Improving Patients Outcome product catalogue THE DETAILS GIVEN IN THIS LEAFLET ARE CORRECT AT THE TIME OF GOING TO PRESS. THE COMPANY RESERVES THE RIGHT TO IMPROVE THE EQUIPMENT SHOWN. Smiths Medical International Ltd Hythe, Kent CT21 6JL UK Tel: +44 (0)1303 260551 Fax: +44 (0)1303 266761 www.smiths-medical.com Smiths Medical, part of the global technology business Smiths Group TEMPERATURE MANAGEMENT Level 1, NormoFlo, EQUATOR, Snuggle Warm, HOTLINE and the Smiths Medical Design Mark are trademarks of the Smiths Medical family of companies 2008 Smiths Medical family of companies. All rights reserved. Literature No. LIT/TM2592
TEMPERATURE MANAGEMENT Level 1 H-1200 Fast Flow Fluid Warmer 4 with integrated air detector/clamp Fast Flow Disposable Administration Sets 5 NORMOFLO Irrigation System 6 NORMOFLO Irrigation Disposables 7 EQUATOR Convective Warmer 8 Snuggle Warm Blankets 9 HOTLINE Blood and Fluid Warmer 10 HOTLINE Disposables 11 HOTLINE 2 Blood & Fluid Warmer 12 HOTLINE 2 Disposables 13 Level 1 Temperature Probes 14-17 2 3
LEVEL 1 H-1200 FAST FLOW FLUID WARMER with integrated Air Detector/Clamp FAST FLOW DISPOSABLE ADMINISTRATION SETS Accommodate standard blood and crystalloid bags. On/Off toggle switch automatically pressurises chambers to a constant pressure of 300 mmhg. Mounted pressure chambers allow fast and easy bag changes. Aluminium heat exchanger transfers heat 1000 times faster than plastic. 1 Counter-current recirculating solution at 42 C provides effective and stable heating. Level 1 Air Detector/ Clamp detects air in the I.V. line and stops flow of fluid if air is detected. High Performance Disposable Ordering Information Ref. Code Description Units/Case H-1200 Level 1 Fast Flow Fluid Warmer with integrated Air Detector/Clamp 1** H-31B Level 1 Air Detector/Clamp 1** Disposable Normothermic IV Administration Sets DI-50 Maximum normothermic flow rate: 300 ml/min* DI-60HL Maximum normothermic flow rate: 500 ml/min DI-70 Maximum normothermic flow rate: 600 ml/min (available soon) DI-100 Maximum normothermic flow rate: 800 ml/min DI-300 Maximum normothermic flow rate: 1000 ml/min NOTE: Maximum normothermic flow rates are based on using crystalloid, 300 mmhg with 8.5Fr catheter. Supplied in packs of 10. * Supplied in packs of 20. ** Available in country specification. Accessories F-10 Filter with Gas Vent Replacement Filter Size: Approximately 170 micron Replacement for DI-50 / DI-60HL / DI-100 Disposable administration set filter with gas vent assembly Change every three hours or when filter becomes clogged Quantity: 20/case F-30 Filter with Gas Vent Replacement Filter Size: Approximately 170 micron Replacement for DI-300 Disposable administration set filter with gas vent assembly Change every three hours or when filter becomes clogged Quantity: 20/case Smiths Medical makes rapid infusion even safer. Now you can rapidly infuse warm fluids and provide an extra level of protection by using the Level 1 H-1200 Fast Flow Fluid Warmer. It features the Level 1 Air Detector/Clamp that automatically clamps the patient line when air is detected. Built-in Safety Features Displays reservoir set point. Monitors reservoir temperature to prevent overheating. Audible and visual alarms if reservoir temperature reaches 43.9 C. Audible and visual alarms if disposable is not correctly inserted into the fluid warmer. Audible and visual alarms if recirculating solution in reservoir is below the minimum desired level. Meets all AABB standards for blood warming. 2 High Performance Disposable Administration Sets and Accessories Smiths Medical offers a complete range of disposable administration sets and accessories for use with Level 1 Fast Flow Fluid Warmers. All fast flow disposable administration sets and accessories: Are latex free. Provide a sterile fluid path. Are designed for single patient use. Reference 1. Flancbaum, L et al. Evaluation of blood-warming devices with the apparent thermal clearance. Ann Emer Med, 1989;18:355-9. 4 5 2. Guidelines for the use of Blood Warming Devices. AABB. 2002.
