ACCESSORIES - nihonkohden.de
Transcription
ACCESSORIES - nihonkohden.de
Fighting Disease with Electronics ACCESSORIES CARDIOLOGY 2 0 1 3 / 2 0 1 4 2 Introduction www.nihonkohden.net 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 cardiology, NIHON KOHDEN provides only tested and approved product solutions from standard vital signs parameter such as ECG, SpO2 , NIBP or Temperature to specific parameters like Capnography or IBP Measurement. Our commitment to ensure continually highest quality allows you the best care of your patients and enhances your ECG, AED/TRN and Defibrillator 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! Best regards, NIHON KOHDEN EUROPE GmbH Kristin Baar Product Manager Accessories & Consumables 3 Content www.nihonkohden.net Accessories & Consumables Cardiology 1 User Guide 6 Product Innovation & Smart Cable TM Technology 7 Highest Safety and Quality Standards 8 Quick Guide Electrocardiographs, Defibrillators, AED/TRN 9 ECG Measurement 10 Typical Arrhythmia Waveforms 11 12 1.1 ECG Cables 1.1.1 1.1.2 1.1.3 1.1.4 ECG 10-Lead Cable ECG 12/15-Lead Cable ECG Veterinary 5-Lead Cable Additional Cable Accessories 13 14 15 15 1.2 ECG Electrodes 16 1.2.1 1.2.2 1.2.3 1.2.4 1.2.5 1.2.6 Clip Electrodes Chest & Plate Electrodes Tab Electrodes ECG Electrodes for Adults ECG Electrodes for Children, Infants & Neonates ECG Electrode Adapter 17 18 19 20 21 21 1.4 ECG Batteries 22 1.5 ECG Paper 24 1.6 Additional ECG Accessories 27 2 Accessories for Defibrillators 30 2.1 Defibrillator Batteries & Battery Charger 31 2.2 Defibrillator Paper 33 2.3 Defibrillator Bags 35 4 Content www.nihonkohden.net 2.4 Disposable Defibrillator Pads 37 2.4.1 2.4.2 Disposable Pads with NIHON KOHDEN Connector Disposable Pads with R2 Connector 38 39 2.5 Paddle Electrodes 40 2.5.1 2.5.2 2.5.3 Internal Paddle Electrode with Discharge Button for Series TEC-8300 Internal Paddle Electrode with Discharge Button for TEC-5500/7700 Neonate Paddle Adapter for TEC-5500/7700 41 42 42 2.6 ECG Measurement 43 Typical Arrhythmia Waveforms 44 2.6.1 ECG Cables 45 2.6.1.1 ECG Cables for TEC-8300 46 2.6.1.1.1 2.6.1.1.2 ECG 3/6-Lead Cables ECG 10-Lead Cables 47 48 2.6.1.2 ECG Cables for TEC-5500 & TEC-7700 49 2.6.1.2.1 ECG 3-Lead Cables 2.6.1.2.2 ECG 5-Lead Cables 2.6.1.2.3 Further Defibrillator Connection Cables 50 51 52 2.7 ECG Electrodes for Defibrillators 53 2.7.1 2.7.2 ECG Electrodes for Adults ECG Electrodes for Children, Infants & Neonates 54 55 2.8 SpO2 Measurement 56 2.8.1 SpO2 Cables 57 2.8.2 SpO2 Probes 59 2.8.2.1 2.8.2.2 2.8.2.2.1 2.8.2.2.2 2.8.2.2.3 2.8.2.2.4 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 61 63 63 64 64 66 5 2.9 Content www.nihonkohden.net ETCO2 Measurement (Capnography) 68 ETCO2 Selection Guide 69 ETCO2 Measurement Overview 70 2.9.1 ETCO2 Mainstream 71 2.9.1.1 2.9.1.2 2.9.1.3 Intubated Expired ETCO2 Intubated Expired and Inspired ETCO2 - “Opening a New Era in Capnography“ Intubated and Non-Intubated Expired ETCO2 CapOne - “Opening a New Era in Capnography“ 72 73 74 2.10 Temperature Measurement 76 2.10.1 2.10.2 Standard Temperature Measurement Measurement of 2 Additional Temperatures 77 77 2.11 NIBP Measurement (Non-invasive Blood Pressure) 78 2.11.1 2.11.2 2.11.3 2.11.3.1 2.11.3.2 NIBP Air Hoses Reusable NIBP Cuffs - NEW YAWARA CUFF 2 Disposable NIBP Cuffs Disposable NIBP Cuffs for Infants & Children Disposable NIBP Cuffs for Adults 79 80 82 82 83 2.12 IBP Measurement (Invasive Blood Pressure) 84 2.12.1 2.12.2 IBP Transducer Cable with Direct Connection IBP Transducer Cable with Adapter Cable K952 85 86 2.13 Portable CPR 88 2.14 Additional Defibrillator Accessories 90 3 Accessories for AED & Training Unit 92 3.1 3.2 Accessories for AED Units Accessories for AED Training Unit TRN-2100K 96 96 Accessory Order Form 97 Index as per Supply Code 98 Index as per Model Code 100 6 www.nihonkohden.net 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 conserve 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 98 to page 99, the articles are listed alphabetically as per supply code; page 100, 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/e-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, 14532 Kleinmachnow, Deutschland Fax: +49 (0) 33203/573-19, E-Mail: [email protected] For Spain and Portugal NIHON KOHDEN IBERICA S.L. C/Ulises, 75A, 28043 Madrid, Spain Fax: +34 91 300 46 76, E-Mail: [email protected] For United Kingdom NIHON KOHDEN UNITED KINGDOM Ltd. Tolworth Tower – 19th Floor, Ewell Road, Surbiton, Surrey KT6 7EL, United Kingdom Fax: +44 (0) 20 83 90 46 75, E-Mail: [email protected] For France NIHON KOHDEN FRANCE SARL 8, rue François Delage, 94230 Cachan, France Fax: +33 (0) 1 49 08 93 32, E-Mail: [email protected] For Italy NIHON KOHDEN ITALIA S.r.l. Via Fratelli Bronzetti, 28, 24124 Bergamo, Italy Fax: +39 (0) 35-232546, E-Mail: [email protected] For all other European Countries, Russia, Turkey and Israel NIHON KOHDEN EUROPE GmbH Raiffeisenstraße 10, 61191 Rosbach v. d. H., Germany Fax: +49 (0) 6003/827-599, E-Mail: [email protected] 7 www.nihonkohden.net Product Innovation & Smart Cable™ Technology Synthesized 18-lead ECG - Identify Invisible Ischemia A New Technology for More Informative ECG Exam What is Synthesized ECG ? Synthesized 18-lead ECG uses the 12-lead ECG waveforms to mathematically derive the waveforms of the right chest leads (V3R, V4R, V5R) and back leads (V7, V8, V9). The measurement procedure is the same as the standard 12-lead ECG but more information can be obtained. 18-lead synthesized ECG is expected to be useful in detecting right side and posterior infarction. The most common ECG exam is the standard 12-lead ECG. It is simple to measure, has low burden on the body, and observing the heart from these 12 directions provides a lot of information which has a wide range of clinical applications. However, some areas, especially pathological change in the right ventricle and the posterior wall cannot be observed from the 12-lead ECG. In order to actually measure the right chest (V3R, V4R, V5R) and back (V7, V8, V9) areas, it is necessary to use different electrode positions than the standard 12-lead ECG. In particular, V1 V2 V3 V1 V2 V3 electrodes must also be attached to the patient’s back so that syn-V3R normal suction cup electrodes cannot be used. Also, the patisyn-V4R V4 V4 ent must be turned over in some cases and in an emergency it is 5 V V5 often difficult to use back electrodes. This complicates the exam prosyn-V R 5 cedure. Synthesized 18-lead ECG uses the 12-lead ECG waveforms to V6 V6 mathematically derive the waveforms of the right chest leads (V3R, V4R, V5R) and back leads (V7, V8, V9). syn-V7 syn-V8 syn-V9 Standard 12-lead ECG Synthesized 18-lead ECG Synthesized right side leads (V3R-V5R) and synthesized back leads (V7 -V9) are added NIHON KOHDEN - Smart Cable™ Technology A Cost-Effective Solution to Modular Monitoring With NIHON KOHDEN Smart Cable Technology, you will get complete modular flexibility at a significantly reduced cost and without all of the inconvenience associated with traditional modular systems. Smart CableTM technology miniaturizes circuits found in traditional modules and embeds that circuitry into the cable. When you plug a Smart CableTM into a MULTI connector, it automatically detects the type of parameter and starts measuring. Smart Connector Technology is available for the following parameters: = Available – = N/A Defibrillator Patient Monitors Version 08/2013; Subject to change without notice Parameter Current Products Older Products Series TEC-8300 BSM-1700 PVM-2700 BSM-3000 BSM-6000 BSM-9100 BSM-2300 initial SW initial SW SW-V.03-30 SW V.04-12 SW V.04-12 SW-V.13-05 SW V.04-31 Flo Trac (APCO) – – – BISx Bispectral Index – BISx remarks – with YJ-671P Dual SpO₂ (Second SpO2) IBP (Invasive Blood Pressure) CO (Cardiac Output) – – – – – – only PVM-2703 – – EtCO₂ (Capnography) – with PVM-2703 – – with YJ-671P with YJ-230P via JA-69xP (DAU) via AUX port only via JA-69xP (DAU) – – – – RESP (Respiration) – – – – – FiO₂ (Fraction of inspired oxygen) – – – – – TEMP (Temperature) 8 Highest Safety and Quality Standards www.nihonkohden.net 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 13485 and ISO 14001. NIHON KOHDEN designs and manufactures medical equipment in conformity with the standards of IEC 60601-1 (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 13485 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! 9 www.nihonkohden.net Quick Guide NIHON KOHDEN Quick Guide ECG-2350 ECG-2550 ECG-1500/1550 ECG-1150 ECG-1250 ECG-1350 ECG-1950 ECG-9620 ECG-9320 ECG-9130/9132 ECG-9110 ECG-9020/9022 ECG-9010 ECG-8830 ECG-8820/8823 ECG-8420/8450 ECG-8350/8370 ECG-8330/8340 ECG-8240/8270 ECG-8110 TEC-7511/7521/7531 TEC-7100/7200/7300 TEC-8321/8322/8332/ 8342/8352 TEC-5521/5531 TEC-6100 TEC-2202/2203 AED-2100 AED-2150/2151/2152 ECG-6851 TEC-7721/7731 TEC-7621/7631 TRN-2100 TRN-2150 AED/TRN DEFIBRILLATORS ELECTROCARDIOGRAPHS Electrocardiographs, Defibrillators, AED/TRN 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 3000 2500 V. Rhythm Tachy 2000 VPC Run 1500 VT Ext. Tachy 1000 VF 500 0 Without ec1 With ec1 Cardiology › Typical Arrhythmia Waveforms 11 www.nihonkohden.net Typical Arrhythmia Waveforms Premature Supraventricular Contractions (Premature Atrial Contractions (PAC)) P P • Narrow QRS (excluding aberrant ventriular conduction) • Ectopic focus higher than His-bundle • Non-compensatory pause Premature Ventricular Contractions (PVC) • Premature contractions • Bizarre and wide QRS complexes • Full compensatory pause • Frequent PVCs are serious Multi- focal PVC 1 Atrial Fibrillation (AF) • Slight ripples on the baseline • Irregular R-R intervals • Inverted QRS complexes • Non-compensatory pause Ventricular Tachycardia (VT) • Fast pulse rate greater than 100 bpm • 3 or more irregular beats • Needs emergency treatment and countershock • May progress to Ventricular Fibrillation (VF) 2 • Multi form PVCs • Bizarre and wide QRS complexes • No discernable P-waves, R-waves, P-R rythm or QRS complexes • Needs emergency treatment and countershock Second-degree atrioventricular (AV) block, Mobitz type II Short run PVC P • Consecutive PVCs • May progress to ventricular tachycardia P P • Sudden absence of QRS complexes (P-waves observed) • May progress to cardiac arrest • Possibillity of Adams-Stokes syndrome • Occasionally needs pacing Third-degree (complete) atrioventricular (AV) block R-on-T PVC P • PVC on summit of T-wave • Bizarre and wide QRS complexes P P P P P P P P P P • Independent development of P-waves and QRS complexes • Possibility of bradycardia • Possibility of Adams-Stokes syndrome • Needs pacing Nihon Kohden products which detect arrhythmia Electrocardiographs / Defillibrators / Bedside Monitors Diagnostic ECG Electrode Placement Heart Anatomy Cardiac Conduction Sytem same horizontal level as C4 and C5 -------------------------- ------------------- -------------------------- ------------- ------------------- ------------- 1. Inferior vena cava 1 The sinoatrial (SA) node generates R and L electrodes should be placed just below Atria His bundle SA node a wave of electrical excitation. 2. Superior vena cava the right and left clavicle. N and F electrodes should 2 1 Left 2 The excitation travels through 17 15 3. Right atrium 16 2 be placed on the lower edge of the rib cage, or at bundle the internodal pathways to the 4. Tricuspid valve 3 2 branch the level of the umbilicus at the mid-clavicular line. AV node atria and the atrial muscles contract. 