Introducing a very special selection of Salter products

Transcription

1 Striving to be #1 IN PATIENT SATISFACTION Introducing a very special selection of Salter products

2 The next step in children s respiratory care: products designed for children You have made it clear, babies are not small adults. They have unique needs and deserve extra, extra special care. That is why Salter established a total focus around your smallest patients with a complete lineup of products specifically designed and developed for them. And we will keep developing products that help you deliver better care: babies deserve nothing less than the best we both can offer. Solutions for the unique challenges of NICU respiratory therapy The only mask specifically designed to fit a baby s face 1 Children come in different sizes so do our!

3 Collaborative Innovation Today, Salter Labs is building a bold new future focusing on superior patient care, reliable outcomes, and innovative new products for neonatal, respiratory, and anesthesia. We re expanding our of products, designed with the patient in mind, coupled with the clinician s insight regarding real-world experience: High-performance products for the OR and intensive care Fast and effective products for the floor and ED Comfortable products for patients to count on at home Neonatal and pediatric products that provide a difference We re collaborating with you to innovate a new generation of products that make a difference and add value. We re putting the patient first, just like you do.

4 Neonatal and pediatric products from Salter Technology put to use for your tiniest patients family for enhancing CPAP and High Flow oxygen delivery Securement and protection, with or without a seal A of gentle products, designed with AWHON/ NANN-recommended materials Non-phthalate The next generation of safer materials* 2 * no observed adverse effect levels from animal studies shows Salter s non-phthalate materials have no adverse effect at doses times higher than DEHP.

5 Neonatal and pediatric products from Salter Non-phthalate with ThinCuff technology A softer, atraumatic design for the most fragile airways Soft to the touch, gentle on the skin

6 Neonatal and pediatric products from Salter Child-friendly medication delivery systems offering improved comfort and performance Sizes for babies and children of various ages for EtCO 2 monitoring

7 The family of devices For and protection Gentle materials provide a skin barrier between the baby and the cannula Nasal holes suspend cannula prongs within the nares, minimizing skin contact Hook and loop system secures the cannula to the patient but away from the septum Hook and loop system allows repositioning without removing the adhesive Two versions available:»» For ncpap therapy where a nasal seal is intended»» For high-flow and low-flow therapy where a nasal leak is required

8 The family of devices CPAP Protect the skin, enhance the seal High Flow Protect the skin, keep the leak Nasal holes are designed to fit tightly around cannula prongs, enhancing the seal from the first breath. Nasal holes are larger than nasal prongs to ensure a leak.

9 CPAP Protect the skin, enhance the seal Gentle hydrocolloid material provides a unique protective barrier between the cannula and baby s delicate skin, providing a more consistent seal, while reducing the need to upsize prongs due to nasal leak. Soft, low-profile hook and loop strips provide for easy and repositioning of the nasal interface Hook and loop system prevents the cannula from disconnecting from patient movement 3 Works well in humid conditions, even up to 24 hours of continuous use 3 CPAP Securement Device Hook and Loop Strips CPAP Securement Device is not for use with low- or high-flow oxygen, ncpap masks, or.

10 High Flow Protect the skin, keep the leak Soft silicone material helps decrease skin irritation Clear look is less intimidating to loved ones and allows for easy repositioning and skin monitoring Larger nasal holes to create a gap around cannula prongs High Flow Securement Device Hook and Loop Strips High Flow Securement Device is not for use to create a CPAP seal. Not for use with CPAP interfaces.

