Critical Care Product Catalogue

Transcription

Critical Care
Product Catalogue
ClearSight
FloTrac
PreSep/PediaSat
VolumeView
Swan-Ganz
TruWave
VAMP
EV1000
System
Sensor
Oximetry Catheter
Set
Catheter
Pressure Transducer
Closed Blood Sampling System
Clinical Platform
VolumeView Set
(CO, SV, SVV, GEDV, GEF and EVLW)
ClearSight System (CCO, SV and SVV)
TruWave Transducer and VAMP System (Arterial Pressure, CVP, RAP, PAP and ICP)
The Continuum of Critical Care
The critical care portfolio of Edwards Lifesciences consists of tools for monitoring patients of varying clinical complexity.
Each product and system employs advanced technologies to provide optimum1 insight and maximum2 efficiency
within the clinical workflow. The following products and more are covered within this catalogue:
ClearSight System
FloTrac Sensor
Providing the latest standards in ease-ofuse, practicality and continuity, the FloTrac
system provides continuous cardiac output
(CCO), stroke volume (SV), stroke volume
variation (SVV), and systemic vascular resistance (SVR) through an existing arterial
line.
The ClearSight system provides continuous
hemodynamic monitoring to a broader
patient population. The ClearSight Noninvasive System displays key hemodynamic
parameters including; CO, SV, SVV, SVR,
cBP.
PreSep and PediaSat Oximetry Catheter
VolumeView Set
Intended for use in treating acutely ill
patients, the VolumeView set provides
informative volumetric parameters (EVLW,
PVPI, GEDV and GEF) that can be used
specifically in the treatment of pulmonary
oedema, acute lung injury (ALI) or acute
respiratory distress syndrome (ARDS).
Continuous ScvO2 monitoring with the
PreSep and PediaSat oximetry catheters
can reveal occult tissue hypoxia that traditional vital signs can miss3-9.
Monitoring Platforms
Swan-Ganz Catheter
Thermodilution PA catheters (base and
advanced technology) providing right
heart information to determine hemodynamic pressures, volumes, CO and mixed
venous oxygen saturation (SvO2).
The EV1000 clinical platform presents a
holistic view of clinically validated parameters provided by the ClearSight system, the
FloTrac sensor, the PreSep and PediaSat
oximetry catheters and the VolumeView set.
TruWave Transducer
A high-fidelity disposable pressure transducer with an ergonomically designed
cable connector and convenient snaptab.
2
VAMP System
Safe, easy and accurate blood sampling
systems that offer the flexibility to fulfill the
needs of the OR and ICU.
TABLE OF CONTENTS
ClearSight System
p4
FloTrac Sensor
p6
PreSep & PediaSat Oximetry Catheters
p 10
VolumeView Set
p 16
Swan-Ganz Catheters
p 20
Pressure Monitoring
p 36
Monitors & Accessories
p 52
Notes
p 60
3
ClearSight System
1 ClearSight System
The ClearSight system extends continuous hemodynamic monitoring to a broader patient population, including moderate to high-risk patients10-20. By leveraging proven ccNexfin system technology,
the ClearSight system provides clinicians clarity without the barriers of complexity or invasiveness.
The ClearSight system is a simple, noninvasive approach to monitoring key hemodynamic parameters:
• Stroke Volume (SV)
• Stroke Volume Variation (SVV)
• Cardiac Output (CO)
• Systemic Vascular Resistance (SVR)
• Continuous Blood Pressure (BP)
Simple application10
The ClearSight system quickly connects to the patient by wrapping an inflatable cuff around the finger, giving you continuous
noninvasive hemodynamic information.
Leverages validated technology
Used as the standard for monitoring in space for decades21, ccNexfin noninvasive technology (volume clamp 22, Physiocal 12) has
been extensively validated against gold standard monitoring technologies 16,17,19,20.
Advanced hemodynamic monitoring extended to moderate-risk patients
Including elderly or obese patients 10, 20, 24 — enabling you to make more informed decisions regarding volume administration 25.
EV1000 Clinical Platform NI:
1 - EV1000 Monitor
2 - EV1000 Pump-Unit
3 - Pressure Controller
4 - ClearSight Finger Cuff
5 - Heart Reference Sensor
1
2
3
5
4
4
ClearSight System
ClearSight System & Accessories
Catalogue
Number
Description
Pack
Size
EV1000NI
EV1000 Clinical Platform NI
1
EVNIUPG
Noninvasive upgrade to EV1000A (excludes monitor)
1
EVHRS
Heart Reference Sensor
1
EVHRSBP
Heart Reference Sensor Body Pads
EVPMAC
Patient Monitor Adaptor Cable
1
PC2CCC
Pressure Controller Cuff Connector Cap
1
PC2B
Pressure Controller Band Multi Pack
5
100
ClearSight System Disposables
Catalogue
Number
Description
Pack
Size
CSCS
ClearSight Finger Cuff Small Multi Pack (Green)
5
CSCM
ClearSight Finger Cuff Medium Multi Pack (Blue)
5
CSCL
ClearSight Finger Cuff Large Multi Pack (Red)
5
2 Educational Resources 31
• ClearSight System Brochure
AR11578
• ClearSight System Technology Overview
AR10482
• ClearSight System Setup Guide
AR10424
• ClearSight System Technology Animation www.edwards.com/eu/clearsight
• ClearSight System Training Video www.edwards.com/eu/clearsight
5
FloTrac Sensor
1 FloTrac Sensor
The FloTrac sensor is a less invasive hemodynamic monitoring device that provides key flow parameters (CO, SV, SVV, SVR) from an existing arterial catheter using continuous automatic vascular
tone adjustment 26,27.
The FloTrac sensor can be used with the Vigileo monitor or the EV1000 clinical platform. The complete
system will calculate and display key flow parameters.
The FloTrac sensor is accurate, easy to use and less invasive 28,29.
• Connects to existing arterial catheter.
• Requires no additional catheters, boluses or chemical indicators, enabling rapid set-up.
• Continuously monitors changes in the patient’s vascular tone (compliance and resistance) 30.
• Validated against the clinical gold standard Swan-Ganz pulmonary artery catheter 26.
• Compatible with the Vigileo monitor and the EV1000 clinical platform.
To
IV Set
To EV 1000 monitor (green)
Snap-Tab Device
To Pressure monitor (red)
Sensor Vent Port
To Patient
• F
loTrac sensor brochure
AR10320
• F
loTrac sensor 4.0 Algorithm AR10317
• F
loTrac sensor pocket card AR08052
• S
etup guide: FloTrac/Vigileo AR07449
6
• Setup Guide: FloTrac/EV1000 AR07457
• In-Service Video www.edwards.com/eu/flotracinservice
FloTrac Sensor
FloTrac Sensor - Disposables and Accessories
Catalogue
Number
Length A
(cm)*
Length B Description
(cm)*
Pack
Size
MHD6R
120
30
FloTrac sensor (150 cm) pressure line
1
MHD6AZR
90
60
and VAMP adult system
1
MHD8R
180
30
1
MHD6R5
120
30
5
MHD6AZR5
90
60
and VAMP adult system
5
MHD8R5
180
30
5
FloTrac sensor connecting cable
1
APC09
Total length
274
*Lenghts are rounded up from inches to centimeters.
A
B
A
B
7
FloTrac Sensor
ClearSight System
1 Clinical Application of Flow Parameters 32
Cardiac Output / Cardiac Index
Pulse Rate
SV/SVI
Preload
Afterload
∆ SV Response
SVR/SVRI
Contractility
SVV
2 Outcome studies performed with the ClearSight System
Author
& Year
8
Title
Surgery type
Garson
2014 56
Implementation of a total joint replacement-focused perioperative
surgical home: a management case report
Orthopedic
Chen
2012 18
Impact of non invasive and beat-to-beat arterial pressure monitoring
on intraoperative hemodynamic management
Abdominal
Orthopedic
FloTrac Sensor
ClearSight System
3 Outcome studies performed with the FloTrac Sensor
Author
& Year
Title
Surgery type
Colantonio A randomized trial of goal directed vs standard fluid therapy in
cytoreductive surgery with hyperthermic intraperitoneal chemotherapy.
2015 35
Abdominal
Peng
2014 23
Goal-directed fluid therapy based on stroke volume variations improves fluid management and gastrointestinal perfusion in patients
undergoing major orthopaedic surgery.
Orthopedic
Zeng
2014 49
The influence of goal-directed fluid therapy on the prognosis of elderly
patients with hypertension and gastric cancer surgery. Abdominal
Zheng
2013 2
Goal-directed fluid therapy in gastrointestinal surgery in older coronary
heart disease patients: randomized trial
Abdominal
Zhang
2013 59
Goal-directed fluid optimization based on stroke volume variation and
cardiac index during one-lung ventilation in patients undergoing thoracoscopy lobectomy operations: a pilot study
Thoracic
Ghneim
2013 57
Goal directed fluid resuscitation decreases time for lactate clearance
and facilitates early fascial closure in damage control surgery
Scheeren
2013 50
Goal-directed intraoperative fluid therapy guided by stroke volume and
its variation in high-risk surgical patients: a prospective randomized
multicentre study
Abdominal
Ramsingh Outcome impact of goal directed fluid therapy during high risk abdominal surgery in low to moderate risk patients: a randomized controlled
2013 33
trial
Abdominal
Cecconi
2011 58
Goal-directed haemodynamic therapy during elective total hip arthroplasty under regional anaesthesia
Hip
Orthopedic
Benes
2010 54
Intraoperative fluid optimization using stroke volume variation in high
risk surgical patients: results of prospective randomized study
Abdominal
Vascular
Damage control
Open
Abdomen
9
1 PreSep Oximetry Catheter 3,5,36
PreSep oximetry catheters are triple lumen central venous catheters with the added capability for
continuously monitoring central venous oxygen saturation (ScvO2). It is integral to Early Goal-Directed
Therapy (EGDT) for the management of sepsis. EGDT yields significant reductions in sepsis-related
mortality 34.
