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B. BRAUN REGIONALANESTHESIA PORTFOLIOPRODUCT CATALOG
Reach your Targets quickerContentOPTIMIZE PROCESSESRegional anesthesia is an essential part of pain therapy, asacross several interventions, it offers clear advantages whencompared to general anesthesia. 1 For regional anesthesia tobecome an important part of the peri-operative process, thereare some prerequisites to consider, like the relevant indications, skilled personnel and the necessary internal processesat the clinic.SPINAL ANESTHESIAThanks to Regional AnesthesiaSPINAL ANESTHESIAEPIDURAL ANESTHESIASpinocan Pencan Atraucan Spinal Introducer NeedleEPIDURAL ANESTHESIACOMBINED SPINAL ANDEPIDURAL ANESTHESIAPerican Perican Paed Epican PaedPerifix Epidural Catheter AccessoriesThe rapid growth of use of regional anesthesia and the numerouspublications on the topic are both a testament to how regionalanesthesia can have a positive impact on both patient outcomeand on efficiencies for the clinic. 2, 3COMBINED SPINAL & EPIDURAL ANESTHESIAEspocan -SetsWITH REGIONAL ANESTHESIASurgeryInductionIntensive CareUnitWardPERIPHERAL NERVEBLOCKSPERIPHERAL NERVE BLOCKSStimuplex A Stimuplex D Stimuplex Ultra 360 Ultraplex 360Contiplex C Contiplex S / S Ultra 360 Contiplex Tuohy / Tuohy Ultra 360 Contiplex DULTRASOUND GUIDANCEULTRASOUNDGUIDANCEIIXperius Onvision IIIIIIIIIIIIIIIIIWITHOUT REGIONAL ANESTHESIAELASTOMERIC PUMPSYSTEMSELASTOMERIC PUMP SYSTEMSON-Q -PumpCONTINUOUS WOUNDINFUSIONCOMPARING TWO POTENTIAL INTERVENTIONSWITH AND WITHOUT REGIONAL ANESTHESIA:Looking holistically across the patient pathway, the establishmentof regional anesthesia processes appears to be a favorable investment. When regional anesthesia is used, patients see better outcomes, faster mobilization and consequently earlier discharge. 4, 5CONTINUOUS WOUND INFUSIONON-Q -System ON-Q Catheter Accessories for ON-Q -Systems23
Pain Therapy with Regional AnesthesiaSupported by B. Braun's Product PortfolioB. BRAUN – A COMPETENT PARTNERAs one of the world's major providers inthe area of regional anesthesia, B. Braunsupports its customers with innovativeproducts and services.InfusionTechnologyDisinfection &HygieneWe strive to accompany our customersthrough the entire patient pathwayhelping to optimize their processes andto provide products adapted to day-to-dayclinical needs.Spinal Anesthesia &Epidural AnesthesiaTraining &EducationSYSTEM PARTNER IN REGIONAL ANESTHESIAB. Braun, as a true system partner, helps tostay on top of evolving standards and theirrealization across multiple stakeholders,e. g. nurses, pharmacists and anesthetists.With access to our comprehensive productportfolio in pain therapy and through constructive dialog, our partners can benefitfrom B. Braun s know-how and expertise.ElastomericPump SystemsContinuousWound InfusionUltrasoundGuidanceWide range ofMedical AccessoriesCombined Spinal& EpiduralAnesthesiaLocalAnestheticsPeripheralNerve BlocksTIVA-SetsDue to the combination of different procedures a broad regional anesthesia spectrumis created, which covers all patient areas.Introduction4SurgeryRecovery RoomWard5
Reducing Risks of Misconnectionsin Regional Anesthesia with NRFit MEDICAL DEVICE CONNECTORS FOR NEURAXIAL& REGIONAL ANESTHESIA APPLICATIONSARE CHANGING TO MEET INTERNATIONALDESIGN STANDARDS: ISO 80369-6. 6Connecting what belongs together» The ISO has identified several medical application areas for which specific ISO standardshave been developed. These standards are part of the ISO 80369 series. Each standardwill provide design and performance specifications for these connectors. 1BREATHING SYSTEMS ANDDRIVING GASES APPLICATIONSNeuraxial & RegionalAnesthesia applicationsConnector design basedon ISO 80369-6LIMB CUFF INFLATIONAPPLICATIONS Enteral applicationsURETHRAL AND URINARYAPPLICATIONSINTRAVASCULAROR HYPODERMICAPPLICATIONSRegional Anesthesia products withNRFit connectorIn line with the ISO Standard (InternationalOrganization for Standardization) forneuraxial and regional anesthesia devices,B. Braun has developed a comprehensiveportfolio with NRFit connectors for thecorresponding process steps.67
