only 10 seconds warm-up time. Those features make the P909 an unbeatable help for daily work routine in OR, ER, ICU or Ward. P909 TG-970P CO2 Sensor Kit for Intubated Patients, quantitative measurement, incl. P924/K987, size: 8 x 13 x 35 mm, cable length: 3.5 m For Airway Adapters: R805/R806 For current products: all BSM/PVM-2703/ OLG-2800/TEC-8300 P924 TG-221T CO2 Sensor for Intubated Patients, part of CO2 Sensor Kit P909, cable length: 3.0 m Requires Adapter Cable: K987 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 K987 JG-970P CO2 Adapter Cable for P909/P924, cable length: 0.5 m For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 R805 YG-211T Airway Adapter for P909, intubated, quantitative method, adult (>7 kg), dead space: 4 ml For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 Packing unit: 30 pcs R806 YG-213T Airway Adapter for P909, intubated, quantitative method, neonate/child (2-7 kg), dead space: 1 ml For current products: all BSM/PVM-2703/OLG-2800 Packing unit: 30 pcs V910 YG-270P Connector for Airway Adapter R806, infant/child (4-7 kg), to use with P909 The V910 airway adapter has an inner cylinder to reduce dead space. When this airway adapter and P909 CO2 sensor are used together with a ventilator which has a flow sensor that is close to the patient s mouth, there is some interference between the flow sensor and airway adapter because both the flow sensor and airway adapter have an inner cylinder. To eliminate this interference, use a V910 connector between the airway adapter and flow sensor. For current products: all BSM/PVM-2703 Packing unit: 30 pcs

42 42 Patient Monitors CO2 Measurement (Capnography) Intubated and non-intubated expired CO₂ Opening a New Era in Capnography Facts NIHON KOHDEN capone... when every breath counts! World s first wearable, mainstream CO2 sensor P907 (semi-quantitative method) for intubated and non-intubated patients which is applicable for children and adults. Unique oral-nasal airway adapters catch oral as well as nasal expired CO2 this increases accuracy. The capone is not only small but has also a mini-weight of only 4 g. This avoids tube pressures and increases patient comfort. Easy and simple handling is guaranteed by our Smart Cable TM Technology so that no additional module is needed, just plug in and start measuring after only 5 seconds. A continuous, stable and accurate measurement is ensured due to no lag time and no need to change tubes because of occlusions. Its waterproofness and outstanding shock resistance are an unbeatable advantage in daily work routine. Those features make the capone P907 an excellent measurement tool in OR, ICU, Recovery Room, PACU, Transport, ER, Cardiac Catheter Laboratory, GI Endoscopy, Pain Management, Abdominal Operation, Obstetric/Orthopedic/Eye Surgery, Plastic or Dental Surgery. P907 TG-920P CapONE CO2 Sensor Kit for Intubated/Non-Intubated Patients, semi-quantitative measurement, incl. P923/K984, size: 11 x 11 x 40 mm, cable length: 3.5 m For Airway Adapters: Intubated patients: R804 Non-intubated patients: V921/V922/V923 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 P923 TG-121T CapONE CO2 Sensor for Intubated/Non-Intubated Patients, part of CO2 Sensor Kit P907/P908, cable length: 1.5 m Requires Adapter Cable: K984 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 K984 JG-920P CapONE CO2 Adapter Cable for P923/P907, cable length: 2.0 m For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 R804 YG-111T Airway Adapter for P907/P908/P923, intubated, child/adult (>7 kg), dead space: 4 ml for P907: all BSM/PVM-2703/TEC-8300/OLG-2800 for P908: TEC-5500/7700 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 Packing unit: 30 pcs V921 YG-120T CO2 Nasal Adapter for Nasal Breathing, non-intubated, child/adult (>10kg) for P907: all BSM/PVM-2703/TEC-8300/OLG-2800 for P908: TEC-5500/7700; EEG-1200/9100/9200 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300/EEG Packing unit: 30 pcs

43 43 Patient Monitors CO2 Measurement (Capnography) V922 YG-121T CO2 Nasal Adapter for Nasal/Oral Breathing, non-intubated, child/adult (>10 kg) for P907: all BSM/PVM-2703/TEC-8300/OLG-2800 for P908: TEC-5500/7700, EEG-1200/9100/9200 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300/EEG Packing unit: 30 pcs V923 YG-122T CO2 Nasal Adapter for Nasal/Oral Breathing with Oxygen Cannula Holder, non-intubated, child/adult (>10kg) for P907: all BSM/PVM-2703/TEC-8300/OLG-2800 for P908: TEC-5500/7700, EEG-1200/9100/9200 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300/EEG Packing unit: 30 pcs NKD-O2-CAP Oxygen Cannula for Nasal Adapter V923 for P907/P908 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300/EEG Packing unit: 50 pcs NKD-CO2GAS Calibration Gas for CO2-Measurement Please be aware that the calibration gas cannot be sent by plane! So, when such calibration gas is needed, you should be aware that the delivery might take some time. Please store the gas below 50 C! For current products: all BSM NKD-VENTIL3 CO2 Gas Valve For current products: all BSM R802 YG-201T Airway Adapter for P905/P921, intubated, quantitative measurement, adult (>10 kg), dead space: 5 ml For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 Packing unit: 30 pcs R803 YG-202T Airway Adapter for P905/P921, intubated, quantitative measurement, neonate/child (3-10 kg), dead space: 2 ml For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 Packing unit: 30 pcs

44 44 Patient Monitors CO2 Measurement (Capnography) CO₂ Sidestream (Covidien) V901 YG-920P Exhaust Gas Line Adapter for Multigas Unit AG-920/GF-110/120, tube length: 3.0 m Combination out of sampling-line and Airway Adapter NKD FilterLine Set H, neonate/infant (< 2 kg), intubated, dead space: < 0.4 ml, tube length: 2.0 m Applicable for: Humidified environments & Long-Term Use! ICU Packing unit: 25 pcs NKD-XS04620 FilterLine Set, child/adult (> 2 kg), intubated, dead space: < 6.6 ml, tube length: 2.0 m Applicable for: Short-Terme Use - OR/EMS/ED/Transport/Rapid Response Packing unit: 25 pcs NKD-XS04624 FilterLine Set, child/adult (> 2 kg), intubated, dead space: < 6.6 ml, tube length: 2.0 m Applicable for: Humidified environments & Long-Term Use! ICU Packing unit: 25 pcs Nasal Lines for non-intubated patients without oxygen supply NKD Smart CapnoLine, oral/nasal, child/adult (>20 kg), non-intubated, tube length: 2.0 m Applicable for: Short-Term Use - Sedation/SleepLab/ER/EMS/ED/Transport/Rapid Response Packing unit: 25 pcs NKD Smart CapnoLine, oral/nasal, child (10-20 kg), non-intubated, no O2 tubing, tube length: 2.0 m Applicable for: Short-Term Use - Sedation/SleepLab/ER/EMS/ED/ Transport/Rapid Response Packing unit: 25 pcs

