Tracheostomy/ Laryngectomy PRODUCT CATALOG

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1 Tracheostomy/ Laryngectomy PRODUCT CATALOG

2

3 is a highly experienced manufacturer of medical devices for tracheostomized and laryngectomized patients. For many years we have been supplying our customers with high quality products MADE IN GERMANY. In line with our corporate policy, the medical devices offered by are developed, produced and marketed in our own company. This is done in close cooperation with our customers and academic institutions. The basis is formed by a certified development process in accordance with the DIN 13485 standard, in which highly innovative medical devices are continuously developed on the basis of ongoing market research and analysis. Our vertical integration extends throughout the entire manufacturing process (injection moulding, extrusion, assembly) and also includes the sterilisation of devices in our own EO sterilisation unit. The bundling of all the product-related processes in one company allows us to react flexibly to market requirements and guarantee the continuous further improvement of our existing products as well as to launch new products on the market.

TABLE OF CONTENTS 4 PDT SETS (Complete sets for percutaneous dilatational tracheostomy including tracheostomy tube)... 7 PDT Set Type 1... 8 PDT Set Type 2...14 Dilation sets (Sets for percutaneous dilatational tracheostomy without tracheostomy tube)... 20 Accessories...21 Optima Tracheostomy tubes...22 Optima Tracheostomy tubes... 29 Replacement inner cannulas... 38 Ultrasoft Tracheostomy tubes...39 Replacement inner cannulas...48 Priflex Tracheostomy tubes...49 Priflex MRI Tracheostomy tubes...57

TABLE OF CONTENTS 5 Primedistom Tracheostomy tubes cuffless...62 Tracheostomy tubes with Cuff...83 Replacement inner cannulas...90 Silver Tracheostomy tubes...92 Accessories...109 NEO PED PEDL PEDC PEDCL Tracheostomy tubes for Neonates and Children...110 Neonatal tracheostomy tubes without Cuff... 113 Pediatric tracheostomy tubes without Cuff... 114 Pediatric tracheostomy tubes without Cuff, long... 115 Pediatric tracheostomy tubes with Cuff... 116 Pediatric tracheostomy tubes with Cuff, long... 117 Accessories... 118 Primedisilk Laryngectomy tubes...119 Tracheostomy placeholders...127 Tracheosafe...128 T-Tubus...129. Primedibutton...130 Primedistrip...133 Primed Tracheo Seal...139

TABLE OF CONTENTS 6 Accessories for pulmonary rehabilitation...140 Heat and Moisture Exchangers (HME)...141 Accessories...147 Speaking valves...148 for tracheostomized patients... 149 for ventilated tracheostomized patients...153 for laryngectomized & tracheostomized patients... 154 with filter function for laryngectomized & tracheostomized patients...155 Bacteria and virus filters...156 Tracheal compresses...157 Neck straps...158 Cough cap and shower accessories...160 Accessories for suctioning...161 Accessories for cleaning...162 Further accessories...163 Grafics...164 Pictograms...166

PDT SETS 7 PDT SETS (Complete sets for percutaneous dilatational tracheostomy including tracheostomy tube) Percutaneous dilatational tracheostomy is a standardized method in intensive medical treatment. As alternative for surgical tracheostomy it may be carried out less time-consuming at the bedside in ICU s. The dilated tracheostoma closes spontaneously and long-term cosmetic results are far superior to conventional tracheostomy. All PDT sets include a dilation set and a matching tracheostomy tube set. PDT set type 1 includes a dilation set for the Ciaglia dilation technique and an Optima tracheostomy tube with atraumatic inserter. PDT set type 2 includes a dilation set for the Griggs dilation technique, with tracheal dilating forceps, and an Optima tracheostomy tube. Our dilation sets are ideally adapted to the use of Optima and Optima tracheostomy tubes which are available with or without sieving and with or without subglottic suction line. Dilation sets and tracheostomy tube sets are also available separately.