• C
ontinuous ScvO2 monitoring to assess the balance of oxygen delivery and consumption.
• E
asy to insert using same insertion technique as that of central lines.
• P
ressure monitoring (Central Venous Pressure) and high flow rates.
• P
erioperative hemodynamic optimization based on ScvO2.
ompatible with Edwards oximetry monitors (*) and optical module, and now available
• C
with the Philips SO2 module.
Proximal Lumen
Sheath
Distal Lumen
Optical Module
Connector
Suture Ring
Suture Wings
Medial Lumen
(*) Edwards oximetry monitors include Vigileo and Vigilance II monitors and EV1000 clinical platform.
10
Triple Lumen PreSep Catheter
Catalogue
Number
Length
(cm)
No. of
Lumens
French
Size
Description
Pack Size
X3820HS
20
3
8.5
PreSep oximetry catheter
(Vigileo, EV1000)
1
X3820HSP
20
3
8.5
PreSep oximetry catheter
(Philips SO2 module)
1
PreSep Catheter - Accessory
Catalogue
Number
OM2E
Length
(cm)
335
Description
Edwards oximetry module
Pack Size
1
11
2 PediaSat Oximetry Catheter 37-40
PediaSat oximetry catheters are pediatric central venous catheters with the added capability for
continuously monitoring central venous oxygen saturation (ScvO2).
• Continuously monitors ScvO2 to assess the balance of oxygen delivery and consumption.
• Sized for pediatrics.
• Easy to insert using same insertion technique as that of central lines.
• Offers high flow rates and convenient administration of fluids.
• Compatible with Edwards oximetry monitors (*) and optical module, and now available
with the Philips SO2 module.
(*) Edwards oximetry monitors include Vigileo and Vigilance II monitors and EV1000 clinical platform.
12
Double Lumen PediaSat Catheter
Catalogue
Number
Length
(cm)
No. of
Lumens
French
Size
Description
Pack Size
XT245HSP
5
2
4.5
PediaSat oximetry catheter
1
XT248HSP
8
2
4.5
1
Triple Lumen PediaSat Catheter
Catalogue
Number
Length
(cm)
No. of
Lumens
French
Size
Description
Pack Size
XT358HSP
8
3
5.5
1
XT3515HSP
15
3
5.5
1
PediaSat Catheter - Accessory
Catalogue
Number
OM2E
Length
(cm)
335
Description
Edwards oximetry module
Pack Size
1
13
3 Clinical Application of ScvO2 41
Oxygen Delivery
Cardiac Output
Heart
Rate
Stroke
Volume
Optimal HR
Oxygen Consumption
Hemoglobin
Oxygenation
Metabolic Demand
Bleeding
Hemodilution
Anemia
SaO2
FiO2
Ventilation
Fever
Anxiety
Pain
Shivering
Muscle Activity
Preload
Afterload
Contractility
Bleeding
Fluid Shift
Vascular
Resistance
Heart
Disease
In sepsis management
RIVERS et al. 34
-52%
40
Mortality Rate (%)
.......
..
ScvO2
.......
14
70
50
..
......
..
30
20
Control
EGDT
Multiple Organ Dysfunction Score
(MODS)
Early goal-directed therapy (EGDT) has been used for severe sepsis and septic shock in the intensive
care unit. This approach involves adjustments of cardiac preload, afterload, and contractility to balance
oxygen delivery with oxygen demand. Targeting ScvO2 at a value 70% and measuring it continuously,
together with other parameters, helps with the application of the EGDT treatment protocol.
6.5
6
-25%
5.5
5
4.5
Control
EGDT
Perioperative optimization
DONATI et al.42
A trial was performed in nine hospitals in Italy on 135 high-risk patients scheduled for major abdominal
surgery. The patients of the GDT group were managed to keep O2ER < 27% (or ScvO2 >73%). Early
treatment directed to maintain O2ER < 27% reduced organ failures and hospital stay.
14
67%
10
0
Control
GDT
16%
13
Hospital Days
20
Organ Failures
.......
..
ScvO2
.......
73
30
..
......
..
12
11
10
Control
GDT
PreSep Oximetry Catheter
PreSep Oximetry Catheter
• PreSep catheter brochure
E2639/02-12/CC
• Setup Guide: PreSep/Vigileo AR07450
• Setup Guide: PreSep/EV1000 AR07451
• In-Service Video
www.edwards.com/eu/presepinservice
• EGDT e-learning module
www.edwards.com/eu/EGDT
PediaSat Oximetry Catheter
• PediaSat catheter brochure
The security of
an early warning
PediaSat Oximetry Catheter
AR05978
The smaller the patient,
the earlier you need to know.
15
VolumeView Set
1 VolumeView Set
The next advancement in volumetric parameters: the VolumeView set from Edwards Lifesciences
allows the clinician to access valuable volumetric information needed to manage the critically ill
patient in the ICU.
The VolumeView set:
• Provides informative volumetric parameters (EVLW, PVPI, GEDV and GEF).
• C
an be used specifically in the treatment of pulmonary oedema, acute lung injury (ALI) or acute
respiratory distress syndrome (ARDS) 43,44.
• The volumetric parameters are provided via transpulmonary thermodilution (TPTD).
The VolumeView set consists of 45-47:
1
The VolumeView sensor, which allows measurement of continuous hemodynamic parameters and can also be calibrated through
intermittent transpulmonary thermodilution.
2
The VolumeView femoral artery catheter,
which is soft and flexible allowing easier insertion and helping to reduce vessel trauma.
3
The VolumeView thermistor manifold, which
allows closed bolus delivery helping minimise
infection risk.
3
2
1
16
VolumeView Set
VolumeView Set - All Product Codes
Catalogue
Number
French
Size
Product Description
Pack
Size
VLV8R520
5
20 cm catheter / VolumeView sensor /
Venous Injectate Kit / TruWave
1
VLV8R5205
5
5
VLV8R416
4
1
VLV8R4165
4
5
VLVFC5205
5
20cm VolumeView Femoral Catheter
5
VolumeView Set - All Product Codes
Catalogue
Number
Product Description
Pack
Size
VLV8R5
VolumeView sensor
5
VLVCVT5
VolumeView venous injectate kit
5
1
2
3
17
17
VolumeView Set
2 Clinical Application of Volumetric Parameters
Evolving beyond numbers: the Physio Relationship screen helps identify the source of problem clearly
through the hierarchy of parameters. The Physiology screen enables quick treatment decision-making
through visual clinical decision support.
The VolumeView set from Edwards Lifesciences in combination with the EV1000 clinical platform enables the display
of valuable volumetric parameters in a meaningful way. Delivered via the EV1000 clinical platform, the VolumeView set
is able to offer you a clear and visual depiction of patient physiologic status – including extravascular lung water (EVLW).
Applications in the intensive care unit.
Applications in the surgical environment.
The VolumeView set can help bring clarity in determining
possible causes of hemodynamic instability, pulmonary
oedema and cardiac dysfunction if used at the right time
in the right patient 34,43.
The VolumeView set can also be used in some perioperative situations to provide valuable hemodynamic
information:
• Severe sepsis
• Septic shock
• ARDS/ALI
• Cardiogenic shock
• Severe burns
18
• Liver surgery
• Hepatic surgery
• Cardiac surgery
• Transplantation
VolumeView Set
• T
he VolumeView set is intended for use in treating your acutely ill patients, providing informative volumetric
parameters 46-48:
• EVLW - Extra vascular Lung Water
• PVPI - Pulmonary Vascular Permeability Index
• GEDV - Global End Diastolic Volume
• GEF - Global Ejection Fractio
• T
he volumetric parameters are provided via transpulmonary thermodilution (TPTD) 46-48.
• Parameters card (AR10523)
• S
et-up guide (AR07460)
• V
olumeView set brochure
(E4711/03-14/CC)
19
Hemodynamic Monitoring - Swan-Ganz Catheters
The
andComprehensive
Comprehensive
The Single,
Single, Continuous
Continuous and
Solution
HemodynamicStatus
Status
Solution for
for Assessing
Assessing Hemodynamic
Swan-Ganz CCOmbo V VIP catheter
Model: 777HF8
Oxygen delivery is the key to patient survival
Oxygen Flow-Consumption Diagram
PAOP
The ability to take continuous
measurements of two or more
crucial physiological parameters
will make the PAC a unique
monitoring tool for years to come.
–Jean-Louis Vincent. A reappraisal for
the use of pulmonary artery catheters.
Critical Care, 2006;10(Suppl 3):S1.
Celebrating 40 years of collaboration
20
1
Swan-Ganz CCOmbo Catheters
Swan-Ganz CCOmbo catheters are designed to enable continuous monitoring of hemodynamic pressures,
continuous cardiac output, mixed venous oxygen saturation (SvO2), and continuous end-diastolic volume (EDV).