SPINAL ANESTHESIASPINALANESTHESIA8A comprehensive portfolio ofneedles in different bevel typesfor spinal anesthesia.9
Products for Spinal AnesthesiaSPINAL ANESTHESIAQuality and PracticalityThanks to our years ofEXPERIENCEin the field, B. Braun offers spinal needleswith a range of bevel types.Spinocan and Pencan are well accepted for theirINNOVATIVEneedle tip designs.Spinocan with Quincke BevelErgonomic hub design for an individual and safe handlingposition, better control of the needle and easy verificationof bevel eye orientation. 7Pencan with Pencil Point Bevel. Sharp bevel for low puncture force. Fitted stylet: to reduce the risk of tissue coringand potential epidermoid tumor development. Prism included in the spinal needle hub,. Pencil point tip and opening design allows avoidance ofincomplete blocks and helps reduce PDPH. Minimal intrathecal penetration depth. Identification of tissue structures due to detectable dura click. Prism included in the spinal needle hub, supports identification7877, 9supports identifiction of CSF flashback1of CSF flashbackCSF-flashback identificationdue to the incorporatedprism effect.2CSF FLASHBACK IDENTIFICATIONPrism has a silver shine before CSF enters the hubPrism turns transparent once CSF is in the hub 2. .10Spinal Introducer NeedleAtraucan with Two-Zone Bevel1. Low puncture force as well as minimal puncture trauma. Reduced risk of postdural puncture headache (PDPH)1010. Introducer needles providing needle guidance forthe spinal needle during puncture. Introducer OHD range (as shown on left side). Introducer NHD range (as shown on right side)711
Portfolio OverviewSpinocan OHD / NRFit NHDSPINAL NEEDLESColorSize (G) /code Length (inch)ø / Length(mm)29 x 3 ½”Unitsper boxCode no. (REF)OHD LuerCode no. (REF)NHD LuerCode no. (REF)NRFit 0.35 x 88*45019004501900-134501900N-0127 x 3 ½”0.40 x 8845039024503902-014503902N-0126 x 3 ½”0.45 x 8845029064502906-014502906N-0125 x 3”0.55 x 7545057514505751-014505751N-0125 x 3 ½”0.55 x 8845059054505905-014505905N-0123 x 3 ½”0.65 x 884506014--22 x 1 ½”0.70 x 4045074014507401-134507401N-0122 x 3”0.70 x 7545077544507754-134507754N-0122 x 3 ½”0.70 x 8845079084507908-014507908N-0120 x 3”0.90 x 7545097574509757-134509757N-0120 x 3 ½”0.90 x 8845099004509900-014509900N-0119 x 1 ½”1.10 x 4045011444501144-134501144N-0119 x 3 ½”1.10 x 8845011954501195-134501195N-0118 x 3”1.30 x 7545013734501373-134501373N-0118 x 3 ½”1.30 x 8845013904501390-014501390N-0129 x 4 ¾” 0.35 x 12045019184501918-134501918N-0127 x 4 ¾” 0.40 x 04917N-0145059134505913-134505913N-0122 x 4 ¾” 0.70 x 12045060904506090-134506090N-0122 x 6” 0.70 x 150--4506095N-0125Pencan ColorSize (G) /code Length (inch)ø / Length(mm)27 x 3 ½”0.40 x 8825 x 3 ½”0.50 x 8822 x 3 ½”0.70 x 8825 x 4 ¾” 0.55 x 12025Code no. (REF)NHD LuerCode no. (REF)NRFit 45020274502027-014502027N-014502051*4502051-13 *4502051N-01 *45020194502019-014502019N-014502043 *4502043-13 *4502043N-01 *45020354502035-134502035N-0127 x 4” 0.40 x 1034502124 *4502124-13 *4502124N-01*27 x 4 ¾” 0.40 x 1204502132 *4502132-13 *4502132N-014502116 *4502116-13 *4502116N-01 *25 x 4 ¾” 0.50 x 120-4502120-13 *4502120N-0125 x 6.1” 0.50 x nitsper boxCode no. (REF)OHD LuerCode no. (REF)NHD LuerCode no. (REF)NRFit 254500059 *4500059-13 *4500059 *254505000 *4505000-13 *4505000 *25Code no. (REF)OHD LuerLong