PDT SET Type 1 8 DILATATION TRACHEOSTOMY developed by Ciaglia The percutaneous dilatation tracheostomy technique according to Ciaglia is a minimalinvasive treatment which implies the stepless bouginage of the trachea by a conically shaped dilator via guide wire, thus enabling the insertion of a suitable tracheostomy tube. PDT Set Type 1 includes a conically shaped dilator which has a hydrophilic coating for assuring good gliding capabilities. After removing the dilator, the tracheostomy tube can be gently placed in the trachea via the atraumatic inserter. The procedure should be performed under bronchoscopic control. 1 Position patient with hyperextension of neck, cover area around the neck with sterile dressing, disinfect skin 2 Palpation of neck, sonography (recommended), diaphanoscopy of neck area (obligatory), horizontal incision (1,5-2,0 cm) and blunt preparation up to trachea

PDT SET Type 1 9 3 Puncture of trachea 4 Insertion of guide wire (Seldinger wire) 5 Pre-dilation of injection canal by predilator, removing of pre-dilator 6 Moisten dilator. Push dilator with inserted guiding catheter into the trachea via guide wire up to the required size of tracheal orifice. After that, remove dilator. 7 Place the atraumatic inserter in the tracheostomy tube, coat the cuff which has already been checked for leaks with lubricant gel and introduce it into the trachea orifice via the guiding catheter with guide wire inside. After positioning, remove the atraumatic inserter, guiding catheter and guide wire together.

PDT SET Type 1 10 Package contents per set: Dilation set I Pre-dilator Puncture cannula (14G) Dilator (hydrophilic coating) Guiding catheter with safety lock Guide wire with dispenser Gauze compresses Syringe Scalpel Optima Basic Cuff CUFF Outer cannula with low-pressure cuff and 15 mm connector Atraumatic inserter 1 transparent, unfenestrated inner cannula 1 white, unfenestrated, radiopaque inner cannula Obturator, perforated Neck strap Lubricant gel SIZE CHART: Size ID OC ID IC OD Length along centre line Length along outer bend 7 7,0 mm 5,4 mm 10,5 mm 70,0 mm 79,0 mm 1 Complete Set (Dilation set I + Optima 8 8,0 mm 6,4 mm 11,6 mm 75,5 mm 87,0 mm 1 Complete Set (Dilation set I + Optima 9 9,0 mm 7,4 mm 12,6 mm 81,0 mm 93,0 mm 1 Complete Set (Dilation set I + Optima INCLUDING: PU Article number PDT SET TYPE 1 112424 112425 112426 NECK STRAP OBTURATOR LUBRICANT GEL

PDT SET Type 1 11 Package contents per set: Dilation set I Pre-dilator Puncture cannula (14G) Dilator (hydrophilic coating) Guiding catheter with safety lock Guide wire with dispenser Gauze compresses Syringe Scalpel Optima Voice Cuff Sieved outer cannula with low-pressure cuff and 15 mm connector Atraumatic inserter 1 red, fenestrated inner cannula 1 white, unfenestrated, radiopaque inner cannula Obturator, perforated Decannulation cap Speaking valve Neck strap Lubricant gel SPEAK CUFF SIZE CHART: Size ID OC ID IC OD Length along centre line Length along outer bend 7 7,0 mm 5,4 mm 10,5 mm 70,0 mm 79,0 mm 1 Complete Set (Dilation set I + Optima 8 8,0 mm 6,4 mm 11,6 mm 75,5 mm 87,0 mm 1 Complete Set (Dilation set I + Optima 9 9,0 mm 7,4 mm 12,6 mm 81,0 mm 93,0 mm 1 Complete Set (Dilation set I + Optima INCLUDING: PU Article number PDT SET TYPE 1 112434 112435 112436 NECK STRAP OBTURATOR LUBRICANT GEL PRIMEDI SPEAKING VALVE DECANNULATION CAP

