Regional Anaesthesia Product Catalogue

Transcription

REGIONAL ANAESTHESIAPRODUCT CATALOGUE

Optimise your processesContentPerican Perican PaedPerifix Epidural Catheter AccessoriesCOMBINED SPINAL & EPIDURAL ANAESTHESIAWITH REGIONAL ANAESTHESIAEspocan SetsSurgeryInductionIntensive CareUnitWardPERIPHERAL NERVE BLOCKSContiplex C Contiplex S Ultra 360 Contiplex Tuohy Ultra 360 Stimuplex Ultra 360 Ultraplex 360 Stimuplex AIIIIIIIIIIIIIIIIIIIWITHOUT REGIONAL ANAESTHESIAULTRASOUND GUIDANCEXperius Onvision COMPARING TWO POTENTIAL INTERVENTIONSWITH AND WITHOUT REGIONAL ANAESTHESIA:Looking holistically across the patient pathway, the establishment ofregional anaesthesia processes appears to be a favourable investment.When regional anaesthesia is used, patients see better outcomes, fastermobilisation and consequently earlier discharge. 4, 5EPIDURAL ANAESTHESIAEPIDURAL ANAESTHESIAThe rapid growth of use of regional anaesthesia and the numerouspublications on the topic are both a testament to how regionalanaesthesia can have a positive impact on both patient outcomeand on efficiencies for the clinic. 2, 3COMBINED SPINAL ANDEPIDURAL ANAESTHESIASpinocan Pencan Spinal Introducer NeedlePERIPHERAL NERVEBLOCKSSPINAL ANAESTHESIAULTRASOUNDGUIDANCERegional anaesthesia is an essential part of pain therapy, asacross several interventions, it offers clear advantages whencompared to general anaesthesia. 1 For regional anaesthesia tobecome an important part of the peri-operative process, there aresome prerequisites to consider, like the relevant indications,skilled personnel and the necessary internal processesat the clinic.SPINAL ANAESTHESIAThanks to Regional Anaesthesia

Reducing Risks of Misconnectionsin Regional Anaesthesia with NRFit MEDICAL DEVICE CONNECTORS FOR NEURAXIAL& REGIONAL ANAESTHESIA 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 & RegionalAnaesthesia applicationsConnector design basedon ISO 80369-6LIMB CUFF INFLATIONAPPLICATIONS Enteral applicationsURETHRAL AND URINARYAPPLICATIONSRegional Anaesthesia products withNRFit connectorIn line with the ISO Standard (InternationalOrganisation for Standardisation) forneuraxial and regional anaesthesia devices,B. Braun has developed a comprehensiveportfolio with NRFit connectors for thecorresponding process steps.4INTRAVASCULAROR HYPODERMICAPPLICATIONS

SPINAL ANAESTHESIASPINALANAESTHESIAA comprehensive portfolio ofneedles in different bevel typesfor spinal anaesthesia.

Products for Spinal AnaesthesiaSPINAL ANAESTHESIAQuality and PracticalityThanks to our years ofEXPERIENCEin the field, B. Braun offers spinal needleswith a range of bevel types.Spinocan and Pencan have the featuresyou need to meet today'sEXACTINGPain Control demands.Spinocan with Quincke 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,7Ergonomic hub design for an individual and tactile handlingposition, better control of the needle and easy verificationof bevel eye orientation. 78supports identification of CSF flashback12. 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 identification877, 9of CSF flashbackCSF-flashback identificationdue to the incorporatedprism effect.CSF FLASHBACK IDENTIFICATIONPrism has a silver shine before CSF enters the hubPrism turns transparent once CSF is in the hub 2Pencan with Pencil Point BevelSpinal Introducer Needle1. Introducer needles providing needle guidance forthe spinal needle during puncture 7