Length25 x 4” 0.50 x 103OHD / NRFit NHD25Pencan Paed27 x 2”0.40 x 5025 x 1”0.50 x 2525 x 2”0.50 x 50ColorSize (G)/code Length (inch)ø / Length(mm)Long Length26 x 4 ¾” 0.45 x 120Unitsper boxOHD / NRFit NHD25* with Spinal Introducer Needle (Luer)INTRODUCERSpinal IntroducerNeedles (for Spinocan and Pencan )For Spinal Needles 29 G and 27 GAtraucan ColorSize (G) /code Length (inch)ø / Length(mm)Unitsper boxCode no. (REF)OHD LuerCode no. (REF)NHD LuerCode no. (REF)NRFit 26 x 3 ½”0.47 x 88254504739--Atraucan Paed0.47 x 254504771--4504763--2526 x 2”0.47 x 500.70 x 35For Spinal Needles 26 G and 25 GOHD26 x 1”1222 x 1 ⅜”NHD20 x 1 ⅜”0.90 x 35* Introducer in Luer13SPINAL ANESTHESIASPINAL NEEDLES
EPIDURAL ANESTHESIAEPIDURALANESTHESIATo meet individual preferences,B. Braun offers a broad range ofepidural cannulas, catheters andaccessories for epidural anesthesia.1415
Products for Epidural AnesthesiaProducts for Epidural AnesthesiaQuality and PracticalityPerifix Catheters: Available with different characteristics – Standard, Soft-Tip and ONEAdapting to the unique anatomical challengesof each patient, it is important to use theappropriate needle and accessories.EPIDURAL ANESTHESIAB. Braun focuses onQUALITY &PRACTICALITY.Perifix Standard Catheter. Relatively stiff catheter shaft for easy catheter insertion. Length 1000 mm. Standard catheter with a central opening or threemicro-holes to enhance the spread. Clear blue length markings embedded in catheter material. Does not contain latex, DEHP or PVC. MRI suitablePerifix Soft-Tip Catheter. Soft-Tip catheter with a superimposed tip. Length 1000 mm. Three micro-holes enhance the spread of anesthetic drug. Clear blue length markings embedded in catheter material. Does not contain latex, DEHP or PVC. MRI suitablePerican Tuohy NeedlesFor both continuous and single-shot techniquesDifferent needle sizes (16 G, 18 G, 20 G)With 1 cm graduation in lengthPolished inner bevel edge to reduce the riskof catheter shearing.USER BENEFITS:1 cm marking to control the insertion depthHigh bending stiffness for good control during needleadvancementFitted stylet: to reduce the risk of tissue coringand potential epidermoid tumor development. .16Perifix ONE. Epidural catheter with a relatively stiff but flexible shaftand a soft, atraumatic tip. Length 1000 mm. Six micro-holes enhance the spread of anesthetic drug. Three yellow barium sulphate stripes allowing x-ray control. Does not contain latex, DEHP or PVC. MRI suitable17
Products for Epidural AnesthesiaPerifix AccessoriesEpidural Anesthesia for the smallest patientsEPIDURAL ANESTHESIAProducts for Epidural AnesthesiaPerifix LOR-Syringe. Easy-gliding plunger with good gliding characteristicsand safety stop. Parabolic graduation to differentiate it fromconventional syringes. Suitable for air and saline applications. Lock or slip connectionPerifix Catheter Connector. Available in two sizes (19 G and 20 / 24 G). Tactile and acoustic feedback upon closure. Viewing window allows for catheter insertioncontrol to ensure a successful connectionPerifix Filter with PinPad. Filter fixation on patient in combinationwith self-adhesive PinPad. Filter reduces the risk of bacterial infections. Pressure resistant up to 7 barPerican Paed Epidural Needles. Tuohy bevel. For continuous or single-shot techniques. Three different needle sizes (18 G, 20 G, 22 G). 5 mm markings to control the insertion depth. Fitted stylets: to reduce the risk of tissue coringand potential epidermoid tumor developmentPerifix Catheter Fixation. Catheter fixation, consisting of fixation ring andnon-woven cover foil. Easy examination of puncture site due to exchangeablecover foilsEpican Paed - Caudal Needles. 45 Crawford type bevel for caudal pediatric anesthesia. Three different needle sizes (20 G, 22 G, 25 G). Special length (30 mm, 35 mm, 50 mm). 5 mm markings to control the insertion depth. Fitted stylets: to reduce the risk of tissue coringand potential epidermoid tumor developmentPerifix ONE Paed Epidural SetsPerifix ONE Paed epidural sets in 20 / 24 G for newbornsand infants, and 18 / 20 G for older children:. Catheters with distance markings for pediatric use. For safe catheter insertion and position control. Catheter with markings each 1 cm in the space between2 and 20 cm from the needle tip1819