PDT SET Type 1 12 Package contents per set: Dilation set I Pre-dilator Puncture cannula (14G) Dilator (hydrophilic coating) Guiding catheter with safety lock Guide wire with dispenser Gauze compresses Syringe Scalpel Optima Suction Outer cannula with low-pressure cuff, subglottic suction function and 15 mm connector Atraumatic inserter 1 transparent, unfenestrated inner cannula 1 white, unfenestrated, radiopaque inner cannula Obturator, perforated Funnel connector Neck strap Lubricant gel CUFF SUCTION SIZE CHART: Size ID OC ID IC OD Length along centre line Length along outer bend 7 7,0 mm 5,4 mm 10,5 mm 70,0 mm 79,0 mm 1 Complete Set (Dilation set I + Optima 8 8,0 mm 6,4 mm 11,6 mm 75,5 mm 87,0 mm 1 Complete Set (Dilation set I + Optima 9 9,0 mm 7,4 mm 12,6 mm 81,0 mm 93,0 mm 1 Complete Set (Dilation set I + Optima PU Article number PDT SET TYPE 1 112454 112455 112456 INCLUDING: NECK STRAP OBTURATOR LUBRICANT GEL FUNNEL CONNECTOR

PDT SET Type 1 13 Package contents per set: Dilation set I Pre-dilator Puncture cannula (14G) Dilator (hydrophilic coating) Guiding catheter with safety lock Guide wire with dispenser Gauze compresses Syringe Scalpel Optima Suction Voice Sieved outer cannula with low-pressure cuff, subglottic suction function and 15 mm connector Atraumatic inserter 1 red, fenestrated inner cannula 1 white, unfenestrated, radiopaque inner cannula Obturator, perforated Funnel connector Decannulation cap Speaking valve Neck strap Lubricant gel SIZE CHART: Size ID OC ID IC OD Length along centre line Length along outer bend 7 7,0 mm 5,4 mm 10,5 mm 70,0 mm 79,0 mm 1 Complete Set (Dilation set I + Optima 8 8,0 mm 6,4 mm 11,6 mm 75,5 mm 87,0 mm 1 Complete Set (Dilation set I + Optima 9 9,0 mm 7,4 mm 12,6 mm 81,0 mm 93,0 mm 1 Complete Set (Dilation set I + Optima PU Article number PDT SET TYPE 1 112444 112445 112446 SPEAK CUFF SUCTION INCLUDING: NECK STRAP OBTURATOR LUBRICANT GEL PRIMEDI SPEAKING VALVE DECANNULATION CAP FUNNEL CONNECTOR

Priflex TRACHEOSTOMY TUBES 52 L (Length along centre line) ID OD ID Size ID OD L Lenght along centre line adjustable to 7 7,0 mm 10,4 mm 155,0 mm 8 8,0 mm 11,4 mm 155,0 mm 9 9,0 mm 12,4 mm 155,0 mm 10 10,0 mm 13,4 mm 155,0 mm 11 11,0 mm 14,4 mm 155,0 mm = Inside diameter at the bottom of the tube OD = Outside diameter at the bottom of the tube L = Length along centre line of the tube from neck flange to bottom of the tube PU = Packaging unit MEASUREMENTS FOR PRIFLEX XL:

Priflex TRACHEOSTOMY TUBES 56 Product features Extra-long spiral-reinforced tracheostomy tube with 15 mm connector, low-pressure cuff and individually adjustable neck flange Not performed, thus enables individual adaptation to the anatomical conditions of the patient Material: PVC, metal spiral, latex-free, DEHPfree Indication Tracheostomy/ Laryngectomy Aspiration Ventilation Obesity/ Oedema Tracheal stenoses Presence of large parastomal soft tissue (e.g. tumours) PRIFLEX XL CUFF SIZE CHART: Size ID OD Length (adjustable to) PU Article number 7 7,0 mm 10,4 mm 155 mm 1 set 200797 8 8,0 mm 11,4 mm 155 mm 1 set 200798 9 9,0 mm 12,4 mm 155 mm 1 set 200799 10 10,0 mm 13,4 mm 155 mm 1 set 200800 11 11,0 mm 14,4 mm 155 mm 1 set 200801 INCLUDING: NECK STRAP OBTURATOR WITH SUCTION FUNCTION OPTIONAL ACCESSORIES