Balloon Inflation Valve
Thermal Filament
Balloon
Thermal Filament
Connector
PA Distal
Lumen
Proximal Injectate
Lumen Hub
Optical Module
Connector
Thermistor
@ 4 cm
CCOmbo 777
Thermistor Connector
VIP Port @ 30 cm
Proximal Injectate
Port @ 26 cm
VIP Lumen Hub
PA Distal Lumen Hub
Catalogue Length (cm) No. of French Description
Pack
Number
LumensSize
Size
744HF75
110
6
7.5F Continuous cardiac output catheter with SvO2*1
746HF8
110
7
8F Continuous cardiac output VIP catheter with SvO2*1
774F75
110
6
7.5F Continuous cardiac output catheter with SvO2and EDV 1
774HF75
110
6
7.5F Continuous cardiac output catheter with SvO2 and EDV* 1
777HF8
110
7
8F Continuous cardiac output VIP catheter with SvO2 and EDV* 1
2
Swan-Ganz CCO Catheters
Swan-Ganz CCO catheters allow for continuous calculation of cardiac output.
CCO 139
Thermal Filament
Connector
Thermistor
@ 4 cm
Thermal Filament
Balloon
PA Distal Lumen
PA Distal
Lumen Hub
VIP Port @ 30 cm
VIP Lumen Hub
Proximal Injectate
Lumen Hub
Proximal Injectate
Port @ 26 cm
Catalogue
Length (cm) No. of French Description
Number
Lumens
Size
139F75
110
6
7.5F
Continuous cardiac output (CCO) VIP catheter
Pack
Size
5
139HF75P
110
6
7.5F
Continuous cardiac output (CCO) VIP catheter*
5
177HF75
110
6
7.5F
Continuous cardiac output catheter with EDV*
1
*All model numbers with an “H” contain AMC THROMBOSHIELD coating (an antimicrobial † heparin coating) . Antimicrobial activity associated with AMC THROMBOSHIELD coating has been demonstrated using in vitro diffusion agar
assays against the following organisms: Staphylococcus epidermidis, Staphylococcus aureus, Streptococcus faecalis, Candida albicans, Escherichia coli, Serratia marcescens, and Acinetobacter calcoaceticus.
† Decreases viable microbe count on surface of product during handling and placement.
21
3
Swan-Ganz Oximetry Thermodilution Catheters
Swan-Ganz oximetry thermodilution catheters continuously monitor mixed venous oxygen saturation.
• Swan-Ganz oximetry thermodilution catheters enable monitoring of hemodynamic pressures, cardiac
output, and continuous mixed venous oxygen saturation (SvO2).
• Swan-Ganz VIP oximetry thermodilution catheters provide an additional (VIP) lumen that allows for
continuous infusion.
• Swan-Ganz Paceport oximetry thermodilution catheters are intended for use in patients who require
hemodynamic monitoring when temporary transvenous pacing is anticipated.
• The oximetry thermodilution catheters with the suffix ”P” are compatible with both the Vigilance II monitor as
well as the Philips IntelliVue SO2 module.
S vO 2 780
Thermistor
Optical Module
Connector
Balloon
Distal Lumen
Distal Lumen
Hub
RV Paceport
Lumen Hub
(Pacing/Infusion)
Proximal Injectate
Lumen Hub
RV Port @ 19 cm
Proximal Injectate
Port @ 30 cm
Catalogue
Length (cm)
No. of French
Description
Pack
Number
LumensSize
Size
631HF55 75
5
5.5F Pediatric oximetry thermodilution catheter* 1
040HF4 40
2
4F
Small French oximetry catheter*
1
015HF4 25
2
4F
Small French oximetry catheter* 1
741HF75P 110
5
7.5F
Swan-Ganz Oximetry Thermodilution Catheter*
1
780HF75P
110
6
7.5F
Swan-Ganz Oximetry Paceport Thermodilution Catheter*
1
782HF75
Swan-Ganz VIP Oximetry Thermodilution Catheter*
1
110
6
7.5F
22
4
Swan-Ganz Thermodilution Catheters
Swan-Ganz thermodilution catheters are designed to rapidly determine hemodynamic pressures and
cardiac output.
Thermistor
Connector
Proximal Injectate
Lumen Hub
MODEL 131
Thermistor
Proximal Injectate
Port @ 30 cm
Distal Lumen Hub
Balloon
Distal Lumen
Catalogue
Length (cm)
No. of French Description
Number
Lumens Size
132F5 75
4
5F
Standard thermodilution catheter
Pack
Size
1
096F6P 110 4
6F
5
131F7P 110 4
7F
5
131HF7P 110 4
7F
Standard thermodilution catheter* 5
with contamination shield*
5
131HVF7P 110
4
7F
5
Swan-Ganz VIP & VIP+ Catheters
Swan-Ganz thermodilution VIP & VIP+ catheters are designed for a variety of hemodynamic applications.
• The Swan-Ganz VIP catheters have an extra lumen in addition to the standard distal and injectate lumens to
provide direct access to the right atrium.
• The Swan-Ganz VIP+ catheters are equipped with two right atrium lumens.
PA Distal
Lumen Hub
MODEL 834
Balloon Inflation
Valve (Gate Valve)
RV Infusion Lumen Hub
RA Infusion
Port @ 31 cm
RV Infusion
Port @ 19 cm
Thermistor
Connector
Thermistor
Proximal Injectate
Port @ 30 cm
Proximal Injectate
Lumen Hub
RA Infusion Lumen
Balloon
PA Distal
Lumen
Catalogue
Length (cm)
Number
Lumens Size
Pack
Size
831F75P 110
5
7.5F VIP Swan-Ganz catheter
5
831HF75P 110
5
7.5F VIP Swan-Ganz catheter* 5
831HVF75P 110 5
7.5F VIP Swan-Ganz catheter with contamination shield* 5
834HF75 110
6
7.5F VIP+ Swan-Ganz catheter* 5
23
6
Swan-Ganz Non-Latex Catheter and Introducer
Physicians have all the components needed to insert a Swan-Ganz catheter without latex components
offered together in the same package.
• Catheter and introducer sheath are packaged together for maximum convenience.
• Swan-Ganz ControlCath thermodilution catheters are made from a proprietary polymer blend and offer improved
torque control and maneuverability over the standard Swan-Ganz thermodilution catheter.
• Swan-Ganz ControlCath catheters offer improved column strength for easy passage through the introducer
sheath.
• The Swan-Ganz ControlCath thermodilution catheter “C-Tip” allows for both femoral vein or superior vena
cava (SVC) approaches.
• Swan-Ganz ControlCath catheters will not lose their torque properties at body temperature as found with
thermodilution catheters made from PVC, resulting in excellent handling characteristics and consistent waveform fidelity throughout the procedure.
No latex components or PVC
The synthetic Swan-Ganz ControlCath thermodilution catheters do not contain any natural latex rubber or
natural dry rubber components, including the balloon, which is made from a proprietary synthetic elastomer.
Catalogue
Length (cm)
Number
Lumens Size
S9FC146F7 110 4
7F
Non-latex catheter and introducer
24
Pack
Size
1
onnector
n Inflation Valve
7
Swan-Ganz Femoral Vein Insertion Catheters
Swan-Ganz ControlCath, Hi-Shore and CardioCath catheters offer improved torque control and
maneuverability.
• Swan-Ganz ControlCath thermodilution catheters are made from a proprietary polymer blend and will not
lose their torque properties at body temperature.
• Swan-Ganz Hi-Shore thermodilution catheters are slightly stiffer than the standard Swan-Ganz catheter, and
may be used when more torque control
and maneuverability is needed.
Proximal Injectate
Injectate Lumen Hub
Port @ 30 cm
• The “S-Tip” configurations are designed specifically for femoral vein insertion.
Balloon
• The “C-Tip” configurations allow for both femoral vein or superior vena cava (SVC) approaches.
Distal Lumen Port
Hub
Thermistor
S144/C144
Injectate Lumen Hub
“S-Tip”
Proximal Injectate
Port @ 30 cm
Balloon
Distal Lumen Port
Thermistor
Distal Lumen Hub
Thermistor
Proximal Injectate
Port @ 30 cm
“C-Tip”
“S-Tip”
Balloon
Distal Lumen Port
Thermistor
Catalogue
Length (cm) No. of French Description
Number
LumensSize
141F7 141HF7P 151F7
151HF7 C144F7 C144HF7 S144F7 S144HF7 Pack
Size
Proximal Injectate
Port @ 30 cm
“C-Tip”
Balloon
110
110
4
4
7F 7F Hi-Shore catheter
Hi-Shore catheter*
110
4
7F
“S-Tip” catheter
1
110
4
7F
“S-Tip” catheter*
1
110
4
7F ControlCath catheter, polymer blend, “C-Tip”
1
110
4
7F
ControlCath catheter, polymer blend, “C-Tip”*
1
110
4
7F
ControlCath catheter, polymer blend, “S-Tip”
1
110
4
7F ControlCath catheter, polymer blend, “S-Tip”*
1
Distal Lumen Port
5
5
25
8
Swan-Ganz Thermodilution Pacing Catheters
Swan-Ganz thermodilution pacing catheters can perform right atrial, pulmonary arterial, and pulmonary artery wedge pressure measurements; as well as blood sampling, solution infusion, and
cardiac output measurements.
• Multi-functional thermodilution catheters that contain three atrial and two ventricular electrodes for atrial and
ventricular pacing, and antrioventricular (A-V) sequential pacing.
• Fast to setup with no need to insert probes in order to pace.