11 A family of gentle products for different patient needs Cannula and tubing, especially when repositioning is important Mini-Whiskers Premature to neonate patients»» A gentle system for nasal and feeding»» Hydrocolloid material designed to provide gentle adhesion»» Soft, low-profile hook and loop strips help keep tubing in position, reduce skin friction, and allow for easy repositioning of the cannula»» Ideal for premature babies under 2000 g Sticky Whiskers Neonate to pediatric patients»» A gentle system for nasal and feeding»» Hydrocolloid material designed to provide gentle adhesion»» Hook and loop strips help keep tubing in position, reduce skin friction, and allow for easy repositioning of the cannula Tender Grips Pediatric to adult patients»» Soft, skin-toned acrylic material designed to hold cannula tubing in position, generally used around the patient s cheeks»» Internal flap allows cannula adjustment without removing the from the patient s skin

12 A family of gentle products for different patient needs General purpose Hydrocolloid Strips All patients»» Hydrocolloid material that provides gentle adhesion to the skin»» Pre-cut and ready to apply Silicone Strips All patients, especially premature»» A delicate silicone material that resists moisture and can be easily repositioned»» Cleanly detaches from the skin without causing skin irritations Grippies Securing tubing to other devices»» A non-adhesive hook and loop tape»» For organizing cords and tubing around a patient

13 Introducing the next generation of for the next generation non-phthalate Salter is embracing the next generation of safety by providing oxygen devices and tubing, etc, without phthalates.* Children, especially preemies, should get the best possible level of safety Phthalates have been banned in children s toys in the United States, such as pacifiers and rattles, 4,5 and all the phthalate DEHP in all medical devices used with children and pregnant and nursing women in France 6 So Salter is making the move from safe to safer,* because the tiniest patients deserve the safest options available Neonate Infant Premature Pediatric/small adult Intermediate infant Pediatric * no observed adverse effect levels from animal studies shows Salter s non-phthalate materials have no adverse effect at doses times higher than DEHP.

14 Unique softer design and safer materials* for the most fragile airways Salter FlexTip non-phthalate set a new standard in pediatric intubation. The soft FlexTip end bends upon impact to the airway Thin polyurethane cuffs require lower inflation pressures to seal Non-phthalate materials are used throughout Designed by a critical care clinician after nearly 30 years of intubation experience * no observed adverse effect levels from animal studies shows Salter s non-phthalate materials have no adverse effect at doses times higher than DEHP.

15 A soft and sensitive way to help measure BP Gentle design minimizes sharp folds Soft, vinyl material can be easily cleaned Options for all BP monitors Standard neonatal and pediatric sizes available

16 InspiraChamber NebuTech InspiraChamber : Innovative designs for an improved therapy experience Mask technology that s crafted for superior comfort and fit Unique InspiraMask TM design gently follows the facial contours of small children for a natural, comfortable face-to-mask seal 1 Completely reimagined aerosol mask 1,7 : Based on laser facial mapping of 271 children and 3-D modeling, in two sizes Minimal dead space Precise fit without excess pressure on the child s face

17 InspiraChamber NebuTech Innovative designs for an improved therapy experience The soothing comfort of a child s own pacifier Unique SootherMask TM design accepts a child s own pacifier, allowing sleeping infants to receive aerosol treatment 1

18 InspiraChamber NebuTech Innovative designs for an improved therapy experience Proven drug deposition Scintigraphic scans of infants using the SootherMask TM demonstrate drug reaching targets in the lungs 8 Drug delivery to infants using SootherMask (N=10) 10 All infants received therapy without awakening 8 Equivalent drug deposition compared to oral deliveries 9 Average aerosol deposition (% of emitted dose) with SootherMask 10 Right lung (yellow) 1.61 ± 0.56 Both lungs 4.17 ± 1.27 Stomach (green) 1.42 ± 0.97 Upper airway (blue) ± 7.81

19 InspiraChamber NebuTech Innovative designs for an improved therapy experience Performance by design A mask with low dead space maximizes the ability of aerosol to reach the patient airway 7,10,11 Dead Space Volume (ml) Dead Space Volume SootherMask InspiraMask % less dead space volume (DSV) AeroChamber SootherMask TM and InspiraMask TM have a smaller dead space volume (DSV) than AeroChamber, Vortex, and OptiChamber 11 A small DSV is considerably important in dosing and delivery, particularly in infants and small children with low tidal volumes 11 Superior proportion of particles in the <3 μm compared to AeroChamber 10 Percentage of Fine Particles 10 % of particles <3 µm % InspiraChamber 38.8% AeroChamber InspiraChamber with mask provides a greater proportion of <3 μm particles targeted to the lower respiratory tract 10

