NEW PRODUCT INSIDE. E-Cath/E-Cath Plus. Echogenic Catheter over Needle CNB System. Nerve Blocks

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1 E-Cath/E-Cath Plus NEW PRODUCT INSIDE Nerve Blocks

2 The Nerve Block Catheter Challenge Is your traditional catheter system giving you headaches? LEAKAGE MISSING 3RD HAND DIFFICULT TO PLACE DISLOCATION TOO MANY STEPS E-Cath/E-Cath Plus The clear choice in Continuous Nerve Blocks (CNB) Developed together with Dr. Ban Tsui, the E-Cath/E-Cath Plus combines the best from clinical experience and engineering expertise, resulting in a system that addresses the biggest catheter problems in CNBs: complexity, catheter kinking, anesthetic leakage and catheter dislocation and migration. 1,2,3,4 The result is: easier, faster, safer and more reliable continuous nerve blocks and the reduction of workload during post-op pain management. See for application details and product videos E-Cath E-Cath Plus MIGRATION KINKING CON Technique Catheter over Needle Technique E-Cath/E-Cath Plus can solve the problems by: Making catheter placement as easy as a single shot Reducing the chance of leakage Reducing the chance of dislocation and catheter migration Reducing the chance of catheter kinking Offering an optimized local anesthetic spread Providing optimized ultrasound visiblility of needle tip, needle shaft, and catheter Significantly reduces the chance of anesthetic leakage and catheter dislocation or migration 1,2,4 Before Needle Removal Needle Needle Lumen Indwelling Catheteter After Needle Removal Catheter Lumen Indwelling Catheteter

3 E-Cath The classic option Building upon the Catheter over Needle concept, the E-Cath makes the nerve block catheter placement as easy as 1, 2, 3. Patient Safety and Comfort SoftTip Technology to reduce the chance of nerve damage. Safe Flow and Kink Resistance The double layer catheter technology solves the kinking problem and guarantees a consistent anesthetic flow. This is additionally supported by the open tip & 360 degree side port. SonoPlex Needle with Indwelling Catheter E-Catheter with Indwelling Catheter SelfPriming System The E-Catheter comes with a proximal opening which allows the anesthetic to flow, besides the open tip, also between the outer wall and the indwelling catheter. This feature creates the 360 degree flow and improves the U/S-visibility of the E-Catheter. SelfPriming System The needle has a distal opening that allows for the anesthetic to flow additionally between the outer needle wall and the indwelling catheter. This helps improving the U/S-visibility during needle placement. Integrated Injection Tubing Reduction of procedural steps: catheter adapter is pre-assembled to the catheter system. Cornerstone Reflectors The patented 360 degree Cornerstone Reflectors known from Pajunk SonoPlex needles provide the best available U/S-visibility of the needle and needle tip. 5,6 360 Gliding and Stimulation NanoLine coating provides excellent gliding and stimulation qualities, and helps improving the U/S-visibility of the needle.

4 E-Cath Plus The extended tip option The E-Cath Plus brings all the benefits of the classic E-Cath system and offers additionally the following features: Longer inner catheter tip Unique 360 degree side port along with 3 lateral openings NEW PRODUCT! The perfect E-Cath fixation Simple use, small size & clear film material Product advantages at a glance Designed to further reduce catheter migration and dislocation 15 mm Easy and quick application Universally usable for all nerve blocks due to small size Longer E-Catheter tip protrudes 15mm past the indwelling catheter Easy placement past the nerve Compensates for minor tissue movement reducing chance of catheter migration Puncture site can be easily inspected at any time due to clear film material Skin friendly hydrocolloid dressing Internal E-Catheter with integrated stylet (25mm length) at proximal end Easy threading and additional stability to the soft inner catheter Allows the tip to remain flexible and atraumatic No additional procedural steps Studies 1 Ip V. H. Y. et al. The catheter-over-needle assembly offers greater stability and less leakage compared to the traditionalcounterpart in continuous interscalene nerve blocks: a randomized, patient-blinded study, Can. J. Anesth. 2013; 60: *² 2 Ip V. H. Y. et al. The safety of an interscalene catheter-over-needle technique, Anesth. 2013; 68: *² 3 Herring A. A. et al. Emergency department placement of perineural catheters for femoral fracture pain management, Am. J. Emerg. Med. 2014; 32(3), 287: 1 3 *¹ 4 Tsui B. C. H. et al. Less leakage and dislodgement with a catheter-over-needle versus a catheter through-needle approach for peripheral nerve block: an ex vivo study, Can. J. Anesth. 2012; 59: *² 5 Fuzier R. et. al. The echogenicity of nerve blockade needles, Anaesthesia 2015, 70: Hebard S. et al. Two-dimensional mapping to assess direction and magnitude of needle tip error in ultrasound-guided regional anaesthesia, Anaesthesia Intensive Care 2011; 39: Ip V. H. Y. et al. The catheter-over-needle assembly facilitates delivery of a second local anesthetic bolus to prolong supraclavicular brachial plexus block without time-consuming catheterization steps: a randomized controlled study, Can. J. Anesth. 2013; 60: *² Unique 360 degree side port along with 3 lateral openings Even distribution of medication around the target site 8 Ip V. H. Y. et al. Lower interscalene approach for elbow surgery, Can. J. Anesth. 2013; 60: *² 9 Shakespeare T. J. et al. Catheter-over-needle method facilitates effective continuous infraclavicular block, Can. J. Anesth. 2013; 60: *² 10 Ip V. H. Y. et al. Potential contamination of the surgical site caused by leakage from an interscalene catheter with the patient in a seated position: a case report, Can. J. Anesth. 2012; 59: *² *1 E-Cath is called E-Catheter in this study *2 E-Cath is called Multi-Set in this study

5 E-Cath E-Cath Plus E-Cath with 18G x 2 (51 mm) indwelling catheter, SonoPlex Needle 21G x 2 2/3 (68 mm), 20G Self Priming Catheter and E 10 E-Cath Plus with 18G x 2 (51 mm) indwelling catheter, SonoPlex Needle 21G x 2 2/3 (68 mm), 20G Self Priming Catheter with 15mm extended tip and 3 lateral openings and E 10 E-Cath with 18G x 3 (75 mm) indwelling catheter, SonoPlex Needle 21G x 3 2/3 (94 mm), 20G Self Priming Catheter and E 10 E-Cath Plus with 18G x 3 (75 mm) indwelling catheter, SonoPlex Needle 21G x 3 2/3 (94 mm), 20G Self Priming Catheter with 15mm extended tip and 3 lateral openings and E 10 E-Cath with 18G x 3 1/4 (83 mm) indwelling catheter, SonoPlex Needle 21G x 4 (101 mm), 20G Self Priming Catheter and E 10 E-Cath Plus with 18G x 3 1/4 (83 mm) indwelling catheter, SonoPlex Needle 21G x 4 (101 mm), 20G Self Priming Catheter with 15mm extended tip and 3 lateral openings and E 10 E-Cath with 16G x 5 1/5 (132 mm) indwelling catheter, SonoPlex Needle 20G x 6 (150 mm), 20G Self Priming Catheter and E 10 E-Cath Plus with 16G x 5 1/5 (132 mm) indwelling catheter, SonoPlex Needle 20G x 6 (150 mm), 20G Self Priming Catheter with 15mm extended tip and 3 lateral openings and E 10 Nerve Block Catheter Fixation Device Z 10 See for application details and product videos PAJUNK Medical Systems, L.P Bay Circle, Suite 140 Norcross, Georgia Toll Free: PAJUNK ( ) Phone: Fax: info@pajunk-usa.com Web: RAN-01 03/17

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