PACING TD 200
Proximal Injectate
Port
Proximal Injectate
Lumen Hub
Thermistor
Connector
Atrial Electrodes
Balloon
Stylet Anchor
Bushing
#5 #4 #3
Balloon Inflation Hub
Thermistor
(Back Side)
Distal Lumen Hub
#5
#4
Proximal
Atrial
Central Atrial
Distal Atrial
#1
#3
#2
Distal Ventricular
110
#1
Ventricular
Electrodes
Proximal Ventricular
Catalogue
Length (cm)
Number
Lumens Size
D200F7 110 4
7F
Pacing-TD catheter
D200HF7 #2
4
7F
Pacing-TD catheter*
Pack
Size
1
1
26
9
Swan-Ganz Bipolar Pacing Catheters
Swan-Ganz bipolar pacing catheters are designed for temporary right ventricular endocardial
pacing. The balloon tip facilitates insertion by flow-direction. A “J-Tip” configuration is available for
femoral insertion.
• Effective bipolar ventricular pacing when hemodynamic monitoring is not needed.
• Has two electrodes, one at the catheter tip and one 1 cm proximal, providing capabilities for bipolar pacing.
D97 B ipolar Pacing
Distal Electrode Connector
Balloon
Proximal
Electrode
Connector
Distal Electrode
Proximal Electrode
Gate Valve
Catalogue
Length (cm)
Number
Lumens Size
D97120F5
90 3
5F
For SVC insertion, catheter only (straight tip)
D97130F5 90 3
5F
For Femoral insertion, catheter only (“J-Tip”)
Pack
Size
1
1
27
10
Swan-Ganz Paceport Catheters and Chandler Probes
Swan-Ganz Paceport catheters can be used for simultaneously obtaining hemodynamic parameters and
reliable ventricular pacing on demand by using the Chandler V-Pacing and/or the Flex-Tip A-Pacing probes.
• The ability to be prepared for any of the numerous indications for temporary cardiac pacing, many of which
cannot be diagnosed at the time of catheter selection and insertion.
• Fast and easy pacing access that requires only one insertion site, thus reducing the risk of complications.
PACING PR OB E 100
93 1 PAC E P ORT
Contamination Sheath
(Slips over Tuohy-Borst Adapter)
Thermistor
Balloon Inflation
Valve
RV Paceport
Lumen Hub
(Pacing/Infusion)
Tuohy-Borst
Adapter
Balloon
Distal Lumen
Proximal
Electrode
Green Coating
NOTE: Depth marks
indicated on clear
numbered RV lumen
catheter extension.
RV Port
@ 19 cm
Distal Lumen Hub
Proximal Injectate
Lumen Hub
Proximal Injectate
Port @ 30 cm
Reference
Marker
Distal
Electrode
Pulse Generator
Connectors
Catalogue
Length (cm)
Number
Lumens Size
931F75 110 5
7.5F Ventricular paceport thermodilution catheter
Pack
Size
1
931HF75 110 5
7.5F Ventricular paceport thermodilution catheter*
1
D98100 D98100H 135 none 2.4F
Chandler transluminal V-pacing probe 1
135 none 2.4F
Chandler transluminal V-pacing probe* 1
11
Distal Lumen Hub
Swan-Ganz Monitoring Catheters
Balloon
PA Distal Lumen
Port
Swan-Ganz flow-directed monitoring catheters provide a rapid, simple, and effective
method
for
monitoring right heart pressures.
Inflation Valve
• In double lumen Balloon
catheters,
the lumen terminatesDouble
at theLumen
distalMonitoring
tip of theCatheter
catheter and is used to monitor pulmonary
artery and wedge pressures.
• Triple lumen monitoring catheters have the same capabilities as double lumen catheters with an additional
(proximal) lumen for central venous pressure monitoring.
114 MONITOR ING
Balloon
PA Distal Lumen Port
Distal Lumen
Hub
Proximal Lumen Port
Proximal Lumen Hub
Triple Lumen Monitoring Catheter
Catalogue Length (cm) No. of French Description
Number
LumensSize
28
Pack
Size
110F5 110 2
5F
Double lumen catheter
5
123F6P 110 2
6F
5
111F7P 110
2
7F
5
114F7P 110
3
7F
Triple lumen catheter, 30 cm exit proximal lumen
5
Hemodynamic Monitoring - CO-Set+ System
12
CO-Set+ Closed Injectate Delivery System
Get a better handle on cardiac output.
CO-Set+ closed injectate delivery system works effectively with room temperature or cold injectate
for the measurement of bolus thermodilution cardiac output.
• E
stablished contamination shield is integrated into the reinforced plunger to help close the system.
• Palm pad provides a large surface area and contoured shape designed for comfort, facilitating smooth and
rapid bolus injection.
• Multi-position finger grips are designed for most hand sizes and a variety of injection techniques.
• Volume-limited syringe (10cc) aids in obtaining accurate cardiac output by simplifying filling and eliminating
the variability from differences in filling techniques.
CO-Set+ System Room Temperature
CO-Set+ System Iced
Catalogue
Description
Number
93600
CO-Set+ Delivery System for Cold Injectate
93610
93650
93505
93520
93521
93522
Pack Size
10
CO-Set+ Delivery System for Room Temperature Injectate
10
CO-Set+ Syringe – 10cc
5
CO-Set+ Flow-Through Injectate Housing
8
CO-Set+ Cooling Containers
6
CO-Set+ Cooling Container Bracket for IV Pole
1
CO-Set+ In-Line Injectate Temperature Probe for Edwards Cardiac Output
Computers and most Mennen and Spacelabs Cardiac Output Computers –
Cable Length 240cm
1
93523
CO-Set+ In-Line Injectate Temperature Probe for use with most Hewlett
Packard/Philips Cardiac Output Monitors – Cable Length 240cm
1
93528
CO-Set+ In-Line Injectate Temperature Probe for use with most Nihon Koden
Cardiac Output Monitors – Cable Length 240cm
1
Our CO-Set+ portfolio is not limited to these products and accessories. For more information contact your
Edwards sales representative or call our Customer Service office in your country.
29
AVA 3Xi Device
Twice the convenience. A one-of-a-kind design.
Every day we have one goal: to focus our
Engineered specifically for routine
energies on developing better products that
cardiac patients, the Edwards AVA 3Xi
will help you provide the best patient care.
device meets all your central venous access
With the introduction of the Edwards
needs. The first triple lumen device with a
Advanced Venous Access (AVA) device
detachable introducer valve — all in one.
came a new approach to central
venous access.
30
Hemodynamic Monitoring - Central Venous Access
13
AVA 3Xi Device
Offers advantages of a triple lumen device, with three infusion lumens, and convertibility to insert a
Swan-Ganz catheter.
•
•
•
•
Transitions from an introducer to a triple lumen device with detachable introducer valve as treatment changes.
A Swan-Ganz catheter can be inserted for hemodynamic monitoring if needed.
Provides multiple central venous access in a single insertion site for increased efficiency and patient comfort.
With AMC Thromboshield treatment, an antimicrobial* heparin coating.
Slide Clamp
Proximal Lumen
Anti-Bleed Back
Septum
Introducer Valve
Suture Ring
Proximal Infusion Port
Sideport
Distal Lumen
Suture Wings
Medial Infusion Port
Medial Lumen
Slide Clamp
AVA 3Xi Device
Catalogue
Number
Sheath
Length (cm)
No. of Lumens
French
Size
M3L85FHSI 11
3
8.5F
Description
Pack Size
AVA 3Xi Device with Heparin and with injection caps*
5
AVA 3Xi Device - Accessories
Catalogue
Length (cm)Description
Number
Pack Size
IOBCAP 2Obturator with short Snap Lock Design10
for use with 6-9F Introducers
MCL80G2
80Locking contamination shield for AVA 3Xi
10
*All model numbers with an “H” contain Edwards AMC THROMBOSHIELD coating (An Antimicrobial† Heparin Coating). Antimicrobial activity associated with AMC THROMBOSHIELD coating has been demonstrated using in vitro
diffusion agar assays against the following organisms: Staphylococcus epidermidis, Staphylococcus aureus, Streptococcus faecalis, Candida albicans, Escherichia coli, Serratia marcescens, and Acinetobacter calcoaceticus.
†Decreases viable microbe count on surface of product during handling and placement.
31
AVA High-Flow Device
Advanced Venous Access
Increase Your Options
32
•Combine advantage of TRIPLE lumen infusion
with sheath for catheter insertion.
•Maximize flow rates with FLEXIBLE lumen walls. •Employ only one insertion site which may
reduce device complications and infections. •Increase flexibility for rapid response to patients
requiring a second catheter insertion.
14
Your patient’s needs may change by the minute, but their central venous access shouldn’t.
• The Advanced Venous Access (AVA) design integrates the capabilities of an introducer and multi-lumen central
venous access into a single device.
• Insert an Edwards Swan-Ganz catheter when hemodynamic monitoring is required.
• Proprietary design includes flexible lumen walls that quickly adapt to fluid delivery needs.
• With AMC Thromboshield treatment, an antimicrobial* heparin coating.
Proximal 2 Lumen
Distal Lumen
PR
15GOXIM
A AL2
Hemostasis Valve
DIST AL
9F
Suture Ring
Proximal 2 Infusion Port
Proximal 1 Lumen
L1
PROXIMA
15GA
Proximal 1 Infusion Port
Lumen Clamps
Suture Wings
Catalogue
Number
Sheath
No. Length (cm) of Lumens
French
Description
Size
M3L9FHSI 11
3
9F
AVA High-Flow Device with Heparin and with injection caps*
Pack
Size
5
AVA High-Flow Device - Accessories
Catalogue
Length (cm)
Description
Number
Pack
Size
MCT80L 80
AVA High Flow Catheter Contamination Shield
10
MO02F7P
2
AVA High Flow Short Obturator
10
MO13F7P
13
AVA High Flow Long Obturator
10
33
15
IntroFlex Percutaneous Sheath Introducer
IntroFlex introducers are the perfect companion for your Swan-Ganz catheters.