20 NebuTech nebulizers: Because every breath counts NebuTech nebulizers incorporate many innovative design features that help increase the concentration of medication delivered, and minimize medication waste. Smooth, rounded tip mouthpiece is comfortable for all ages Innovative flow-though chamber efficiently directs incoming air to form a bolus of medication One-way valves allow breath-enhanced inspiration and prevent medication loss during the non-inhalation phase Bright green cone creates greater surface area for maximum capillary action and operation at angles up to 45 degrees 3 Built-in anti-drool feature removes and cleans easily Easily adaptable to face mask modality

21 Faster, fewer treatments NebuTech performed extremely well compared with Acorn and Circulaire across several critical performance factors in a study of 259 children, ages 1 through 7, receiving standard treatment for status asthmaticus in the Emergency Department (ED) 12 : Significantly fewer number of patient treatments Reduced treatment duration in the ED Aerosols given p< Acorn Circulaire NebuTech Treatment duration (hrs) p=0.001 Acorn Circulaire NebuTech

22 Shorter stays, fewer admissions NebuTech reduced overall length of patient ED stay, 12 which can help reduce per-shift treatment time of healthcare professional: Reduced overall length of patient ED stay 12 Overall lower patient admission rate 12 ED length of stay (hrs) Acorn Circulaire p=0.001 NebuTech Hospital admission rate (%) Acorn Circulaire p=0.02 NebuTech

23 Efficiency for the clinician Treatment time is also important to both you and your patient. In two independent evaluations, NebuTech delivered an advantage compared with other competing products 13,14 : Significantly shorter treatment times, with an average of 4 minutes per treatment 13 Number of Minutes Treatment Time 8 4 NebuTech AeroEclipse II 50% shorter treatment time with NebuTech 82% of treatments completed in less than 3 minutes % in less than 3 minutes

24 Bolus design delivers aerosol early Innovative technology makes a difference when choosing the right nebulizer. NebuTech sets itself apart: Front-loaded bolus dosing during critical first one-third of each breath 15 Density (%)/Patient Flow (LPM) First One-Third of Inhalation Aerosol Delivery NebuTech vs AeroEclipse II NebuTech AeroEclipse II End of Inhalation Seconds into Inhalation (1.5 Seconds per Cycle) Increased drug deposition deep into the lungs 15 Total Drug Dose (µg/min) NebuTech First 250 ml of inhalation 249 ± 40 AeroEclipse II 73 ± 20 Entire inhalation cycle 469 ± ± 33 High quality of aerosol 80% of particles in the respirable (<5 microns) 3

25 Versatile for every child Patient-friendly add-on features provide a flexible and improved respiratory experience that is unique to each patient. NebuTech provides unmatched ease of use: NebuTech allows for multiple patient settings, options, and positions:» For ED, acute care, ICU, EMS, and in-home therapy» Optional mask, filter, and positive expiratory pressure (PEP) therapy» Allows up to 45-degree angle to accommodate changing postures or flat horizontal position Easily works with a mask for any child who requires one Filter and PEP options available FILTER PEP 8350 MASK

26 A higher standard is key A leading cause of preventable adverse outcomes in sedated cases is failure to use or correctly interpret capnography in detecting respiratory depression 16 Capturing end-tidal carbon dioxide (EtCO 2 ) measurements effectively and accurately is critical to sedated patient safety This is why anesthesia guidelines increasingly require real-time EtCO 2 monitoring for all medium to deep sedation cases, including: American Society of Anesthesiologists (ASA) Standards for basic anesthetic monitoring, American Association of Oral and Maxillofacial Surgeons Parameters of Care, 2012 (AAOMS ParCare 2012) 18 American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, However, not all EtCO 2 monitoring consistently provide both accurate EtCO 2 monitoring and the necessary supplemental O 2 delivery.