Portfolio OverviewPerican EPIDURAL ANESTHESIA ACCESSORIESColorcodeSize (G) / Length(inch)ø / Length(mm)18 x 3 ¼"1.30 x 8017 x 3 ¼"1.50 x 8016 x 3 ¼"1.70 x 80Unitsper box25Code no. (REF)LuerCode no. (REF)NRFit x Catheter FixationEpican Paed CaudalColorcodeColorcode4511200Perifix non-woven replacement cover foil18 x 4 ¾"1.30 x 12045124534512453N-0118 x 6"1.30 x 15045122004512200N-0116 x 4 ¾"1.70 x 120-4512785N-0116 x 6"1.70 x 150-4512784N-01Size (G) / Length(inch)ø / Length(mm)Code no. (REF)LuerCode no. (REF)NRFit 22 x 2"0.73 x 5045020784502078N-0120 x 2"0.90 x 5045020944502094N-0118 x 2"1.30 x 5045023024502302N-01Size (G) / Length(inch)ø / Length(mm)Code no. (REF)LuerCode no. (REF)NRFit 25 x 1 ⅛"0.53 x 3045024004502400N-0122 x 1 ⅜"0.73 x 3545024184502418N-0120 x 2"0.90 x 5045024264502426N-0125Unitsper box25Unitsper box25Perifix Loss-of-Resistance(LOR) Syringe4511201DescriptionUnitsper boxPerifix LOR Syringe, Luer-SlipUnitsper boxCode no. (REF)Luer25Perifix LOR Syringe, Luer-Lock4638107Perifix DescriptionLoss-of-Resistance(LOR) Syringe NRFit Unitsper boxPerifix LOR Syringe, Slip NRFit 4637110Perifix LOR Syringe, Lock NRFit Perifix catheterconnector4638110Size (G)20 / 24Perifix filter1.05 / 0.60 / 1000 (19)160.85 / 0.45 / 1000 74513177N-01Perifix Standard catheter (with central opening)0.85 / 0.45 / 1000 (20)1825Perifix Soft Tip catheter (with 3 lateral eyes)0.85 / 0.45 / 1000 (20)Perifix 13150C45131501N-01Code no. (REF)NRFit 25Code no. (REF)NRFit Perifix Standard catheter (with 3 lateral eyes)Code no. (REF)Luer463710019Catheter ø outer / inner / Suitable for Perican Length (mm) (G)Size (G)Code no. (REF)25EPIDURAL CATHETERSPerifix catheterUnitsper boxPerifix catheter fixation, consisting of a fixation ring anda non-woven cover foilLong LengthPerican PaedDescriptionDescriptionUnitsper box25Code no. (REF)LuerCode no. (REF)NRFit 45138014513801N-0145138004513800N-01Particle filter(μm)Unitsper boxCode no. (REF)LuerCode no. (REF)NRFit 0.202545155014515501N-01Units per boxCode no. (REF)254515510Perifix ONE catheter (with 6 lateral eyes)201.05 / 0.60 / 1000 (19)160.85 / 0.45 / 1000 (20)1825Perifix PinPad Filter Fixation21EPIDURAL ANESTHESIAEPIDURAL NEEDLES
Portfolio OverviewSETS FOR EPIDURAL ANESTHESIA (LUER)Perican Tuohy epidural needles* Sterican needles20 G ø 0.90 mm / Length 50 mm25 GLength 16 mm, ø 0.50 mm18 G ø 1.30 mm / Length 80 mm21 GLength 40 mm, ø 0.80 mm18 GLength 40 mm, ø 1.20 mm 18 G ø 1.30 mm / Length 50 mm (Paed Set)16 G ø 1.70 mm / Length 80 mmPerifix ONE epiduralcatheter,6 lateral eyes50 / 80 mm24 GTypePerifix Standard catheterPerifix 420Perifix 421Perifix 430Perifix 431Perifix 620Perifix Soft Tip catheterPerifix 900Perifix 901Perifix ONE catheterPerifix ONE420Perifix ONE421Perifix ONE431120 mmPerican 20 G19 GPerifix ONEPerifix epiduralcatheter,3 lateral eyes20 G19 Gcentralopening20 GPerifix Standard3 lateral eyes Perifix Loss-ofResistance (LOR)syringe, Luer-SlipOmnifix threepart syringe, 3 ml,Luer-LockOmnifix threepart syringes, 3 ml,20 ml, Luer-Lock,3 hypodermicneedles*Omnifix threepart syringes, 3 ml,10 ml, 20 ml, LuerLock, 3 hypodermicneedles*Perifix epiduralfilter 0.20 µmpressure resistantup to 7 barPerifix