• Specifically designed to optimize insertion of Swan-Ganz catheters.
• Sheath material resists kinking and sheath collapse.
• Single-handed guidewire device allows for faster insertion.
• A grand range of insertion trays make the IntroFlex introducer a welcome addition to the critical care
environment.
• Available with automatic (non-adjustable) and Tuohy Borst (adjustable) hemostasis valves that close when
the Swan-Ganz catheter is pulled out to prevent blood leakage.
• Model numbers with an “H” contain Edwards AMC THROMBOSHIELD which is an antimicrobial heparin
coating, that decreases viable microbe count on the surface of this product during handling and placement.
Tissue
Sheath
Introducer Valve Housing
Catheter
Tuohy-Borst Proximal Adapter
Strain Relief
Sideport
Distal Locking Adapter
Contamination Shield
34
Automatic (Non-Adjustable) Hemostasis Valve
Tuohy Borst (Adjustable) Hemostasis Valve
CatalogueSize
Number
CatalogueSizePack
Number
Size
Pack
Size
I301F6
6F10
I451BF6
6F10
I301F7
7F10
I351BF7
7F10
I301F8
8F10
I451BF8
8F10
I300F85
8.5F10
I350BF85
8.5F10
I301BF85H
I305BF9
8.5F10
I351BF85H
I355BF9
8.5F10
9F10
9F10
Accessories
CatalogueDescription
Number
Pack
Size
GW3569I
IntroFlex Guidewire – length 69cm
10
CC0280
Catheter Contamination Shield (Length 80cm) for IntroFlex Introducer
Automatic (Non-Adjustable) Valve Products
40
CC5280
40
Catheter Contamination Shield (Length 80cm) for IntroFlex Introducer
Tuohy Borst (Adjustable) Valve Products
IOBCAP
Obturator with short Snap Lock Design for use with 6-9F Introducers
10
35
Pressure Monitoring
1
Single TruWave Pressure Monitoring Sets
Catalogue
Length Length Length Length
Number
A (cm)
B (cm) C (cm) D (cm)
T001619A
30
-
-
-
T100202A
T100209A
T100214A
T100215A
Pack Specialties
Size
20-
90
15
-
-
20-
120
30
-
-
20-
150
30
-
-
20-
180
30
-
-
20-
T001631A
120
30
-
-
20T001645A
150
15
-
-
20
Has second stopcock after the TruWave
transducer
T005002A
150
30
-
-
20
T001775A
180
15
-
-
Has stopcocks on both sides of the TruWave
transducer, loop system compatible
20-
T433803A
180
30
180
-
20
Can switch between continuous arterial and venous pressure
T005052A
180
30
-
-
20
transducer
T005004A
--
120
30
20
Has stopcocks on both sides of the TruWave
150cm Clear
1 Single
36
Pressure Monitoring
2
Double and Triple TruWave Pressure Monitoring Sets
Catalogue Length Length Length Length Length Length Pack Specialties
Number
A (cm) B (cm) C (cm) D (cm) E (cm) F (cm) Size
T001702A 120
15
120
15
-
-
10-
T001650A
120
30
120
30
-
-
10-
T001658A
150
30
150
30
-
-
10-
T001786A
180
15
180
15
-
-
10-
T001712A
180
15
180
-
-
-
8 Third TruWave transducer can be attached
T001709A
180
30
180
30
-
-
10-
T001657A
180
30
180
30
-
-
10 Third TruWave transducer can be attached, has second red stopcock after the TruWave transducer
T001713A
180-180
T001660A
120
30
120
T395606B
120
30
120-120
-
8
T493Y02B 180
15
150-150
-
10-
-
30
2 Double
-
120
-
10-
30
8Has Swan-Ganz injectate housing
2 Triple
37
Pressure Monitoring
3
TruWave Add-On Pressure Monitoring Sets
Packaged without IV-tubing. With 3cc transducer unless indicated otherwise.
Catalogue Length Length Length
Number
A (cm) B (cm) C (cm)
Length Length
D (cm) E (cm)
Pack
Size
Specialties
PX600F30
- - - - -20
Standalone (30cc) transducer
for use with mechanical
infusion pump
PX600F
PX600
- - - - -20
Standalone 3cc transducer
- - - - -20
Standalone transducer
without snap-tab
T001789B 12030- 15-20
Has a stopcock before the TruWave
T001624A 150 - - - -20
T005025A 150
30- 15-20
PXMK1940 150
T005005A 150
-
-
-
-
10
-
30- 15-20
T001725A
T001797B
12030
T001724A
180
-
-
-
20
-
120
30- 15-20
4
30
-
-
-
20
-
Standalone VAMP Adult Systems
Packaged without TruWave transducers and IV-tubing.
Catalogue
Length Length Length Length
Number
A (cm) B (cm) C (cm) D (cm)
48VMP120
20
15
25
-
48VMP160
48VMP172
48VMP184
48VMP260
48VMP272
48VMP284
38
Total Pack
Length Size
Specialties
60
20
Arm mounted, 1 Sampling Site
125
15
25
-
165
20
150
15
25
-
190
20
175
15
25
-
215
20
15
120
25
-
160
20
Pole mounted, 1 Sampling Site
15
150
25
-
190
20
15
185
25
-
225
20
Pressure Monitoring
3 Add-On
4 VAMP Adult
39
Pressure Monitoring
5
VAMP Adult Blood Sampling System
Venous Arterial blood Management Protection (VAMP) system is a needleless closed blood sampling
system.
• The 5cc reservoir and shut-off valve provide safe and
reliable sampling when proximal sampling is required.
• Self-sealing mechanism provides infection control and great
convenience.
• Blunt, needleless cannula helps prevent accidental needle
sticks for maximum safety.
• Needleless Z-site sampling port reduces blood buildup for
collection of undiluted samples.
• Designed for use with all TruWave disposable pressure
transducers.
• Comes in two variants; one to be mounted in a bracket on
VAMP Adult system
an IV pole and one to be mounted on a patient’s arm.
Single TruWave/VAMP Adult Combo Sets
Number
T100500A
T001670A
T001671A
T001745A
Length Length
D (cm) E (cm)
Pack Specialties
Size
20
15
25
-
-
20-
125
15
25
-
-
20-
150
15
25
-
-
20-
150 1525 -150
20
transducer
T005048B
T001744A
150
15
25
30
-
20-
175
15
25
-
-
20-
Double TruWave/VAMP Adult Combo Sets
Catalogue Length Length Length Length Length Pack Specialties
Number
A (cm) B (cm) C (cm) D (cm) E (cm) Size
T001673A 125 1525 120
30 10T001741A 150 1525 120
30 10T434303A 175 1525 180
30 10-
Triple TruWave/VAMP Adult Combo Sets
Number
A (cm)
B (cm)
C (cm)
T005050B
T001746A
40
Length
D (cm)
Length
E (cm)
Length
F (cm)
Length
G (cm)
Length Pack
H (cm) Size
150 15 253015030 150 30
8
150 1525-120
30
120
308
Pressure Monitoring
Single
Double
Triple
41
Pressure Monitoring
6
VAMP Plus Blood Sampling System
Venous Arterial blood Management Protection (VAMP) Plus system allows the withdrawal of blood
samples from pressure monitoring systems.
• Large, 12cc reservoir is designed to conserve blood by eliminating the need to discard
the clearing volume.
• C
onvenient, one-handed operation simplifies sampling and clearing volume reinfusion.
• Audible, click-lock confirms that the reservoir is secure.
• Choice of one or two Z-site sample ports provides sampling flexibility between
surgery and intensive care.
• A
variety of tubing lengths are available to meet most clinical needs.
• Versatile reservoir design can be mounted on an IV pole next to a pressure transducer.
• Integrated into disposable pressure transducer sets but also available individually.
VAMP Plus system
Single TruWave/VAMP Plus Combo Sets
Number
T001691A
T001765A
Length Length Length Pack Specialties
D (cm) E (cm) F (cm) Size
15
15
105
35
-
-
8
-
15
15
105
35
15
-
8
-
Double TruWave/VAMP Plus Combo Sets
Catalogue Length Length Length Length Length Length Pack Specialties
Number
A (cm) B (cm) C (cm) D (cm) E (cm) F (cm) Size
T430023B 15 15160 251503010
-
T001760A
15 15105 3512030
10
Second stopcock
after both TruWave transducers
T001759A
Third TruWave transducer
can be attached
15 15105 3512030
8
T005074A
15 20110 30
180 15 8-
Triple TruWave/VAMP Plus Combo Sets
Catalogue Length
Length Length Length Length Length
Number
A (cm)
B (cm)
C (cm) D (cm) E (cm)
F (cm)
T100671B 15 15 10535 12030
Length
G (cm)
Length Pack
H (cm) Size
120308
Standalone VAMP Plus Systems
Number
VP1
VP2
42
Length Total
D (cm) Length
Pack
Size
Specialties
15
15
140
-
170
10
15
15
105
35
170
10
Pole mounted, 2 Sampling Sites
Pressure Monitoring
Single
Double
Triple
Standalone
43
Pressure Monitoring
7
VAMP Flex Blood Sampling System
The VAMP Flex system builds upon the proven blood conservation and infection protection of the other
VAMP systems, but now the 10cc reservoir is directly attached to the transducer for convenience. The
VAMP Flex system is an excellent choice for providing clinician and patient safety in both the OR and
ICU environments.