45 45 Patient Monitors CO2 Measurement (Capnography) NKD CapnoLine H, nasal, adult (> 55 kg), non-intubated, no O2 tubing, tube length: 2.0 m Applicable for: Long-Term Use - ICU/SleepLab Packing unit: 25 pcs NKD CapnoLine H, nasal, child (10-20 kg), non-intubated, no O2 tubing, tube length: 2.0 m Applicable for: Long-Term Use - ICU/SleepLab Packing unit: 25 pcs NKD CapnoLine H, nasal, neonate/infant (< 2 kg), non-intubated, no O2 tubing, tube length: 2.0 m Applicable for: Long-Term Use - ICU/SleepLab Packing unit: 25 pcs Nasal Lines for non-intubated patients with oxygen supply NKD Smart CapnoLine O2, oral/nasal, adult (> 20 kg), non-intubated, tube length: 2.0 m Packing unit: 25 pcs NKD Smart CapnoLine O2, oral/nasal, child (10-20 kg), non-intubated, O2 tubing, tube length: 2.0 m Packing unit: 25 pcs NKD CapnoLine H O2, nasal, adult (> 55 kg), non-intubated, O2 tubing, tube length: 2.0 m Packing unit: 25 pcs NKD CapnoLine H O2, nasal, child (10-20 kg), non-intubated, O2 tubing, tube length: 2.0 m Packing unit: 25 pcs

46 46 Anesthesia Gas Measurement

47 47 Patient Monitors Anesthesia Gas Measurement Accessories for AG-920 & GF-110/120R A Exhaust Gas Line For current products: GF-1x0/GF-2x0 NKD-CALGAS Calibration Gas incl. Valve Gas with three components in oxygen. 4% Desflurane, 6% CO2, 45% N2O balance O2. The can contains about 10 liters at about 11 bar. NKD-V915A Dryline Water Trap for Multigas Unit AG-920/GF-1x0, adult Packing unit: 10 pcs NKD-V915B Dryline Water Trap for Multigas Unit AG-920/GF-1x0, neonate/child Packing unit: 10 pcs NKD-V916A Dryline Airway Adapter for Multigas Unit GF-1x0, straight, dead space: 5 ml, single-patient use Packing unit: 10 pcs NKD-V916B Dryline Airway Adapter for Multigas Unit GF-1x0, elbow, dead space: 7 ml, single-patient use Packing unit: 10 pcs NKD-V917A Gas Sampling Line, adult, tube length: 2.5 m, single-patient use Packing unit: 25 pcs

48 48 Patient Monitors Anesthesia Gas Measurement NKD-V917B Gas Sampling Line, neonate/child, tube length: 2.5 m, single-patient use Packing unit: 25 pcs NKD-V917C Gas Sampling Line for Multigas Unit GF-1x0, adult, tube length: 3.0 m, single-patient use Packing unit: 25 pcs NKD-V917D Gas Sampling Line for Multigas Unit GF-1x0, neonate/child, cable length: 3.0 m, single-patient use Packing unit: 25 pcs V901 YG-920P Exhaust Gas Line Adapter for Multigas Unit AG-920/GF-1x0, tube length: 3.0 m V903F Airway Adapter for Multigas Unit GF-1x0, neonate/child, dead space: 0.5 ml Packing unit: 25 pcs Accessories for GF-210/220R Fan Filter for GF-2x A Exhaust Gas Line For current products: GF-1x0/GF-2x0

49 49 Patient Monitors Anesthesia Gas Measurement K977 YJ-600P Multilink Connection Cable from Multigas Unit GF-2x0 to Monitors, cable length: 0.3 m K978 YJ-601P Multilink Connection Cable from Multigas Unit GF-2x0 to Monitors, cable length: 2.5 m NKD T-piece for GF-2x0, reusable NKD Watertrap Holder (receptacle) for GF-2x0 NKD-V918 Watertrap for GF-2x0 disposable Packing unit: 12 pcs NKD-V919 Sampling Line for Airway Adapter T-pieces V920A/B, connection to NKD-V918, length: 3.0 m, single-patient use, for Multigas Unit GF-2x0 Packing unit: 10 pcs V920A YG-620P Airway Adapter T-Piece for Multigas Unit GF-2x0, straigth, child/adult (>10 kg), dead space: 5 ml, requires NKD-V919, single-patient use Packing unit: 25 pcs V920B YG-621P Airway Adapter T-Piece for Multigas Unit GF-2x0, elbow, child/adult (>14 kg), dead space: 7 ml, requires NKD-V919, single-patient use Packing unit: 25 pcs

50 50 Spirometry - Flow / Paw Measurement

51 51 Patient Monitors Spirometry - Flow / Paw Measurement Flow / Paw Measurement AF-900PA P912 TF-910P Flow Sensor for AF-900PA, disposable For current products: BSM-9100 Flow Measurement with GF-120PA/GF-220R P913 TF-120P Flow Adapter for Multigas Unit GF-120/220, child/adult (>14 kg), dead space: 7.3 ml, disposable P914 YF-120P Flow Tube for Multigas Unit GF-120/220, for P913, tube length: 3.0 m, disposable Packing unit: 5 pcs P915 YS-094P0 Luer Cap for Multigas Unit GF-120/220, for Flow Adapter P913, disposable Packing unit: 10 pcs

52 52 Respiration FiO2 Measurement & Respiration FiO₂ Measurement

53 53 Patient Monitors FiO₂ Measurement & Respiration FiO₂ Measurement K941 JO-900P FiO2 Connection Cable to connect P911, cable length: 3.0 m For current products: BSM-5100/6000/9100 P Oxygen Sensor, cable length: 0.6 m, requires K941 For current products: BSM-5100/6000/9100 V T-piece Adapter for O2-Sensor P911 For current products: BSM-5100/6000/9100 Respiration P901 TR-900P Respiration Pickup for Nose, cable length: 3.0 m For current products: BSM-5100/6000/9100 P902 TR-910P Respiration Pickup for Airway Adapter V911, cable length: 3.0 m For current products: BSM-5100/6000/9100 V911 YG-001P CO2 Airway Adapter for P901/P902, thermistor method For current products: BSM-5100/6000/9100

54 54 IBP IBP & ICP Measurement (Invasive Blood Pressure & Intracranial Pressure) Blood pressure (BP) is the pressure exerted by circulating blood against the artery walls. During each heartbeat, the blood pressure varies between a maximum (systolic) and a minimum (diastolic) pressure. The variation indicates the condition of the pumping function of the heart as an important vital sign. A direct method to measure the blood pressure is the invasive blood measurement using catheters inserted into the blood vessels, filled with saline solution and measure the pressure electrically with a connected transducer. ICP

55 55 Patient Monitors IBP & ICP Measurement IBP Transducer Cable with Direct Connection K951 JP-900P IBP Connection Cable for Becton Dickinson Transducers, cable length: 3.5 m Applicable for Becton Dickinson (Ohmeda) Transducers: all current models: Series DTX/Plus & Series RT2000; older models: Series P23XL For current products: all BSM/PVM-2703/TEC-8300 K952 JP-910P IBP Adapter Cable for IBP Transducer Cables, BF type, cable length: 0.3 m For current products: all BSM/PVM-2703/TEC-8300 K957 JP-960P IBP Connection Cable for Biosensors Transducers, cable length: 3.5 m Applicable for Biosensors Transducers: Series Biotrans & Series Accutrans For current products: all BSM/PVM-2703/TEC-8300 L901 JP-920P IBP Connection Cable for Edwards Lifesciences Transducers, cable length: 3.5 m Applicable for Edwards Lifesciences Transducers: Series TruWave: PX-600P, PX-600F30, PX-600P For current products: all BSM/PVM-2703/TEC-8300 L902 JP-921P IBP Connection Cable for Edwards Lifesciences Transducers, cable length: 1.5 m Applicable for Edwards Lifesciences Transducers: Series TruWave: PX-600P, PX-600F30, PX-600P For current products: all BSM/PVM-2703/TEC-8300