Portfolio OverviewSPINAL NEEDLES - PENCIL POINTSpinocan ColourcodeSize (G) /Length (inch)27 x 3 ½”ø / Length(mm)Unitsper box0.4 x 88Code no. (REF)Luer-Code no. (REF)NRFit 0.45 x 8845029064502906N-0125 x 3 ½”0.55 x 8845059054505905N-0122 x 1 ½”0.70 x 40-4507401N-010.70 x 7522 x 3 ½”20 x 3 ½”19 x 3 ½”18 x 3 ½”-4507754N-010.70 x 8845079084507908N-010.90 x 8845099004509900N-01251.10 x 8845011951.30 x 88-ColourcodeSize (G) /Length (inch)ø / Length(mm)27 x 3 ½”0.4 x 8825 x 3 ½”0.5 x 8822 x 3 ½”0.7 x 8845020354502035N-0127 x 4”0.4 x 1034502124 *4502124N-01*27 x 4 ¾”0.4 x 120-4502132N-0125 x 4”0.5 x 1034502116 *25 x 6.1”0.5 x 15633387727 x 2”0.4 x 50-4502175N-0125 x 1”0.5 x 2545021674502167N-0125 x 2”0.5 x 5045021594502159N-01Size (G)/Length (inch)ø / Length(mm)Unitsper boxCode no. (REF)OHD LuerCode no. (REF)NRFit 254505000 *4505000 *4503902N-0126 x 3 ½”22 x 3”Pencan Unitsper boxCode no. (REF)Luer4502027N-01450202725Code no. (REF)NRFit 4502051N-01 *4502019N-0145020194502043N-01 *Long Length254502116N-01 *333877N-01Pencan Paed4501195N-014501390N-0125* with Spinal Introducer Needle (Luer)Long Length0.33 x 88-4501900N-0129 x 4 ¾” 0.33 x 120-4501918N-0129 x 3 ½”27 x 4 ¾”0.4 x 120-4502140N-01INTRODUCERSpinal IntroducerNeedles (for Spinocan and Pencan )ColourcodeFor Spinal Needles 26 G and 25 G2525 x 4 ¾” 0.55 x 12045059134505913N-0122 x 4 ¾” 0.70 x 12045060904506090N-0122 x 6” 0.90 x 150-4506095N-0120 x 13/8”* Introducer in Luer0.9 x 35SPINAL ANAESTHESIASPINAL NEEDLES - QUINCKE

EPIDURAL ANAESTHESIAEPIDURALANAESTHESIATo meet individual preferences,B. Braun offers a broad range ofepidural cannulas, catheters andaccessories for epidural anaesthesia.

Products for Epidural AnaesthesiaProducts for Epidural AnaesthesiaQuality and PracticalityPerifix Catheters: Available with different characteristics – Soft-Tip and ONEAdapting to the unique anatomical challengesof each patient, it is important to use theappropriate needle and accessories.EPIDURAL ANAESTHESIAB. Braun focuses onQUALITY &PRACTICALITY.Perifix Soft-Tip Catheter. Soft-Tip catheter with a radiopaque tip. Length 1000 mm. Three micro-holes enhance the spread of anaesthetic 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, 22 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 control during needleadvancementFitted stylet: to reduce the risk of tissue coringand potential epidermoid tumor development11.Perifix ONE. Epidural catheter with a relatively stiff but flexible shaftand a soft, atraumatic tip. Length 1000 mm. Six micro-holes enhance the spread of anaesthetic drug. Three radiopaque enclosed yellow barium sulphate stripes foridentification on x-ray images. Does not contain latex, DEHP or PVC. MRI suitable

Products for Epidural AnaesthesiaPerifix AccessoriesEpidural Anaesthesia for the Smallest PatientsEPIDURAL ANAESTHESIAProducts for Epidural AnaesthesiaPerifix 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 Needles11. 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 development8Perifix Catheter Fixation. Catheter fixation, consisting of fixation ring andnon-woven cover foil. Easy examination of puncture site due to exchangeablecover foilsPerifix 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 paediatric use. For safe catheter insertion and position control. Catheter with markings each 1 cm in the space between2 and 20 cm from the needle tip