PinPadfilter fixationOmnifix Omnifix /Sterican Omnifix /Sterican Perifix FilterPerifix PinPad20 GPerifix Soft TipPerifix LORPerifix catheterconnectorPerifix catheter connectorSalesunit / Pcs.Code no. r SetsPerifix Standard catheterPerifix 400Perifix 401Perifix 402Perifix 451Perifix Soft Tip catheterPerifix 700Perifix 701Perifix 730Perifix 750Perifix ONE catheterPerifix ONE400Perifix ONE401Perifix ONE402Perifix ONE418Perifix ONE451Pediatric Filter SetsPerifix ONE PaedPerifix ONE Paed18Perifix ONE Paed20Mini SetsPerifix Standard catheterPerifix 100Perifix 300Perifix 301Perifix 302Perifix 3102223EPIDURAL ANESTHESIAComplete SetsPerican Tuohyepidural needle
Portfolio OverviewSETS FOR EPIDURAL ANESTHESIA (NRFIT )* Sterican needlesLegend25 G, 16 mm, ø 0.50 mm20 G x 2“, ø 0.90 x 50 mm21 G, 40 mm, ø 0.80 mm18 G x 3 ¼”, ø 1.30 x 80 mm,18 G, 40 mm, ø 1.20 mm1 8 G x 2“, ø 1.30 x 50 mm (Paed Set)16 G x 3 ¼”, ø 1.70 x 80 mm50 mmSet versionsPerifix ONEepidural catheter,6 lateral eyes80 mmPerican with NRFit 24 G20 G19 GPerifix ONEwith NRFit Perifix epiduralcatheter,3 lateral eyes20 G19 GPerifix Standardwith NRFit Perifix Soft Tipepidural catheter,3 lateral eyesPerifix Loss ofResistancesyringe20 GPerifix Soft Tipwith NRFit Perifix LORwith NRFit Omnifix threepart syringe,20 ml, Lock,Sterifix filterneedleOmnifix andSterifix with NRFit Omnifix threepart syringe, 3 ml,Lock, Sterifix filter needleOmnifix andSterifix with NRFit Perifix Filter0.20 µm, pressureresistant up to7 barPerifix Filterwith NRFit Perifix catheterconnector19 G or 20 / 24 GPerifix catheter connectorwith NRFit Perifix PinPad filterfixationPerifix PinPadOmnifix three partsyringe, 3ml, LuerLock, 3 hypodermicLuer needles *Omnifix andhypodermic needleswith LuerCaution: Hypodermic needles(for skin infiltration) stay LuerUnitsper boxCode no. (REF)NRFit Complete SetsPerifix Standard catheterPerifix 421Perifix Soft Tip catheterPerifix Soft Tip 901Perifix ONE catheterPerifix ONE N-01104513002N-01Filter SetsPerifix Standard catheterPerifix 400Perifix 401Perifix 402Perifix Soft Tip catheterPerifix Soft Tip 701Perifix Soft Tip 730Perifix ONE catheterPerifix ONE 401Perifix ONE 402Pediatric SetsPerifix ONE PaedPerifix ONE Paed18Perifix ONE Paed20Mini SetPerifix Standard catheterPerifix 3002425EPIDURAL ANESTHESIAPerican Tuohyneedle
26COMBINED SPINAL ANDEPIDURAL ANESTHESIACOMBINEDSPINAL ANDEPIDURALANESTHESIACombining the benefits of bothtechniques – sets for combinedspinal and epidural anesthesia (CSE).27
Products for Combined Spinaland Epidural AnesthesiaPortfolio OverviewSETS FOR COMBINED SPINAL AND EPIDURAL ANESTHESIAEspocan andPerifix StandardSize (G) /Length (inch)THE BENEFITSPencil-Point Cannula: Pencan of Spinal and Epidural Anesthesiain the Espocan -SetsAll sets contain27 x 5"Size (G) /Length (inch)0.42 x 125.5 *1045566744556674N-010.42 x 127.5 *1045566664556666N-01ø/Length (mm)Unitsper boxCode no. (REF)LuerCode no. (REF)NRFit 0.42 x 136.5 *1045567474556747N-010.42 x 138.5 *1045567634556763N-01With Quincke-Bevel: Spinocan Pencil Point Needle 15 mm27 x 5 ⅜"Pencil-Point Cannula: Pencan “Quincke” Needle 13 mm27 x 5 ⅜"1Code no. (REF)NRFit Perifix Standard catheter, 3 lateral eyesPerican epidural cannula ø 1.30 mm, 18 G x 90 mmPerifix LOR-syringe, Luer-SlipPerifix epidural flat filter 0.20 μmPerifix PinPadPerifix catheter connectorEspocan andPerifix Standardwith Docking SystemThe ideal overlap of the spinal needle is byCode no. (REF)Luer2Markings on the Spinal Needle 1The markings on the spinal needle show,when the tip leaves the back-eye.All sets containPerifix Soft-Tip catheter, 3 lateral eyesDocking systemPerican epidural cannula ø 1.30 mm, 18 G x 90 mmPerifix LOR-syringe, Luer-SlipPerifix epidural flat filter 0.20 μmPerifix PinPadPerifix catheter connector* for CSE needle length in NRFit , please consult our NRFit brochureUSER BENEFITS 2The docking system allows rotation of the spinal needle even inthe fixed position. Avoids the difficult and uncomfortable fingergrip to steady fix the spinal needle in positionThe docking system ensures fixation of the spinal needle insidethe tuohy needle after successful dura puncture and injectionof the local anesthetic. . 