5. Right ventricle 7 Purkinje This is recorded as the P-wave. 7 4 6. Pulmonary valve 8 fibers 3 The excitation travels to the 14 Right 5 7. Pulmonary artery bundle Lead Electrode Placement atrioventricular (AV) node. branch 9 8. Pulmonary vein 5 C1 Fourth intercostal space at the 13 4 The excitation then travels through 8 9. Left atrium right border of the sternum Purkinje the bundle of His and down through 10 Ventricles 3 7 10. Mitral valve fibers Fourth intercostal space at the R L C2 the right and left bundle branches. 12 11. Left ventricle R 11 right border of the sternum 6 5 The excitation terminates at the 12. Aortic valve Purkinje fibers in the ventricles and Midway between locations C2 C3 T 13. Coronary artery P the ventricular muscles contract. This 1 4 and C4 C1 C2 5 14. Aorta C3 C6 is the depolarization and is recorded At the mid-clavicular line in the C4 C4 C5 15. Brachiocephalic artery as the QRS complex. Q S 1 fifth intercostal space Disposable accessories are intended for single use only, on one patient, during Do not re-use disposable accessories! 16. Left common carotid artery 6 The ventricular muscles relax. This is 2 18 a single examination! 3.4 At the anterior axillary line on the C5 17. examinations. Left subclavian artery the repolarization Reusable accessories are intendedNfor repeated patient use on different patients during different Please make sure to clean reusable accessories after each patient or and is recorded as F 5 same horizontal level as C4 the T- wave. 18. Descending aorta between different applications to prevent or reduce the risk of cross infections! 6 C6 At the mid-axillary line on the ECG Cables ECG 10-Lead Cable ECG 12/15-Lead Cable ECG Veterinary 5-Lead Cable Additional Cable Accessories 13 Electrocardiographs > ECG Cables www.nihonkohden.net ECG 10-Lead Cable Supply Code Model Description K081 BJ-902D 10-Lead ECG Patient Cable, 4 mm banana plug (IEC), limb 3.4 m/chest 2.9 m For current products: ECG-1150/1250/1350/2350 Packing unit: 1 pcs K082 BJ-903D 10-Lead ECG Patient Cable, snap (IEC), limb 3.4 m/chest 2.9 m For current products: ECG-1150/1250/1350/2350 Packing unit: 1 pcs K079 BJ-901D 10-Lead ECG Patient Cable, 3 mm banana plug (IEC), limb 1.2 m/chest 0.7 m For current products: ECG-1150/1250/1350/2350 Packing unit: 1 pcs K093C BR-912D 10-Lead ECG Patient Cable, 4 mm banana plug (IEC), for input-box JC-901D, for resting ECG, limb 1.2 m/chest 0.7 m For current products: ECG-1550 Packing unit: 1 pcs K093D BR-913D 10-Lead ECG Patient Cable, clip (IEC), for input-box JC-901D, for resting ECG, limb 1.2 m/chest 0.7 m For current products: ECG-1550 Packing unit: 1 pcs K093F BR-913E 10-Lead ECG Patient Cable, clip (IEC), for input-box JC-901D, for stress test, limb/chest 0.6 m For current products: ECG-1550 Packing unit: 1 pcs K096A 490933 Connection Cable for Patient Input-Box JC-901D, cable length: 2.0 m For current products: ECG-1550 Packing unit: 1 pcs K096B 669269 Connection Cable for Patient Input-Box JC-901D, cable length: 5.0 m For current products: ECG-1550 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 14 Electrocardiographs > ECG Cables www.nihonkohden.net ECG 12/15-Lead Cable Supply Code Model Description K093L BR-921D 15-Lead ECG Patient Cable, 3 mm banana plug (IEC), for input-box JC-901D, for stress test, limb/chest 1.2 m For current products: ECG-1550 Packing unit: 1 pcs KB010 BR-202D 12-Lead Set (Electrode Leads: R,L,F,N,C1,C2,C3,C4,C5,C6), 4 mm banana plug For current products: ECG-2550 Packing unit: 1 pcs KB012 BR-202D XYZ-Lead Set, 4 mm banana plug For current products: ECG-2550 Packing unit: 1 pcs K118 Slide Clipper for Chest For current products: ECG-2550 Packing unit: 1 pcs K119 Slide Clipper for Limb For current products: ECG-2550 Packing unit: 1 pcs Supply Code Model Chest Lead Label Color KB01A KB02A KB03A KB04A KB05A KB06A KB07A KB08A KB09A KB10C KB11C KB12D KB13B KB13D KB14B KB15B KB16B KB17B KB18B KB19C BR-202D BR-202D BR-202D BR-202D BR-202D BR-202D BR-202D BR-202D BR-202D C1 C2 C3 C4 C5 C6 CX1 CX2 CX3 red yellow green brown black violet Cable Length Cable Color 0.7 m white 1.2 m grey For current products Packing unit white red yellow green black yellow red blue orange brown white ECG-2550 1 pcs 1.4 m 1.0 m 1.4 m 1.0 m white 1.2 m Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 15 Electrocardiographs > ECG Cables www.nihonkohden.net ECG Veterinary 5-Lead Cable Supply Code Model Description K098 BJ-904D 5-Lead Veterinary ECG Connection Cable, 3 mm banana plug (IEC) For current products: ECG-1950 Packing unit: 1 pcs Additional Cable Accessories Supply Code Model Description K097 BM-901D Adapter for ECG Vacuum Equipment with 15 PIN Sub-D Connector to input-box JC-901D For current products: ECG-1500/1550 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! ECG Electrodes 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 Ten electrodes Clip Electrodes Chest & Plate Electrodes Tab Electrodes ECG Electrodes for Adults, Children, Infants & Neonates ECG Electrode Adapter Electrocardiographs > ECG Electrodes 17 www.nihonkohden.net Clip Electrodes Facts The NIHON KOHDEN Fastclip ECG Electrodes allow a flexible application for routine work and emergency on every paediatric and adult patient thanks to a simple adjustability of the clip pressure (clip size). A more comfortable handling is guaranteed due to different con-nectors for any existing adapter type, a big contact area for reliable ECG measurements and easier cleaning after the measurement because of less asperity of the clip. In addition to this IEC colored label sets are delivered with NIHON KOHDEN Fastclip ECG Electrodes. By following the next steps, optimized derivations can be realized with NIHON KOHDEN Fastclip ECG Electrodes: 1.) Clean the according skin areas with alcohol in order to remove traces of dirt and oil on the skin. 2.) Apply a thin layer of CardioCream F010 on the cleaned skin areas and on the electrode part. 3.) Clip the electrode on the wrist or ankle. Adjust the electrode positon by sliding the electrode part according to the thickness of the limb. Adjustability strong Easy to handle middle weak wide narrow spring Contact pressure and position of electrodes section can be adjusted according to patients΄ conditions. Opens more widly*, and round form brings easy to grip. (*compared to the previous model) Three types of connectors available Easy cleaning Raised dots Trench shape Tip Clip Snap Any of tip, clip and snap type connector is available. Supply Code Description H068A Fastclip ECG Electrode, 3 mm, child/adult, blue, adjustable size For current products: all ECG/EEG Packing unit: 4 pcs H068B Fastclip ECG Electrode, 4 mm, child/adult, blue, adjustable size For current products: all ECG/EEG Packing unit: 4 pcs H072 Veterinary Clip Electrode, 3 mm, cable length: 0.3 m, for K098 For current products: ECG-1950/9022 Packing unit: 5 pcs Previous model New model Less asperity easy cleaning. Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 18 Electrocardiographs > ECG Electrodes www.nihonkohden.net Chest & Plate Electrodes Supply Code Model Description H041A 6144-000427 Chest Suction Electrode, 3 mm, adult, size: 20 mm dia, grey rubber ball Packing unit: 3 pcs H043A 6144-011852 Chest Suction Electrode, 4 mm, adult, size: 20 mm dia, grey rubber ball Packing unit: 3 pcs H044A NC-124D Chest Suction Electrode Tako, 4 mm, child, size: 14 mm dia, pink octopus rubber ball Packing unit: 3 pcs H044B NC-124D Chest Suction Electrode Kuma, 4 mm, child, size: 14 mm dia, blue bear rubber ball Packing unit: 3 pcs H049 Grey Rubber Ball Set for Adult Suction Electrode H043A Packing unit: 3 pcs H052A Pink Octopus Rubber Ball Set for Children Suction Electrode H044A Packing unit: 3 pcs H052B Blue Bear Rubber Ball Set for Children Suction Electrode H044B Packing unit: 3 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 19 Electrocardiographs > ECG Electrodes Supply Code Description NKD-Z715 Plate Electrode, adult, size: 30 mm dia, suitable limb electrode straps, for NKD-Z722 Packing unit: 1 pcs NKD-Z722 Rubber Strap, chest, size: 135 cm x 7 cm, black, 5 rows of holes, for plate electrode NKD-Z715 Packing unit: 1 pcs NKD-Z723 Attachment Button for Rubber Strap NKD-Z722 Packing unit: 1 pcs www.nihonkohden.net Tab Electrodes Supply Code Description NKD-ECG/TAB1 ECG Tab Electrode Normal, Ag/AgCl, child/adult, radiolucent (X-ray, MRI), size: 26 x 34 mm, bio-solid gel, backing material: graphite, for resting ECG Packing unit: 500 pcs NKD-ECG/TAB2 ECG Tab Electrode Small, Ag/AgCl, child, radiolucent (X-ray, MRI), size: 13 x 34 mm, bio-solid gel, backing material: graphite, for resting ECG Packing unit: 500 pcs NKD-H/ADAPTER2 ECG Tab Electrode Clamps for NKD-ECG/TAB1 & NKD-ECG/TAB2, 4 mm banana plug Packing unit: 10 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 20 Electrocardiographs > ECG Electrodes www.nihonkohden.net ECG Electrodes for Adults 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! Supply Code Model Description 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), 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, highbrid 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 Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 21 Electrocardiographs > ECG Electrodes www.nihonkohden.net ECG Electrodes for Children, Infants & Neonates Supply Code Model Description 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 ECG Electrode Adapter Supply Code Description N-00 Snap Adapter for Disposable ECG Electrodes, 4 mm dia plug to clip connector Packing unit: 5 pcs N-08 Clip Adapter for Disposable ECG Electrodes, 4 mm dia plug to snap connector Packing unit: 10 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! ECG Batteries 23 Electrocardiographs > ECG Batteries www.nihonkohden.net ECG Batteries Supply Code Model Description X065 NKB-301V Battery Pack, 12V, 2800 mAh, nickel-metal hydride (NiMH), rechargeable For current products: ECG-1350/2350/TEC-5500/7700 Packing unit: 1 pcs X071 SB-901D Battery Pack, 12V, 1950 mAh, nickel-metal hydride (NiMH), rechargeable For current products: ECG-1150/1250/1950 Packing unit: 1 pcs X073 SB-150D Battery Pack, 12V, 3600 mAh, nickel-metal hydride (NiMH), rechargeable For current products: ECG-1500/1550 Packing unit: 1 pcs X078 SB-201D Battery Pack, 14.4V, 3400 mAh, nickel-metal hydride (NiMH), rechargeable For current products: ECG-2550 Packing unit: 1 pcs X040 LCS-2012NK Battery Pack, 12V, 2000 mAh, lead-acid, rechargeable For old products: ECG-6000/OEC-8110 Packing unit: 1 pcs X041A LCT-1912ANK Battery Pack, 12V, 1900 mAh, lead-acid, rechargeable For old products: ECG-9022/9132 Packing unit: 1 pcs X041B LC-S2912NK Battery Pack, 12V, 2900 mAh, lead-acid, rechargeable For old products: ECG-9320/TEC-7500 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! ECG Paper 25 Electrocardiographs > ECG Paper www.nihonkohden.net ECG Paper Supply Code Model Description A052 FQW210-10-295 Thermal Paper, Z-fold, 210 mm x 100 m (page 295 mm), 339 pages, with queue mark/perforation For old products: ECG-9320 Packing unit: 10 pcs A053 FQW210-30-295 Thermal Paper, Z-fold, 210 mm x 300 m (page 295 mm), 1017 pages, without grid, with queue mark/perforation For current products: ECG-2550/1550 | For old products: ECG-9320 Packing unit: 1 pcs A128 