NORMOFLO IRRIGATION SYSTEM NORMOFLO IRRIGATION DISPOSABLES System H-1100 features the unique PowerPole bag lifting device. Urology Disposable Aluminium heat exchanger transfers heat, 1000 times faster than plastic. 1 Hands free de-gasser. H-1100 NORMOFLO System Designed for all gravity flow irrigating applications. H-1100 NormoFlo System* NormoFlo TM Disposable Administration Sets and Accessories IRI-600 Disposable Irrigating Set For use with Baxter Uromatic Bags. Flow rate without a scope: 100ml/min. Flow rate with a scope: 620 650 ml/min. 255ml priming volume. 10/case. * Available in country specification. IRI-600B Disposable Irrigating Set IRI-700 Disposable Irrigating Set For use with Baxter Uromatic EasyFlow Bags/ Flow rate without a scope: 1000ml/min. Flow rate with a scope: 620 650 ml/min. 255ml priming volume. 10 case For use with Fresenius Rigid Bottles. Flow rate without a scope: 1000ml/min. Flow rate with a scope: 620 650ml/min. 255ml priming volume. 9/case. IR-6 Disposable High-Flow Y-Adaptor For use with Baxter Uromatic Bags. Converts IRI-600 into a 4-spike configuration. 20/case. Accessories Hypothermia: a Constant Concern during Urological Procedures Large volumes of irrigating fluid. Patient exposure. Extended procedure time. Even Mild Hypothermia puts Patients at Risk Increased cardiovascular stress. Prolonged recovery room stays. Delayed wound healing. Increased postoperative discomfort. Warming Unit for Urology Patients An effective system for keeping patients warm during high-volume surgical irrigation. Patients leave the theatre warm, regardless of length of procedure or irrigation volume. Provides safe and consistent performance. Lukewarm is Not Warm Enough Room temperature irrigating solutions cause a serious loss of core temperature. 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 & 11 Warming solutions to a lukewarm temperature, of 34 C is not warm enough. For The Urologist Provides clear, bubble-free vision through the scope. Provides flow rates of 1000ml/min without a scope, and 620-650ml/min with a scope. No changes in surgical technique. For the Nurse Urology disposables can be inserted as easily as 1, 2, 3. Automatic IV pole makes it easy to handle four 3 litre glycine bags. Simple one button operation. Built-in Safety Features Displays actual reservoir set point. Monitors reservoir temperature to prevent overheating. Audible and visual alarm sounds if reservoir temperature reaches 45 C. Audible and visual alarm sounds if disposable has not been fitted correctly into H-1100 Warmer. Audible and visual alarm sounds if solution in reservoir is below the minimum desired level. References 1. Flancbaum L., et al. Evalution of blood-warming devices with the apparent thermal clearance. Ann Emer Med, 1989; 18:355-9. 2. Hypothermia associated with Percutaneous nephrolithotomy, Roberts, et al, Urology, Vol 44-6: 832-835; 12/94. 3. Effects of Irrigation Fluid Warming on Hypothermia during Urologic Surgery, Winter, Urologic Nursing, 1994; 14:6-8. 4. The effects of warm irrigation fluid during and after transurethral prostatectomy, Ogura, et al, Clinical Therapeutics, Vol 10, special issue, 1988. 5. The effect of warm irrigation on blood loss during transurethral prostatectomy under spinal anesthesia, Heathcote and Dyer, British Journal of Urology, 4/86. 6. Body temperature changes during prostatic resection as related to the temperature of the irrigating solution, Allen, The Journal of Urology, 10/73. 7. Hypothermia during transurethral resection of the prostate, Carpenter, Urology, 2/84. 8. Haemodynamic and cardiological responses to TURP, standard vs. isothemic techniques, J.W.H. Evans, et al, presented to the British Society of Urological Surgeons, June, 1991. 9. Haemodynamic evidence for cardiac stress during transurethral prostatectomy, J.W.H. Evans, et al, British Medial Journal 1992; 304: 666-671. 10. Reduce cardiac stress during TURP; keep the patients warm, J.W.H. Evans, et al, The Journal of Urology, 5/93. 11.Cardiovascular performance and core temperature during transurethral prostatectomy, J.W. Hugh Evans, et al, The Journal of Urology, Vol 152; 2025-2029, 12/94. 6 7