27 Better patient comfort and usability with sizes for all

28 Salter divided design leads to better results True EtCO 2 Sampling and effective O 2 delivery without limitations at higher lpm rates 20,21 Effective O 2 delivery Reliable EtCO 2 measurement Salter Divided 4 4 Hudson Bifurcated 4 Medline Blow-by dual vent 4 Oridion Blow-by multi vent 4 Study conducted by Zablocki Veterans Affairs Medical Center and Medical College of Wisconsin, Milwaukee, WI Significantly outperformed other nasal in the specific measure. Statistically superior EtCO 2 monitoring accuracy compared to Hudson bifurcated (p<0.05)

29 References: 1. Amirav I, Luder AS, Halamish A, et al. Design of aerosol face masks for children using computerized 3D face analysis. J Aero Med Pulmonol Drug Deliv. 2014;27(4): Bridges J, De Jong W, Hajslova J, Stahl D. Opinion on the safety of medical devices containing DEHP-plasticized PVC or other plasticizers on neonates and other groups possibly at risk. Brussels, Belgium: European Commission Health Consumer Protection Directorate-General, Scientific Committee on Emerging and Newly-Identify Health Risks (EU); 2008 Feb. 3. Data on file. Salter Labs. 4. Phthalates [Internet]. Bethesda (MD): United States Consumer Safety Commission; [cited July 1, 2015]. Available from: Information/. 5. Gennings C, Hauser R, Holger KM, Kortenkamp A, Lioy PJ, Mirkes PE, Schwetz, BA. Chronic hazard advisory panel on phthalates and phthalate alternatives. Bethesda, MD: United States Consumer Safety Commission (US); 2014 Jul. 6. High Phthalates and the Road Ahead: Not All Plasticizers Are Created Equal. CHEManager online website. Accessed September 27, Newhouse M, Luder A, Chalamish A, Raviv D, Kimmel R, Amirav I. Evidence based design of face masks for children using computerized 3D face analysis. American Thoracic Society, San Francisco, CA. 8. Amirav I, Newhouse MT, Luder A, Halamish A, Omar H, Gorenberg M. Feasibility of aerosol drug delivery to sleeping infants: a prospective observational study. BMJ Open. 2014;4(3):e doi: /bmjopen Amirav I, Borojeni AAT, Halamish A, Newhouse MT, Golshahi L. Nasal versus oral aerosol delivery to the lungs in infants and toddlers. Pediatr Pulmonol doi: /ppul Newhouse M, Amirav I, Halamish A, et al. Prototype InspiraChamber and SootherMask : a unique system with optimized particle size and minimal dead space. American Thoracic Society, San Francisco, CA. 11. Amirav I, Diechman M, Halamish A, Luder A, Marzuk C, Newhouse M. Amirav I, Diechman M, Halamish A, Luder A, Marzuk C, Newhouse M. Computerized dead space volume measurement of facemasks applied to digitally simulated faces. American Thoracic Society, San Diego, CA. 12. Myers TR, Chatburn R, Rogers M, Camasso-Richardsobn K, Kerscmar C. Does nebulizer brand make a clinical difference in the emergency room management of pediatric asthma? Respiratory Care Open Form, Timmons I. Comparison of the efficacy of two nebulizers in treating acute exacerbation of COPD in the emergency department. Respir Ther. 2013;8(6). In press. 14. Hoisington ER, Chatburn RL, Stoller JK. A comparison of respiratory care workload with 2 different nebulizers. Respir Care. 2009;54(4): Misra C. Improved aerosol delivery characteristics of a breath enhanced nebulizer over a breath actuated nebulizer. 16. Cook TM, Woodall N, Harper J, Benger J, on behalf of the Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2: intensive care and emergency departments. Br J Anaesth. 2011;106(5): doi: /bja/aer Standards for basic anesthetic monitoring. American Society of Anesthesiologists Parameters of Care: Clinical Practice Guidelines for Oral and Maxillofacial Surgery. American Association of Oral and Maxillofacial Surgeons Neumar RW, Otto CW, Link MS, et al. Part 8: Adult Advanced Cardiovascular Life Support American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122(suppl3):S729-S Roth JV, Barth LJ, Womack LH, Morgenlander LE. Evaluation of two commercially available carbon dioxide sampling nasal cannulae. J Clin Monit. 1994;10(4): Ebert TJ, Novalija J, Uhrich TD, Barney JA. The effectiveness of oxygen delivery and reliability of carbon dioxide waveforms: a crossover comparison of 4 nasal cannulae. Anesth Analg. 2015;120(2):