RQS50-3 Thermal Paper, roll, 50 mm x 30 m, orange grid For current products: TEC-8300 For old products: ECG-6651/TEC-7100/7200/7300 Packing unit: 10 pcs A129 RQS63-3 Thermal Paper, roll, 63 mm x 30 m, with grid, without queue mark/perforation For old products: ECG-1150 Packing unit: 10 pcs NKD-210-10/295 Thermal Paper, Z-fold, 210 mm x 100 m (page 295 mm), 339 pages, without grid, with queue mark/perforation, equivalent to A052 & NKD-210-10A For old products: ECG-9320/old MEB Packing unit: 10 pcs NKD-210-5-295 Thermal Paper, Z-fold, 210 mm x 50 m (page 295 mm), 169 pages, without grid, equivalent to A053 For current products: ECG-2550/1550 | For old products: ECG-9320 Packing unit: 10 pcs NKD-A054 Thermal Paper, Z-fold, 210 mm x 30 m (page 140 mm), 214 pages, without grid, with queue mark/perforation For current products: ECG-1350/2350 | For old products: ECG-9132 Packing unit: 10 pcs NKD-A730 Thermal Paper, Z-fold, 110 mm x 20 m (page 140 mm), 143 pages, without grid, with queue mark/perforation For current products: ECG-1250/1950 | For old products: ECG-9022 Packing unit: 10 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 26 Electrocardiographs > ECG Paper Supply Code Description NKD-63 Thermal Paper, Z-fold, 63 mm x 30 m (page 75 mm), 400 pages, with grid, without queue mark/perforation For old products: ECG-9620 Packing unit: 10 pcs NKD-A129 Thermal Paper, roll, 63 mm x 30 m, with grid, without queue mark/perforation, equivalent to A129 For current products: ECG-1150 | For old products: ECG-9620 Packing unit: 10 pcs NKD-145-2,5 Thermal Paper, Z-fold, 145 mm x 25 m (page 100 mm), 85 pages, orange grid, equivalent to A036B For old products: ECG-8400 Packing unit: 10 pcs NKD-145-6A300 Thermal Paper, roll, 145 mm x 60 m (page 300 mm), 200 pages, orange grid, equivalent to A132 but without queue mark/perforation For old products: ECG-8821 Packing unit: 10 pcs NKD-A134A Thermal Paper, roll, 210 mm x 30 m, without grid/queue mark/perforation For old products: ECG-9110/9130/9132 Packing unit: 10 pcs www.nihonkohden.net Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! Additional ECG Accessories 28 Electrocardiographs > Additional ECG Accessories www.nihonkohden.net Additional ECG Accessories Supply Code Model Description F010 Z-101BC “CardioCream” ECG Electrode Paste, 100 g tube Packing unit: 2 pcs NKD-G711 Electrode Spray Gyrolux, skin preparation for use of suction vacuum pumps, 250 ml bottle Packing unit: 1 pcs NKD-SD1GB Memory SD Card 1 GB Packing unit: 1 pcs Y011 404617 Thermal Head Cleaner Pen For current products: all ECG/TEC/old MEB/EEG/allBSM/PVM/OPV/WEP Packing unit: 1 pcs NKD-BAG Carrying Bag for ECG & Accessories For current products: ECG-1150/1250/1350/1950/2350 Packing unit: 1 pcs NKD-L936 Power Cable, Schuko plug, cable length: 2.0 m Packing unit: 1 pcs NKD-POWERLINE Multiple Power Socket (4 slots), medical certification Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 29 Electrocardiographs > Additional ECG Accessories Supply Code Description K117A Connection Cable for Input Box, cable length: 2.0 m For current products: ECG-2550 Packing unit: 1 pcs K117B Connection Cable for Input Box, cable length: 5.0 m For current products: ECG-2550 Packing unit: 1 pcs K117C Connection Cable for Input Box, cable length: 10.0 m For current products: ECG-2550 Packing unit: 1 pcs www.nihonkohden.net Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! Accessories for Defibrillators Defibrillator Batteries & Battery Charger 32 Defibrillators > Defibrillator Batteries & Battery Charger www.nihonkohden.net Defibrillator Batteries & Battery Charger Supply Code Model Description X065 NKB-301V Battery Pack, 12V, 2800 mAh, nickel-metal hydride (NiMH), rechargeable For current products: TEC-5500/7700/ECG-1350 Packing unit: 1 pcs X077 SB-831V Battery Pack, 14.4V, 6300 mAh, lithium-ion battery, rechargeable For current products: TEC-8300 Packing unit: 1 pcs X041 LCT-1912NK-1 Battery Pack, 12V, 1900 mAh, lead-acid, rechargeable For old products: TEC-7100/7200 Packing unit: 1 pcs X041B LC-S2912NK Battery Pack, 12V, 2900 mAh, lead-acid, rechargeable For old products: ECG-9320/TEC-7500 Packing unit: 1 pcs X060A NKB-102V Battery Pack, 12V, 1700 mAh, nickel-cadmium (NiCd), rechargeable For old products: TEC-8200 Packing unit: 1 pcs SB-801V External Dual Battery Charger, for 2x battery X077 For current products: TEC-8300 Packing unit: 1 pcs SC-831V AC/DC Module for Series TEC-8300K For current products: TEC-8300 Packing unit: 1 pcs SB-551V External Dual Battery Charger, for 2x battery X065 For current products: TEC-5500/7700 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! Defibrillator Paper 34 Defibrillators > Defibrillator Paper www.nihonkohden.net Defibrillator Paper Supply Code Model Description A128 RQS50-3 Thermal Paper, roll, 50 mm x 30 m, orange grid For current products: TEC-8300 | For old products: ECG-6651/TEC-7100/7200/7300 Packing unit: 10 pcs A222 FQS50-3-100 Thermal Paper, Z-fold, 50 mm x 30 m (page 100 mm), 300 pages, orange grid For current products: TEC-7700 Packing unit: 10 pcs A226 FQS50-2-100 Thermal Paper, Z-fold, 50 mm x 20 m (page 100 mm), 200 pages, orange grid For current products: TEC-5500/BSM-2300/3000 Packing unit: 10 pcs A238 PS50-2 Thermal Paper, roll, 50 mm x 20 m, orange grid, without queue mark/perforation For old products: TEC-6600 Packing unit: 10 pcs NKD-A226 Thermal Paper, Z-fold, 50 mm x 20 m (page 100 mm), 200 pages, orange grid For current products: TEC-5500 Packing unit: 10 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! Defibrillator Bags 36 Defibrillators > Defibrillator Bags www.nihonkohden.net Defibrillator Bags Supply Code Description NKD-DEFIBAG83 Softbag for Series TEC-8300K incl. Warning Sign Label Please indicate the specified abbreviation letter for the required language when ordering: English (K), German (G), French (F), Italian (R), Spanish (E), Turkish (TR) or Russian (RU)! For current products: TEC-8300 Packing unit: 1 pcs NKD-STRAP83 Shoulder Strap for Series TEC-8300K Softbag For current products: TEC-8300 Packing unit: 1 pcs NKD-DEFIBAG2 Carrying Bag 2 with 2 Additional Attached Accessory Bags For current products: TEC-7700 Packing unit: 1 pcs NKD-DEFIBAG3 Carrying Bag 3 with 1 Additional Attached Accessory Bag For current products: TEC-5500 Packing unit: 1 pcs NKD-DEFIBAG6 Accessory Bag For current products: TEC-5500/7700 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! Disposable Defibrillator Pads Disposable Pads with NIHON KOHDEN Connector Disposable Pads with R2 Connector 38 Defibrillators > Disposable Defibrillator Pads www.nihonkohden.net Disposable Pads with NIHON KOHDEN Connector Supply Code Model Description H312 P-513 Defibrillation Pads with Outside Connector, infant (< 10 kg), for use with adapter cable JC-765V/K342B, weight: 80 g ± 10 g, size: 73 mm ± 8 mm x 110 mm ± 11 mm, conductive surface: 48.40 cm2 ± 10%, cable length: 1.5 m For current products: TEC-5500/7700/8300 Packing unit: 1 pair H327 P-511 Defibrillation Pads with Outside Connector, child/adult (> 10 kg), for use with adapter cable JC-765V/K342B, weight: 90 g ± 15 g, size: 108 mm ± 10 mm x 159 mm ± 10 mm, conductive surface: 99 cm2 ± 10%, cable length: 1.5 m For current products: TEC-5500/7700/8300 Packing unit: 1 pair K342B JC-865V Adapter Cable for Disposable Defibrillator Pads H312/H327/H324A, cable length: 3.5 m For current products: TEC-8300 Packing unit: 1 pcs JC-765V Y206A Adapter Cable for Disposable Pads H312/H327/H324A, cable length: 3.5 m For current products: TEC-5500/7700 Packing unit: 1 pcs AX-250V AED Cable Testing Unit for NIHON KOHDEN-Pads with Adapter Cable JC-765V/K342B For current products: TEC-5500/7700/8300 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 39 Defibrillators > Disposable Defibrillator Pads www.nihonkohden.net Disposable Pads with R2 Connector Supply Code Model Description NKD-H405 Defibrillator Pads with Outside R2 Connector, adult, for use with adapter cable JC-755V/K342A, size: 159.93 cm², conductive surface: 114.75 cm², cable length: 1.28 m For current products: TEC-5500/7700/8300 Packing unit: 1 pair NKD-H406 Defibrillator Pads with Outside R2 Connector, child, for use with adapter cable JC-755V/K342A, size: 78.13 cm², conductive surface: 53.80 cm², cable length: 1.28 m For current products: TEC-5500/7700/8300 Packing unit: 1 pair K342A JC-855V JC-755V Y206B Adapter Cable for Disposable Defibrillator Pads NKD-H405/NKD-H406 with R2 Connector, cable length: 3.5 m For current products: TEC-8300 Packing unit: 1 pcs Adapter Cable for Disposable Defibrillator Pads NKD-H405/NKD-H406 with R2 Connector, cable length: 3.5 m For current products: TEC-5500/7700 Packing unit: 1 pcs AX-251V AED Cable Testing Unit for R2 Pads with Adapter Cable JC-755V/K342A For current products: TEC-5500/7700/8300 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! Paddle Electrodes Internal Paddle Electrode Neonate Paddle Adapter 41 Defibrillators > Paddle Electrodes www.nihonkohden.net Internal Paddle Electrode with Discharge Button for Series TEC-8300 Supply Code Description ND-893V Internal Paddle Electrode with Discharge Button, including handle & electrode, size: 35 mm dia For current products: TEC-8300 Packing unit: 1 pair ND-894V Internal Paddle Electrode with Discharge Button, including handle & electrode, size: 45 mm dia For current products: TEC-8300 Packing unit: 1 pair ND-895V Internal Paddle Electrode with Discharge Button, including handle & electrode, size: 55 mm dia For current products: TEC-8300 Packing unit: 1 pair ND-896V Internal Paddle Electrode with Discharge Button, including handle & electrode, size: 65 mm dia For current products: TEC-8300 Packing unit: 1 pair ND-897V Internal Paddle Electrode with Discharge Button, including handle & electrode, size: 75 mm dia For current products: TEC-8300 Packing unit: 1 pair Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 42 Defibrillators > Disposable Defibrillator Pads www.nihonkohden.net Internal Paddle Electrode with Discharge Button for TEC-5500/7700 Supply Code Description ND-593V Internal Paddle Electrode with Discharge Button, including handle & electrode, size: 35 mm dia For current products: TEC-5500/7700 Packing unit: 1 pair ND-594V Internal Paddle Electrode with Discharge Button, including handle & electrode, size: 45 mm dia For current products: TEC-5500/7700 Packing unit: 1 pair ND-595V Internal Paddle Electrode with Discharge Button, including handle & electrode, size: 55 mm dia For current products: TEC-5500/7700 Packing unit: 1 pair ND-596V Internal Paddle Electrode with Discharge Button, including handle & electrode, size: 65 mm dia For current products: TEC-5500/7700 Packing unit: 1 pair ND-597V Internal Paddle Electrode with Discharge Button, including handle & electrode, size: 75 mm dia For current products: TEC-5500/7700 Packing unit: 1 pair Neonate Paddle Adapter for TEC-5500/7700 Supply Code Description ND-612V Paddle Adapter, neonate, size: 44 mm dia For current products: TEC-5500/7700 Packing unit: 1 pair Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 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. Some functions are limited on series TEC-8300K. Contact your NIHON KOHDEN representative for details. Number of false alarms 3000 2500 V. Rhythm Tachy 2000 VPC Run 1500 VT Ext. Tachy 1000 VF 500 0 Without ec1 With ec1 44 www.nihonkohden.net Cardiology › Typical