56 56 Patient Monitors IBP & ICP Measurement IBP Transducer Cable with Adapter Cable K952 NKD IBP Connection Cable for B. Braun Transducers, cable length: 3.0 m, requires K952 Applicable for B. Braun Transducers: Series Combitrans, Series Combidyns For current products: all BSM/PVM-2703/TEC-8300 NKD-BDP178NK1 NKD-BDP178NK4 IBP Connection Cable Set for Codan Transducers, incl. adapter cable with 1 Pressure Connection, contact board X-trans BDC 901 and holding plate B180090, cable length: 0.5 m, requires K952 Applicable for Codan Transducers: Series xtrans: DPT-9003, DPT-9009, DP 9300, DPT-9990 For current products: all BSM/PVM-2703/TEC-8300 Packing unit: 1 set IBP Connection Cable for Codan Transducers with 4 Pressure Connections, cable length: 0.5 m, requires K952 Applicable for Codan Transducers: Series xtrans: DPT-9003, DPT-9009, DPT-9300, DPT-9990 For current products: all BSM/PVM-2703/TEC-8300 NKD-BDPT-1078 IBP Connection Cable for Codan Transducers with 4 Pressure Connections, cable length: 3.5 m, requires K952 Applicable for Codan Transducers: Series xtrans: DPT-6000 For current products: all BSM/PVM-2703/TEC-8300 NKD-IBP/LOGICAL IBP Connection Cable for Medex Transducers with 1 Pressure Connection, cable length: 4.0 m, requires K952 Applicable for Medex Transducers: Series Logical For current products: all BSM/PVM-2703/TEC-8300 NKD-IBP/LOGICAL2 IBP Connection Cable for Medex Transducers with 2 Pressure Connections, cable length: 4.0 m, requires K952 Applicable for Medex Transducers: Series Logical For current products: all BSM/PVM-2703/TEC-8300 NKD-IBP/LOGICAL3 IBP Connection Cable for Medex Transducers with 3 Pressure Connections, cable length: 4.0 m, requires K952 Applicable for Medex Transducers: Series Logical

57 57 Patient Monitors IBP & ICP Measurement NKD-IBP/LOGICAL4 IBP Connection Cable for Medex Transducers with 4 Pressure Connections, cable length: 4.0 m, requires K952 Applicable for Medex Transducers: Series Logical For current products: all BSM/PVM-2703/TEC-8300 NKD-IBP/NOVATRANS MX IBP Connection Cable for Medex Transducers with 1 Pressure Connection, cable length: 4.0 m, requires K952 Applicable for Medex Transducers: Series Novatrans For current products: all BSM/PVM-2703/TEC-8300 NKD-IBP/TRANSPAC IBP Connection Cable for TRANSPAC Transducers with 1 Pressure Connection, cable length: ca. 4.5 m, requires K952 Applicable for Abbott Transducers: Transpac IT, Transpac IV For current products: all BSM/PVM-2703/TEC-8300 NKD-IBP/TRANSTAR IBP Connection Cable for Medex Transducers with 1 Pressure Connection, cable length: 4.0 m, requires K952 Applicable for Medex Transducers: Series Transtar For current products: all BSM/PVM-2703/TEC-8300 NKD-IBP/UTAH IBP Connection Cable PMK225 for Pulsion Transducers for Picco2 and Piccoplus with 1 Pressure Connection, cable length: 3.0 m, requires K952 & 2NKD-IBP/UTAH2 Applicable for Pulsion Transducers for PICCO: PV81x, PV82xx For current products: all BSM/PVM-2703/TEC-8300 NKD-IBP/UTAH2 AUX Adapter Cable PC85200 to External Monitor for Pulsion Picco 2, cable lenghth: 0,3 m, requires NKD-IBP/UTHA For current products: all BSM/PVM-2703/TEC-8300

58 58 Patient Monitors IBP & ICP Measurement ICP Standard Adapter Cable K952 JP-910P IBP Adapter Cable for IBP Transducer Cables, BF type, cable length: 0.3 m For current products: all BSM/PVM-2703/TEC-8300 ICP Sensor Cable for BSM-9100 JP-911P ICP Sensor Cable, CF type, for use with Integra LS ICP monitors For current products: BSM-9100

59 59 Cardiac Cardiac Output (C.O.) Output

60 60 Patient Monitors Cardiac Output (C.O.) Cardiac Output (C.O.) K962 JT-950P C.O. Connection Cable for Becton Dickinson/Edwards Lifesciences, cable length: 2.0 m For current products: all BSM NKD-ED/93528 Edwards Lifesciences Injectate Sensor Cable, cable length: 2.43 m For current products: BSM-3000/5100/6000/9100 NKD-SP4045 Becton Dickinson Inline Injection Sensor Cable B, BD DTXPlus, latex-free, cable length: 2.43 m, requires K962 For current products: all BSM NKD-SP4572 Becton Dickinson Room Temperature Injection Kit, requires K962 Kit Contains: Injection Sensor Housing (NKD-SP5045) - 25 pcs, BD Spectraject Disposable 10cc Control Syringe with BD Touchguard Sheath for hand injections of contrast media (682260)- 10 pcs For current products: all BSM Packing unit: 5 kits NKD-SP5045 Becton Dickinson Injection Sensor Housing for Inline Injective Temperature Measurement, requires NKD-SP4045 For current products: all BSM Packing unit: 25 pcs NKD-SP5107H Becton Dickinson Thermo Dilution Catheter 7F, size: 2.33 mm dia, 4 lumes, tube length: 1.1 m, requires K962 For current products: all BSM Packing unit: 5 pcs

61 61 Patient Monitors Cardiac Output (C.O.) NKD-SP5107H-IS Becton Dickinson Thermo Dilution Catheter 7F with Inline Sensor NKD-SP5045, size: 2.33 mm dia, 4 lumes, tube length: 1.1 m, requires K962 For current products: all BSM Packing unit: 5 pcs SP C.O. Extension Cable, cable length: 1.0 m For current products: all BSM

62 62 EEG Measurement EEG measurements are increasingly used in intensive care units to monitor the brain activity trend at a glance giving valuable information such as simple pattern recognition between normal and abnormal brain activity for the daily routine.