30 Information Part No. Units Description CA Box of 25 CPAP Securement Device, size 0, for infants <700 g CA Box of 25 CPAP Securement Device, size 1, for infants g CA Box of 25 CPAP Securement Device, size 2, for infants g CA Box of 25 CPAP Securement Device, size 3, for infants g CA Box of 25 CPAP Securement Device, size 4, for infants >3000 g CA Box of 25 CPAP Securement Device, Variety Pack, 3 qty, size 0; 7 qty, size 1; 10 qty, size 2; 3 qty, size 3; 2 qty, size 4 HF Box of 25 High Flow Securement Device, clear silicone cannula system for infants <1250 g (0.84 x 3.00 ) HF Box of 25 High Flow Securement Device, clear silicone cannula system for infants >1250 g (1.00 x 3.50 ) MW pouches per box Mini-Whiskers exclusively for early-premature infants (<2000 g) x 1.4 per pouch, including 12 loops SW Box of 25 Sticky Whiskers one size fits all for infants (>2000 g) x 3.5 per pouch, including 2 loops SS100P sheets per box All-purpose, moisture resistant Silicone Strips (8 per sheet, 5.25 x 6.00 ) SS100C boxes per case All-purpose, moisture resistant Silicone Strips (8 per sheet, 5.25 x 6.00 ), with 10 sheets per box GR101P rolls Grippies non-toxic hook and loop fastener strip (9 roll x 0.50 wide) GR101C rolls Grippies non-toxic hook and loop fastener strip (9 roll x 0.50 wide) pairs Tender Grips skin fixation system pairs Tender Grips skin fixation system sheets Hydrocolloid strips 2 clear strips per sheet

31 Information Smaller Salter-Style non-phthalate Cannulas Standard pediatric with Salter-Style curved facepiece and 3-channel safety supply tubing Description Units per case Item number Maximum LPM Premature with 7 O 2 supply line LPM Neonate with 7 O 2 supply line LPM Infant with 4 O 2 supply line LPM Infant with 7 O 2 supply line LPM Intermediate infant with 7 O 2 supply line LPM Pediatric without O 2 supply line LPM Pediatric/small adult with 4 O 2 supply line LPM Pediatric/small adult with 7 O 2 supply line LPM Pediatric/small adult with TLCannula and 7 O 2 supply line TLC LPM Pediatric/small adult with Quiet facepiece and 7 O 2 supply line Q LPM Pediatric/small adult with 7 O 2 supply line and female thread grip connector TG LPM Pediatric/small adult Demand with 4 O 2 supply line LPM Pediatric/small adult Demand with 7 O 2 supply line LPM Description Units per case Item number Swivel connector for attaching tubing and avoiding kinks

32 Information Oxygen Supply Oxygen supply tubing Description Units per case Item number Smooth-bore Clear Safety channel Green 4 oxygen supply tubing oxygen supply tubing G oxygen supply tubing oxygen supply tubing G oxygen supply tubing G oxygen supply tubing G oxygen supply tubing G oxygen supply tubing G oxygen supply tubing G oxygen supply tubing oxygen supply tubing G oxygen supply tubing G oxygen supply tubing G oxygen supply tubing Oxygen supply tubing with thread grips Description Units per case Item number 7 tubing with one molded connector end and one female thread grip end tubing with female thread grip on both ends tubing with one male thread grip end and one female thread grip end