Portfolio OverviewPerican EPIDURAL ACCESSORIESColourcodeSize (G) / Length(inch)ø / Length(mm)18 x 3¼"1.3 x 80Unitsper boxCode no. (REF)LuerCode no. (REF)NRFit 45123834512383N-0145127824512782N-01Perifix Catheter Fixation1.7 x 80Unitsper boxPerifix catheter fixation, consisting of a fixation ring anda non-woven cover foil2516 x 3¼"DescriptionCode no. (REF)451120025Perifix non-woven replacement cover foil4511201Long Length18 x 4 ¾"1.3 x 12045124534512453N-0118 x 6"1.3 x 15045122004512200N-01Perifix Loss-of-Resistance(LOR) SyringeDescriptionUnitsper boxPerifix LOR Syringe, Luer-Slip463710025Perican PaedColourcode2516 x 4 ¾"1.7 x 120-4512785N-0116 x 6"1.7 x 150-4512784N-01Size (G) / Length(inch)ø / Length(mm)22 x 2"0.73 x 50Unitsper boxCode no. (REF)LuerCode no. (REF)NRFit -4502078N-01Perifix LOR Syringe, Luer-LockPerifix Loss-of-Resistance(LOR) Syringe NRFit 4638107DescriptionUnitsper boxPerifix LOR Syringe, Slip NRFit 0.9 x 5025-Perifix LOR Syringe, Lock NRFit 4502094N-01Perifix catheterconnector4638110Size (G)EPIDURAL CATHETERSPerifix catheterUnitsper box19Catheter ø outer / inner /Length (mm) (G)Suitable for Perican Size (G)Unitsper boxCode no. (REF)Luer20 / 24Perifix filter1825-Code no. (REF)LuerCode no. (REF)NRFit 45138014513801N-0145138004513800N-0125Code no. (REF)NRFit Perifix Soft Tip catheter (with 3 lateral eyes)0.85 / 0.45 / 1000 (20)Code no. (REF)NRFit 46371102520 x 2"Code no. (REF)Luer4515048N-01Particle filter(μm)Unitsper boxCode no. (REF)LuerCode no. (REF)NRFit 0.22545155014515501N-01Units per boxCode no. (REF)254515510Perifix ONE catheter (with 6 lateral eyes)Perifix PinPad1.05 / 0.60 / 1000 (19)16-45132581N-01-45131501N-01250.85 / 0.45 / 1000 (20)18DescriptionPerifix PinPad Filter FixationEPIDURAL ANAESTHESIAEPIDURAL NEEDLES