63 63 Patient Monitors EEG Measurement 2-channel EEG L461 JE-905P EEG connection Cable, 2 channel, cable length: 3.0 m, for AE-910P/918P K461 BE-930P EEG Electrode Lead for Disposable Electrodes, for AE-910P/918P, snap, cable length: 0.8 m H471 BE-910P Disk Electrodes for AE-918P, cable length: 0.8 m H472 BE-920P Collodion Electrodes for AE-918P, cable length: 0.8 m

64 64 Patient Monitors EEG Measurement 8-channel EEG L462 JE-906P EEG connection Cable, 8 channel, cable length: 3.0 m, for AE-910P/918P H503B NE-114A EEG Disk Electrode for EOG & EMG, Ag, w/ DIN connector, cable length: 0.8 m For current products: all EEG/MEE-1000/BSM-3000/6000/9100 H527 NE-136A Surface Electrode, Ag, DIN connector, for all EEG, cable length: 0.7 m For current products: EEG-1200/9100/BSM-3000/6000/9100 Packing unit: 12 pcs H537A NE-224S Needle Electrode for EEG & EP, stainless steel, w/ DIN connector, needle length: 12 mm, cable length: 1.5 m For current products: EEG-1200/9100/MEB-9200/9400/BSM-3000/6000/9100 Packing unit: 20 pcs

65 65 Patient Monitors EEG Measurement Further EEG Accessories Please contact us for an individual offer based on your annual volume! Use the possibility of call orders! F020 YZ-0019 SkinPure Skin Preparation Gel, reduces the electrode skin impedance, 135 g tube Packing unit: 2 pcs F509 Z-181JE Elefix EEG Conduction Paste, 180 g tube F510 Z-401CE Elefix EEG Conduction Paste, 400 g cup NKD-EC2 Conductive Grass Paste EC2 for long-term EEG measurements, 100g tube For current products: all EEG/BSM-3000/6000/9100 Packing unit: 10 pcs NKD-NPREP Skin Preparation Gel for Neonates, 114g tube For current products: all EEG/BSM-3000/6000/9100 Packing unit: 3 pcs NKD-AR205 Adhesive ECG Rings, size: 20 x 5 mm For current products: all ECG/EEG/BSM-3000/6000/9100 Packing unit: 500 pcs

66 66 Patient Monitors EEG Measurement NKD-BN100 Original BraiNet S, child/adult, cm circumference, 14 electrodes For current products: all EEG/BSM-3000/6000/9100 NKD-BN101 Original BraiNet L, child/adult, cm circumference, 14 electrodes For current products: all EEG/BSM-3000/6000/9100 NKD-BN BraiNet, child/adult, cm circumference, 21 electrodes For current products: all EEG/BSM-3000/6000/9100 NKD-BN BraiNet, child/adult, cm circumference, 21 electrodes For current products: all EEG/BSM-3000/6000/9100 NKD-BN BraiNet, child/adult, cm circumference, 21 electrodes For current products: all EEG/BSM-3000/6000/9100 NKD-BN BraiNet, child/adult, cm circumference, 21 electrodes For current products: all EEG/BSM-3000/6000/9100

67 67 Patient Monitors EEG Measurement NKD-BN111 Baby BraiNet 1, NICU, cm circumference, 14 electrodes For current products: all EEG/BSM-3000/6000/9100 NKD-BN112 Baby BraiNet 2, NICU, cm circumference, 14 electrodes For current products: all EEG/BSM-3000/6000/9100 NKD-BN113 Baby BraiNet 3, NICU, cm circumference, 14 electrodes For current products: all EEG/BSM-3000/6000/9100 NKD-BN114 Baby BraiNet 4, NICU, cm circumference, 14 electrodes For current products: all EEG/BSM-3000/6000/9100 NKD-BN115 Baby BraiNet 5, NICU, cm circumference, 14 electrodes For current products: all EEG/BSM-3000/6000/9100 NKD-BN500 Baby BraiNet Jack Box Overlay, adhesive colored stickers for jack box port customization For current products: all EEG/BSM-3000/6000/9100 NKD-BN505 10/20 BraiNet Jack Box Overlay, adhesive colored stickers for jack box port customization For current products: all EEG/BSM-3000/6000/9100

68 68 Mandatory Accessories for TOF-Interface BIS & TOF Measurement The bispectral index (BIS) monitors the depth of anesthesia by processing raw EEG data, obtained through a sensor placed on the patient s forehead. A calculated number between 0 and 100 provides a direct measure of the patient s level of consciousness and response to sedation. Whereas a BIS value of 100 indicates the patient is fully awake, a value of 0 indicates the absence of brain activity. When admistering a neuromuscular blocking, TOF measurement should be used during all phases of general anesthesia from induction to maintenance, and through to the end of a surgical procedure to monitor the degree of neuromuscular blockade. It may help detect remnant blockades linked to airway problems, ventilator failure and further postoperative complications such as severe hypoxemia or pneumonia. BIS Measurement Further TOF Accessories

69 69 Patient Monitors BIS & TOF Measurement BIS Measurement Please order BIS Sensors from your local BIS Supplier! Only initial sales packing units can be provided by NIHON KOHDEN! NKD-L572 Pic Plus Patient Interface Cable for BisX to connect to the BISx and to BIS Sensors TOF Measurement Mandatory Accessories for TOF Interface NKD-TOF/CONNECTION CABLE TOF Connection Kit, incl.nkd , NKD TOF Link Cable 3.0 m, TOF Watch SX Interface RS232 Adapter Packing unit: 1 kit QF-909P Interface Cable for TOF Further Accessories for TOF Facts TOF Application Help Place the stimulation electrodes G210C over the Nerve Ulnaris on the volar side of the wrist. The distal electrode is positioned where the proximal bending line crosses the radial side of the flexor carpi ulnaris muscle. Place the electrodes on each side of the expected position of the ulnar nerve (2 to 3 cm distance). Softly press the electrodes to ensure good fitting. Fix the transducer (is part of supply code NKD ) to the thumb by putting the flat side to the thumb. Take care that no traction is applied and that movement of the thumb is not obstructed. Small sideway movements of the thumb may be noticed during stimulation. If this is the case, reposition the transducer in such a way that the movement is perpendicular. The more distal the transducer is placed on the thumb, the stronger the acceleration signal is. This effect can be used to adjust the signal strength. During the measurement, the arm should be immobile and fixed to the OR table or by the hand adapter NKD G210C F-150S ECG Electrode Vitrode F, Ag/AgCl, neonate/child, size S: 18 x 36 mm, cotton tape especially for sensitive skin, adhesive gel For current products: all EEG/BSM-3000/6000/9100 Packing unit: 3 x 50 pcs

70 70 Patient Monitors BIS & TOF Measurement NKD-TOF/ CONNECTION CABLE TOF Connection Kit, incl. NKD , NKD TOF Link Cable 3.0 m, TOF Watch SX Interface RS232 Adapter Packing unit: 1 kit NKD G TOF Watch Interface RS232 Adapter NKD TOF Link Cable, cable length: 3.0 m NKD-G TOF Fixation Clamp NKD-G TOF Fix Advanced Clamp (to fix to the OR Table) NKD-G TOF Holder for IV-Pole NKD TOF Splint for Watch and Guard

71 71 Patient Monitors BIS & TOF Measurement NKD TOF Hand Adapter NKD TOF Elastic Band to fix the Hand Adapter NKD Packing unit: 10 pcs NKD TOF Thumb Adapter Packing unit: 50 pcs NKD TOF Eye Adapter Packing unit: 50 pcs NKD TOF Complete Wire Set incl. patient cable, white-black transducer, with thermostat Packing unit: 1 set NKD TOF Complete Wire Set, white and black electrode lead, transducer, without thermistor cable Packing unit: 1 set NKD TOF Link cable, cable length: 0.25 m

72 72 Batteries & Battery Charger Further Accessories Power Cable Analog Output Cable