33 Information Non-phthalate Flex-Tip Endotracheal Tubes Description Preformed, Nasal, Uncuffed (PFNU) Box/5 Size (mm) Part no. H-PFNU-30 H-PFNU-35 H-PFNU-40 H-PFNU-45 H-PFNU-50 H-PFNU-55 H-PFNU-60 H-PFNU-65 H-PFNU-70 Description Preformed, Oral, Uncuffed (PFOU) Box/10 Size (mm) Part no. H-PFOU-30 H-PFOU-35 H-PFOU-40 H-PFOU-45 H-PFOU-50 H-PFOU-55 H-PFOU-60 H-PFOU-65 H-PFOU-70 Description Reinforced, Uncuffed (PFRU) Box/5 Size (mm) Part no. H-PFRU-30 H-PFRU-35 H-PFRU-40 H-PFRU-45 H-PFRU-50 Description Polyurethane ThinCuff, DEHP-free tubing, Magill Style, Cuffed (PTCL) Box/10 Size (mm) Part no. H-PTCL-30 H-PTCL-35 H-PTCL-40 H-PTCL-45 H-PTCL-50 H-PTCL-55 H-PTCL-60 H-PTCL-65 H-PTCL-70 Description Polyurethane ThinCuff, DEHP-free tubing, Murphy Style, Cuffed (PTCY) Box/10 Size (mm) Part no. H-PTCY-60 H-PTCY-65 H-PTCY-70 Description Low Profile, Cuffed (PFLP) Box/10 Size (mm) Part no. H-PFLP-30 H-PFLP-35 H-PFLP-40 H-PFLP-45 H-PFLP-50 H-PFLP-55 H-PFLP-60 H-PFLP-65 H-PFLP-70 Description Uncuffed (PFUO) Box/10 Size (mm) Part no. H-PFUO-25 H-PFUO-30 H-PFUO-35 H-PFUO-40 H-PFUO-45 H-PFUO-50 H-PFUO-55 H-PFUO-60 H-PFUO-65 H-PFUO-70

34 Information Vinyl Disposable Cuffs Monitor Neonatal Monitor Versions From: Philips/HP Siemens Datascope Spacelabs Adult Monitors From: CAS 740/750 Criticare 508 Datascope Accutor Plus Passport 2 Philips/HP Siemens Spacelabs Nihon Kohden Procyon IPro Adult Monitors From: Welch Allyn Protocol Propaq Single Tube Cuffs Cuff Size Color Code Limb Circumference 1-Tube Male Slip Luer 1-Tube Small Male Slip Luer 1-Tube Bayonet Connector 1-Tube Male Twist Lock Connector 1-Tube Female Twist Lock Connector Neo Vinyl #1 O 3-6 cm ZNCV4501L ZNCV4501SML ZNCV4501HP ZNCV4501MQM ZNCV4501MQF Neo Vinyl #2 Light Blue 4-8 cm ZNCV4601L ZNCV4601SML ZNCV4601HP ZNCV4601MQM ZNCV4601MQF Neo Vinyl #3 Green 6-11 cm ZNCV4701L ZNCV4701SML ZNCV4701HP ZNCV4701MQM ZNCV4701MQF Neo Vinyl #4 Dark Blue 7-13 cm ZNCV4801L ZNCV4801SML ZNCV4801HP ZNCV4801MQM ZNCV4801MQF Neo Vinyl #5 Red 8-15 cm ZNCV4901L ZNCV4901SML ZNCV4901HP ZNCV4901MQM ZNCV4901MQF Monitor Neonatal Monitor Versions From: Critikon Dinamap Marquette MDE Adult Monitors From: Critikon Dinamap Criticare 507 Invivo Research MDE Nihon Koden Lifescope L Spacelabs Adult Monitors From: Datex-Ohmeda Adult Monitors From: GE Medical Eagle 4000 Tram 100/200/300 Manual Inflation Double Tube Cuffs Cuff Size Color Code Limb Circumference 2-Tube Male Slip Luer 2-Tube Screw Type Connector 2-Tube Male/Female Twist Lock Connector 2-Tube Female Twist Lock Connector 2-Tube Manual Inflation With Male Luer Neo Vinyl #1 O 3-6 cm ZNCV4502L ZNCV4502D ZNCV4502MQMF ZNCV4502MQF ZNCV4512L Neo Vinyl #2 Light Blue 4-8 cm ZNCV4602L ZNCV4602D ZNCV4602MQMF ZNCV4602MQF ZNCV4612L Neo Vinyl #3 Green 6-11 cm ZNCV4702L ZNCV4702D ZNCV4702MQMF ZNCV4702MQF ZNCV4712L Neo Vinyl #4 Dark Blue 7-13 cm ZNCV4802L ZNCV4802D ZNCV4802MQMF ZNCV4802MQF ZNCV4812L Neo Vinyl #5 Red 8-15 cm ZNCV4902L ZNCV4902D ZNCV4902MQMF ZNCV4902MQF ZNCV4912L