Portfolio OverviewSETS FOR EPIDURAL ANAESTHESIA (LUER)Legend* Sterican needles20 G x 2“, ø 0.9 x 50 mm25 G, 16 mm, ø 0.5 mm18 G x 3 ¼”, ø 1.3 x 80 mm,21 G, 40 mm, ø 0.8 mm18 G, 40 mm, ø 1.2 mm18 G x 2“, ø 1.3 x 50 mm (Paed Set)16 G x 3 ¼ “, ø 1.7 x 80 mm50mmSet Versions80mmPerican Tuohy Needle24GPerifix Soft Tipepidural catheter,3 lateral eyes20GPerifix ONE with NRFit 20GPerifix Loss ofResistance syringeOmnifix threepart syringe, 20 ml,Lock, Sterifix filter needleOmnifix threepart syringe, 3 ml,Lock, Sterifix filter needlePerifix Filter0.2 µm,pressure resistantup to 7 barPerifix catheterconnector19 G or 20 / 24 GPerifix PinPad filterfixationOmnifix threepart syringe, 3ml,Luer Lock, 3 Luerhypodermicneedles *Perifix LOROmnifix andSterifix Omnifix andSterifix Perifix FilterPerifix catheterconnectorPerifix PinPadOmnifix andhypodermicneedles with Luer19GPerifix Soft TipCaution: Hypodermic needles(for skin infiltration) stay LuerUnitsper boxCode no. (REF)Complete Sets4510305Perifix Soft Tip 901 18GPerifix ONE 421 18G104514211C4514319Perifix Soft Tip 431 16GFilter SetsPerifix 400 Filter Set 18G451400920Perifix 402 Filter Set 16G4514025Pediatric SetsPerifix ONE Paed 18G4512006C10Perifix ONE Paed 20G45120141CSETS FOR EPIDURAL ANAESTHESIA (NRFIT )Legend* Sterican needles25 G, 16 mm, ø 0.5 mm20 G x 2“, ø 0.9 x 50 mm21 G, 40 mm, ø 0.8 mm18 G x 3 ¼”, ø 1.3 x 80 mm,18 G, 40 mm, ø 1.2 mm18 G x 2“, ø 1.3 x 50 mm (Paed Set)16 G x 3 ¼ “, ø 1.7 x 80 mmPerican Tuohyneedle50mmSet VersionsPerifix ONEepidural catheter,6 lateral eyes80mmPerican with NRFit 24GPerifix Soft Tipepidural catheter,3 lateral eyes20GPerifix ONE with NRFit 20GPerifix Soft Tipwith NRFit Perifix Loss ofResistance syringeOmnifix threepart syringe, 20 ml,Lock, Sterifix filter needleOmnifix threepart syringe, 3 ml,Lock, Sterifix filter needlePerifix Filter0.2 µm,pressure resistantup to 7 barPerifix catheterconnector19 G or 20 / 24 GPerifix PinPad filterfixationOmnifix threepart syringe, 3ml,Luer Lock, 3 Luerhypodermicneedles *Perifix LOR with NRFit Omnifix andSterifix with NRFit Omnifix andSterifix with NRFit Perifix Filterwith NRFit Perifix catheterconnectorwith NRFit Perifix PinPadOmnifix andhypodermicneedles with Luer19GCaution: Hypodermic needles(for skin infiltration) stay LuerUnitsper boxCode no. (REF)NRFit Complete SetsPerifix Soft Tip 901 18G NRFitPerifix ONE 421 18G NRFit104510305N-0145142111N-01Filter SetsPerifix 402 Filter Set 16G NRFit1045120061N-01Pediatric SetsPerifix ONE Paed 18G NRFitPerifix ONE Paed 20G NRFit1045120061N-0145120141N-01EPIDURAL ANAESTHESIAPerifix ONEepidural catheter,6 lateral eyesPerican Tuohy needle

COMBINED SPINAL ANDEPIDURAL ANAESTHESIACOMBINEDSPINAL ANDEPIDURALANAESTHESIACombining the benefits of bothtechniques – sets for combinedspinal and epidural anaesthesia (CSE).

Products for Combined Spinaland Epidural AnaesthesiaSETS FOR COMBINED SPINAL AND EPIDURAL ANAESTHESIA (LUER)Luer Set VersionPerican epiduralcannula ø 1.3 mm, 18Gx 90 mmPerifix Soft-Tipcatheter 3 lateral eyesPerifix LORsyringe with Luer SlipPerifix flat filter0.2 μmPerifix catheterconnectorPerifix PinPadUnits per box104556763Units per boxCode NumberCOMBINED SPINAL ANDEPIDURAL ANAESTHESIAEspocan with Docking Station & Pencan 27G x141mm with LuerCode NumberSETS FOR COMBINED SPINAL AND EPIDURAL ANAESTHESIA (NRFIT)NRFit Set VersionPerican epiduralcannula ø 1.3 mm, 18Gx 90 mm with NRFitPerifix Soft-Tipcatheter 3 lateral eyes,with NRFitPerifix LORsyringe with NRFitPerifix flat filter0.2 μm with NRFitPerifix catheterconnector with NRFitPerifix PinPadEspocan with Docking Station & Pencan 27G x141mm with NRFit104556763N-01Combined Spinal-Epidural Anaesthesia (CSE):THE BENEFITS of Spinal and Epidural Anaesthesia in the Espocan Sets2Special Pencan Tuohy Epidural needle with additional backeye in the Tuohy curve plus a Pencan Spinal needle withsleeve to centre the needle inside the epidural Tuohy needle. Tip of the spinal needle exits straight through the back eye ofthe Tuohy needle. Docking system to hold the spinal needle in place. Sleeved spinal needle for smooth exit through the back eye11Markings on the Spinal NeedleThe markings on the spinal needle show,when the tip leaves the back-eye.2USER BENEFITSThe docking system allows rotation of the spinal needle evenin the fixed position. Avoids the difficult and uncomfortablefinger grip to steady fix the spinal needle in positionThe docking system ensures fixation of the spinal needleinside the tuohy needle after successful dura puncture andinjection of the local anaesthetic.