Arrhythmia Waveforms Typical Arrhythmia Waveforms Premature Supraventricular Contractions (Premature Atrial Contractions (PAC)) P P • Narrow QRS (excluding aberrant ventriular conduction) • Ectopic focus higher than His-bundle • Non-compensatory pause Premature Ventricular Contractions (PVC) • Premature contractions • Bizarre and wide QRS complexes • Full compensatory pause • Frequent PVCs are serious Multi- focal PVC 1 Atrial Fibrillation (AF) • Slight ripples on the baseline • Irregular R-R intervals • Inverted QRS complexes • Non-compensatory pause Ventricular Tachycardia (VT) • Fast pulse rate greater than 100 bpm • 3 or more irregular beats • Needs emergency treatment and countershock • May progress to Ventricular Fibrillation (VF) 2 • Multi form PVCs • Bizarre and wide QRS complexes • No discernable P-waves, R-waves, P-R rythm or QRS complexes • Needs emergency treatment and countershock Second-degree atrioventricular (AV) block, Mobitz type II Short run PVC P • Consecutive PVCs • May progress to ventricular tachycardia P P • Sudden absence of QRS complexes (P-waves observed) • May progress to cardiac arrest • Possibillity of Adams-Stokes syndrome • Occasionally needs pacing Third-degree (complete) atrioventricular (AV) block R-on-T PVC P • PVC on summit of T-wave • Bizarre and wide QRS complexes P P P P P P P P P P • Independent development of P-waves and QRS complexes • Possibility of bradycardia • Possibility of Adams-Stokes syndrome • Needs pacing Nihon Kohden products which detect arrhythmia Electrocardiographs / Defillibrators / Bedside Monitors Diagnostic ECG Electrode Placement Heart Anatomy Cardiac Conduction Sytem 1. Inferior vena cava 1 The sinoatrial (SA) node generates Atria His bundle SA node a wave of electrical excitation. 2. Superior vena cava 2 1 Left 2 The excitation travels through 15 16 17 3. Right atrium 2 bundle the internodal pathways to the 4. Tricuspid valve 3 2 branch AV node atria and the atrial muscles contract. 5. Right ventricle 7 Purkinje This is recorded as the P-wave. 7 4 6. Pulmonary valve 8 fibers 14 Right 3 The excitation travels to the 5 7. Pulmonary artery bundle Electrode Placement atrioventricular (AV) node. branch 9 8. Pulmonary vein 5 Fourth intercostal space at the 13 4 The excitation then travels through 8 9. Left atrium right border of the sternum Purkinje the bundle of His and down through 10 Ventricles 3 7 10. Mitral valve fibers Fourth intercostal space at the R L the right and left bundle branches. 12 11. Left ventricle R 11 right border of the sternum 6 5 The excitation terminates at the 12. Aortic valve Purkinje fibers in the ventricles and Midway between locations C2 T 13. Coronary artery P the ventricular muscles contract. This 1 4 and C4 C1 C2 5 14. Aorta C3 C6 is the depolarization and is recorded At the mid-clavicular line in the C5 C4 15. Brachiocephalic artery as the QRS complex. Q S 1 fifth intercostal space 16. LeftDo common carotiddisposable artery Disposable accessories are intended for single use only, on one patient, during not re-use accessories! 6 The ventricular muscles relax. This is 2 18 a single examination! 3.4 At the anterior axillary line on the 17. examinations. Left subclavian artery the repolarization and is recorded as use on different patients during different Please make sure to clean reusable accessories F 5 after each patient or sameReusable horizontalaccessories level as C4 are intended Nfor repeated patient the T- wave. 18. Descending aorta between different applications to prevent or reduce the risk of cross infections! 6 At the mid-axillary line on the C5 C6 same horizontal level as C4 and C5 -------------------------- C4 ------------------- C3 -------------------------- C2 ------------- C1 ------------------- Lead ------------- R and L electrodes should be placed just below the right and left clavicle. N and F electrodes should be placed on the lower edge of the rib cage, or at the level of the umbilicus at the mid-clavicular line. ECG Cables ECG Cables for TEC-8300 ECG 3/6-Lead Cables ECG 10-Lead Cables 47 Defibrillators > ECG Measurement www.nihonkohden.net ECG 3/6-Lead Cables 6-lead ECG measurement V4 V5 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% Supply Code 6124-039432 Model K120 NA-0003 Electrode Lead Tube for K911/K910A For current products: TEC-8300/5500/7700/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, 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-8300/5500/7700/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG Packing unit: 1 pcs K911 BR-903P 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-8300/5500/7700/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG Packing unit: 1 pcs K913A BR-906V 6-Lead ECG Electrode Cable, clip, cable length: 0.6 m For current products: TEC-8300/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG Packing unit: 1 pcs K912 BR-906P 6-Lead ECG Electrode Cable, clip, cable length: 0.8m requires K922 For current products: TEC-8300/all BSM/PVM; ZM-920/930/940PG Packing unit: 1 pcs • II + V5 lead symbol 80% • II + V5 + V4 lead symbol 96% More accurate ischaemia detection Description Connection Cable Cover for DIN Type Electrodes for K922 For current products: TEC-8300/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 48 Defibrillators > ECG Measurement Supply Code K915 Model Description BR-916P 6-Lead ECG Electrode Cable, snap, cable length: 0.8m,requires K922 For current products: all BSM/PVM/TEC-8300; ZM-920/930/940PG Packing unit: 1 pcs 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: TEC-8300/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG Packing unit: 1 pcs www.nihonkohden.net ECG 10-Lead Cables Supply Code K901 Model Description BJ-900P 10-Lead ECG Patient Cable (12 channel ECG), clip, cable length: 3.8 m, incl. patient electrode lead & connection cable For current products: BSM-1700/3000/5100/6000/9100/TEC-8300 Packing unit: 1 pcs K354 BJ-831V 10-Lead ECG Patient Cable (12 channel ECG), clip, cable length: 2.5 m For current products: TEC-8300 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! ECG Cables for TEC-5500 & TEC-7700 ECG 3-Lead Cables ECG 5-Lead Cables Additional Defibrillator Connection Cables 50 Defibrillators > ECG Measurement www.nihonkohden.net ECG 3-Lead Cables Supply Code K120 Model Description NA-0003 Electrode Lead Tube, for K911/K910A For current products: TEC-5500/7700/8300/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, clip, cable length: 0.8 m TEC-5500/7700: for connection to defibrillators L153 is required BSM/PVM/TEC-8300: for connection to monitors K922 is required For current products: TEC-5500/7700/8300/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG Packing unit: 1 pcs K911 BR-903P 3-Lead ECG Electrode Cable, snap, cable length: 0.8 m TEC-5500/7700: for connection to defibrillators L153 is required BSM/PVM/TEC-8300: for connection to monitors K922 is required For current products: TEC-5500/7700/8300/all BSM/PVM; ZS-910/920/930/940/530PG; ZM-920/930/940PG Packing unit: 1 pcs K225 BR-018P 3-Lead ECG Connection Cable (IEC), clip, cable length: 0.8 m, for use with L152 For current products: TEC-5500/7700 Packing unit: 1 pcs K226 BR-019P 3-Lead ECG Connection Cable (IEC), snap, cable length: 0.8 m, for use with L152 For current products: TEC-5500/7700 Packing unit: 1 pcs K336 JC-005P Connection Cable (IEC), cable length: 3.0 m, for ECG Electrode Lead K225/K226/K227/K228 For current products: TEC-5500/7700 Packing unit: 1 pcs K352A BC-763VA 3-Lead ECG Connection Cable (AHA), snap, cable length: 3.5 m For current products: TEC-5500/7700 Packing unit: 1 pcs K353A BC-763V 3-Lead ECG Connection Cable (IEC), snap, cable length: 3.5 m For current products: TEC-5500/7700 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 51 Defibrillators > ECG Measurement www.nihonkohden.net ECG 5-Lead Cables Supply Code K227 Model Description BR-020P 5-Lead ECG Connection Cable (IEC), clip, cable length: 0.8 m, for use with L152 For current products: TEC-5500/7700 Packing unit: 1 pcs K228 BR-021P 5-Lead ECG Connection Cable (IEC), snap, cable length: 0.8 m, for use with L152 For current products: TEC-5500/7700 Packing unit: 1 pcs K336 JC-005P Connection Cable (IEC), cable length: 3.0 m, for ECG Electrode Lead K225/K226/K227/K228 For old products: TEC-8250/8251 Packing unit: 1 pcs K352B BC-765VA 5-Lead ECG Connection Cable (AHA), clip, cable length: 3.5 m For current products: TEC-5500/7700 Packing unit: 1 pcs K353B BC-765V 5-Lead ECG Connection Cable (IEC), clip, cable length: 3.5 m For current products: TEC-5500/7700 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 52 Defibrillators > ECG Measurement www.nihonkohden.net Further Defibrillator Connection Cables Supply Code K232 Model Description BR-002P 3-Lead ECG Connection Cable (IEC), clip, cable length: 0.8 m For old products: TEC-7000 Packing unit: 1 pcs K350A BC-753V 3-Lead ECG Connection Cable (IEC), clip, cable length: 3.5 m For old products: TEC-7500 Packing unit: 1 pcs K234 BR-004P 5-Lead ECG Connection Cable (IEC), clip, cable length: 0.8 m For old products: TEC-7000 Packing unit: 1 pcs K332 JC-002P Connection Cable (IEC) for ECG Electrode Lead K234, cable length: 3.0m For old products: TEC-7000 Packing unit: 1 pcs K351A BC-755V 5-Lead ECG Connection Cable (IEC), clip, cable length: 3.5 m For old products: TEC-7500 Packing unit: 1 pcs L151 JC-761V External ECG Input Cable, connection to patient monitors, cable length: 2.9 m For current products: TEC-5500/7700 Packing unit: 1 pcs L152 JC-762V External Defibrillator Connection Cable, cable length: 3.0 m, for ECG Electrode Lead K225/K226/K227/K228 For current products: TEC-5500/7700 Packing unit: 1 pcs L153 JC-763V External Defibrillator Connection Cable, cable length: 3.0 m, for ECG Electrode Lead K910A/K911 For current products: TEC-5500/7700 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! ECG Electrodes for Defibrillators 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! 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 ECG Electrodes for Adults ECG Electrodes for Children, Infants & Neonates Ten electrodes 54 Defibrillators > ECG Measurement www.nihonkohden.net ECG Electrodes for Adults Supply Code G203 Model Description 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), 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 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 G272A V-09OM3 ECG Electrode Vitrode V, Ag/AgCl, child/adult, size: 25 x 45 mm, cable length: 1.0 m, radiolucent (X-ray), hydrogel, foam & cotton tape, 3 pre-wired electrodes with 1.5 mm touch proof 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), hydrogel, foam & cotton tape, 4 pre-wired electrodes with 1.5 mm touch proof connector for limb leads Packing unit: 10 x 4 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 55 Defibrillators > ECG Measurement Supply Code G272C Model Description V-06OM6 ECG Electrode Vitrode V, Ag/AgCl, child/adult, size: 25 x 45 mm, cable length: 1.0 m, radiolucent (X-ray), hydrogel, foam & cotton tape, 6 pre-wired electrodes with 1.5 mm touch proof connector 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), foam tape, 3 pre-wired electrodes with 1.5 mm touch proof connector Packing unit: 30 x 3 pcs www.nihonkohden.net ECG Electrodes for Children, Infants & Neonates Supply Code G210C Model Description 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, without motif print, size: 20 mm dia, cable length: 0.6 m, radiolucent (X-ray), foam & cotton tape, 3 pre-wired electrodes with 1.5 mm touch proof connector Packing unit: 40 x 3 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 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 a 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 1975. 