The microchip catheter program

Transcription

1 Advanced Neuromonitoring Solutions The microchip catheter program for diagnostic applications in neurosurgery clinics and practices

2 Table of contents Page NEUROVENT microchip catheters with maximum precision Microchip catheter 3-7 Microchip catheter accessories 8-9 Telemetry NEUROVENT microchip catheters are used in invasive neurosurgical procedures for the reliable of: Oxygen partial pressure Accessories for the MPR 1 DATALOGGER and MPR2 logo DATALOGGER ICP (intracranial pressure) ICT (intracranial temperature) BOLT KIT and DRILL KIT 16 p ti (oxygen partial pressure) Tunneling Sleeve 17 Disposable ventricular catheter ICP is measured using semiconductor pressure sensors. The of oxygen partial pressure takes place using the oxygen quenching process. Consequently the level and changes in the parameters are measured safely, quickly and accurately. RAUMEDIC offers a wide range of microchip catheters for parenchyma as well as ventricular and epidural pressure. Epidural pressure Parenchyma pressure Referenzen: (2012), Neurosurgery 70: 44-49, DOI: /NEU.0b013e31822dda12, First Clinical Results With a New Telemetric Intracranial Pressure-Monitoring System, MD MA Stefan Welschehold, Cand Med Eva Schmalhausen, MD Philippe Dodier, MD Sonja Vulcu, MD PhD Joachim Oertel, MD PhD Wolfgang Wagner, MD Christoph A. Tschan; Ventricular pressure Journal of Clinical Neuroscience (2011), DOI: /j.jocn , An outcome analysis of two different procedures of burr-hole trephine and external ventricular drainage in acute hydrocephalus, Petra Schödel, Martin Proescholdt, Odo-Winfried Ullrich, Alexander Brawanski, Karl-Michael Schebesch; (2010), Neurosurgery 67: , Evaluation of a Novel Brain Tissue Oxygenation Probe in an Experimental Swine Model, MD Berk Orakcioglu, MD Oliver W. Sakowitz, MD Jan-Oliver Neumann, MD Modar M. Kentar, MD PhD Andreas Unterberg, MD PhD Karl L. Kiening; Acta Neurochir (2009) DOI /s x, Brain tissue oxygen monitoring: a study of in vitro accuracy and stability of Neurovent-PTO and Licox sensors, Karlis Purins, Per Enblad, Bo Sandhagen, Anders Lewén; Acta Neurochir (Wien) (2004) DOI /s z, Bench test assessment of the new RAUMEDIC Neurovent-P ICP sensor: a technical report by the BrainIT group, G. Citerio, I. Piper, M. Cormio, D. Galli, S. Cazzaniga, P. Enblad, P. Nilsson, C. Contant, and I. Chambers on behalf of the BrainIT Group; Journal of Neuroscience Methods 139 (2004) , Accuracy and stability of temperature probes for intracranial application, Beat Alessandri, Bernd M. Hoelper, Robert Behr, Oliver Kempski; AJNR Am J Neuroradiol 26: , February 2005, Evaluation of MR Imaging Compatibility of a New Intracranial Pressure Monitoring Device, Jens O. Heidenreich, Rüdiger Stendel, Mario Brock, Karl-Jürgen Wolf, and Andreas M. Schilling; Acta Neurochir (2003) 145: , DOI /s , Clinical evaluation of a new intracranial pressure monitoring device, R. Stendel, J. Heidenreich, A. Schilling, R. Akhavan-Sigari, R. Kurth, T. Picht, T. Pietilä, O. Suess, C. Kern, J. Meisel, and M. Brock; 2 3