• Has two Z-site sampling ports to provide flexibility to sample either close to the patient or close to the pressure
transducer, meeting the needs of clinicians in both OR and ICU.
• Self-sealing, Z-site sample ports reduce fluid path contamination common to stopcocks.
• Uniform sampling methodology ensures clinician accuracy and consistency.
• Blunt, needleless cannula helps prevent needlestick injuries for maximum safety.
VAMP Flex system
Single TruWave/VAMP Flex Combo Sets
Catalogue Length Length Length Length Length Pack Specialties
Number
T005021A
80
7030
-
-
10
Second TruWave transducer can
be attached (Loop System)
T005021G
30 12030
-
-
10
Second TruWave transducer can
be attached (Loop System)
Double TruWave/VAMP Flex Combo Sets
Catalogue Length Length Length Length Length Pack
Number
T005089A
30 12030
1503010
44
Specialties
Third TruWave transducer can be
attached (Loop System)
Pressure Monitoring
Single
Double
45
Pressure Monitoring
8
VAMP Jr. Blood Sampling System
The VAMP Jr. system is designed to meet the volume-critical requirements of pediatric and neonatal
patients.
• Smaller (3cc) reservoir reduces patient blood loss
and optimizes clearing volumes, while providing safe infusion and undiluted, accurate blood samples.
• Special hood helps reduce contamination risk.
• Available in a variety of tubing lengths to accommodate
patient size requirements.
VAMP Jr. system
Standalone VAMP Jr. Systems
Come without TruWave transducers and IV-tubing.
Number
VMP306
8 + 2
2
3
Length Sampling Total Pack
D (cm)
Sites
Length Size
VMP406
VMP426
Specialties
-
2
15
20
1.14mm inner Ø
8
4
5
-
1
15
20
1.14mm inner Ø
40
15
10
-
1
65
20
1.14mm inner Ø
Single Pediatric TruWave/VAMP Jr. Combo Sets
Without IV-tubing. To be used with a mechanical infusion pump.
Number
VMP448PX 73
2
45
VMP426PX
40
15
Length Sampling Total Pack
D (cm)
Sites
Length Size
10
Specialties
-
1
120
10
1.14mm inner Ø
-
1
65
10 1.14mm inner Ø
Single Pediatric TruWave Pressure Monitoring Sets
Without IV-tubing. To be used with a mechanical infusion pump.
Catalogue Length
Length Number
A (cm)
B (cm)
T432105A
T001767A
120
15
Length
C (cm)
Length
D (cm)
Total
Length
Pack
Size
-
90
135
20
1.14mm inner Ø
150
150
with spike and drip chamber
20
1.14mm inner Ø
120
30
-
46
Specialties
Pressure Monitoring
Standalone
Combo Sets
Single
47
Pressure Monitoring
9
Luer-activated sampling site
Luer-activated sampling site (LASS) can be accessed with any
luer-slip or luer-lock device, negating the need for a cannula.
Efficient Sampling and Pressure Monitoring
• A llows priming/flushing in a closed system; no need
to flush the side port.
• Side port can be closed to assure accurate pressure
monitoring without signal damping.
• E nables in-line flushing with minimal internal volume
(0.25ml) after blood sampling.
Luer-activated sampling site
TruWave/VAMP Plus Combo Sets
Catalogue
Number
T001691M
T430023M
T100671M
TruWaves Length Length Length Length Length Length Length Length Length Pack
A (cm) B (cm) C (cm) D (cm) E (cm) F (cm) G (cm) H (cm) I (cm) Size
1
15
15
145
25
15
-
-
-
-
10
2
15
15
145
25
15
150
30
-
-
10
3
15
15
145
25
15
150
30
150
30
10
TruWave/VAMP Adult Combo Sets
Catalogue
Number
T001744M
T001741M
T005050M
TruWaves Length Length Length Length Length Length Length Length
A (cm) B (cm) C (cm) D (cm) E (cm) F (cm) G (cm) H (cm)
1
180
15
25
15
-
-
2
180
15
25
15
150
30
3
180
15
25
15
150
30
-
Pack
Size
-
20
-
-
10
150
30
10
TruWave/VAMP Flex Combo Sets
Catalogue
Number
T005021M
T005089M
T005091M
TruWaves Length Length Length Length Length Length Length Length
A (cm) B (cm) C (cm) D (cm) E (cm) F (cm) G (cm) H (cm)
1
30
120
30
15
-
-
2
30
120
30
15
150
30
3
30
120
30
15
150
30
Pediatric Truwave / VAMP Flex Combo Set without dripchamber
Catalogue
Number
T311058M
TruWaves Length Length Length
1
150
30
15
Pack
Size
10
Catalogue
Number
T470411M
48
TruWaves Length Length Length Length Length
A (cm) B (cm) C (cm) D (cm) E (cm)
1
8
3
3
3
15
Pack
Size
20
-
Pack
Size
-
10
-
-
10
150
30
10
Pressure Monitoring
TruWave/VAMP Plus Combo Sets
TruWave/VAMP Adult Combo Sets
49
49
Pressure Monitoring
Pediatric TruWave/VAMP Jr Combo Set
Pediatric TruWave/VAMP Flex Combo Set
50
Pressure Monitoring
10
VAMP Blood Sampling System – Accessories
VAMP System Needleless Cannula
Catalogue
Description
Number
VMP400
VMP700
11
Pack Size
VAMP system needleless cannula
200
VAMP system direct draw unit for direct line blood sampling 50
TruWave Pressure Transducer – Accessories
TruClip holder - Easily attaches and adjusts with one hand
• Its intuitive design allows the
TRUCLIP holder to be quickly
and reliably attached to an IV
pole or bed railing using just
one hand.
TruClip holder
Catalogue
Description
Number
DTH1
TruWave Modular Backplate (each can hold 1 transducer/VAMP system) DTH4
DTSC
DTSS
TruClip
Pack Size
20
TruWave Backplate (holds up to 4 transducers and/or VAMP systems)
10
TruWave IV Pole Clamp for DTH1 and DTH4 Backplates
1
TruWave Velcro Arm Strap
10
Single-handed mounting - Holds up to 6 devices (transducers/ VAMP/ FloTrac/ VolumeView)
1
51
51
1 EV1000 Clinical Platform
The EV1000 clinical platform from Edwards Lifesciences presents the physiologic status of the patient in an intuitive and meaningful way. Designed in collaboration with and validated by clinicians,
the EV1000 clinical platform offers you scalability and adaptability in both the OR and ICU.
The EV1000 clinical platform:
• Displays the parameters provided by the FloTrac sensor, the PreSep and PediaSat oximetry catheters,
the VolumeView set and the ClearSight system.
• Utilises colour-based indicators which communicate patient status at a glance.
• D
isplays visual clinical support screens to allow for immediate recognition and increased understanding
of rapidly changing clinical situations for improved decision enablement.
52
Monitor
The EV1000 clinical platform offers you scalability and adaptability in both
the OR and ICU. Experience the EV1000 clinical platform and the choice
of the parameters you want, how you want to view them and bring clarity
to every moment.
EV1000 Databox
The EV1000 Databox is part of the EV1000A clinical platform, which measures key hemodynamic parameters with FloTrac and VolumeView techniques, as well as oximetry saturation.
EV1000 Pump-Unit
The EV1000 Pump-Unit is part of the EV1000 Clinical Platform NI, which
noninvasively measures blood pressure and key hemodynamic parameters.
The Pump-Unit is one of the main units of the EV1000 Clinical Platform NI,
providing air to the Pressure Controller.
Edwards Critical Care System
Fluid management with the
ClearSight system
Fluid management with the
FloTrac sensor
Continuous oximetry with
PreSep or PediaSat
catheters
Volumetric insight with the
VolumeView set
53
Visualised physiology
in real time
The EV1000 clinical platform’s intuitive interface presents patient physiologic information clearly and simply.
Color-based indicators communicate patient status at
a glance, and visual clinical support screens allow for
immediate recognition and increased understanding of
rapidly changing clinical situations for improved decision enablement.
Heart size reflects
patient volumetric
status
Vasculature can depict vasoconstriction or vasodilation
Flow of blood cells represents
actual cardiac output
5 levels of lung water shown in lungs
Real patient position
on Frank-Starling curve
Perioperative optimization
53-55
Monitoring and optimizing Stroke Volume (SV) by volume loading during the surgical procedure or in the
immediate postoperative period is a key strategy for
reducing postoperative complications. As an accurate
marker of the position on the Frank-Starling curve,
mechanically ventilated, induced SVV measured by the
FloTrac system can be used to tailor fluid therapy. Cardiac output measured continuously by the FloTrac system can be used (in combination with SaO2 and hemoglobin) to monitor and optimize DO2 with fluid (including
red blood cells) and inotropic agents. During surgery,
as long as oxygen consumption is stable, ScvO2 can
be used as a surrogate for DO2. The PreSep oximetry
catheter provides continuous measurement of ScvO2.
An ScvO2 value >73% can be targeted using fluid (including red blood cells) and inotropic agents.