Whatever option you prefer wide ranged product portfolio forstimulated and Ultrasound guidedperipheral nerve blocks.PERIPHERAL NERVEBLOCKSPERIPHERALNERVEBLOCKS

Peripheral Nerve Block PortfolioVisibility WithoutQuality and Functionality Without CompromiseThe NeXt generations of Echogenic Nerve Block NeedlesB. BRAUN ULTRASOUND NEEDLESStimuplex Ultra 360 , Ultraplex 360 and ContiplexS Ultra360 needles feature B. Braun’s echogenic 360 X-pattern.The ‘X’ is a unique shape, also combined with a clear coating,it's intended to reflect more Ultrasound waves back to the probethan previous designs. 12NERVE STIMULATIONFor the electrical nerve stimulation B. Braun provides a wide rangeof stimulating needle and catheter systems for differentapplications. The well established nerve stimulator Stimuplex HNS 12 completes the offer.Circular (360 )X-pattern-designlongReflection of theUltrasound wavesshortshorttipThe X-pattern is applied as a segmented safety-code (longshort-short-tip) and facilitates the needle tip identification.The Ultraline 360 portfolio is equipped with 30 back-cut bevelplus 360 X-shaped markings and a clear coating for better ultrasound visualisation and tip identification from all angles.13NAVIGATIONFor 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. 12USER BENEFITSNavigation: Safety code for identification of the needleand needle tip positionVisibility: 360 X-pattern and clear coating result in betterUltrasound visualisation and tip identification compared toprevious designsTactile Feedback: designed for consistent puncture - same 30 back-cut bevel as previous Stimuplex Ultra and Ultraplex needles··· * Stimuplex Ultra 360 , Ultraplex 360 and ContiplexS Ultra 360 are the latest generation of echogenic needles in the B. Braun range and not necessarily the latest generation of all echogenic needles available on the marketPERIPHERAL NERVEBLOCKSULTRASOUNDB. Braun offers a large product range of echogenic needles andcatheters. Stimuplex Ultra 360 , Ultraplex 360 andContiplexS Ultra 360 are B. Braun's latest generation ofUltrasound needles that combines enhanced Ultrasoundvisibility with smooth gliding properties and a good puncturequality. 11

Products for Peripheral Nerve BlocksProducts for Peripheral Nerve BlocksSingle Shot NeedlesSets for Continuous Peripheral Nerve BlocksStimuplex and Ultraplex single shot needlesinclude navigation markings and an ergonomicdesign to provide tactile feedback and betterneedle tip positioning for consistent puncture.Contiplex Continuous Nerve Block SetsContinuous peripheral nerve blocks provide painrelief during and after surgical procedures, forimproved patient recovery. 14USER BENEFITSWide range of catheter setsHarmonised set componentsUltrasound visibility of Perifix ONE catheterUSER BENEFITSImproved design allowing better puncture and glidingcharacteristicsBroad portfolio of needle lengths from 35 to 150 mmand G 24 to G 20Ergonomic needle hub design for enhanced tactile feedback···CannulaBevel30 esSetFull TipBevel15 Catheter through the needle techniqueStimuplex AStimuplex Ultra 360 Ultraplex 360 Contiplex SUltra 360Contiplex TuohyUltra 360Catheter over the needleContiplex C20 30 TuohyEchogenicpropertiesCatheterONEPERIPHERAL NERVEBLOCKS···