3 NEUROVENT precision pressure catheters are used to carry out the following s: Parenchyma Clinical advantages: Parenchyma pressure, temperature and p ti in one catheter Plug & play system no calibration necessary NEUROVENT VP 16 Direct connection without an intermediate monitor to the (except NEUROVENT-PTO and NEUROVENT-TO) Compatible with all standard s MR conditional Reproducible reproduction of the pressure curves with highly accurate resolution of the fine structure for wave analysis Excellent stability and linearity NEUROVENT-P Parenchyma ICP Range for all applications (parenchyma, ventricular, epidural) NEUROVENT-P-TEMP Parenchyma ICP and temperature Simple monitor change without loss is possible during ICP through use of zero point simulator NEUROVENT-PTO Parenchyma ICP, temperature and p ti NEUROVENT-TO Parenchyma temperature and p ti No oxygen consumption by the sensor No scattered light sensitivity Centimetre scale (numeric all 5 cm, BOLT-mark) NEURODUO Parenchyma ICP with two points RAUMEDIC precision multiparameter catheters prevent measuring errors: Ventricular NEUROVENT Ventricular ICP and CSF drainage Opening of CSF drainage Closing of CSF drainage NEUROVENT-TEMP Ventricular ICP and temperature with CSF drainage slit ventricles 30 NEUROVENT 3-Lumen Ventricular ICP with CSF drainage and infusion NEUROVENT 3-Lumen-TEMP Ventricular ICP and temperature with CSF drainage and infusion 30 seconds 30 seconds NEUROVENT with sleeve housing Ventricular CSF drainage and parenchyma ICP NEUROVENT VP 16 time Figure 1: Pressure with slit ventricles Figure 2: Comparison catheter Figure 3: NEUROVENT Epidural Ventricular CSF drainage and parenchyma ICP, neuro navigable NEURODUR Epidural ICP NEURODUR-TEMP 1) Precise of the pressure variation (red curve) using a RAUMEDIC- NEUROVENT in comparison with using a catheter with an external transducer (blue curve); the latter exhibits failures and incorrect s. Figure 1 2) Opening and closing of a CSF drainage: Measurement using a ventricular catheter with an external transducer. The jump in pressure upon opening of the CSF drainage represents an artefact. Figure 2 3) Continuous, artefact-free measuring of the ICP using the RAUMEDIC-NEUROVENT. Figure 3 Epidural ICP and temperature 4 5

4 Microchip catheter program Parenchyma Measurement Product Version Dimension Article number NEUROVENT-P ICP 5F NEUROVENT-P-TEMP ICP + temperature 5F NEUROVENT-PTO ICP + temperature + p ti 5F NEUROVENT-PTO Treatment KIT Catheter + BOLT KIT PTO + DRILL KIT CH5 5F NEUROVENT-PTL ICP + Temperatur + p ti 5F NEUROVENT-TO Temperatur + p ti 3F NEUROVENT-TO Treatment KIT Catheter + BOLT KIT PTO + DRILL KIT CH5 3F NEURODUO ICP with two points 5F Technical data Pressure range Upper cut-off frequency Catheter material Measurement range temperature sensor Pressure sensitivity Measurement* range p ti -40 to +400 mmhg (-5,3 to 53 kpa) 20,000 Hz (-3 db) Polyurethan +25 C to +45 C 5 µv/v/mmhg mmhg NEUROVENT-P Ventricular s Product Version Dimension Article number NEUROVENT ICP + drainage, with stylet 9F NEUROVENT 6F ICP + drainage 6F NEUROVENT-IFD-S NEUROVENT-IFD-R ICP + drainage soft internal guide wire 9F ICP + drainage rigid internal guide wire 9F NEUROVENT with sleeve housing ICP + drainage, with sleeve housing (ventricular + parenchyma) Ventricle drainage, ICP in the parenchyma 9F NEUROVENT VP 16 ICP drainage, neuro navigable (ventricular + parenchyma) Ventricle drainage, ICP in the parenchyma 9F NEUROVENT-TEMP ICP + drainage + temperature, with stylet 9F NEUROVENT-TEMP-IFD-S NEUROVENT-TEMP-IFD-R ICP + drainage + temperature soft internal guide wire 9F ICP + drainage + temperature rigid internal guide wire 9F NEUROVENT 3-Lumen ICP + drainage, infusion with 3 lumens 9F NEUROVENT 3-Lumen-TEMP ICP + temperature + drainage, infusion with 3 lumens 9F *Measurement accuracy ± 2,5 mmhg p ti (for < 120 mmhg p ti ) Zero point stability Ø Deviation after 100 hours 0,89 mmhg NEUROVENT NEURODUR Epidural s Produkt Version Dimension Article number NEURODUR ICP 6 x 2,1 mm ( head) NEURODUR-TEMP ICP + temperature 6 x 2,1 mm ( head) 6 7