2829COMBINED SPINAL ANDEPIDURAL ANESTHESIA27 x 5". .Unitsper boxWith Quincke-Bevel: Spinocan Combined Spinal-Epidural Anesthesia (CSE):Special Tuohy Needle with a back-eye in the curved tipand a Spinal Needle with a plastic centering sleeveBack-eye in tuohy needle for insertion of spinal needleDocking system to fixate the spinal needleSleeved spinal needle for smooth exit through the back-eyeø/Length (mm)
30Whatever option you prefer wide ranged product portfolio forstimulated and Ultrasound guidedperipheral nerve blocks.PERIPHERAL NERVEBLOCKSPERIPHERALNERVEBLOCKS31
Peripheral Nerve Block PortfolioUltraline 360Quality and functionality without compromiseVisibility without compromise – the next generations of Echogenic Nerve Block NeedlesB. BRAUN ULTRASOUND NEEDLES – ULTRALINE 360:The Ultraline 360 is B. Braun's latest generation of echogenicnerve block needles, featuring B. Braun's new echogenic 360 X-pattern. The ‘X’ is a unique shape, which when combinedwith a clear coating, is intended to reflect more Ultrasoundwaves back to the probe than previous designs. 11B. Braun's broad peripheral nerve block portfolio offerssolutions for Ultrasound-only, dual guidance monitoring,and stimulation procedures.ULTRASOUNDB. Braun offers a large product range of echogenic needles andcatheters. Ultraline 360 is the latest generation of Ultrasoundneedles that combines enhanced Ultrasound visibility withsmooth gliding properties and a good puncture quality. 11Circular (360 )X-pattern-designlongReflection of theUltrasound wavesshortshorttipThe X-pattern is applied as a segmented safety-code (longshort-short-tip) and fascilitates the needle tip identification.The Ultraline 360 portfolio combines increased Ultrasoundvisibility with excellent tactile feedback and puncturecharacteristics.NAVIGATIONFor an easy identification of the needle tip, the X-pattern isstrategically applied on the first 20 mm of the needle shaft tocreate the segmented code “long-short-short-tip”. This enablesdistinction between the needle tip and the upper needle shaft. 11NERVE STIMULATIONFor the electrical nerve stimulation B. Braun provides a wide rangeof stimulating needle and catheter systems that address theusers' needs. The well established nerve stimulator Stimuplex HNS 12 completes the offer.INJECTION PRESSURE MONITORINGThe disposable BSmart pressure monitor device objectivelyindicates the opening injection pressure in real time and allowsfor a more informed decision on how to proceed with an injection regardless of who performs the block. Using this technique canprevent injection into poorly compliant tissue (e. g. nerve fascicles).32USER BENEFITS Navigation: Safety code for identification of the needleand needle tip position Visibility: 360 X-pattern and clear coating result in betterUltrasound visualization and tip identification compared toprevious designs Tactile Feedback: designed for consistent puncture - same 30 back-cut bevel as previous Stimuplex Ultra and Ultraplex needles···33PERIPHERAL NERVEBLOCKSWhen performing a peripheral nerve block, there isno such thing as being too safe. Peripheral nerveblocks can be performed using different techniquesand approaches. Electrical nerve stimulation, Ultrasoundguidance and injection pressure monitoring can beused alone or in combination.