Products for Peripheral Nerve BlocksPortfolio OverviewNerve Stimulation with the Stimuplex HNS 12SINGLE-SHOT BLOCK NEEDLESStimuplex ANeedle ø (G) andLength (inch)Needle ø andLength (mm)Units perboxCode no.(REF) LuerNONOTE -Needles with 30 bevelnerve 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. 15 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 retainingthe visual feedback.USER BENEFITSStimulation with SENSe-technology designed for moreefficient nerve stimulation 15Menus designed for easy control of sound and other settingsAcoustic signals inform the user of any relevant deviationsCurrentStrength···Impulse DurationStimuplex Ultra 360 0.55 x 25 mm22 G x 2"0.70 x 50 mm21 G x 4"0.80 x 100 mm20 G x 6"0.90 x 150 mmNeedle ø (G) andLength (inch)Needle ø andLength (mm)489425125489450248942604894278Units perboxStimuplex A needleswill not beavailableafter 2023Code no.(REF) LuerCode no.(REF) NRFit Insulated Echogenic Needles with 30 BevelUltraplex 36022 G x 1⅜"0.70 x 35 mm4892503-034892503NR-0122 G x 2"0.70 x 50 mm4892505-034892505NR-0122 G x 3⅛"0.70 x 80 mm4892508-034892508NR-0120 G x 4"0.90 x 100 mm4892510-034892510NR-0120 G x 6"0.90 x 150 mm4892515-034892515NR-01Needle ø (G) andLength (inch)Needle ø andLength (mm)25Unitsper boxCode no.(REF) LuerCode no.(REF) NRFit Non-Insulated Echogenic Needles with 30 BevelAs 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.Nerve Stimulation22 G x 1⅜"0.70 x 35 mm4892603-014892603NR-0122 G x 2"0.70 x 50 mm4892605-014892605NR-0122 G x 3⅛"0.70 x 80 mm4892608-014892608NR-0120 G x 4"0.90 x 100 mm4892610-014892610NR-0120 G x 6"0.90 x 150 mm4892615-014892615NR-01Unitsper box1Code no.(REF)4892098Unitsper boxCode no.(REF)DescriptionStimuplex HNS 12 Nerve Stimulator for Stimuplex ,Ultraplex and Contiplex needlesThe stimulation needle is further advanced towards the nervewhile SENSe maintains the motor response. Current strengthadjustments lead to definite reductions of the third impulse.25Impulse DurationAt the threshold level of approximately 0.5 mA three muscletwitches are visible as all three impulses stimulate the nerve.Impulse DurationNerve Stimulator Accessories and Spare PartsBattery cover for Stimuplex HNS 12Carrying Case for Stimuplex HNS 12Test resistor for Stimuplex HNS 12Knob for special handling489209411489209548920964892283PERIPHERAL NERVEBLOCKS2 Stimuplex Pen for cutaneousCurrentStrength1 Stimuplex HNS 12 with SENSe2CurrentStrength124 G x 1"