54
Heart beats reflect current heart rate
Alarm &
Target
Range
Large
Value
Display
Dynamic
Patient
Status
Indicator
%
Direction
of Change
EV1000 Clinical Platform - All Product Codes
Catalogue
Number
Product Description
EV1000NI
EV1000 Clinical Platform Noninvasive (Monitor, Pump Unit, Pressure Controller)
EVNIUPG
EV1000 Clinical Platform Upgrade
EV1000A
EV1000 Databox and Monitor
EV1000 Clinical Platform - Accessories
Catalogue
Number
Product Description
EV1000M
EVPMP
PC2K
PC2B
EVHRS
EVNIPCL3
EVNIPCL12
EVNIDBAC
EVPMAC
EVFTC1
EVFTCL
EVVVTC1
EVEC1
EVECL
EVEC3FT
EVEC12FT
EVDTH4
PC2CCC
EVMB1
EVPMPBRKT
EVBB1
EVPB1
EVRS
EVS1
EVNISWUPG
EVPSB220
EVPSB220L
EV1000 Clinical Platform Monitor
EV1000NI Pump-unit
EV1000NI Pressure Controller kit
EV1000NI Pressure Controller Band Multi Pack
EV1000NI Heart Reference Sensor
EV1000NI Monitor Power Cable 3Ft
EV1000NI Monitor Power Cable 12Ft
EV1000NI Databox Power Apaptor Cable
Patient Monitor Pressure Adaptor Cable
FT/CVP Cable 1Ft
FT/CVP Cable 15Ft
VV Cable 7Ft
EV1000 Ethernet Cable 6Ft (DB-Monitor)
EV1000 Ethernet Cable 15Ft (DB-Monitor)
EV1000 Ethernet Cable 3Ft (PU-Monitor)
EV1000 Ethernet Cable 12Ft (PU-Monitor)
Transducer Holder
EV1000 NI Pressure Controller Cuff Connector Cap
Monitor Bracket
Pump Unit Bracket
Databox Mounting Bracket
Power Adaptor Bracket
Roll Stand
Table Stand
EV1000 NI Panel Software Upgrade
Power Supply 220V
Power Supply 220V 15 Ft
55
2 Vigileo Monitor 27,28,30,51,52
The Vigileo monitor allows for the continuous monitoring of essential hemodynamic information, providing rapid insight on a minimally invasive, easy-to-use platform. The Vigileo monitor may be used
with the FloTrac sensor and PreSep and PediaSat oximetry catheters providing a single monitoring
solution for advanced hemodynamic management.
• A single monitor solution for fluid optimization and tissue oxygenation.
• Simply requires patient age, gender, height and weight to initiate CCO monitoring.
• Provides immediate hemodynamic insight that may be missed using traditional vital signs alone 60.
• W
hen used with the FloTrac sensor, the Vigileo monitor measures and displays key flow parameters such as CCO, SVV / SV, SVR.
• When used with the PreSep and PediaSat oximetry catheters, the Vigileo monitor measures and
displays continuous ScvO2 (central venous oxygen saturation).
All Data Screen
56
Derived Value Calculator Screen
Tabular Trends Screen
Graphical Trends Screen
Vigileo Monitor - All Product Codes
Catalogue
Number
Product Description
Comments
MHM1E
Vigileo Monitor
MHAPLMNT
Vigileo Pole Mount Kit
VIG2S
Roll Stand
APC09
Vigileo FloTrac CCO Cable
OM2E
Edwards oximetry module (ScvO2)
MHAND
Analog Slave Cable (Central Venous Pressure)
From Datex AS/3 (44 pins)
MHANM1
From GE/Marquette Eagle, 3000, 7000 Series s/w 202 or 203 (20
pins)
MHANM3
From GE/Marquette RAC4/TRAM in slot 3 (12 pins)
MHANM4
From GE/Marquette RAC4/TRAM in slot 6 (12 pins)
MHANM5
From GE/Marquette RAC4/TRAM in slot 1-4 (15 pins)
MHANM6
From GE/Marquette RAC4/TRAM Module in slot 1-4/ 7000 BP
MHANM7
From GE/Marquette RAC4/TRAM Module in slot 1-4/ 7000 BP
Module in position 6 (15 pins) - (Waveform B configuration)
MHANNK
From Nihon Kohden BSM 8000 (37 pins)
Module in position 6 (15 pins)
Required Accessories
CO / CI
SV / SVI
SVV
ScvO2
SVR / SVRI
Edwards Approved Power Cord
APC09 (CCO Cable)
OM2E (ScvO2 optical module)
Central Venous Pressure slave
cable
57
3 Vigilance II Monitor
Complex cases require more than basic monitoring.
The Vigilance II monitor gives you the ability to present complex hemodynamic data in a simplified way
to paint a clearer picture of the patient’s hemodynamic status.
• Continuous CO, SvO2, EDV, and other measured or derived parameters are presented on customized
displays selected by the clinician.
• Onscreen, customized trend, data relationship, and stat displays provide a complete picture of blood flow
and tissue oxygenation for precision patient management.
• Interface with the bedside monitor for convenience and display of additional measured and derived
parameters such as continuous SVR, DO2, DO2I, VO2, VO2I, and SaO2.
• The Vigilance II monitor is the ideal clinical tool for teaching the principles of advanced hemodynamic
monitoring to clinical staff.
Catalogue
DescriptionPack
Number
Size
VIG2E
Vigilance II Continuous Cardiac
1
Output Computer
Includes:
- Power Cord
- Operator’s Manual
Simplify complex information using customized displays.
Four primary continuous
display windows with corresponding color-coded
trend plot
•Choose 4 of 10 available
parameters
•Scroll back through historical data using
time/date and event markers
58
Data relationship plot
compares any 2 of 21
available parameters
•Use the split-screen
setting to show continuous
data relationship in Frank-Starling curve format
Small, secondary
continuous display
window
•Show up to 8 additional
measured or derived
parameters
•Up to 4 data sets can be
customized and selected
for display on demand
Split-screen STAT box
display window
•Shows fast trend estimates
of CCO/CCI, EDV/EDVI
Vigilance II Monitor - Accessories
Accessories Required for Monitoring Parameters
Required Accessory
CCO
Monitored and Calculated Parameters
SvO2
SVR
ICO
CEDV REVF
Edwards Approved Power Cord
•
•
•
Edwards Patient CCO Cable
•
•
•
Optical Module
•
SV
•
•
•
•
•
•
•
ECG Cable
•
Analog Input Cable(s)
Injectate Temperature Probe
CatalogueProduct Description
Number
70CC2
Patient CCO Cable
•
•
•
•
Pack Size
1
OM2E
Oximetry Optical Module for SvO2 Monitoring
1
VIG2S
Roll Stand
1
VIG2AP
Mounting Adaptor Plate
1
9850A
Bath Temperature Probe
1
59
Notes
60
REFERENCES
1. Bellamy MC.
Wet, dry or something else? Br J Anaesth 2006; 97(6): 755-757.
2. Zheng H, et al.
Goal-directed fluid therapy in gastrointestinal surgery in older coronary heart
disease patients: randomized trial. World J Surg 2013; 37(12): 2820-2829.
3. van Beest PA, et al.
The incidence of low venous oxygen saturation on admission to the intensive
care unit: a multi-center observational study in The Netherlands. Crit Care
2008; 12(2): R33.
4. Perz S, et al.
Low and “supranormal” central venous oxygen saturation and markers of tissue hypoxia in cardiac surgery patients: a prospective observational study.
Intens Care Med 2011; 37: 52-59.
5. Reinhart K, et al.
Continuous central venous and pulmonary artery oxygen saturation monitoring in the critically ill. Intens Care Med 2004; 30(8): 1572-1578.
6. Rivers EP, et al.
Central venous oxygen saturation monitoring in the critically ill patient. Curr
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7. Ingelmo P, et al.
Importance of monitoring in high risk surgical patients. Minerva Anestesiol
2002; 68(4): 226-230.
8. Scalea TM, et al.
Central venous oxygen saturation: a useful clinical tool in trauma patients.
J Trauma 1990; 30(12): 1539-1543.
9. Ander DS, et al.
Undetected cardiogenic shock in patients with congestive heart failure presenting to the emergency department. Am J Cardiol 1998; 82(7): 888-891.
10. Eeftinck Schattenkerk D, et al.
Nexfin noninvasive continuous blood pressure validated against Riva-Rocci/
Korotkoff. Am J Hypertens 2009; 22(4): 378-383.
11. Martina JR, et al.
Noninvasive continuous arterial blood pressure monitoring with Nexfin®.
Anesthesiology 2012; 116(5): 1092-1103.
12. Wesseling KH, et al.
Physiocal, calibrating finger vascular physiology for Finapres. Homeostasis
1995; 36: 67-82.
13. Kalmar AF, et al.
Validation of Continuous Noninvasive Arterial Blood Pressure Measurements
During General Anesthesia. Abstract presented at the Anesthesiology Annual
Meeting, 2012.
14. Kalmar AF, et al.
Technology report: ccNexfin monitor. Nederlands tijdschrift voor anesthesiologie 2013; 26(3): 4-8.
15. Sterr J, et al.
Comparison of the continuous noninvasive Nexfin monitoring system with
conventional invasive methods to measure arterial blood pressure in high risk
hip surgery, abstract presented at Euroanesthesia, 2013.
16. Broch O, et al.
A comparison of the Nexfin® and transcardiopulmonary thermodilution to estimate cardiac output during coronary artery surgery. Anaesthesia 2012; 67(4):
377-383.
17. Chen G, et al.
Comparison of noninvasive cardiac output measurements using the Nexfin monitoring device and the esophageal Doppler. J Clin Anesth 2012; 24(4): 275-283.