EQUATOR CONVECTIVE WARMER SNUGGLE WARM BLANKETS Digital Display of Hose-End Temperature Carrying Handle Over Temperature Alarm Indicator Adult Full Body SW-2001 Paediatric Full Body SW-2002 OFF ON Under Temperature Alarm Indicator Preemie to Neonate SW-2006 Ambient Disconnect Indicator Choice of temperature settings Low Medium Elapsed Time Display Upper Body SW-2003 Lower Body SW-2004 Neonate to Small Child SW-2005 High Air Filter Tube SW-2007 Cardiac Sterile SW-2008 Exceptional Performance The EQUATOR Convective Warmer can be used to warm your patients in the pre-operative, peri-operative and post-operative environment. The quality of Snuggle Warm blankets makes them safe and comfortable for your patients. Made from a soft, non-woven, flame-retardant material, flexible enough to conform to patient s body. The blankets fold easily for IV access and are durable enough to resist tears and punctures. Snuggle Warm blankets are available in both adult and children sizes. Adult blankets come in full body, upper body and lower body sizes to meet the needs of the type of surgery being carried out. The neonatal blankets are 3-panel drapes which convert to an upper, lower or full body blanket. Exceptional Control The EQUATOR Convective Warmer controls the air delivery temperature at the hose end, which is not affected by variations in ambient temperature due to the patented hose-end control. Whether in the theatre or recovery room, the selected hose-end temperature shown on the digital display will be delivered to the blanket. Exceptional Warmth The EQUATOR Convective Warmer assures thermal distribution throughout the blanket, creating a consistent heated surface area. Your patients will experience less post-operative discomfort, faster wound healing and shorter stays in recovery. Ordering Information EQUATOR EQ-5000 Convective warming unit* Blankets SW-2001 Adult Full Body 10/case SW-2002 Paediatric Full Body 10/case SW-2003 Upper Body 10/case SW-2004 Lower Body 10/case SW-2005 Neonate to Small Child 10/case SW-2006 Preemie to Neonate 10/case SW-2007 Tube 10/case SW-2008 Cardiac Sterile 10/case 8 9 Hose SW-Hose 7 SW-Hose N 7ft Hose Neonatal Hose * Available in country specification. Accessories Rolling Cart BO-SW5-WAGEN - Level 1 Rolling Cart for Equator
HOTLINE BLOOD AND FLUID WARMER HOTLINE DISPOSABLES L-10 De-gasser PC-8T Connector YC-8Y Connector Triple Lumen Tube Specifications HOTLINE Disposables HL-90 HOTLINE Fluid Warmer* Designed for gravity flow applications 3.5kg weight (dry) 1.4 litre of circulating solution Fluid Warming Set L-70 NI Disposable Warming Set 2.4m (8ft) length 20ml priming volume Flow rate 50-5000ml/hr Swivel luer patient connection 30/case * Available in country specification. HOTLINE Accessories L-10 De-Gasser 20.3cm (8") patient lead 0.6ml priming volume PC-8 T Connector 20.3cm (8") patient lead 0.6ml priming volume YC-8 Y Connector 20.3cm (8") patient lead 0.4ml priming volume HOTLINE Fluid Warmer for the prevention of Hypothermia Proven in Over 16 Million Surgeries 1 Less Maintenance Time Built-in Safety Features Even mild hypothermia can put your general anaesthesia patients at risk for