5 Accessories for transferring values to the Measuring chain from the catheter to the Product Description Article number ICP-TEMP-Cable Connecting cable between ICP catheter and zero point simulator NPS2 ICP-TEMP-Adapter Adapter between zero point simulator NPS and ICP-TEMP-Adapter Philips/HP Adapter between zero point simulator NPS and Philips/HP NPS2 Siemens/Draeger Infinity Adapter cable to Siemens/Draeger Infinity NPS2 Philips/HP Adapter cable to Philips/HP NPS2 Nihon Kohden BSM 41xx Adapter cable to Nihon Kohden BSM 41xx NPS2 GE/MARQUETTE Adapter cable to GE/MARQUETTE NPS2 Datex Ohmeda Adapter cable to Datex Ohmeda NPS2 SpaceLabs Adapter cable to SpaceLabs NPS2 Fukuda Denshi Adapter cable to Fukuda Denshi NPS2 Available for all standard monitor types ICP-TEMP-Cable Art.No.: Zero point simulator NPS2 for further monitor types upon request Patient monitor Alternative NPS3 Clinical advantages: Direct connection to the without ICP monitor Plug & play system no calibration necessary Simple monitor change without loss is possible during ICP through use of zero point simulator 8 9

6 Telemetric ICP NEUROVENT -P-tel and NEUROVENT -S-tel NEUROVENT-P-tel Parenchyma telemetry catheter 5F catheter tube NEUROVENT-P-tel Transdermal telemetry system readp for subdural or parenchyma ICP Catheter length 30 mm MR conditional Clinical advantages: Wireless communication with the telemetry catheter Completely implantable pressure measuring catheter NEUROVENT-S-tel Subdural telemetry catheter 5F catheter tube Catheter length 65 mm NEUROVENT-S-tel Parenchyma and subdural ICP MR conditional Data acquisition using RAUMEDIC MPR 1 DATALOGGER USB data transfer to PC / laptop possible Reader TDT1 readp RFID reader for communication with the telemetry catheters Reader TDT1 readp Mobile ing for stationary applications Telemetric of pressure values Use of the telemetry catheter for up to 3 month Connection to the RAUMEDIC MPR 1 DATALOGGER Product Description Article number NEUROVENT-P-tel Parenchyma telemetric catheter NEUROVENT-S-tel Subdural telemetric catheter Reader TDT1 readp RFID reader for communication with the telemetric catheters MPR 1 DATALOGGER Measurement and storage of pressure s in a single handy device Display of telemetric ICP MPR 1 DATALOGGER MPR 1 DATALOGGER Acquisition of values Suitable for mobile use thanks to low weight Simple and safe operating interface Analogue output and USB interface Mains / battery operation Display of ICP, ART, CPP and temperature is possible with applicable catheters 10 11

