Peripheral Nerve Block Solutions

Transcription

1 Peripheral Nerve Block Solutions Needles, Catheter Systems, Support Trays and Nerve Stimulator Whichever road you take, B. Braun can get you there. The market leader in Regional Anesthesia and Acute Pain Management solutions

2 B. Braun Regional Anesthesia and Acute Pain Management Solutions Advocating, Educating & Managing Costs for Improved Patient, Facility & Financial Outcomes B. Braun can help develop your program in the following three ways: Advocate for Improved Outcomes RAadvantages.com is an educational resource to help you quantify the cost of treating adverse events associated with the overuse or sole dependency on gas anesthesia and opioids. The site highlights the many benefits of RA to patients, practitioners and administrators through clinical studies, video testimonials and downloadable resources. Develop Custom Education Programs Delivered by a B. Braun proctor at your facility Educational content tailored to meet individual facility learning needs for single shot and continuous nerve block program development. Develop your Regional Anesthesia and Acute Pain Management Program with the world leader in Regional Anesthesia. Call your local representative to discuss your goals and challenges. An Educational Resource brought to you by B. Braun Medical's Aesculap Academy. 1

3 Clinically Relevent Product Recommendations Based on your preferred modality and cost position Whichever road you take B. Braun provides products to fit your practice. Ask yourself the following: 1. Do you need a product with enhanced echogenicity? ENHANCED NEEDLE ENHANCED CATHETER These icons indicate needles and catheters designed for enhanced ultrasound visibility. Yes. B. Braun's Ultraline needles are designed for enhanced echogenicity for users beginning ultrasound and for blocks at steeper angles where needle visualization may be more challenging. B. Braun's springwound metal-coil catheters are designed to be visualized under ultrasound to help verify placement. No. Many clinicians choose not to use ultrasound enhanced products and are comfortable with standard needles and catheters. 2. Do you need a product with stimulation capability? NEEDLE CATHETER These icons indicate needles and catheters designed for nerve stimulation. Yes. Stimulation can be used for needle guidance, placement confirmation, or as a safety feature before injection to check for intra-neural placement. Studies have shown that a stimulation response at 0.2 ma may indicate intra-neural placement.1 Stimulating catheters can be used to verify catheter placement when ultrasound is not used. Single Shot Needles Catheter Systems Support Trays and Stimulators No. Some clinicians are comfortable locating the nerve using ultrasound without the aid of stimulation. 1 Bigeleisen, Paul E., et al. Extraneural versus Intraneural Stimulation Thresholds during Ultrasound-guided Supraclavicular Block. Anesthesiology 2009; 110:

4 Single Shot Needles Stimuplex A For Stimulation-Only or Dual Guidance Techniques No echogenic markings Stimulation capability Atraumatic 30 bevel Stimuplex Ultra For Dual Guidance Techniques Echogenic markings along first 2 cm Stimulation capability Atraumatic 30 bevel NEEDLE NEEDLE ENHANCED NEEDLE + Supports ALL Guidance Techniques 4 2cm echogenic pattern Advantages: Highest usability score in a study comparing three manufacturers needles2 Over 80% of US clinicians use Stimuplex A as their preferred single shot needle for stimulation and ultrasound blocks.3 Advantages: Help visualize and differentiate the needle shaft from the tip at steeper angles under ultrasound. Crisp needle image with distinct echogenic points. Similar tactile feedback and overall needle feel as Stimuplex A2 Gauge Length Order No in. (25 mm) in. (25 mm) /8 in. (35 mm) in. (50 mm) in. (100 mm) in. (150 mm) Gauge Length Order No /8 in. (35 mm) in. (50 mm) /8 in. (80 mm) in. (100 mm) in. (150 mm) A. Sardesai, N. Denny., M. Herrick, A. Lynch, A. W. Harrop-Griffiths, A study of the characteristics of single-injection insulated block needles in a biologic model. RAPM Vol. 29 No. 5, (Sept- Oct, 2004.) 3. IMS data: Q Stimuplex Ultra, 22G x , in porcine model 3

5 Ultraplex For Ultrasound-Only Techniques Echogenic markings along first 2 cm No stimulation capability Atraumatic 30 bevel Plexufix For Ultrasound-Only Techniques No echogenic markings No stimulation capability Atraumatic 30 or 45 bevel Single Shot Needles ENHANCED NEEDLE 4 2cm echogenic pattern Advantages: Help visualize and differentiate the needle shaft from the tip at steeper angles under ultrasound. Advantages: Most cost-effective solution for those who do not stimulate Crisp needle image with distinct echogenic points. Similar tactile feedback and overall needle feel as Stimuplex A2 Gauge Length Order No /8 in. (35 mm) in. (50 mm) /8 in. (80 mm) in. (100 mm) in. (150 mm) Gauge Length Bevel Order No in. (25 mm) 30º in. (25 mm) 30º /2 in. (40 mm) 45º in. (50 mm) 30º in. (50 mm) 30º