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. Disposable SpO2 Cables Defibrillators > SpO2 Measurement 58 www.nihonkohden.net SpO2 Cables Supply Code K931 Model Description JL-900P SpO2 Connection Cable, cable length: 2.5 m, rectangular connector For current products: TEC-8300/all BSM/PVM/PSG-1100 Packing unit: 1 pcs Y095A JL-550T2 SpO2 Connection Cable, cable length: 2.5 m, round connector For current products: TEC-5500/7700/JE-912A/921A/921AG Packing unit: 1 pcs Note SpO2 measurement starts when the SpO2 connection cable and SpO2 probe are connected to the device, and the SpO2 probe is attached to the patient. When not measuring SpO2, disconnect the SpO2 connection cable from the device. Otherwise, noise from the probe sensor may interfere and incorrect data is displayed on the screen. Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 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! Reusable SpO2 Probes Disposable SpO2 Probes Defibrillators > SpO₂ Measurement 60 www.nihonkohden.net SpO₂ Probes len gu Reusable Disposable 1000 g P203A (TL-271T) 0.8 P203E (TL-271T3) 1.6 P204A (TL-271T) 0.8 P204E (TL-271T3) 1.6 P203B (TL-272T) 0.8 P203F (TL-272T3) 1.6 P204B (TL-272T) 0.8 P204F (TL-272T3) 1.6 P203C (TL-273T) 0.8 P203G (TL-273T3) 1.6 P204C (TL-273T) 0.8 P204G (TL-273T3) 1.6 P203D (TL-274T) 0.8 P203H (TL-274T3) 1.6 P204D (TL-274T) 0.8 P204H (TL-274T3) 1.6 P228A (TL-051S) 0.8 P228B (TL-052S) 1.6 P229A (TL-061S) 0.8 P229B (TL-062S) 1.6 P225F (TL-201T) 1.6 P225H (TL-201T1) 0.6 P225G (TL-220T) 1.6 24 5 24 5 24 5 24 5 5 5 1 P311C (TL-631T3) 1.6 P310C (TL-630T3) 1.6 Infant Child Adult nit m) h( gt el) od M e( in ck Pa le d Co b Ca ply p Su Low birth Neonate weight 2 kg 3 kg 10 kg 20 kg 30 kg 40 kg 50 kg 61 www.nihonkohden.net Defibrillators > 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, demand-oriented! P310C / P311C Facts NIHON KOHDEN reusable SpO2 finger-clips probes have parallel mounted upper and lower sensor shells, thus, providing an exact alignment of the optical sensor components and 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. Supply Code Model Description P225F TL-201T SpO2 BluPRO® Finger-Clip Probe, child/adult (> 20 kg) finger, cable length: 1.6 m, reusable For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 1 pcs P225H TL-201T1 SpO2 BluPRO® Finger-Clip Probe, child/adult (> 20 kg) finger, cable length: 0.6 m, reusable For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 1 pcs 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 fit 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. Supply Code Model Description P225G 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 Packing unit: 1 pcs TL-220T Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 62 Defibrillators > SpO2 Measurement www.nihonkohden.net 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 artifact 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. Supply Code Model Description P310C TL-630T3 SpO2 BluPRO® Finger-Tip Probe L, child/adult (> 50 kg) finger, cable length: 1.6 m, long-term use, reusable For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 1 pcs P311C TL-631T3 SpO2 BluPRO® Finger-Tip Probe M, child/adult (> 20 kg) finger, cable length: 1.6 m, long-term use, reusable For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 1 pcs P263 P267 Disposable Probe Cable Fixing Tape for P310C/P311C, size: 15 x 130 mm For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 3 x 30 pcs YS-093P2 Disposable Probe Fastener Tape for P310C/P311C, size: 15 x 140 mm For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 30 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 63 Defibrillators > SpO2 Measurement www.nihonkohden.net 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 Supply Code Model Description P203A TL-271T SpO2 BluPRO® Probe, adult (> 30 kg) finger/toe, cable length: 0.8 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 24 pcs P203B TL-272T SpO2 BluPRO® Probe, child (10 – 50 kg) finger/toe, cable length: 0.8 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 24 pcs P203C TL-273T SpO2 BluPRO® Probe, neonate (< 3 kg) instep, adult (> 40 kg) finger/toe, cable length: 0.8 m, disposable For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 24 pcs P203D TL-274T SpO2 BluPRO® Probe, infant (3 – 20 kg) finger/toe, cable length: 0.8 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 24 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 64 Defibrillators > SpO2 Measurement www.nihonkohden.net Disposable SpO2 Probes 24 pcs/box – cable length: 1.6 m Supply Code Model Description P203E TL-271T3 SpO2 BluPRO® Probe, adult (> 30 kg) finger/toe, cable length: 1.6 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 24 pcs P203F TL-272T3 SpO2 BluPRO® Probe, child ( 10 – 50 kg) finger/toe, cable length: 1.6 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 24 pcs P203G TL-273T3 SpO2 BluPRO® Probe, neonate (< 3 kg) instep, adult (> 40 kg) finger/toe, cable length: 1.6 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 24 pcs P203H TL-274T3 SpO2 BluPRO® Probe, infant (3 – 20 kg) finger/toe, cable length: 1.6 m For current products:all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 24 pcs Disposable SpO2 Probes 5 pcs/box – cable length: 0.8 m Supply Code Model Description P204A TL-271T SpO2 BluPRO® Probe, adult (> 30 kg) finger/toe, cable length: 0.8 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 5 pcs P204B TL-272T SpO2 BluPRO® Probe, child (10 – 50 kg) finger/toe, cable length: 0.8 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 5 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 65 Defibrillators > SpO2 Measurement Supply Code Model Description P204C TL-273T SpO2 BluPRO® Probe, neonate (< 3 kg) instep, adult (> 40 kg) finger/toe, cable length: 0.8 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 5 pcs P204D TL-274T SpO2 BluPRO® Probe, infant ( 3 –20 kg) finger/toe, cable length: 0.8 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 5 pcs www.nihonkohden.net 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. Supply Code Model Description P228A TL-051S SpO2 BluPRO® Probe, neonate (< 3 kg) instep, adult (> 50 kg) finger, cable length: 0.8 m For current products: all BSM/PVM/TEC/EEG; ZS-930/530/940PG; ZM-930/940PG 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 For current products: all BSM/PVM/TEC/EEG; ZS-930/530/940PG; ZM-930/940PG Packing unit: 5 pcs P259 COTTONY Tape for fixing disposable SpO2 Probes For current products: all BSM/PVM/TEC/EEG; ZS-930/530/940PG; ZM-930/940PG Packing unit: 20 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 66 Defibrillators > SpO2 Measurement www.nihonkohden.net Disposable SpO2 Probes 5 pcs/box – cable length: 1.6 m Supply Code Model Description P204E TL-271T3 SpO2 BluPRO® Probe, adult (> 30 kg) finger/toe, cable length: 1.6 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 5 pcs P204F TL-272T3 SpO2 BluPRO® Probe, child (10 – 50 kg) finger/toe, cable length: 1.6 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 5 pcs P204G TL-273T3 SpO2 BluPRO® Probe, neonate (< 3 kg) instep, adult (> 40 kg) finger/toe, cable length: 1.6 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 5 pcs P204H TL-274T3 SpO2 BluPRO® Probe, infant (3 – 20 kg) finger/toe, cable length: 1.6 m For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 5 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 67 Defibrillators > SpO2 Measurement www.nihonkohden.net 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. Supply Code Model Description P228B TL-052S SpO2 BluPRO® Probe, neonate (< 3 kg) instep, adult (> 50 kg) finger, cable length: 1.6 m, disposable For current products: all BSM/PVM/TEC/EEG; ZS-930/530/940PG; ZM-930/940PG 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 For current products: all BSM/PVM/TEC/EEG; ZS-930/530/940PG; ZM-930/940PG Packing unit: 5 pcs P259 COTTONY Tape for fixing disposable SpO2 Probes, disposable For current products: all BSM/PVM/TEC/EEG/PSG-1100; ZS-930/530/940PG; ZM-930/940PG Packing unit: 20 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 emitter and detector are placed just opposite to each other. When using a finger clip 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 emitter and detector gets, the weaker the transmitted light intensity becomes. Additionally, a thinner body part tends to have small amount of blood, which 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. Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! ETCO2 Measurement (Capnography) Reasons to measure ETCO₂ (the level of carbon dioxide in the air exhaled from the body – normal value is about 38 mm Hg): Capnography helps to detect life-threatening problems in: • Airway • Breathing • Circulation and • 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. 69 www.nihonkohden.net Defibrillators > ETCO2 Measurement ETCO2 Measurement (Capnography) The necessity of monitoring ETCO2 is recognized by various health care associations guidelines: Capnometer Mainstream Method Canadian Anesthesia Society (CAS) Guidelines for Sedation – January, 2012 In a mainstream system, the Anesthesia Patient Safety Foundation (APSF) Monitoring with Use of Post-op Opioids – August, 2011 the patient’s breathing circuit. sensor is located directly in Real time measurement values. American Society for Anesthesiologists (ASA) Standards for Basic Anesthetic Monitoring – July, 2011 CO2 Sensor 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 Capnometer CO2 Sensor Sidestream Method In a sidestream system, a gas British Royal College of Anesthetists Airway Recommendation (NAP4) – March, 2011 sample is removed from the European Resuscitation Council (ERC) Guidelines for Resuscitation – November, 2010 to a distant sensor. patient’s airway and delivered Measurement values delayed. Suck in American Heart Association (AHA) Resuscitation Guideline – November, 2010 Not possible with Sampling tube NIHON KOHDEN defibrillators. ETCO2 Selection Guide Start Yes No Is CO2 the only gas to measure? No Is the patient a neonate? Multi-gas measurement Please use NIHON KOHDEN patient monitors! Yes No measurement possible Mainstream measurement Yes Is the patient intubated? No Emergency No Is a humidifier or nebulizer used? CO2 sensor kit P907 (TG-920P) & P908 (TG-921T3) No Both intubated & non-intubated Yes With nebulizer CO2 sensor kit P909 (TG-970P) Intubated R805 (YG-211T) Airway adapter adult (> 7 kg) R804 (YG-111T) Airway adapter (> 7 kg) Non-intubated V921 (YG-120T) Nasal adapter (> 10 kg) V922 (YG-121T) Nasal/Oral adapter (>10 kg) CO2 sensor kit P903 (TG-900P) V923 (YG-122T) Nasal/Oral adapter with O₂ supply tube adapter (> 10 kg) R801 (YG-101T) Airway adapter adult, (> 10 kg) NKD-02-Cap Oxygen cannula CO2 sensor kit P909 (TG-970P) R805 (YG-211T) Airway adapter adult (> 7 kg) ETCO2 Measurement Overview The best way to observe the patient‘s respitatory condition ETCO2 shows clinical and technical problems mmHg 45 35 Normal capnograph and ETCO2 waveform Hypoventilation Increasing CO Malignant high fever