7 Oxygen partial pressure NEUROVENT -PTO Oxygen partial pressure records the available oxygen in the brain tissue. This ensures that possible cerebral damage is quickly detected and also that appropriate measures for the avoidance of cerebral ischaemia can be taken. NEUROVENT-PTO One catheter Three functions ICP Temperature NEUROVENT-PTO p ti Product Description Dimension Article number NEUROVENT-PTO ICP + temperature + p ti 5F NEUROVENT-PTO Treatment KIT Catheter + BOLT KIT PTO + DRILL KIT CH5 5F NEUROVENT-TO Temperatur + p ti 3F NEUROVENT-TO Treatment KIT Catheter + BOLT KIT PTO + DRILL KIT CH5 3F NEUROVENT-PTL ICP-Temperatur + p ti 5F BOLT KIT PTL only for NEUROVENT-PTL CH MPR2 logo DATALOGGER NEUROVENT-TO Catheter for measuring temperature and p ti NEUROVENT-PTL Unique catheter for craniotomies which measures ICP, temperature and p ti ; besides application with the BOLT KIT PTL and a microdialysis catheter NEUROVENT-TO NEUROVENT-PTL BOLT KIT PTL BOLT with two lumens for safe and functional implantation of the NEUROVENT-PTL and a microdialysis catheter BOLT KIT PTL Clinical advantages: Parenchyma pressure, temperature and p ti in one catheter MPR2 logo DATALOGGER Acquisition and storage of pressure values using a single handy device. Simple and safe operating interface MPR2 logo DATALOGGER Plug & play system no calibration necessary Low weight (mobile use possible) No oxygen consumption by the sensor Analogue output and USB interface No refrigeration required Mains / battery operation 12 Data acquisition using RAUMEDIC MPR2 logo DATALOGGER Display of ICP, p ti, ART, CPP and temperature is possible with applicable catheters 13

8 Accessories for the MPR 1 DATALOGGER and MPR2 logo DATALOGGER Product Description Article number Cable PTO Connecting cable for transferring the pressure and temperature signals to the MPR2 logo DATALOGGER Cable LWL Fibre optic connecting cable for transferring the oxygen signal to the MPR2 logo DATALOGGER ICP-TEMP-Cable Connecting cable between ICP catheter and zero point simulator NPS2 ICP-TEMP-Adapter Adapter between zero point simulator NPS and USB-Cable Connecting cable between MPR 1/2 and a PC/laptop Cable DATALOGGER GE/MARQUETTE Connecting cable between MPR 1/2 and GE/MARQUETTE Cable DATALOGGER Philips/HP Connecting cable between MPR 1/2 and Philips/HP Cable DATALOGGER Connecting cable between MPR 1/2 and Siemens/Draeger Siemens/Draeger Infinity Infnity Cable DATALOGGER SpaceLabs Connecting cable between MPR 1/2 and SpaceLabs Cable DATALOGGER Datex Ohmeda Connecting cable between MPR 1/2 and Datex Ohmeda Cable DATALOGGER Hellige Connecting cable between MPR 1/2 and Hellige Transducercable DATALOGGER Connecting cable between MPR 1/2 and disposable transducer Smith Medical (Smith Medical DPT-6100) Transducercable DATALOGGER Connecting cable between MPR 1/2 and disposable transducer Combitrans (Combitrans) Transducercable DATALOGGER Connecting cable between MPR 1/2 and disposable transducer Medex MX 860 (Medex) Transducercable DATALOGGER Connecting cable between MPR 1/2 and disposable transducer Medex MX 960 (Medex) Transducercable DATALOGGER Connecting cable between MPR 1/2 and disposable transducer pvb xtrans (pvb xtrans) Transducercable DATALOGGER Connecting cable between MPR 1/2 and disposable transducer Becton Dickinson (BD PMSET 1DT-XX) Transducercable DATALOGGER Connecting cable between MPR 1/2 and disposable transducer Edwards TRUWAVE (Edwards TRUWAVE) Transducer DATALOGGER Power supply DATALOGGER Power supply Temperature electrodes extern Measurement of the skin surface temperature Temperature catheter intern Rectum temperature Stand Fixation DATALOGGER Pole mounting device Table Fixation DATALOGGER For use as a table mounted device Shoulder strap DATALOGGER For fastening the MPR1/2 to the patient Software DATALOG PC analysis software based on Excel