Portfolio OverviewSETS FOR CONTINUOUS NERVE BLOCKSContiplex Ccatheter-overthe-needlesystemContiplex SUltra 360Contiplex Tuohy Ultra 360Contiplex ONE catheter(6 lateral eyes,open tip)Perifix ONECatheter (6lateral eyes,Closed tip)Perifix CatheterConnector19G or 20/24G20G Perifix ONE catheterthroughneedle system(mm)Perifix CatheterConnectorPerifix PinPadfilter fixationPerifix Filter0.2 µm,Pressureresistant up to 7barOmnifix syringe 5 mlCaution: Hypodermicneedles (for skininfiltration) stay Luer(6CannulaSize(G)Size ø(mm)25GLength(mm)18GCannula Bevel (o)Luer and NRFit 18GTuohy BevelContiplex ONECatheterover needlesystem(mm)Luer and NRFit Luer and NRFit Perifix PinPadPerifix FilterLuer and NRFit UnitsperboxOmnifix Code no.(REF) LuerCode no.(REF) NRFit R-274898610-274898610NR-27Luer and NRFit Contiplex C Sets188-Contiplex C250.5319015oContiplex C250.5319030Contiplex S Ultra 360181.35020o400Contiplex S Ultra 360181.310020o1000Contiplex S Ultra 360181.315020o5004898615-274898615NR-27Contiplex Tuohy Ultra 360181.3404004898704-274898704NR-01Contiplex Tuohy Ultra 10NR-014898715-274898715NR-01-188Contiplex S Ultra 360 Sets10Contiplex Tuohy Ultra 360 Sets10Contiplex Tuohy Ultra 360181.31001000Contiplex Tuohy Ultra 360181.31501000PERIPHERAL NERVEBLOCKS5o

Xperius Ultrasound SystemResponsive Advanced SimpleXperius is an Ultrasound system jointly developed byB. Braun and Philips which has been specifically designed tosupport the current and future needs in regional anaesthesia andvascular access at the point of care.Touchscreen User Interface &Advanced TechnologyMultiple presets - 4 specificones for regional anaesthesia /vascular accessTouchscreenUser Interfacesec Start scanning ina few secondsNeedle VisTechnologyErgonomic designConvenient accessory binsHigh mobility & portabilityDesigned by Philips & B. BraunHigh performance technology delivers exceptionalimage quality High definition imagingEnhanced needle visualisationNew generation of probesEasy to use touchscreen user interface Mobile ultrasound solution helps the user align the needlewith the probe in a user-friendly interface that can leadto reduction in procedural time.16 Intuitive user experience Touch screen & gesture control Dedicated regional anaesthesia & vascular access presetsNote: This product may not be available in your region.Please contact your local B. Braun representative for more information.Core UltrasoundTechnologyTransducer withUSB connectorReady-to-go forBedside ScanningSIMPLEXperius – Allows you to quickly and comfortably conductexams. Xperius comes with intuitive touch and gesture controlsthat you already know from your smart devices – to keep yourfocus on your work and not on the controls. Its simple interfacesupports daily routines and provides specific presetsfor procedures in regional anaesthesia and vascular access.Height-adjustableLong lasting batteryup to 3 h of scanningLightweight andeasy to handleConvenientStorageEverything neededfor procedures iswithin reachULTRASOUNDGUIDANCEDesigned to fit seamlessly at the anaesthetist's pointof careADVANCEDXperius provides high quality imaging of nerves and tissuestructures for confident diagnoses and precise needle guidance.The predetermined settings (presets) are designed so you canspend less time adjusting controls and more time focusing onyour patients.Flexible rotation inevery directionBuilt-in Wi-Fi forDICOM data transferRESPONSIVEThe system offers a high degree of mobility and flexibilitycombined with an ergonomic design to improve daily practice.A fully articulating arm allows easy adjustments of the Ultrasoundmonitor position and the angle of the screen for ergonomic useand better line of sight. Besides the cart based system, a dedicated ultra portable tablet device allows quick bedside scanning orinterventions in your facility, on-the-go and at satellite locations.Articulating Arm