73 73 Patient Monitors Further Accessories Recording Paper A226 FQS Thermal Paper, Z-fold, 50 mm x 20 m (page 100 mm), orange grid For current products: TEC-5500/BSM-2300/-3000 Packing unit: 10 pcs A721 FQW Recording Paper, 50 mm x 20 m /all PVM Packing unit: 10 pcs NKD-A723 FQW Thermal Paper, Z-fold, 50 mm x 30 m (page 100mm), w/o grid For current products: BSM-2300/5100/OPV-1500 Packing unit: 10 pcs A810 QW60-2 Recording Paper, 60 mm x 20 m For current products: OPV-1500 Packing unit: 10 pcs

74 74 Patient Monitors Further Accessories Batteries & Battery Charger X060 NKB-101 Battery Pack, 12V, 1700 mah, nickel-cadmium (NiCd), rechargeable For current products: BSM-4100/5100 X062 YS-076P5 Battery Pack, 12V, 3700 mah, nickel-metal hydride (NiMH), rechargeable For current products: BSM-2300 X072 YS-085P6 Battery Pack, 12V, 2040 mah For current products: OLV-2700/OLG-2800 X075 SB-671P Battery Pack, 9.6V, 2900 mah For current products: BSM-3000/6000/WEP-520x X076 SB-201P Battery Pack, 9.6V, 3700 mah For current products: all BSM/PVM-2703/TEC-8300 SB-201VK External Battery Charger, for one battery X060 For current products: BSM-4100/5100 SB-610RK Battery Charger, for X075 Batteries For current products: BSM-3000/6000/WEP-5200

75 75 Patient Monitors Further Accessories Analog Output Cable K974 YJ-910P ECG/BP Output Cable, cable length: 5.0 m For current products: BSM-3000/5100/6000/9100 K975 YJ-920P ECG/BP Output Cable with Phone Jack, cable length: 0.3 m For current products: BSM-3000/5100/6000/9100 Power Cable NKD-L936 Power Cable, Schuko plug, cable length: 2.0 m NKD-POWER CABLE 1.5 Power cable with L-Connector, cable lenght: 1.5 m NKD-POWER CABLE 2.0 Power cable with L-Connector, cable lenght: 2.0 m Pens Y Thermal Head Cleaner Pen For current products: all ECG/TEC/old MEB/EEG/all BSM/PVM/OPV/WEP Y075 YZ-0254 Touch Pen, incl. cord & touch pen holder, for easy use of touch screen monitors For current products: all BSM/PVM/OPV

76 76 Accessories for Transmitters Please contact us for an inividual offer based on your annual volume! Use the possibility of call orders!

77 0 77 ECG Measurement Highly accurate ec1 arrhythmia analysis NIHON KOHDEN s ec1 arrhythmia analysis provides superior elimination of false alarms. ec1 has been evaluated with worlds standard arrhythmia databases as well as NIHON KOHDEN s ECG database, with a result of 80% reduction of false alarms Number of false alarms V. Rhythm Tachy VPC Run VT Ext. Tachy VF Without ec1 With ec1

78 78 ECG Cables 3/6-Lead 12-Lead

79 79 Transmitters ECG Measurement ECG 3 -Lead Cables for ZS-910/-920/-930/-530PG; ZM-920/-930/-940PG K120 NA-0003 Electrode Lead Tube, for K911/K910A For current products: TEC-55/77/8300/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG Packing unit: 5 pcs K910A BR-913P 3-Lead ECG Electrode Cable, snap, cable length: 0.8 m TEC-55/7700: for connection to defibrillators L153 is required BSM/PVM/TEC-8300: for connection to monitors K922 is required For current products: TEC-55/77/8300/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG K911 BR-903P 3-Lead ECG Electrode Cable, clip, cable length: 0.8 m TEC-55/7700: for connection to defibrillators L153 is required BSM/PVM/TEC-8300: for connection to monitors K922 is required For current products: TEC-55/77/8300/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG ECG 6-Lead Cables for ZM-920/-930/-940PG K912 BR-906P 6-Lead ECG Electrode Cable, clip, cable length: 0.8 m, requires K922 For current products: all BSM/PVM/TEC-8300; ZM-920/930/940PG K915 BR-916P 6-Lead ECG Electrode Cable, snap, cable length: 0.8 m, requires K922 For current products: all BSM/PVM/TEC-8300; ZM-920/930/940PG Leads, Cables and Cords Note: Do not touch the socket pin. Do not wet the socket. Cleaning the Leads, Cables and Cords Wipe with a soft cloth moistened with neutral soap, water or alcohol and wipe with a dry cloth or gauze. Disinfecting the Leads, Cables and Cords Wipe with a non-abrasive cloth moistened with any of the disinfectants listed below. Use the recommended concentration. Disposing of Leads, Cables and Cords For detailed information about disposal, contact your Nihon Kohden representative. Disinfectant Chlorhexidine gluconate solution Benzethonium chloride solution Glutaraldeyde solution Benzalkonium chloride Alkyldiaminoethylgycine hydrochloride Concentration %

80 80 ECG Electrodes NIHON KOHDEN VITRODE Disposable ECG Electrodes The result of over 30 years experience in disposable electrode manufacturing. The ECG electrodes are the most important portions of the ECG/arrhythmia monitoring system. It is through these electrodes that the electrical signals are conducted from the patient and into the monitoring system. If the electrodes are left in place for an extended periode of time (over 48 hours), or they are reused once they are removed, they do not adhere to the patient s skin and they causes noisy ECG signals because of the poor conduction. In addition, the patient s movement causes the electrodes to lose conducting capabilities intermittently, and this leads to a wandering ECG waveform and muscle artifact. The standard monitoring practice is to change these electrodes at least every 48 hours. Please contact us for individual offer based on your anual volume! Use the possibility of call orders!

81 81 Transmitters ECG Measurement Standard Electrodes Placements It is important to prepare the skin before attaching the electrodes by cleaning it and removing chest hair. After this please attach the lead wire to the electrodes before placing them on the skin. This avoids pain to the patient. Secure the lead wire to the skin (stress loop) preventing moving of the lead wire and therefore noise on the ECG signal. Three electrodes Six electrodes Ten electrodes ECG Electrodes for ZS-910/-920/-930/-530PG; ZM-920/-930/-940PG G203 L-150 ECG Electrode Vitrode L, Ag/AgCl, adult, size: 35 mm dia, foam tape, solid gel general use Packing unit: 5 x 30 pcs G204 C-150 ECG Electrode Vitrode C, Ag/AgCl, adult, size: 47 mm dia, breathable cottony softcloth, solid gel with an elastic quality for tension Packing unit: 5 x 30 pcs G207 L-150X ECG Electrode Vitrode L, Ag/AgCl, adult, size: 35 mm dia, radiolucent (X-ray, MRI, CT), foam tape, solid gel Packing unit: 5 x 30 pcs G210D F-150M ECG Electrode Vitrode F, Ag/AgCl, adult, size M: 25 x 45 mm, cotton tape especially for sensitive skin, adhesive gel Packing unit: 3 x 50 pcs

82 82 Transmitters ECG Measurement G236 M-150 ECG Electrode Vitrode M, Ag/AgCl, child/adult, size: 40 mm dia, foam tape, higbrid gel, for stress test Packing unit: 5 x 30 pcs G250 J-150 ECG Electrode Vitrode J, Ag/AgCl, adult, size: 40 mm dia, foam tape, solid gel, excellent adhesion even on sweaty skin Packing unit: 5 x 30 pcs G210C F-150S ECG Electrode Vitrode F, Ag/AgCl, neonate/child, size S: 18 x 36 mm, cotton tape especially for sensitive skin, adhesive gel Packing unit: 3 x 50 pcs