Products for Peripheral Nerve BlocksProducts for Peripheral Nerve BlocksSingle Shot NeedlesSets for Continuous Peripheral Nerve BlocksContiplex Continuous Nerve Block SetsContinuous peripheral nerve blocks provide painrelief during and after surgical procedures, forimproved patient recovery. 12Stimuplex and Ultraplex single shot needlesoffer precision and ergonomy and are designedfor high success rates.USER BENEFITSExcellent puncture and gliding characteristics (Stimuplex D) Broad portfolio of needle lengths from 35 to 150 mmand G 25 to G 20Ergonomic needle hub design for enhanced tactile feedback···Bevel15 Stimuplex A30 InsulationFull �SetBevel15 PinPoint20 30 TuohyEchogenicpropertiesCatheterStandardPERIPHERAL NERVEBLOCKSCannulaUSER BENEFITS Wide range of catheter setsHarmonized set componentsGood Ultrasound visibility of Perifix ONE catheterONEBraunula techniqueContiplex DStimuplex DCatheter through the needle techniqueStimuplex Ultra 360 Contiplex SUltraplex 360Contiplex SUltra 360 Contiplex TuohyContiplex TuohyUltra 360 Catheter over the needleContiplex C3435
Products for Peripheral Nerve BlocksProducts for Peripheral Nerve BlocksNerve Stimulation with the Stimuplex HNS 12Injection Pressure Monitoring with BSmart 1 S timuplex HNS 12 with SENSe22 S timuplex Pen for cutaneousnerve mappingB. Braun Nerve Stimulator – Stimuplex HNS 12 with SENSeWhat is SENSe?In practice, marginal needle movements often lead to loosing themuscle twitch. The SENSe technology (Sequential electrical NerveStimulation) is a sequence of two fixed impulse durations of 0.1 msalong with a third longer impulse duration. 13 Most traditional nervestimulators emit two very short pulses every second. That’s becauseshort pulses improve accuracy or specificity when closer tothe nerve. The downside is that sensitivity, or the availability toelicit visual feedback at a distance from the nerve, is lost. SENSetechnology increases both sensitivity and specificity by adding athird, longer pulse. This results in eliciting a motor response evenwhen the needle is far from or not aimed directly at the nerve andrequires less adjustment to the amperage control while remainingthe visual feedback.Injection Pressure MonitoringAccidental injection of local anesthetic into fasciclesof peripheral nerves can result in permanent nerve injury. 1Research has shown that high opening injection pressure( 15 psi) indicates needle-nerve-contact or intrafascicularinjection. 14, 15, 16, 17, 18USER BENEFITSObjectively measures and displays injection pressureColor coding visualizes the pressure information Allows consistent monitoring of resistance to injectionregardless of who performs the actual injection 19 Allows for standardized and objective documentation ofinjection pressure information during nerve block procedures····USER BENEFITS Stimulation with SENSe-technology designed for moreefficient nerve stimulation 13Menus designed for easy control of sound and other settings Acoustic signals inform the user of any relevant deviationsCurrentStrength···Impulse DurationAs the needle is advanced, SENSe generates two short and one longpulse. From the alternating sequence of three impulses, the third longer impulse stimulates the nerve already at a distance. One muscletwitch is visible and indicates that the needle is directed to the nerve.CurrentStrengthThe stimulation needle is further advanced towards