Onvision Needle Tip TrackingPrecise Predictable EmpoweringOnvision is an Ultrasound based Needle-Tip tracking technologyfor peripheral nerve blocks which works exclusively with theXperius Ultrasound system and the dedicated Stimuplex Onvision needle. In real-time, Onvision better indicates wherethe needle tip is inside the body, both in and out of plane. Ithelps users align the needle with the probe in an easy to usemanner – to improve pain relief and minimise the risk ofunintended nerve puncture or collateral damage to surroundingtissue or vessel.16,17,18Onvision is an Ultrasound based Technology for reliableNeedle GuidanceThe dedicated Stimuplex Onvision needle is embedded with a tipsensor, which allows better detection of the tip location and displaysthis information in real time on the live Ultrasound image.11Needle-Tip tracking can be used in 2D Mode with the nerve 0-4 cmand the nerve 4-6 cm preset on the L12-4 transducer and nerve 6 cm presets on the C5-2 transducer depending on the anatomicaldepth of the nerve.Needle Tip Navigation to the PointWith Onvision , users experience a real time guidance which empowers them to quickly adopt and integrate PNB into theirdaily practice. Onvision enables more physicians to be proficient in performing PNBs. 19Tip sensor2D UltrasoundplaneOutside of planeNeedle-Tip gpipelinetriggerACCURATEULTRASOUNDGUIDANCEKnow where you are in real-time 16,17 Tip visualisation in both superficial and deeper blocks Ultrasound based detection and accuracy Can reduce complications during PNB placement Designed to prevent unintended overshootingPREDICTABLEHelping make first-time-right the new standard 16,17 Confidently perform local anaesthetics injection Reduction in overall procedure time Fits in to current workflow (no workflow disruption)Needle-tip positionUltrasound Needle-Tip positionEMPOWERINGMore anaesthetists can carry out regional anaesthesia 18 Better user experience Easy to adopt Can increase proficiency levelNote: This product may not be available in your region.Please contact your local B. Braun representative for more information.Ultrasound based Technology to improve Accuracy19 Onvision works up to 12 cm Onvision is shielded against electromagnetic interferences (EMI) Onvision remains stable even when the needle bends2D Ultrasound imaging

Portfolio OverviewULTRASOUND SYSTEM AND ONVISION TECHNOLOGYDescriptionUnitsper boxCode no.(REF)Xperius Cart System with 1 transducer L12-4 and Onvision Needle Tip Tracking Technology· Type of unit: Compact Cart based Point ofwith Onvision ····Xperius Upgrade Items1NUSM621L12-4 broadband linear array transducer12 to 4 MHz extended operating frequency rangeAperture size: 34 mmHigh resolution imaging for shallow applicationsCenter line markerUSB transducer with replaceable cable1FUS5716C5-2 broadband curved array transducer5 to 2 MHz extended operating frequency range50 mm radius of curvatureHigh resolution imaging for deeper applicationsCenter line markerUSB transducer with replaceable cable1FUS5712Unitsper boxCode no.(REF) LuerSingle Transducer Curved1·····NUSM623Care Ultrasound System with fully articulatingarm and Linear L12-4Dimensions: 132.5 cm x 56.0 cm x 66 cm (H / W / D)Weight: 34.0 kgDisplay: 39.6 cm (15.6 in) flat-panel touch-screenImaging mode keys: 2D, Colour Doppler,Colour Power Angio (CPA), M-ModeONVISION SINGLE SHOT BLOCK NEEDLESStimuplex Onvision Needle ø (G) andLength (inch)Needle ø andLength (mm)Luer VersionInsulated Needles with 30 BevelXperius Stand-alone Tablet with 1 transducer L12-4· Type of units: Point of Care Tablet Ultrasound Systemwith Kickstand and Linear 12-4· Dimensions: 28 cm x 42 cm x 5 cm (H/W/D)· Weight: 3.6 kgCode no.(REF)·····Xperius Cart System with 1 transducer L12-4····Unitsper boxSingle Transducer LinearCare Ultrasound System with Linear L12-4and Onvision TechnologyDimensions: 132.5 cm x 56.0 cm x 66 cm (

Regional Anaesthesia products with NRFit connector In line with the ISO Standard (International Organisation for Standardisation) for neuraxial and regional anaesthesia devices, B. Braun has developed a comprehensive portfolio with NRFit connectors for the corresponding process steps. 4