9 BOLT CH9 RAUMEDIC BOLT KIT and DRILL KIT RAUMEDIC spliceable Tunneling Sleeve BOLT CH5 Screwing in tool Safe and functional fastening of the catheter is achieved using the BOLT KIT. Other accessories for catheter application are the RALK-Hand Drill and the DRILL KIT. BOLT KIT components: 1. Polymer screw with seal 2. Dura opener 3. Screwing in tool 4. Fixing cap The spliceable Tunneling Sleeve is suitable for routing the RAUMEDIC catheter and is intended for single use only. The main advantage of the spliceable Tunneling Sleeve is the contamination-free application of the catheter and its complete, trouble-free removal after fastening of the catheter. BOLT KIT advantages: Suitable for all imaging methods Product Article number Spliceable Tunneling Sleeve CH (for parenchyma catheters) Spliceable Tunneling Sleeve CH (for ventricular catheters) Low BOLT height BOLT KIT components and DRILL KIT Self-cutting conical thread with sealing function Advantages: Trocar with optimised cutting geometry DRILL KIT components: 5. Drill bit with stopper 6. Allen key Atraumatic adaptation of the tip for low resistance application Spliceable Tunneling Sleeve from biocompatible, polymer material in its initial state RALK-Hand Drill, autoclavable Product Description Article number BOLT KIT CH5 for parenchyma catheters Colour tear-off strip for clear use DRILL KIT CH5 for BOLT KIT CH BOLT KIT CH9 for ventricular catheters DRILL KIT CH9 for BOLT KIT CH BOLT KIT PTO only for NEUROVENT-PTO/-TO BOLT KIT PTL (CH9) only for NEUROVENT-PTL RALK-Hand Drill autoclavable drill

10 RAUMEDIC disposable ventricular catheters Material VENTRICULAR CATHETER 1-lumen tunneling CSF-DRAINAGE REM IMAGE OF THE RAUMEDIC PU VENTRICULAR CATHETER* REM IMAGE OF A STANDARD VENTRICULAR CATHETER, TYPICALLY OF SILICONE version * PU: Polyurethane RAUMEDIC-PU catheter with smooth surface structure The catheters are used for external ventricular drainage (EVD). Product Version Packaging Article number Ventricular catheter CH9 / 300 mm tunneling version 10 pcs / pack CSF-Drainage 15 pcs / pack Spare bag for CSF-Drainage 10 pcs / pack VENTRICULAR CATHETER, 1-lumen tunneling version Including trocar, stylet, Luer connector, butterfly and clamp Compatible with all standard pressure transducers Polyurethane catheter 30 cm long Spare filter for CSF-Drainage 10 pcs / pack Ventricular catheter 1-Lumen CH9 / 300 mm (long) 5 pcs / pack Ventricular catheter 1-Lumen CH9 / 200 mm (short) 5 pcs / pack Ventricular catheter 2-Lumen CH9 / 300 mm (long) 5 pcs / pack Ventricular catheter 2-Lumen CH9 / 200 mm (short) 5 pcs / pack Ventricular catheter 3-Lumen CH9 / 300 mm (long) 5 pcs / pack Ventricular catheter 3-Lumen CH9 / 200 mm (short) 5 pcs / pack Length scale provided CSF-DRAINAGE Clinical advantages: System for draining and collecting CSF Accessories Replacement bag and filter for the CSF-Drainage User-friendly application Simple application using BOLT or Tunneling Sleeve Immediate liquor checking through transparent catheter tube Reliable location identification due to titanium ball or X-ray contrast strips Compatible with all standard pressure transducers Kink-resistant Also available as 1-, 2- and 3-lumen catheter 18 19

11 Service Worldwide! RAUMEDIC Brain Competence RAUMEDIC AG Hermann-Staudinger-Str Helmbrechts Germany Tel: +49 (0) Fax: +49 (0) hospitalcare@raumedic.com Commerce Street, Suite 108 Lake Mary, FL Sources: Page 3: Brand X Pictures fotosearch.de, Heading, page 7: AlienCat Fotolia.com Page 14: ktsdesign Fotolia.com, rear page: Sebastian Kaulitzki Fotolia.com C96700 EN 05_2013 Copyright by RAUMEDIC AG