the nervewhile SENSe maintains the motor response. Current strengthadjustments lead to definite reductions of the third impulse.Impulse DurationCurrentStrengthAt the threshold level of approximately 0.5 mA three muscletwitches are visible as all three impulses stimulate the nerve.The pressure information is conveniently displayed by the colour-coded pressure ranges on the BSmart piston.BSmart Injection Pressure MonitorThe BSmart Injection Pressure Monitor is an easy-to-use inlineinjection pressure monitoring device providing clinicians withobjective pressure information. This happens through a colouredpiston, which climbs into the gauge depending on the pressure.BSmart Injection Pressure Monitor does not interfere with thetactile feedback of the syringe which has been traditionally used toassess the resistance of injection during nerve block procedures.Impulse Duration3637PERIPHERAL NERVEBLOCKS1
Portfolio OverviewSINGLE-SHOT BLOCK NEEDLESStimuplex ASINGLE-SHOT BLOCK NEEDLESNeedle ø (G) andLength (inch)Needle ø andLength (mm)Unitsper boxCode no.(REF) LuerUltraplex 360Needle ø andLength (mm)Unitsper boxCode no.(REF) LuerRegionSuffix *Code no.(REF) NRFit Non-Insulated Echogenic Needles with 30 BevelNeedles with 30 bevelStimuplex DNeedle ø (G) andLength (inch)24 x 1"0.55 x 25 mm489425122 x 1 ⅜"0.70 x 35 mm4892603-01-204892603NR-0122 x 1"0.70 x 25 mm489453922 x 2"0.70 x 50 mm4892605-01-204892605NR-0122 x 1 ⅛"0.70 x 35 mm489436722 x 3 ⅛"0.70 x 80 mm4892608-01-204892608NR-0122 x 2"0.70 x 50 mm20 x 4"0.90 x 100 010.80 x 50 mm489437520 x 6"0.90 x 150 mm21 x 2"21 x 4"0.80 x 100 mm489426020 x 6"0.90 x 150 mm4894278Needle ø (G) andLength (inch)Needle ø andLength (mm)Unitsper box25Code no.(REF)4894000-01Unitsper box1Code no.(REF)489209814892101Unitsper boxCode no.(REF)254894502* SUFFIXESArticle code suffix -01 CE Region: Covering all CE countries; Article code suffix -20 CISACCESSORIESBSmart Units perboxCode no.(REF) LuerCode no.(REF) NRFit 25DescriptionBSmart Injection Pressure Monitor2 x 1 ⅓"0.50 x 35 mm48921534892153NR25 x 2 ⅛"0.50 x 55 mm48921554892155NR23 x 1 ½"0.60 x 40 mm48921344892134NR23 x 2 ¾"0.60 x 70 mm48921374892137NR22 x 2"0.70 x 50 mm48921054892105NR22 x 3 ⅛"0.70 x 80 mm48921084892108NR22 x 4 ¾"0.70 x 120 mm48921124892112NR20 x 6"0.90 x 150 mm48921154892115NR22 x 1 ½"0.70 x 40 mm48922044892204NR22 x 2"0.70 x 50 mm48922054892205NR22 x 3 ⅛"0.70 x 80 mm48922084892208NRRegion Suffix *Code no.(REF) NRFit 25Nerve StimulationDescriptionStimuplex HNS 12 Nerve Stimulator for Stimuplex ,Ultraplex and Contiplex needlesStimuplex HNS Compact Nerve Stimulator *PERIPHERAL NERVEBLOCKSInsulated Needles with 15 BevelInsulated Needles with 30 BevelStimuplex Ultra360 Needle ø (G) andLength (inch)Needle ø andLength (mm)Unitsper box25Code no.(REF) LuerInsulated Echogenic Needles with 30 BevelStimuplex Pen for cutaneous nerve mapping4892099489207022 x 1⅜"0.70 x 35 mm4892503-01-03-04-204892503NR-01Electrode cable for Stimuplex HNS 11/1222 x 2"0.70 x 50 mm4892505-01-03-04-204892505NR-01Battery cover for Stimuplex HNS 1222 x
B. BRAUN - A COMPETENT PARTNER As one of the world's major providers in the area of regional anesthesia, B. Braun supports its customers with innovative products and services. We strive to accompany our customers through the entire patient pathway helping to optimize their processes and to provide products adapted to day-to-day clinical needs.