6 Continuous PNB Sets and Trays Contiplex Tuohy & Contiplex S For Stimulation-Only or Dual Guidance Techniques Tuohy or straight-bevel needle Fully insulated needle with micro-dot electrode Perifix standard catheter - 20 Ga. polyamide closed tip Includes patented sideport valve* Contiplex Tuohy Ultra For Dual Guidance Techniques Echogenic markings along first 2 cm of needle Fully insulated needle with micro-dot electrode Perifix standard catheter - 20 Ga. polyamide closed tip Includes patented sideport valve* NEEDLE NEEDLE + ENHANCED NEEDLE 4 2cm echogenic pattern System Advantages: Micro-point electrode enhances needle accuracy Contiplex S features straight cut facet bevel Kink-resistant catheter Contiplex Tuohy & S Sets with Perifix Standard Catheter Needle Product Code Order No. 1.5 in. Tuohy CNB in. Tuohy CNB200T in. Tuohy CNB in. Tuohy CNB in. 20º Straight CNB200S in. 20º Straight CNB400S in. 20º Straight CNB600S Contiplex Tuohy Trays with Perifix Standard Catheter Needle Cover & Gel Product Code Order No. 2 in. Yes CNB200TKU in. Yes CNB400TKU in. No CNB200TK in. No CNB400TK System Advantages: Help visualize and differentiate the needle shaft from the tip at steeper angles under ultrasound Micro-point electrode enhances needle accuracy Kink-resistant catheter Contiplex Tuohy Ultra Sets with Perifix Standard Catheter Needle Product Code Order No. 2 in. CNB200TU in. CNB400TU in. CNB600TU Contiplex Tuohy Ultra Trays with Perifix Standard Catheter Needle Cover & Gel Product Code Order No. 2 in. Yes CNB200TUKU in. Yes CNB400TUKU Trays include Chloraprep prep solution. See the Pain Control Product Reference Guide or contact your B. Braun representative for complete tray components. Trays not available in Canada. Indicates trays which include Ultrasound Transducer Cover and Gel. 5

7 Contiplex Stim For Stimulation-Only or Dual Guidance techniques Stimulating 20 Ga. closed tip multiport catheter with stylet Catheter's flat-wire coils provide visibility under ultrasound Fully insulated Tuohy needle with micro-dot electrode Includes patented sideport valve* Contiplex FX For Ultrasound-Only Techniques 19 Ga. soft springwound catheter Open and closed tip catheter configurations 17 Ga. X 3.5 in. non-stimulating Tuohy needle Includes patented sideport valve* Catheter Systems NEEDLE CATHETER ENHANCED CATHETER ENHANCED CATHETER + + Ideal for TAP Blocks System Advantages: Ultrasound visible, stimulating catheter Fully enclosed catheter tip no exposed coils Focused stimulation pattern from catheter tip Fully insulated needle with micro-point electrode to enhance accuracy Contiplex Stim Sets with Contiplex Tuohy Needle Needle Product Code Order No. 2 in. SCNB in. SCNB System Advantages: Ultrasound visible catheter Cost-effective solution for those who do not stimulate Ideal for TAP block where non-stimulating needle and softer catheter is preferred Contiplex FX Sets with Standard Tuohy Needle Catheter Product Code Order No. Closed Tip CNBFX350C Open Tip CNBFX350O Contiplex FX Trays with Standard Tuohy Needle Catheter Cover & Gel Product Code Order No. Closed Tip Yes CNB350TKUFC Open Tip Yes CNB350TKUFO Contiplex Stim Trays with Contiplex Tuohy Needle Needle Cover & Gel Product Code Order No. 2 in. No SCNB2TK in. No SCNB4TK *Patented Sideport Valve included with all Contiplex Systems shown here Inject Preload catheter into sideport to reduce procedural steps and eliminate the need to disconnect. Aspirate 6 Inject/hydrodissect and aspirate without needing to disconnect side port to thread catheter.

8 Support and Custom Tray Solutions Support Trays For providers that want flexibility in choice of procedural needle while maintaining convenience and consistency Configured for single shot or continuous procedures Configurations available focusing on Ultrasound-Only, Dual Guidance Monitoring, and Stimulation procedures CustomPlus Trays For providers that want an individualized solution All trays can be customized, designed precisely the way individual technique and procedures require Advantages Flexibility to choose different needle for each procedure Available with Civco Ultrasound Probe Cover and Gel Description Product Code Order No. Single Shot Support Tray NB Continuous Catheter Support Tray NB Continuous Catheter Support Tray with ultrasound probe cover and gel NB Advantages Quality - Offers the same high quality procedural components found in our standard trays. Convenience - Assists with standardizing by customizing, avoiding the cost and complications associated with stocking multiple products. Value - Our CustomPlus piggyback program offers many existing custom tray configurations which can be purchased immediately. See the Pain Control Product Reference Guide or contact your B. Braun representative for complete set and tray components. Trays not available in Canada. Contact your B. Braun representative to explore your CustomPlus options. 7

9 Nerve Stimulator & Switch Stimuplex HNS12 with SENSe Technology For providers that want advanced peripheral nerve stimulation, ease-of-use and greater procedural flexibility Variable pulse duration settings Built-in impedance monitor Large display for easier viewing Easy menus to control sounds and other settings Direct access keys allow quick changes to stimulus frequency and pulse duration Get the twitch sooner. Maintain it longer. SENSe Technology uses 3 pulses, (2 short fixed at 0.1 ms and one long variable), to help estimate needle to nerve distance. One twitch is seen at a greater distance from the nerve. Support Trays and Stilmulator Advantages: Get the first twitch sooner for faster visual feedback with SENSe (Sequential Electrical Nerve Stimulation) Large display Three twitches are seen when closer to the nerve. Description Product Code Order No. Stimuplex HNS12 Nerve Stimulator with SENSe HNS Stimuplex Switch Pair the Stimuplex Switch with the HNS12 or HNS11 to quickly switch the current from needle to Contiplex Stim catheter and back with just a flick of a switch. Description Product Code Order No. Stimuplex Switch STIMSWITCH HNS12 and Switch not available in Canada. Contact your B. Braun representative to discuss options. 8

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12 Schedule a demo today. Call your B. Braun Representative at Rx Only B. Braun Medical Inc., Bethlehem, PA. All Rights Reserved. PC6-13rev /13 KE