Pain of light anesthesia ETCO2 Normal range Hyperventilation Decreasing CO Pulmonary embolism Deep anesthesia Hyperventilation Normal range: steep rising and flat expiratory phase PaCO2 level Breathing circuit abnormality Hypoventilation Respiratory abnormality · Breathing circuit abnormality Trend · Downward · Obstructive defect, bronchial spasm ETCO2=PaCO2 40 · Upward 40 40 40 Sudden decrease of CO2 Gentle expiratory phase · Ventilation disconnection · Rebreathing 40 40 40 40 Sudden decrease of CO2 toward zero Hyperventilation Decreasing CO Pulmonary embolism Temperature decrease Gentle expiratory phase · Spontaneous breathing · Esophageal intubation 40 40 Zero CO2 or very low CO2 Start exhalation of CO2 in alveoli of the lung Sudden disappearance of CO2 waveform Conditions reflected by ETCO2 Blood circulation Beginning of exhalation Partial obstruction of breathing circuit Disconnection in breathing circuit Asphyxia Ventilator stop Cumulative irregular respiratory waveform 5 phases of the capnograph Hypoventilation Temperature increase Malignant high fever Plateau of CO2 in alveoli of the lung End of exhalation Breathing Airway Connector CO2 Inhalation phase Respiratory Circuit monitor Gas exchange Metabolism Pulmonary circulation Ventilator CO2 absorber Fresh gas Early detection of trouble in breathing or ventilation equipment Inadequate ventilation Kink ETCO2 and PaCO2 show ventilation and pulmonary blood flow condition Indequate gas flow Disconnection Normal ventilation Malfunction Abnormal ventilation and normal pulmonary blood flow 40 mmHg ( ETCO2) 46 mmHg 40 40 46 mmHg 20 mmHg ( ETCO2) 40 mmHg ( ETCO2) 46 mmHg 40 40 Normal ventilation and abnormal pulmonary blood flow 46 mmHg 46 mmHg 40 46 40 40 46 mmHg 0 40 Leak 40 mmHg ( PaCO2) Esophageal intubation 43 mmHg ( PaCO2) 40 mmHg ( PaCO2) Apnea Obstruction CO2 Measurement is useful in many hospital sites ER Neonate OR ICU PSG Nihon Kohden Unique Sensing Technology With ventilator or nebulizer Sedation Both intubated and non-intubated cap-ONE CO2 Sensor ETCO2 Mainstream Application Fields of Airway Adapters for Intubated Patients Application Fields of Nasal Adapters for Non-Intubated Patients Emergency / Pre-hospital Care Transport / Pre-hospital Care • Detection of endotracheal tube displacement • Detection of changes in respiratory status (over- or underventilation of trauma / shock victims; COPD patients) • Control of CPR efficacy • ROSC detection (Return of Spontaneous Circulation) • Oxygenation management • Detection of respiratory depression of sedated patients or anaesthesia without intubation • Airway circuit management • Spot-checking of ETCO2 level & respiration rate of critically ill non-intubated patients • Keeping ICP appropriate by checking ETCO2 level (i.e. patients with craniocerebral injury – CCI) • Detection of effectiveness of treatment • Detection of respiratory distress (occlusion, connection leak, accidental extubation, ventilator trouble etc.) • Detection of poor pulmonary perfusion • Apnea monitor • Detection of effectiveness of treatment 72 Defibrillators > ETCO2 Measurement www.nihonkohden.net Intubated Expired ETCO2 Supply Code Model Description P906 TG-901T3 CO2 Sensor Kit for Intubated Patients, semi-quantitative measurement, incl. CO2 sensor and CO2 adapter, expiratory CO2, cable length: 3.0 m For Airway Adapters: R801 For current products: TEC-5500/7700 Packing unit: 1 pcs P903 TG-900P CO2 Sensor Kit for Intubated Patients, semi-quantitative measurement, incl. P922A/K981, expiratory CO2, cable length: 3.0 m For Airway Adapters: R801 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 Packing unit: 1 pcs 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 Packing unit: 1 pcs 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 Packing unit: 1 pcs R801 YG-101T Airway Adapter for P903/P906/P922A, intubated, semi-quantitative method, child/adult (>10 kg), dead space: 5 ml For current products: all BSM/PVM-2703/OLG-2800/TEC-8300 Packing unit: 50 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 73 Defibrillators > ETCO2 Measurement (Capnography) www.nihonkohden.net Intubated Expired and Inspired ETCO2 “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 (application on neonates only with patient monitors). 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 CableTM 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. Supply Code Model Description P909 TG-970P cap-ONE 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 For current products: all BSM/PVM-2703/OLG-2800/TEC-8300/PSG-1100 Packing unit: 1 pcs P924 TG-221T cap-ONE CO2 Sensor for Intubated Patiens, part of CO2 Sensor Kit P909, cable length: 3.0 m For current products: all BSM/PVM-2703/OLG-2800/TEC-8300/PSG-1100 Packing unit: 1 pcs K987 JG-970P cap-ONE CO2 Adapter Cable for P909/P924, cable length: 0.5 m For current products: all BSM/PVM-2703/OLG-2800/TEC-8300/PSG-1100 Packing unit: 1 pcs 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/PSG-1100 Packing unit: 30 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 74 Defibrillators > ETCO2 Measurement (Capnography) www.nihonkohden.net Intubated and Non-Intubated Expired ETCO2 “Opening a New Era in Capnography“ Facts NIHON KOHDEN cap-ONE–when every breath counts! World’s first wearable mainstream ETCO2 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 cap-ONE 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 CableTM 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 cap-ONE 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. Supply Code Model Description P908 TG-921T3 cap-ONE CO2 Sensor Kit for Intubated/Non-Intubated Patients, semi-quantitative measurement, incl. CO2 sensor and CO2 Adapter, 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 EEG/TEC-5500/7700; EEG-1200/9100/9200 with JE-921A/921AG Packing unit: 1 pcs P907 TG-920P cap-ONE 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/PSG-1100 Packing unit: 1 pcs P923 TG-121T cap-ONE 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/PSG-1100 Packing unit: 1 pcs K984 JG-920P cap-ONE CO2 Adapter Cable for P923/P907, cable length: 2.0 m For current products: all BSM/PVM-2703/OLG-2800/TEC-8300/PSG-1100 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 75 Defibrillators > ETCO2 Measurement (Capnography) Supply Code Model Description R804 YG-111T Airway Adapter for P907/P908/P923, intubated, child/adult (> 7 kg), dead space: 4 mL For current products: all BSM/PVM-2703/OLG-2800/TEC-8300/PSG-1100 Packing unit: 30 pcs V921 YG-120T CO2 Nasal Adapter for Nasal Breathing, non-intubated, child/adult (> 10kg) For current products: all BSM/PVM-2703/OLG-2800/TEC-8300/EEG/PSG-1100 Packing unit: 30 pcs V922 YG-121T CO2 Nasal Adapter for Nasal/Oral Breathing, non-intubated, child/adult (> 10 kg) For current products:all BSM/PVM-2703/OLG-2800/TEC-8300/EEG/PSG-1100 Packing unit: 30 pcs V923 YG-122T CO2 Nasal Adapter for Nasal/Oral Breathing with Oxygen Cannula Holder, non-intubated, child/adult (> 10kg) For current products: all BSM/PVM-2703/OLG-2800/TEC-8300/EEG/PSG-1100 Packing unit: 30 pcs NKD-O2-CAP Oxygen Cannula for Nasal Adapter V923 for P907/P908 For current products: all BSM/PMV-2703/OLG-2800/TEC-8300/EEG Packing unit: 50 pcs NKD-CO2GAS Calibration Gas for CO2 Measurement Please store the gas below 50°C! For current products: all BSM/TEC-8300 Packing unit: 1 pcs NKD-VENTIL3 CO2 Gas Valve For current products: all BSM/TEC-8300 Packing unit: 1 pcs www.nihonkohden.net Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! Temperature Measurement Standard Temperature Measurement of 2 Additional Temperatures 77 Defibrillators > Temperature Measurement www.nihonkohden.net Standard Temperature Measurement Supply Code Model Description NKD-P240A YSI-401 Oesophagus/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 Packing unit: 1 pcs NKD-P241A YSI-402 Oesophagus/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 Packing unit: 1 pcs NKD-P242B YSI-409B Body Surface Temperature Probe, 6.3 mm jack connector, disk size: 9.5 mm dia, cable length: 3.5 m For current products: all BSM/PVM-2703/TEC-8300/MEB-9200/MEB-2300 Packing unit: 1 pcs NKD-P249 ZM: S616 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 Supply Code Model Description K961 JT-900P Temperature Connection Cable for NKD-P241/242x, cable length: 0.3 m For current products: BSM-5100/6000/9100/ TEC-8300 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 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 cuff can lead to wrong low pressure readings. NIBP Air Hoses Reusable NIBP Cuffs – NEW YAWARA CUFF 2 Disposable NIBP Cuffs 79 Defibrillators > NIBP Measurement (Non-invasive Blood Pressure) www.nihonkohden.net NIBP Air Hoses Supply Code Model Description S901 YN-900P Child/Adult NIBP Air Hose, cable length: 1.5 m For current products: all BSM/PVM/TEC-7700/8300 Packing unit: 1 pcs S902 YN-901P Child/Adult NIBP Air Hose, cable length: 3.5 m For current products: all BSM/PVM/TEC-7700/8300 Packing unit: 1 pcs S903 YN-990P NIBP Air Hose Extension Cable, cable length: 1.5 m For current products: all BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! Defibrillators > NIBP Measurement (Non-invasive Blood Pressure) 80 www.nihonkohden.net Reusable NIBP Cuffs – NEW YAWARA CUFF 2 • Soft and gentalon the skin • Highly accurate • Easy to use Facts The trade name YAWARA CUFF comes from the Japanese word, YAWARAKAI, which means soft in touch. YAWARA CUFF 2 is available in 6 sizes. The exterior size-scale quickly helps in selecting the proper cuff size, from infant to large adult or thigh. The velcro part of the cuff is divided into two high quality velcro types. This helps to fix the cuff on the arm with the first velcro part whereas you can completely adjust the cuff with the second velcro part. YAWARA CUFF 2 uses a soft and smooth cloth together with a buffer sheet to reduce the risk of subcutaneous bleeding. The fabric is hypoallergic and allows the skin to breathe. Furthermore, the material of the cloth can be easily wiped clean. A wider opening of the cuff cover allows very easy removal of the bladder for cleaning. The watertight connector cap keeps out liquid during cleaning the bladder. There is a nylon fibre inside the air tube for kink-free tube. There is a nylon fibre inside the air tube preventing kinking and incidents associated with tube kinking. YAWARA CUFF 2, a new generation of NIBP cuffs. Reducing internal bleeding If wrinkles are formed as below, part of the measuring site may be trapped in the valley portions of the wrinkles, which could cause internal bleeding. YAWARA CUFF 2 has a cushion between an inflation bag and skin to avoid these wrinkles and reduces internal bleeding. Easy handling of an inflation bag inflation bag wrinkles With a wide slit, it is easy to remove and replace the inflation bladder. cushion Indicator of appropriate range of attachment site Easy to clean with watertight connection cap Kink-free tube With a clear indication of PROPER SIZE printed on the cuff, you can see at a glance if the cuff size is correct for your patient. YAWARA CUFF 2 has a watertight connector cap, which prevents fluid from entering the tube (and bladder) during cleaning. YAWARA CUFF 2 has a kink-free tube. The tube will not kinked - even if bent through a 180-degree angle. Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 81 Defibrillators > NIBP Measurement (Non-invasive Blood Pressure) Supply Code Model Description S951A YP-710T Infant NIBP YAWARA CUFF 2, width: 5 cm, arm-circumference: 8 to 13 cm, latex-free For current products: BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 1 pcs S951B YP-711T Child NIBP YAWARA CUFF 2, width: 7 cm, arm-circumference: 13 to 19 cm, latex-free For current products: BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 1 pcs S951C YP-712T Adult Small NIBP YAWARA CUFF 2, width: 10 cm, arm-circumference: 19 to 23 cm, latex-free For current products: BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 1 pcs S951D YP-713T Adult NIBP YAWARA CUFF 2, width: 13 cm, arm-circumference: 23 to 33 cm, latex-free For current products: BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 1 pcs S951E YP-714T Adult Large NIBP YAWARA CUFF 2, width: 16 cm, arm-circumference: 33 to 45 cm, latex-free For current products: BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 1 pcs S951F YP-715T Adult Thigh NIBP YAWARA CUFF 2, width: 19 cm, thigh-circumference: 45 to 55 cm, latex-free For current products: BSM/PVM/TEC-77/8300; ZS/ZM-940PG Packing unit: 1 pcs www.nihonkohden.net Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 82 Defibrillators > NIBP Measurement (Non-invasive Blood Pressure) www.nihonkohden.net Disposable NIBP Cuffs Disposable NIBP Cuffs for Infants & Children Supply Code Description NKD-NIBP/K2 Disposable NIBP Cuff Trial Kit for Children Set contains: 3 cuffs of NKD-S947A 4 cuffs of NKD-S947B 3 cuffs of NKD-S947C For current products: all BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 1 set NKD-S947A Infant NIBP Cuff, width: 6 cm, arm-circumference: 8 to 14 cm, color: blue, latex-free For current products: all BSM/PVM/TEC-7700/8300; 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 For current products: all BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 20 pcs NKD-S947C Small Adult NIBP Cuff, width: 10 cm, arm-circumference: 18 to 26 cm, color: orange, latex-free For current products: all BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 20 pcs D Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 83 Defibrillators > NIBP Measurement (Non-invasive Blood Pressure) www.nihonkohden.net Disposable NIBP Cuffs for Adults Supply Code Description NKD-NIBP/K3 Disposable NIBP Cuff Trial Kit for Adults Set contains: 1 cuff of NKD-S947C 4 cuffs of NKD-S947D 3 cuffs of NKD-S947F 2 cuffs of NKD-S947H For current products: all BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 1 set NKD-S947C Small Adult NIBP Cuff, width: 10 cm, arm-circumference: 18 to 26 cm, color: orange, latex-free For current products: all BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 20 pcs NKD-S947D Adult NIBP Cuff, width: 14 cm, arm-circumference: 26 to 35 cm, color: blue, latex-free For current products: all BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 20 pcs NKD-S947E Adult Long NIBP Cuff, width: 15 cm, arm-circumference: 29 to 38 cm, color: red, latex-free For current products: all BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 20 pcs NKD-S947F Large Adult NIBP Cuff, width: 17 cm, arm-circumference: 32 to 42 cm, color: green, latex-free, disposable For current products: all BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 20 pcs NKD-S947G Large Adult Long NIBP Cuff, width: 18 cm, arm-circumference: 35 to 44 cm, color: orange, latex-free For current products: all BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 20 pcs NKD-S947H Adult Thigh NIBP Cuff, width: 20 cm, arm-circumference: 42 to 50 cm, color: blue, latex-free For current products: all BSM/PVM/TEC-7700/8300; ZS/ZM-940PG Packing unit: 20 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! IBP Measurement (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 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. Transducer Cable with Direct Connection IBP Transducer Cable with Adapter Cable K952 85 Defibrillators > IBP Measurement (Invasive Blood Pressure) www.nihonkohden.net IBP Transducer Cable with Direct Connection Supply Code Model Description K951 JP-900P IBP Connection Cable for Becton Dickinson Transducers, cable length: 3.5 m For current products: all BSM/PVM-2703/TEC-8300 Packing unit: 1 pcs 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 Packing unit: 1 pcs K957 JP-960P IBP Connection Cable for Biosensors Transducers, cable length: 3.5 m For current products: all BSM/PVM-2703/TEC-8300 Packing unit: 1 pcs L901 JP-920P IBP Connection Cable for Edwards Lifesciences Transducers, cable length: 3.5 m For current products: all BSM/PVM-2703/TEC-8300 Packing unit: 1 pcs L902 JP-921P IBP Connection Cable for Edwards Lifesciences Transducers, cable length: 1.5 m For current products: all BSM/PVM-2703/TEC-8300 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 86 Defibrillators > IBP Measurement (Invasive Blood Pressure) www.nihonkohden.net IBP Transducer Cable with Adapter Cable K952 Supply Code Description NKD-5203201 IBP Connection Cable for B. Braun Transducers, cable length: 3.0 m, requires K952 For current products: all BSM/PVM-2703/TEC-8300 Packing unit: 1 pcs NKD-BDP178NK1 IBP Connection Cable Set for Codan Transducers, incl. adapter cable with 1 Pressure Connection, contact board Xtrans BDC901 and holding plate B180090, 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 Packing unit: 1 set NKD-BDP178NK4 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 Packing unit: 1 pcs NKD-BDPT-1078 IBP Connection Cable for Codan Transducers with 1 Pressure Connection, cable length: 3.5 m, requires K952 Applicable for Codan Transducers: Series xTrans: DPT-6000 For current products: all BSM/PVM-2703/TEC-8300 Packing unit: 1 pcs 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 Packing unit: 1 pcs 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 Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 87 Defibrillators > IBP Measurement (Invasive Blood Pressure) Supply Code Description 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 For current products: all BSM/PVM-2703/TEC-8300 Packing unit: 1 pcs 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 Packing unit: 1 pcs NKD-IBP/NOVATRANS 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 Packing unit: 1 pcs 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 Packing unit: 1 pcs 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 Packing unit: 1 pcs NKD-IBP/UTAH IBP Connection Cable PMK225 for Pulsion Transducers for PiCCO 2 and PiCCO plus with 1 Pressure Connection, cable length: 3.0 m, requires K952 and NKD-IBP/UTAH2 Applicable for Pulsion Transducers for PiCCO: PV81x, PV82xx For current products: all BSM/PVM-2703/TEC-8300 Packing unit: 1 pcs NKD-IBP/UTAH2 AUX Adapter Cable PC85200 to External Monitor for Pulsion PiCCO 2, cable length: 0.3 m, requires NKD-IBP/UTAH For current products: all BSM/PVM-2703/TEC-8300 Packing unit: 1 pcs www.nihonkohden.net Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 88 Defibrillators > Portable CPR www.nihonkohden.net Portable CPR – For use by anyone! Reusable, portable and smart – a simple and fast emergency aid tool for chest compression! For inexperienced users, for first aid trainings, in hospitals, airports and aircrafts/trains and/or for rescue operations. Continuous acoustic and visual real time feedback for compression frequence and depth during chest compression (metronome/verbal directions/light-emitting diodes) Perfecting of chest compression effectiveness (ideal compression depth 4 - 5 cm, 100 compressions/minute) complies with current ERC Guidelines Ideal tool for professionals and inexperienced users due to continuous real time feedback during chest compression Enhancement of patient status due to optimized quality and effectiveness of chest compression (detectable with ETCO2 value) NKD-CPR • Applicable to adults and children from 8 years! • 10 hours non-stop operation (acoustic warning) or up to 5 years stand-by time! • Available in 17 different languages! (stock: German, English, Italian, French, Spanish; on request: Danish, Finnish, Dutch, Hungarian, Czech, Norwegian, Polish, Portuguese, Russian, Swedish, Hebrew, Croatian) Only a few steps may help save a life: • Stay calm! • Check the responsiveness/consciousness of the person with cardiac arrest (victim)! • Call to an emergency doctor! / Call for help! • If available, use an AED (defibrillator for inexperienced users with verbal directions / visual aid) and a Pocket CPR! • Check the breathing of the concerned person (victim) and free the airway if necessary! • Start chest compression (30 x) and perform rescue breathing to the victim (2 x)! • Continue with chest compressions and rescue breaths in a ratio of 30:2 (30 chest compressions, 2 rescue breaths) until the appearance of the emergency doctor! Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 89 Defibrillators > Portable CPR www.nihonkohden.net Portable CPR Supply Code Description NKD-CPR Portable CPR Please indicate your language when ordering! Available languages on stock : German, English, French, Italian, Spanish Available languages on request: Danish, Finnish, Dutch, Hungarian, Czech, Norwegian, Polish, Russian, Swedish, Hebrew, Croatian Packing unit: 1 pcs NKD-SIPADS Disposable Silicone Pads for Portable CPR, 3 mm self-adhesive silicone pads for optimal placement of the Portable CPR on patients chest Packing unit: 5 pcs NKD-STPADS Disposable Sticky Pads for Portable CPR, thin self-adhesive pads for optimal placement of the Portable CPR on patients chest Packing unit: 50 pcs NKD-CPR/COVER Silicone Cover for Portable CPR Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! Additional Defibrillator Accessories 91 Defibrillators > Additional Defibrillator Accessories www.nihonkohden.net Additional Defibrillator Accessories Supply Code Model Description F015 Z-101EA “Gelaid” Defibrillator Contact Gel, 100 g tube For current products: all TEC Packing unit: 5 pcs NKD-JJ221V R2 Adapter Cable for Laerdal/Ambu Training Doll, requires R2 Adapter cable JC-755V/K342A For current products: TEC-5500/7700/8300 Packing unit: 1 pcs NKD-L936 Power Cable, Schuko plug, cable length: 2.0 m Packing unit: 1 pcs NKD-POWERLINE Multiple Power Socket (4 slots), medical certification For current products: all TEC Packing unit: 1 pcs NKD-SD1GB Memory SD Card 1 GB Packing unit: 1 pcs Y011 404617 Thermal Head Cleaner Pen For current products: all ECG/TEC/old MEB/EEG/all BSM/PVM/OPV/WEP Packing unit: 1 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! Accessories for AED & Training Unit Dont let premature death claim the lives around you Sudden Cardiac Arrest (SCA) is among the leading causes of death in the world. In SCA, the heart suddenly and unexpectedly stops functioning. When this happens, the heart is no longer able to pump blood to the rest of the body. This usually results in death if not treated within minutes. Heavy chest pains, nausea and weakness are common symptoms of SCA. More often than not, the victim also feels an impending sense of doom reflecting their predicament. SCA can strike anytime and any place, and can happen to anyone. Dont let SCA claim lives prematurely when something can be done about it. ACT NOW! Give every life a chance to live. 94 Defibrillators > Accessories for AED & Training Unit www.nihonkohden.net A strong Chain of Survival improves chance of survival The “Chain of Survival” is a proven approach to the early treatment of sudden cardiac arrest, heart attack, stroke and any other emergency. It consists of four crucial links: EARLY ACCESS to get help EARLY CPR to buy time EARLY DEFIBRILLATION to restart heart EARLY ACLS to stabilize 1. Early Access - to activate the Emergency Medical Services (EMS). 