83 83 SpO₂ Measurement Pulse Oximeter is a non-invasive device used to percutaneously measure oxygen saturation in the blood by use of a clip-on finger probe. Pulse oximeter works with the integration of a probe placed onto patient s fingertip or toe, obtains signals from the probe and the main device calculates oxygen saturation in the body. Oxygen saturation measured by pulse oximeter is SpO₂. P stands for pulse, and the measurement principle is based on beat-by-beat changes in blood volume. In general, arterial oxygen saturation measured by spectroscopic analysis is called SaO₂, and oxygen saturation measured by pulse oximeter is called SpO₂. The method for determination of arterial oxygen saturation, based on the photoelectric plethysmography, was conceptualised and implemented in 1972 by the Japanese bio-engineer Takuo Aoyagi (NIHON KOHDEN Corporation). This idea came about while using an ear densitometer for recording dilution curves for dyes (pigments). The first commercial oximeter OLV-5100 was presented by NIHON KOHDEN back in Dr. Aoyagi s innovative technology, pulse oximetry, has rapidly spread worldwide and become essential in critical care. In 2002, Dr. Aoyagi was awarded the Medal of Honor in Japan, in recognition of his great contribution to clinical medicine. The NIHON KOHDEN SpO₂ Sensors of the BluPRO Series are at the cutting edge of this progressive technology.

84 84 SpO₂ Probes BluPRO SpO₂ Probes A Unique Sensing Technology Reliability and high quality of our probes provide a continuous accurate and safe monitoring with highest patient comfort. The comfortable, sure fitting and lightweight characteristic reduces the effect of hand movement for highly reliable SpO2 measurement. This ensures patient safety, reduces the costs of care and increases therefore clinical efficiency and cost effectiveness. NIHON KOHDEN BluPRO SpO2 Probes are comfortable, durable, accurate and needs-oriented. Note that accurate and safe measurement is assured only when you use probes, connection cords and parts manufactured by NIHON KOHDEN. Some probes in the market may advertise as compatible with NIHON KOHDEN probes. We strongly recommend you to avoid these probes as a correct measurement cannot be guaranteed on NIHON KOHDEN devices. NIHON KOHDEN is not responsible for trouble caused by using other manufacturer s probes. Please contact us for an individual offer based on your annual volume! Use the possibility of call orders! Disposable

85 85 Transmitters SPO2 Measurement SpO₂ Probes () Cable length (m) Packing unit Low birth weight Neonate Infant Child Adult 1000 g 2 kg 3 kg 10 kg 20 kg 30 kg 40 kg 50 kg P203A (TL-271T) P203E (TL-271T3) P204A (TL-271T) P204E (TL-271T3) P203B (TL-272T) P203F (TL-272T3) P204B (TL-272T) P204F (TL-272T3) P203C (TL-273T) P203G (TL-273T3) P204C (TL-273T) P204G (TL-273T3) Disposable P203D (TL-274T) P203H (TL-274T3) P204D (TL-274T) P204H (TL-274T3) P228A (TL-051S) P228B (TL-052S) P229A (TL-061S) P229B (TL-062S) Tape S Tape L Tape S With P205A ear clip P205A (TL-260T) P260A (Tape S) P260B (Tape L) 24 P256 Reusable P225F (TL-201T) P225H (TL-201T1) P225G (TL-220T) P311C (TL-631T3) 1.6 P310C (TL-630T3) 1.6

86 86 Transmitters SpO2 Measurement SpO₂ Measurement with ZS-930/-940/-530PG; ZM-930/-940PG Reusable SpO₂ Probes Reusable, but always clean NIHON KOHDEN washable probes. The reusable Probes of the BluPRO series are durable and washable, so you can clean them under running water or even immerse them in a soapy alkaline or disinfectant solution (glutaraldehyde solution 2.0 % or hydrochloric alkyl diaminoethylene glycine 0.5 %)! P225F / P 225H P225G P310C / P311C Durable, washable, needs-oriented! Facts NIHON KOHDEN reusable SpO2 finger-clips probes have paraellel mounted upper and lower sensor shells, thus, providing on the one hand, exact alignment of the optical sensor components vis-à-vis one another and on the other hand, markedly enhanced comfort during long-term attachment. In addition, flexible lateral flaps shield the measuring signals from the external light, thus resulting to minimize the interference by additional artificial light sources! Bright LEDs provide more accurate measurement even for thicker fingers or dark skin tones. The finger-clip reusable probe is the most popular type of SpO2 probes. Instead of the typical hinge near the finger tip, P225F/P225H have a unique sure fitting and comfortable mechanism using two sliding pieces for the front and back of the finger with two rubber flaps along both sides of the finger. When you press the button, the two halves of the probe slide directly open, parallel to each other. No additional fixation tape is needed. For a stable and comfortable measurement P225F/P225H, always keep the light emitters and detector aligned. NIHON KOHDEN provides unique reusable SpO2 probes. P225F TL-201T SpO₂ BluPRO Finger-Clip Probe, child/adult (> 20 kg) finger, cable length: 1.6 m, reusable P225H TL-201T1 SpO2 BluPRO Finger-Clip Probe, child/adult (> 20 kg) finger, cable length: 0.6 m, reusable Facts The multi-site probe P225G can be used for neonatal feet as well as adult fingers as its curved contact surface is designed to fits on different attachment sites. The light emitter and detector are separate which allows especially an accurate alignment of the LED on the infant/neonatal instep. A unique sliding adjuster gives the best fit on the attachment site secured by taping. P225G TL-220T SpO2 BluPRO Multi-Site Probe, neonate (< 3 kg) instep, child/adult (> 3 kg) finger/toe, cable length: 1.6 m, reusable For current products: all BSM/PVM/TEC/EEG; ZS-930/530/940PG; ZM-930/940PG

87 87 Transmitters SpO2 Measurement Facts Our special designed finger-tip probes, P310C and P311C, fit immediately on the finger and are perfect for long-term measurement. A less covered finger area and cushioned materials lead to decrease pressure to the attachment site. The 3D molding attachment ensures a comfortable fit. In combination with the soft and lightweight design the patient stress or discomfort is reduced and the probes can be remained up to 8 hours to one attachment site. A stable measurement is assured by gentle fixation tapes P263 or P267 that avoid the falling off of the probes and reduce artefacts from cable movement. Reusable but with the comfort of a disposable probe, P310C and P311C are also applicable for sleep studies, for patients that are often bending their fingers or obese patients. P310C TL-630T3 SpO2 BluPRO Finger-Tip Probe L, child/adult (> 50 kg) finger, cable length: 1.6 m, long-term use, reusable P311C TL-631T3 SpO2 BluPRO Finger-Tip Probe M, child/adult (> 20 kg) finger, cable length: 1.6 m, long-term use, reusable P263 Disposable Probe Cable Fixing Tape for P310C/P311C, size: 15 x 130 mm Packing unit: 3 x 30 pcs P267 YS-093P2 Reusable Probe Fastener Tape for P310C/P311C, size: 15 x 140 mm For current products: all BSM/PVM/TEC/EEG; ZS-930/530/940PG; ZM-930/940PG Packing unit: 30 pcs

