The new Surgicric VBM. 3 techniques 3 cricothyrotomy sets to secure the airway in cannot intubate cannot ventilate situations

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Intuitive Clear set composition. No confusion about different techniques Atraumatic Specially designed dilator and tracheal tube Versatile Adjustable flange on the tracheal tube Placement control Aspiration of air via dilator Safety New locking mechanism between dilator and tracheal tube r friendly Unique packing system The new Surgicric 3 techniques 3 cricothyrotomy sets to secure the airway in cannot intubate cannot ventilate situations VBM

Cricothyrotomy Set Surgicric Cricothyrotomy is a life-saving technique and is only used as a last resort for patients in cannot intubate cannot ventilate situations, according to all airway algorithms in the prehospital, emergency department, ICU and the operating room. The Surgicric is a cricothyrotomy set to maintain ventilation in case of obstruction of the upper airway. With the Surgicric I VBM offers a cricothyrotomy set to perform the Rapid Four-Step Technique, Surgicric II is applied to the classical surgical technique and Surgicric III allows a cricothyrotomy according to the Seldinger technique. The unique instrument packing system provides the following advantages to the user: - Clear overview of all components - Sterile application in any environment - Small pack size, making it ideal for emergency bags The main feature of Surgicric is the special combination of tube and dilator. The locking mechanism and the soft tip maximize patient safety and reduce the risk of injury. Ready for use The pre-assembled tube is immediately ready for use, valuable seconds by additional assembly are thus saved. Patient Safety The thin-walled, low pressure cuff guarantees a perfect seal, allows efficient ventilation and protects against aspiration. At the same time taking away the danger of making mistakes during assembly. Locking mechanism The unique locking mechanism prevents accidental dislocation of the dilator from the tracheal tube. Soft Tip Atraumatic Soft tip, thus avoiding injury to the posterior tracheal wall. Smooth transition from dilator to the tracheal tube. Individually adjustable The long tracheal tube and the adjustable flange allow individual adaptation to the anatomical conditions of the patient. Position check Checking the position of the tracheal tube thanks to aspiration through dilator. MR safe Tracheal tube Ø 6.0 mm I.D.

Surgicric I Surgical Cricothyrotomy Rapid Four-Step Technique In the international literature, a simplified surgical cricothyrotomy technique which can be done in 30 seconds is described as the Rapid Four-Step Technique. Surgicric I is a ready-to-use set, which contains all the necessary components for performing the surgical cricothyrotomy according to this technique. 1 Scalpel #20 4 Extension tubing 5 Tracheal hook 6 Necktape 22 cm (L) x 13 cm (W) x 4 cm (H) 1 2 3 4 5 6 Surgicric I REF 30-08-007-1 Box 1 1. Palpation 2. Stab 3. Traction 4. Intubation Brofeldt, BT et al: An easy cricothyrotomy approach: the rapid four-step technique. Acad Emerg Med 1996; 3: 1060-1063 Henderson, JJ et al: Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia 2004; 59: 675-694

Surgicric II Surgical Cricothyrotomy Classic surgical technique With Surgicric II VBM offers a set for the implementation of a classic surgical cricothyrotomy. According to this technique, the set includes all the necessary components. 1 Safety Scalpel #11 4 Necktape 5 Extension tubing 6 Tracheal hook 7 Blunt scissors 8 Speculum 24 cm (L) x 13 cm (W) x 5 cm (H) 1 2 3 4 5 6 7 8 Surgicric II REF 30-08-117-1 Box 1 1. Palpation 2. Vertical skin 3. Blunt preparation 4. Horizontal membrane 5. Intubation Hart, KL et al: Emergency cricothyrotomy. Atlas of the Oral & Maxillofacial Surgery Clinics of North America 2010; 18: 29-38

Surgicric III Percutaneous Cricothyrotomy Seldinger technique The set Surgicric III contains a unique introducer needle. This offers the advantage of an optimal skin puncture with temporary oxygenation via the 15 mm connector and the implementation of the Seldinger technique. 1 Safety Scalpel #11 4 Necktape for tracheal tube 5 Extension tubing 6 Necktape for introducer needle 7 Introducer needle 8 Guidewire 24 cm (L) x 13 cm (W) x 4 cm (H) 1 2 3 4 5 6 7 8 Surgicric III REF 30-08-227-1 Box 1 1. Palpation 2. Needle puncture 3. Guidewire insertion 4. Horizontal skin 5. Intubation Helm, M. et al: Surgical approach in difficult airway management. Best Practice Res ClinAnaesth 2005, 19: 623-640 Eisenburger, P. et al.: Comparison of conventional surgical versus seldinger technique emergency cricothyroidotomy performed by inexperienced clinicians. Anaesthesiology 2000; 92: 687-690 VBM Medizintechnik GmbH Einsteinstrasse 1 72172 Sulz a. N. Germany Tel.: +49 7454 / 95 96 10 Fax: +49 7454 / 95 96 33 e-mail: info@vbm-medical.de www.vbm-medical.de P351-2.0GB/12.14