2. Early Cardiopulmonary Resuscitation (CPR) – to slow the rate of deterioration of the brain and heart, and buy time to enable defibrillation. 3. Early Defibrillation – to restore to a normal heart rhythm. 4. Early Advanced Cardiac Life Support (ACLS) – to stabilise the patient. Any delay in any of these links could potentially be fatal or decrease the chance of survival. Most people who die of heart attacks experience irregular heartbeats known as ventricular fibrillation (VF); a condition where the heart stops circulation of blood. lf left untreated, the victim will die within minutes. By far, defibrillation (electric shock) is the only known treatment to revert a troubled heart from VF to its normal rhythm. Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 95 Defibrillators > Accessories for AED & Training Unit www.nihonkohden.net Importance of AED in the Chain of Survival Automated External Defibrillator or AED is perhaps the most important link in the chain to improve the SCA victim‘s survival chances. An AED is a device that is used to diagnose and treat potentially life threatening abnormal heart rhythms by providing the means to apply controlled electrical shocks (known as defibrillation shocks) to the heart in an attempt to stop these abnormal rhythms, thereby allowing the heart to establish again an effective rhythm. It will also provide guidance by simple and clear vocal instructions to the rescuer during the rescue sequence. Studies have shown that the time to first defibrillation shock is the most crucial factor in determining survival rates for SCA*. When an AED is available, it should always be applied to the SCA victim at the earliest. * Report of Japan FDMA (Fire and Disaster Management Agency/2008) 50,0% 45,0% 43,8% 40,0% 35,0% 38,2% 30,0% 25,0% 20,0% 15,0% 10,0% 0,5% 9,8% 5,6% 0 Survival rate (after 1 month) For over 90% of SCA cases, death usually occurs if without intervention. However, as many as 30-50% would likely survive if AED and CPR was administered within first 5 minutes of collapse. Survival chance can be significantly increased with early defibrillation. Use AED Non use AED Rehabilitation rate (after 1 month) For every minute of delay in giving CPR and defibrillation following collapse, the survival rate decreases by 7–10%. So, why let tragedies happen where there is prevention available now? Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! The result ofarenot having AED be another fatalPlease case. Reusable accessories intended for repeatedan patient use onmay different well patients during different examinations. make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! 96 Defibrillators > Accessories for AED & Training Unit www.nihonkohden.net Accessories for AED Units Supply Code Model Description H324A P-530K Defibrillation Pads, child/adult, for use with adapter cable JC-765V/K342B, weight: 85 g ± 15 g), size: 109 mm x 15 mm (± 10 mm), conductive surface: 86.68 cm2 (±10%), cable length: 1.5 m For current products: AED-21xx Packing unit: 1 pair SB-210VK X212A 2-Years Standby Battery for all devices until SN: 5000 For current products: AED-21xx Packing unit: 1 pcs SB-212VK X216A 2-Years Standby Battery for all devices starting from SN: 5001 For current products: AED-21xx Packing unit: 1 pcs SB-214VK X217A 4-Years Standby Battery for all devices starting from SN: 5001 For current products: AED-21xx Packing unit: 1 pcs Y184A YC-210V AED Carrying Bag. AED usage is possible without taking out from the bag! For current products: AED-21xx Packing unit: 1 pcs Accessories for AED Training Unit TRN-2100K Supply Code Description H326 Training Pads, child/adult For current products: TRN-2100K Packing unit: 1 pair Y262B Replacement Stickers for TRN-2100K Training Pads For current products: TRN-2100K Packing unit: 10 pcs Disposable accessories are intended for single use only, on one patient, during a single examination! Do not re-use disposable accessories! Reusable accessories are intended for repeated patient use on different patients during different examinations. Please make sure to clean reusable accessories after each patient or between different applications to prevent or reduce the risk of cross infections! www.nihonkohden.net ACCESSORY ORDER FORM For your convenience we have a printable order form so that you can fax in your order directly or mail/e-mail it to us. Please make sure to fill out all the information requested below! Hospital/Practice Contact Person Department Customer Code Address ZIP City Phone Fax E-Mail ACCESSORY ORDER FORM 3 Days 2 Days Monthly, please contact me for more details Other Standard Supply Code Description Send in your order today! Required Quantity Overnight Price each in EUR / £ For Germany, Austria, Switzerland and Benelux Fax: +49 (0) 33203/573-19, E-Mail: [email protected] For Spain and Portugal Fax: +34 91 300 46 76, E-Mail: [email protected] For United Kingdom Fax: +44 (0) 20 83 90 46 75, E-Mail: [email protected] Price Total in EUR / £ For France Fax: +33 (0) 1 49 08 93 32, E-Mail: [email protected] For Italy Fax: +39 (0) 35-232546, E-Mail: [email protected] For all other European Countries, Russia, Turkey and Israel Fax: +49 (0) 6003/827-599, E-Mail: [email protected] 98 www.nihonkohden.net Index as per Supply Code Index as per Supply Code Supply Code page Supply Code page Supply Code page Supply Code page 6124-039432 47 JC-755V 39 K901 48 KB18B 14 A052 25 JC-765V 38 K910A 47, 50 KB19C 14 A053 25 K079 13 K910A 47, 50 L151 52 A128 25, 34 K081 13 K911 47, 50 L152 52 A129 25 K082 13 K912 47 L153 52 A222 34 K093C 13 K913A 47 L901 85 A226 34 K093D 13 K915 48 L902 85 A238 34 K093F 13 K922 48 N-00 21 F010 28 K093L 14 K931 58 N-08 21 F015 91 K096A 13 K951 85 ND-593V 42 G203 20, 54 K096B 13 K952 85 ND-594V 42 G204 20, 54 K097 15 K957 85 ND-595V 42 G207 20, 54 K098 15 K961 77 ND-596V 42 G210C 21, 55 K117A 29 K981 72 ND-597V 42 G210D 20 ,54 K117B 29 K984 74 ND-612V 42 G236 20 K117C 29 K987 73 ND-893V 41 G250 20, 54 K118 14 KB01A 14 ND-894V 41 G271A 55 K119 14 KB02A 14 ND-895V 41 G272A 54 K120 47, 50 KB03A 14 ND-896V 41 G272B 54 K225 50 KB04A 14 ND-897V 41 G272C 55 K226 50 KB05A 14 NKD-145-2,5 26 G278A 55 K227 51 KB06A 14 NKD-145-6A300 26 H041A 18 K228 51 KB07A 14 NKD-210-10/295 25 H043A 18 K232 52 KB08A 14 NKD-210-5-295 25 H044A 18 K234 52 KB09A 14 NKD-5203201 86 H044B 18 K332 52 KB010 14 NKD-63 26 H049 18 K336 50, 51 KB012 14 NKD-A054 25 H052A 18 K342A 39 KB10C 14 NKD-A129 26 H052B 18 K342B 38 KB11C 14 NKD-A134A 26 H068A 17 K350A 52 KB12D 14 NKD-A226 34 H068B 17 K351A 52 KB13B 14 NKD-A730 25 H072 17 K352A 50 KB13D 14 NKD-BAG 28 H312 38 K352B 51 KB14B 14 NKD-BDP178NK1 86 H324A 96 K353A 50 KB15B 14 NKD-BDP178NK4 86 H326 96 K353B 51 KB16B 14 NKD-BDPT-1078 86 H327 38 K354 48 KB17B 14 NKD-CO2GAS 75 99 www.nihonkohden.net Index as per Supply Code Index as per Supply Code Supply Code page Supply Code page Supply Code page Supply Code page NKD-CPR 89 NKD-S947E 83 P229A 65 V923 75 NKD-CPR/COVER 89 NKD-S947F 83 P229B 67 X040 23 NKD-DEFIBAG2 36 NKD-S947G 83 P259 65, 67 X041 32 NKD-DEFIBAG3 36 NKD-S947H 83 P263 62 X041A 23 NKD-DEFIBAG6 36 NKD-SD1GB 28, 91 P267 62 X041B 23, 32 NKD-DEFIBAG83 36 NKD-SIPADS 89 P310C 62 X060A 32 NKD-ECG/TAB1 19 NKD-STPADS 89 P311C 62 X065 23, 32 NKD-ECG/TAB2 19 NKD-STRAP83 36 P903 72 X071 23 NKD-G711 28 NKD-TEMPHEARTS4009 77 P906 72 X073 23 NKD-H/ADAPTER2 19 NKD-TEMPHEARTS4012 77 P907 74 X077 32 NKD-H405 39 NKD-VENTIL3 75 P908 74 X078 23 NKD-H406 39 NKD-Z715 19 P909 73 Y011 28, 91 NKD-IBP/LOGICAL 86 NKD-Z722 19 P922A 72 Y095A 58 NKD-IBP/LOGICAL2 86 NKD-Z723 19 P923 74 Y184A 96 NKD-IBP/LOGICAL3 87 P203A 63 P924 73 Y206A 38 NKD-IBP/LOGICAL4 87 P203B 63 R801 72 Y206B 39 NKD-IBP/NOVATRANS 87 P203C 63 R804 75 Y262B 96 NKD-IBP/TRANSPAC 87 P203D 63 R805 73 NKD-IBP/TRANSTAR 87 P203E 64 S901 79 NKD-IBP/UTAH 87 P203F 64 S902 79 NKD-IBP/UTAH2 87 P203G 64 S903 79 NKD-JJ221V 91 P203H 64 S951A 81 NKD-L936 28, 91 P204A 64 S951B 81 NKD-NIBP/K2 82 P204B 64 S951C 81 NKD-NIBP/K3 83 P204C 65 S951D 81 NKD-O2-CAP 75 P204D 65 S951E 81 NKD-P240A 77 P204E 66 S951F 81 NKD-P241A 77 P204F 66 SB-210VK 96 NKD-P242B 77 P204G 66 SB-212VK 96 NKD-P249 77 P204H 66 SB-214VK 96 NKD-POWERLINE 28, 91 P225F 61 SB-551V 32 NKD-S947A 82 P225G 61 SB-801V 32 NKD-S947B 82 P225H 61 SC-831V 32 NKD-S947C 82, 83 P228A 65 V921 75 NKD-S947D 83 P228B 67 V922 75 100 www.nihonkohden.net Index as per Model Code Index as per Model Code Model Code page Model Code page Model Code page Model Code page 404617 28, 91 C-150 20, 54 NC-124D 18 TL-630T3 62 490933 13 F-150M 20, 54 NKB-102V 32 TL-631T3 62 6144-000427 18 F-150S 21, 55 NKB-301V 23, 32 V-040M4 54 6144-011852 18 FQS50-2-100 34 P-511 38 V-06OM6 55 669269 13 FQS50-3-100 34 P-513 38 V-09IO3 55 AX-250V 38 FQW210-10-295 25 P-530K 96 V-09OM3 54 AX-251V 39 FQW210-30-295 25 PS50-2 34 V-120S3 55 BC-753V 52 J-150 20, 54 RQS50-3 25, 34 X212A 96 BC-755V 52 JC-002P 52 RQS63-3 25 X216A 96 BC-763V 50 JC-005P 50, 51 SB-150D 23 X217A 96 BC-763VA 50 JC-761V 52 SB-201D 23 YC-210V 96 BC-765V 51 JC-762V 52 SB-831V 32 YG-101T 72 BC-765VA 51 JC-763V 52 SB-901D 23 YG-111T 75 BJ-831V 48 JC-855V 39 TG-101T 72 YG-120T 75 BJ-900P 48 JC-865V 38 TG-121T 74 YG-121T 75 BJ-901D 13 JC-906P 48 TG-221T 73 YG-122T 75 BJ-902D 13 JG-900P 72 TG-900P 72 YG-211T 73 BJ-903D 13 JG-920P 74 TG-901T3 72 YN-900P 79 BJ-904D 15 JG-970P 73 TG-920P 74 YN-901P 79 BM-901D 15 JL-550T2 58 TG-921T3 74 YN-990P 79 BR-002P 52 JL-900P 58 TG-970P 73 YP-710T 81 BR-004P 52 JP-900P 85 TL-051S 65 YP-711T 81 BR-018P 50 JP-910P 85 TL-052S 67 YP-712T 81 BR-019P 50 JP-920P 85 TL-061S 65 YP-713T 81 BR-020P 51 JP-921P 85 TL-062S 67 YP-714T 81 BR-021P 51 JP-960P 85 TL-201T 61 YP-715T 81 BR-202D 14 JT-900P 77 TL-201T1 61 YS-093P2 62 BR-903P 47, 50 L-150 20, 54 TL-220T 61 YSI-401 77 BR-906P 47 L-150X 20, 54 TL-271T 63, 64 YSI-402 77 BR-906V 47 LC-S2912NK 23, 32 TL-271T3 64, 66 YSI-409B 77 BR-912D 13 LCS-2012NK 23 TL-272T 63, 64 Z-101BC 28 BR-913D 13 LCT-1912ANK 23 TL-272T3 64, 66 Z-101EA 91 BR-913E 13 LCT-1912NK-1 32 TL-273T 63, 65 ZM: S616 77 BR-913P 47, 50 M-150 20 TL-273T3 64, 66 BR-916P 48 NA-0003 47 TL-274T 63, 65 BR-921D 14 NA-0003 50 TL-274T3 64, 66 For Germany, Austria, Switzerland and Benelux NIHON KOHDEN EUROPE GmbH, Vertrieb Deutschland Albert-Einstein-Ring 9, 14532 Kleinmachnow, Deutschland Fax: +49 (0) 33203/573-19, E-Mail: [email protected] For Spain and Portugal NIHON KOHDEN IBERICA S.L. C/Ulises, 75A, 28043 Madrid, Spain Fax: +34 91 300 46 76, E-Mail: [email protected] For United Kingdom NIHON KOHDEN UNITED KINGDOM Ltd. Tolworth Tower – 19th Floor, Ewell Road, Surbiton, Surrey KT6 7EL, United Kingdom Fax: +44 (0) 20 83 90 46 75, E-Mail: [email protected] NKE-BRZ-K/A For France NIHON KOHDEN FRANCE SARL 8, rue François Delage, 94230 Cachan, France Fax: +33 (0) 1 49 08 93 32, E-Mail: [email protected] For Italy NIHON KOHDEN ITALIA S.r.l. Via Fratelli Bronzetti, 28, 24124 Bergamo, Italy Fax: +39 (0) 35-232546, E-Mail: [email protected] For all other European Countries, Russia, Turkey and Israel NIHON KOHDEN EUROPE GmbH Raiffeisenstraße 10, 61191 Rosbach v. d. H., Germany Fax: +49 (0) 6003/827-599, E-Mail: [email protected]