88 88 Transmitters SpO2 Measurement Facts The multi-site probe P205A can be used for SpO2 measurement for children and adults as well as for prematures in combination with special attachment tapes. For measuring SpO2 on children or adults with P205A, the ear clip P256 is required. The ear clip is designed to hold the light emitters and detector of the probe P205A and be clipped onto the earlobe of the patient. P256 is intended for use when SpO2 measurement on a finger or toe is difficult and the patient is at rest with little body movement. The P205A can be inserted in the special designed slots on the ear clip without sticking out of the clip edge. A secure fit is provided by additional cable slots, silicone surfaces for the earlobe and supplementary fixation of the cable with tape near the earlobe. The multi-site probe is intended for single-patient use and needs to be replaced after each patient measurement. The ear clip can be reused. Clean it after every use with a soft cloth moistened with 70% ethanol solution. Dry the clip thoroughly after cleaning. P205A TL-260T SpO2 Multi-Site Probe, cable length: 2.0 m, neonate (< 3kg ) instep, child/adult (> 3 kg) finger/toe, fixed with P260A/B or for P256, single-patient use For current products: all BSM/PVM/TEC/EEG Packing unit: 5 pcs P SpO2 Ear-Clip for P205A, child/adult (> 30 kg) For current products: all BSM/PVM Disposable SpO₂ Probes NIHON KOHDEN disposable probes, from neonate to adult sizes, place special emphasis on the exact positioning of the LEDs and detector. For this reason the two optical components are designed separately and can thus be brought into precise alignment with each other by the user. All probes have breathable material and can be remained up to 8 hours on one attachment site. Paediatric probes have a cute cartoon character printed on the tape to reassure children. Self-adhesive, soft and thin tape provides a secure fit. The special design allows an easy application to the attachment site. To get the most comfortable fit, please bend the probe before attaching, do not strongly pull the attachment tape when attaching and do not push the tip of the finger with the attachment tape. Disposable SpO₂ Probes 24 pcs/box cable length: 0.8 m P203A TL-271T SpO2 BluPRO Probe, adult (> 30 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 24 pcs P203B TL-272T SpO2 BluPRO Probe, child (10 50 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 24 pcs

89 89 Transmitters SpO2 Measurement P203C TL-273T SpO2 BluPRO Probe, neonate (< 3 kg) instep, adult (> 40 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 24 pcs P203D TL-274T SpO2 BluPRO Probe, infant (3 20 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 24 pcs Disposable SpO₂ Probes 24 pcs/box - cable length: 1.6 m P203E TL-271T3 SpO2 BluPRO Probe, adult (> 30 kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 24 pcs P203F TL-272T3 SpO2 BluPRO Probe, child ( kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 24 pcs P203G TL-273T3 SpO2 BluPRO Probe, neonate (< 3 kg) instep, adult (> 40 kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 24 pcs P203H TL-274T3 SpO2 BluPRO Probe, infant (3 20 kg) finger/toe, cable length: 1.6 m Packing unit: 24 pcs Disposable SpO₂ Probes 5 pcs/box - cable length: 0.8 m P204A TL-271T SpO2 BluPRO Probe, adult (> 30 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 5 pcs

90 90 Transmitters SpO2 Measurement P204B TL-272T SpO2 BluPRO Probe, child (10 50 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 5 pcs P204C TL-273T SpO2 BluPRO Probe, neonate (< 3 kg) instep, adult (> 40 kg) finger/toe, cable length: 0.8 m, disposable Packing unit: 5 pcs P204D TL-274T SpO2 BluPRO Probe, infant ( 3 20 kg) finger/toe, cable length: 0.8 m disposable Packing unit: 5 pcs Facts Absolutely cost-effective, the series P228 and P229 are intended for long-term measurement on a single patient. The probes do not need to be replaced with a new one before 96 hours by changing the attachment site every 8 hours. So your running costs can be reduced! The light emitter and detector are covered by sponge and the entire attachment site has a flat surface. This reduces the risk of skin burn and irritation. Since the probe itself is not self-adhesive, you can easily remove and attach the probe to change the attached finger. For fixation, wrap the probe around the finger with attachment tape P259. P228A TL-051S SpO2 BluPRO Probe, neonate (< 3 kg) instep, adult (> 50 kg) finger, cable length: 0.8 m, disposable Packing unit: 5 pcs P229A TL-061S SpO2 BluPRO Probe, infant/child (3 15 kg) toe, child (15 50 kg) finger, cable length: 0.8 m, disposable Packing unit: 5 pcs P259 COTTONY Tape for fixing disposable SpO2 Probes, disposable For current products: all BSM/PVM/TEC/EEG; ZS-930/530/940OPG; ZM-930/940PG Packing unit: 20 pcs

91 91 Transmitters SpO2 Measurement Disposable SpO₂ Probes 5 pcs/box - cable length: 1.6 m P204E TL-271T3 SpO2 BluPRO Probe, adult (> 30 kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 5 pcs P204F TL-272T3 SpO2 BluPRO Probe, child (10 50 kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 5 pcs P204G TL-273T3 SpO2 BluPRO Probe, neonate (< 3 kg) instep, adult (> 40 kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 5 pcs P204H TL-274T3 SpO2 BluPRO Probe, infant (3 20 kg) finger/toe, cable length: 1.6 m, disposable Packing unit: 5 pcs Facts Absolutely cost-effective, the series P228 and P229 are intended for long-term measurement on a single patient. The probes do not need to be replaced with a new one before 96 hours by changing the attachment site every 8 houers. So your running costs can be reduced! The light emitter and detector are covered by sponge and the entire attachment site has a flat surface. This reduces the risk of skin burn and irritation. Since the probe itself is not self-adhesive, you can easily remove and attach the probe to change the attached finger. For fixation, wrap the probe around the finger with attachment tape P259. P228B TL-052S SpO2 BluPRO Probe, neonate (< 3 kg) instep, adult (> 50 kg) finger, cable length: 1.6 m, disposable Packing unit: 5 pcs P229B TL-062S SpO2 BluPRO Probe, infant/child (3 15 kg) toe, child (15 50 kg) finger, cable length: 1.6 m, disposable Packing unit: 5 pcs P259 COTTONY Tape for fixing disposable SpO2 Probes, disposable Packing unit: 20 pcs