18. Chen G, et al.
Impact of non invasive and beat-to-beat arterial pressure monitoring on intraoperative hemodynamic management. J Clin Monit Comput 2012; 26(2):
133-140.
19. Bubenek-Turconi SI, et al.
Noninvasive continuous cardiac output by the Nexfin before and after preload-modifying maneuvers: a comparison with intermittent thermodilution
cardiac output. Anesth Analg 2013; 117(2): 366-372.
20. Truijen J, et al.
Noninvasive continuous hemodynamic monitoring. J Clin Monit Comput 2012;
26: 267-278.
21. Hughson RL, et al.
Cardiovascular regulation during long-duration spaceflights to the International Space Station. J Appl Physiol 2012; 112(5): 719-727.
22. Peñáz J.
Photoelectric measurement of blood pressure, volume and flow in the finger.
Digest of the 10th international conference on medical and biological engineering - Dresden 1973; p. 104.
23. Peng K, et al.
Goal-directed fluid therapy based on stroke volume variations improves fluid
management and gastrointestinal perfusion in patients undergoing major orthopedic surgery. Med Princ Pract 2014; 23: 413-420.
24. Maguire S, et al.
Respiratory variation in pulse pressure and plethysmographic waveforms: intraoperative applicability in a North American academic center. Anesth Analg
2011; 112: 94-96.
25. Michard F, et al.
Rational fluid management: dissecting facts from fiction. Br J Anaesth 2012;
108(3): 369-371.
26. De Backer D, et al.
Arterial pressure-based cardiac output monitoring: A multicenter validation of the
third-generation software in septic patients. Intens Care Med 2011; 37: 233-240.
27. Biancofiore G, et al.
Evaluation of a new software version of the FloTrac/Vigileo (version 3.02) and a
comparison with previous data in cirrhotic patients undergoing liver transplant
surgery. Anesth Analg 2011; 113: 515-522.
28. Manecke GR.
Edwards FloTrac sensor and Vigileo monitor: easy, accurate, reliable cardiac
output assessment using the arterial pulse wave. Expert Rev Med Devices
2005; 2(5): 523-527.
29. Manecke GR Jr, et al.
Cardiac output determination from the arterial pressure wave: clinical testing
of a novel algorithm that does not require calibration. Journal of Cardiothoracic and Vascular Anesthesia 2007; 21(1): 3-7.
30. Walker R, et al.
Vigileo™/FloTrac™ System: Stroke Volume Variation and hemodynamic
trends are beneficial for acute care management of perioperative patients.
The Internet Journal of Anesthesiology 2012; 30(2).
31. For educational materials to supplement this product visit www.
Edwards.com/Education or contact your Edwards Lifesciences sales
representative.
32. Edwards own elaboration
Based on the ECCE Edwards Critical Care Education booklet: “Quick guide to
Cardiopulmonary care”, 3rd Edition, 2014; p. 13-18. Ref: AR11206.
33. Ramsingh DS, et al.
Outcome impact of goal directed fluid therapy during high risk abdominal surgery in low to moderate risk patients: a randomized controlled trial. J Clin
Monit Comput 2013; 27: 249-257.
34. Rivers EP, et al.
Early goal-directed therapy in the treatment of severe sepsis and septic shock.
N Engl J Med 2001; 345(19): 1368-1377.
35. Colantonio L, et al.
A randomized trial of goal directed vs standard fluid therapy in cytoreductive
surgery with hyperthermic intraperitoneal chemotherapy. J Gastrointest Surg
2015; Jan 17 [Epub ahead of print].
36. Zaja J.
Venous oximetry. Signa Vitae 2007; 2(1): 6-10.
37. Krahn G, et al.
Continous central venous saturation during pericardial tamponade case report. Pediatr Crit Care Med 2007; 8(2): 18.2.153.
38. Krahn G, et al.
Early clinical evaluation of the Edwards PediaSat™ oximetry catheter in pediatric patients. Pediatr Crit Care Med 2007; 8(3): 18.2.152.
39. Spenceley N, et al.
Continuous central venous saturation monitoring in pediatrics: a case report.
Pediatr Crit Care Med 2008; 9(2): e13-e16.
40. Mohseini-Bod H, et al.
Evaluation of a new pediatric continuous oximetry catheter. Pediatr Crit Care
Med 2011; 12(4): 437-441.
41. Edwards own elaboration
Based on the ECCE Edwards Critical Care Education booklet: “Quick guide to
Cardiopulmonary care”, 3rd Edition, 2014; p. 107-108. Ref: AR11206.
42. Donati A, et al.
Goal-directed intraoperative therapy reduces morbidity and length of hospital
stay in high-risk surgical patitens. Chest 2007; 132: 1817-1824.
43. Monnet X, et al.
Assessing pulmonary permeability by transpulmonary thermodilution allows
differentiation of hydrostatic pulmonary edema from ALI/ARDS. Intens Care
Med 2007; 33: 448-453.
44. Michard F, et al.
Bedside assessment of extravascular lung water by dilution methods: Temptations and pitfalls. Crit Care Med 2007; 35(4): 1186-1192.
45. Kiefer N, et al.
Clinical validation of a new thermodilution system for the assessment of cardiac output and volumetric parameters. Crit Care 2012; 16: R98.
46. Bendjelid K, et al.
Validation of a new transpulmonary thermodilution system to assess global enddiastolic volume and extravascular lung water. Crit Care 2010; 14(6): R209.
47. Bendjelid K, et al.
Performance of a new pulse contour method for continuous cardiac output
monitoring: validation in critically ill patients. Gr J Anaesth 2013; 111(4): 573-579.
50. Scheeren TWL, et al.
Goal-directed intraoperative fluid therapy guided by stroke volume and its
variation in high-risk surgical patients: a prospective randomized multicentre
study. J Clin Monit Comput 2013; 27: 225-233.
51. Scheeren TWL, et al.
Performance of a minimally invasive cardiac output monitoring system (Flotrac/Vigileo). Br J Anaesth 2008; 101: 279-280.
52. Cannesson M, et al.
The ability of stoke volume variations obtained with Vigileo/FloTrac system
to monitor fluid responsiveness in mechanically ventilated patients. Anesth
Analg 2009; 108(2): 513-517.
53. Giglio MT, et al.
Goal-directed hemodynamic therapy and gastrointestinal complications in
major surgery: a meta-analysis of randomized controlled trials. Br J Anaesth
2009; 103: 637-646.
54. Benes J, et al.
Intraoperative fluid optimization using stroke volume variation in high risk surgical patients: results of prospective randomized study. Crit Care 2010; 14: 1–15.
55. van Beest PA, et al.
Tissue oxygenation as a target for goal-directed therapy in high-risk surgery:
a pilot study. BMC Anesthesiology 2014; 14: 122.
56. Garson L, et al.
Implementation of a total joint replacement-focused perioperative surgical
home: a management case report. Anesth Analg 2014; 118(5): 1081-1089.
57. Ghneim M, et al.
Goal-directed fluid resuscitation decreases time for lactate clearance and
facilitates early fascial closure in damage control surgery. Am J Surg 2013;
206(3): 995-1000.
58. Cecconi M, et al.
Goal-directed haemodynamic therapy during elective total hip arthroplasty
under regional anaesthesia. Crit Care 2011; 15: R132.
48. Campos MLM, et al.
Techniques available for hemodynamic monitoring. Advantages and limitations. Med Intensiva 2012; 36(6): 434-444.
59. Zhang J, et al.
Goal-directed fluid optimization based on stroke volume variation and cardiac
index during one-lung ventilation in patients undergoing thoracoscopy lobectomy operations: a pilot study. Clinics 2013; 68(7): 1065-1070.
49. Zeng K, et al.
The influence of goal-directed fluid therapy on the prognosis of elderly patients with hypertension and gastric cancer surgery. Drug Des Devel and Ther
2014; 8: 2113-2119.
60. Le Manach Y, et al.
Can changes in arterial pressure be used to detect changes in cardiac output
during volume expansion in the perioperative period? Anesthesiology 2012;
117(6): 1165-1174.
Helping to advance the care of the critically ill for 40 years, Edwards Lifesciences seeks to provide the valuable information
you need, the moment you need it. Through continuing collaboration with you, ongoing education and our never-ending
quest for advancement, our goal is to deliver clarity in every moment
For professional use. See instructions for use for full prescribing information, including indications, contraindications, warnings,
precautions and adverse events.
Edwards Lifesciences devices placed on the European market meeting the essential requirements referred to in Article 3 of the Medical Device
Directive 93/42/ECC bear the CE marking of conformity.
Edwards, Edwards Lifesciences, the stylized E logo, Advanced Venous Access, AMC Thromboshield, AVA 3Xi, CardioCath, CCOmbo, ccNexfin,
Clarity in Every Moment, ClearSight, ControlCath, CO-Set+, Edwards Critical Care System, EV1000, FloTrac, Hi-Shore, IntroFlex, Nexfin, PediaSat,
PreSep, Swan-Ganz, TruWave, VAMP, VAMP Flex, VAMP Jr, VAMP Plus, Vantex, Vigilance, Vigilance II, Vigileo, VIP, VIP+ and VolumeView are
trademarks of Edwards Lifesciences Corporation. All other trademarks are the property of their respective owners.
© 2015 Edwards Lifesciences Corporation. All rights reserved. E5400/02-15/CC
Edwards Lifesciences I edwards.com
Route de l’Etraz 70 I 1260 Nyon, Switzerland
USA I Japan I China I Brazil I Australia I India

Critical Care Product Catalogue

Transcription

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