35 Information InspiraChamber Part No. units Description IC-VHC /case InspiraChamber Antistatic Valved Holding Chamber IC-SMS each/case InspiraChamber Antistatic Valved Holding Chamber with Small SootherMask and Small InspiraMask IC-SMM each/case InspiraChamber Antistatic Valved Holding Chamber with Medium SootherMask and Medium InspiraMask IC-IMS each/case InspiraChamber Antistatic Valved Holding Chamber with Small InspiraMask IC-IMM each/case InspiraChamber Antistatic Valved Holding Chamber with Medium InspiraMask NebuTech NebuTech Nebulizer for Hospitals Part No. Units Description NebuTech Nebulizer for Home Part No. Units Description Disposable nebulizer, mouthpiece, and 7 supply tube Reusable nebulizer, mouthpiece, and 7 supply tube Disposable nebulizer, with pediatric mask, and 7 supply tube Filter only (reusable) Pediatric aerosol mask without supply tube Replacement filter pads (30 filters per bag) Disposable filter Reusable nebulizer, mouthpiece, 7 supply tube, and Salter Safety TM PEP device with nose clip Salter Safety TM PEP device with nose clip Salter Safety TM PEP device with nose clip Salter Safety TM PEP device with nose clip 8960-PEP Disposable nebulizer, mouthpiece, 7 supply tube, and Salter Safety TM PEP device with nose clip

36 Information Male Luer-Lok Connector Pediatric Infant intermediate Infant Female Luer-Lok Connector Male Luer-Lok Connector Male Luer-Lok Connector part no. (25 units per case) Divided EtCO 2 Sampling Cannula the highest level of safety and performance in EtCO 2 nasal sampling 7 O 2 supply line Male Luer-Lok Connector Male Luer-Lok Connector 2 CO 2 Pigtail F F F CO 2 Line F F F Piggyback EtCO 2 Sampling Cannula for patients with a deviated septum or occluded naris 7 O 2 supply line 2 CO 2 Pigtail 4102F CO 2 Line F O 2 supply line 10 CO 2 Line F O 2 supply line 14 CO 2 Line F EtCO 2 Sampling Lines Male to Female Male to Male Female to Female part no. (25 units per case) 7 CO 2 sampling CO 2 sampling CO 2 sampling CO 2 sampling

37 Salter is redefining neonatal and pediatric respiratory care Soft, sensitive and protection Safe materials Gentle AWHON/NANN-recommended adhesives Unique designs for improved comfort and fit A broad of sizes based on age and weight Exclusive technology applied to your neonatal and pediatric needs A clear focus on your tiniest patients Call today for more information or to schedule an in-service demonstration NebuTech is a registered trademark of Salter Labs. InspiraAlert, InspiraChamber, InspiraMask, and SootherMask are trademarks of InspiRx, Inc. All rights reserved. All other product trademarks are the property of their respective owners Camino Vida Roble Carlsbad, CA Phone: , , Fax: Toll-Free Fax: salterlabs@salterlabs.com SLML153A, Rev. Oct. 2015