92 92 Transmitters SpO2 Measurement Disposable Multi-Site SpO₂ Probes 5 pcs/box - cable length: 2.0 m Facts The probe P205A is specially designed for extremely sensitive skin. It uses soft and breathable sponge for the attachment tape. The attachment tape and sensor parts are separate. You can select from two sizes of attachment tape: P260A or P260B. When using the probes without those tapes for prematures, SpO2 measurement may be incorrect and the skin at the attachment site may be irritated. The attachment tape consists of two parts: adhesive and non-adhesive part. To get best fit, place the tape at the required attachment site. Wrap the sponge attachment tape (non-adhesive part) around the attachment site. Confirm that the light emitters and detector face to each other before removing backing paper of the adhesive part. Then continue wrapping to fasten the probe. Replace the sponge attachment tapes every 24 hours. P205A TL-260T SpO2 Multi-Site Probe, cable length: 2.0 m, neonate (< 3 kg) instep, child/adult (> 3 kg) finger/toe, fixed with P260A/B or for P256, single-patient use For current products: all BSM/PVM Packing unit: 5 pcs P260A Sponge Attachment Tape Type S for P205A, premature (< 1 kg) instep, neonate/infant (> 3 kg) finger/toe, disposable, Packing unit: 24 pcs P260B Sponge Attachment Tape Type L for P205A, neonate (> 3 kg) instep, disposable Packing unit: 24 pcs Handling of the probe affects measurement accuracy and patient safety For the proper placement of the probe on the finger, it is advisable that the light emitters and detector are placed just opposite to each other. When using a clip-finger probe, it is necessary to ensure that the probe covers the finger properly, otherwise some portion of the light never passes through the body tissues and may reach the light-receiving part directly, leading to incorrect measurement results. The more distant the light-emitters and detector gets, the weaker the transmitted light intensity becomes. Additionally, a thinner body part tends to have small amount of blood, wich makes it difficult to extract the arterial blood signal component. The most suitable thickness of the probe site is about 10 mm. Too loose probes may interfere with alignment of LEDs and detector, come off easily by body movement, cause larger motion artifacts or be effected by venous pulse. Too tight probes may cause venous pulsation, cause skin injuries such as burn and necrosis or unstable measurement because of a lower pulsatile signal.

93 93 NIBP Measurement (Non-Invasvie Blood Pressure) Blood pressure (BP) is the pressure exerted by circulating blood against the artery walls. During each heartbeat, the blood pressure varies between a maximum (systolic) and a minimum (diastolic) pressure. The variation indicates the condition of the pumping function of the heart as an important vital sign. A non-invasive indirect method to measure the blood pressure is the oscillometric blood pressure measurement. This method is using an inflated blood pressure cuff which is applied to the patient s arm or thigh. The blood pressure is detected by partial occlusion of the artery by the cuff. The so called Korotkoff sound is generated by the distension of the arterial wall with each cardiac impulse. Systolic and diastolic blood pressures are determined by an algorithmic interpretation of the device based on the mean arterial pressure and changing amplitude of the Korotkoff sounds. For a proper non-invasive measurement it is important to use the correct cuff size due to the fact that a too small cuff will lead to faulty high pressure, while a too large will lead to wrong low pressure readings. Please contact us for an individual offer based on your annual volume! Use the possibility of call orders!

94 94 Transmitters NIBP Measurement NIBP Measurement with ZS/ZM-940PG Reusable NIBP Cuffs for attaching transmitter to the arm S938B YP-943P Adult NIBP Cuff, width: 13 cm, arm-circumference: 21 to 30 cm, latex-free, reusable For current products: ZS/ZM-940PG S938C S938C Adult NIBP Cuff, width: 15 cm, arm-circumference: 26 to 36 cm, latex-free, reusable For current products: ZS/ZM-940PG NIBP Air Hoses for ZS/ZM-940PG S903 YN-990P NIBP Air-Hose Extension Cable, cable length: 1.5 m For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG

95 95 Transmitters NIBP Measurement Reusable Standard NIBP Cuffs S943A YP-960T Infant NIBP Cuff, width: 5 cm, arm-circumference: 8 to 13 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG S943B YP-961T Child NIBP Cuff, width: 7 cm, arm-circumference: 12 to 18 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG S943C YP-962T Child NIBP Cuff, width: 10 cm, arm-circumference: 15 to 23 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG S944B YP-963T Adult NIBP Cuff, width: 13 cm, arm-circumference: 21 to 30 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG S944C YP-964T Adult NIBP Cuff, width: 15 cm, arm-circumference: 26 to 36 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG

96 96 Transmitters NIBP Measurement Reusable YAWARA NIBP Cuffs Facts NIHON KOHDEN YAWARA-CUFF means soft and strong cuff. The name YAWARA is based on the Japanese words YAWARAkai = Soft (in Japanese), YAWARA Judo (in Japanese) and Judo means Strong. The softness of the cuff is realized in the soft and smooth polyester with a buffer sheet over the skin contact area reducing the risk of wrinkling the patient s skin and the risk of internal bleeding. The buffer sheet also evenly distributes the air pressure to prevent too much pressure on one point. The strongness is realized both in the nylon cable in the air tube preventing incidents caused by tube kinking and the durable bladder material (polyurethane). In addition to this the YAWARA-CUFF is characterized by easy handling. A wide opening lets you easily remove and insert the bladder for cleaning. The cloth is water-resistant, so you can wipe it without any problem. The watertight connector cap prevents fluid from getting into the air tube while cleaning and is provided with each cuff. An outside printed cuff scale behind the arm helps you quickly check if the cuff has the right size for the patient. The upper arm should be between the minimum and maximum scale. S949A YP-702T Child NIBP YAWARA Cuff, width: 10 cm, arm-circumference: 15 to 23 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG S949B YP-703T Adult NIBP YAWARA Cuff, width: 13 cm, arm-circumference: 21 to 30 cm, latex-free, reusable For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG

97 97 Transmitters NIBP Measurement Disposable NIBP Cuffs for Infants & Children NKD-S947A Infant NIBP Cuff, width: 6 cm, arm-circumference: 8 to 14 cm, color: blue, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs NKD-S947B Child NIBP Cuff, width: 8 cm, arm-circumference: 13 to 20 cm, color: green, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs Disposable NIBP Cuffs for Adults NKD-S947C NKD-S947D NKD-S947E NKD-S947F NKD-S947G NKD-S947H Small Adult NIBP Cuff, width: 10 cm, arm-circumference: 18 to 26 cm, color: orange, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs Adult NIBP Cuff, width: 14 cm, arm-circumference: 26 to 35 cm, color: blue, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs Adult Long NIBP Cuff, width: 15 cm, arm-circumference: 29 to 38 cm, color: red, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs Adult Large NIBP Cuff, width: 7 cm, arm-circumference: 32 to 42 cm, color: green, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs Large Adult Long NIBP Cuff, width: 18 cm, arm-circumference: 35 to 44 cm, color: orange, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs Adult Thigh NIBP Cuff, width: 20 cm, thigh-circumference: 42 to 50 cm, color: blue, latex-free, disposable For current products: all BSM/PVM/TEC-77/8300, ZS/ZM-940PG Packing unit: 20 pcs

98 98 Straps & Bags, Straps & Holder for Transmitters

99 99 Transmitters Bags, Straps & Holder Bags, Straps & Holder for Transmitters NKD-TC2016 YP-960T Transmitter Transport Bag, reusable For current products: ZS-910/920PG NKD-TC2017 Transmitter Transport Bag, reusable For current products: ZS/ZM-930PG NKD-TC2018 Disposable Transmitter Bag, size: 25 cm x 15 cm, band length: 1.2 m, material recto: plastic wrap, material verso: white fleece 100 mµ, velcro fastener For current products: all NK Transmitters Packing unit: 10 pcs Y233 Strap for Transmitter For current products: ZS-910/920/930/530PG Y234 YS-076P6 Holder for ZB- and ZS-900PG Transmitters

100 100 Transmitters Bags, Straps & Holder Y236 Strap for Transmitter For current products: ZS/ZM-940PG Y237 Transmitter Bag, requires Y032B & Y032C and S903 For current products: ZS/ZM-940PG Y032B Shoulder Belt for Y237 For current products: ZS/ZM-940PG Y032C Waist Belt for Y237 For current products: ZS/ZM-940PG