potentially costly and catastrophic complications, from delayed wound healing to cardiac arrest. That s why more hospitals use HOTLINE Blood and Fluid Warmers than any other routine flow fluid warming system. HOTLINE Warmers outperform hotplate technologies to keep your patients warmer and your recovery room less crowded. Your hospital avoids unnecessary complications and enjoys the cost savings of shorter recovery room stays. The unique HOTLINE disposable delivers fluids for replacement and maintenance at flow rates of 50ml-5l/hr. The innovative design of the HOTLINE patented triple lumen tube eliminates patient line cool down. HOTLINE Warmers are the solution for everyone: Superior performance results in warmer patients. Less maintenance time for nurses and technicians. Lower costs for your hospital. Warmer Patients Patented triple lumen tubing maintains layer of 42 C circulating solution around IV line. Keeps blood and fluids warm between 37 42 C. 2 Eliminates patient line cool down. A new once-a-year reservoir maintenance protocol versus hotplate warmers, which require maintenance up to 12 times a year. Easily maintains microbe-free environment. Easy to Use Quick set-up time. Quick disconnection from patient. Displays actual water bath set point. Monitors recirculation solution temperature to prevent overheating. Audible and visual alarm sounds if recirculation solution temperature reaches 43 C; heater and pump automatically shut off. Audible and visual alarm sounds if disposable has not fitted correctly into HOTLINE Warmer. Audible and visual alarms sound if recirculation solution in reservoir is below the minimum desired level. Meets all AABB Standards for blood warming 2. Reference 1. Data on file. 2. Guidelines for the use of Blood Warming Devices: AABB. 2002. 3. The HOTLINE Blood and Fluid Warmer outperforms hotplate technologies in procedures that require flow rates of 50-2,000 ml/hour. 10 11
HOTLINE 2 BLOOD & FLUID WARMER HOTLINE 2 DISPOSABLES Triple Lumen Tube PC-8T Connector YC-8Y Connector Advanced Technology, Superior Performance Microprocessor-controlled for precision performance. Multi-language message display. Delivers normothermic fluids to your patient at all routine surgical flow rates. Patented warm patient line prevents fluid cool down associated with hotplate technologies. 1 8' (2.4 m) warm patient line provides convenient positioning. Only requires 18ml priming volume. Built-in Safety Features Ensures safe operation with self-testing feature. Shows recirculation solution set point during self-testing and continues to display actual recirculation solution temperature. Monitors recirculation solution temperature to prevent overheating. Audible and visual alarms activate if recirculation solution temperature reaches 43 C; heater and pump shut off automatically. Specifications HOTLINE 2 HL-290 Blood and Fluid Warmer* Programmed multi-language message display Designed for all gravity flow applications Fluid Warming Set L-270 Blood and Fluid 2.4m (8ft) length Warming Set 18ml priming volume Swivel luer patient connection 30/case * Available in country specification. HOTLINE 2 Accessories PC-8 T Connector YC-8 Y Connector 20.3cm (8in) patient lead 0.6ml priming volume 20.3cm (8in) patient lead 0.4ml priming volume Meets all AABB standards for blood warming. 2 Reference 1. Block E, et al. Crit Care Med 1999;27(1):Suppl. 2. American Association of Blood Banks. Standards For Blood Banks and Transfusion Services. 19th Edition. 12 13
LEVEL 1 TEMPERATURE PROBES LEVEL 1 TEMPERATURE PROBE Oesophageal Stethoscope General Purpose Probe Skin Temperature Sensor Foley Catheter Temperature Sensor Myocardial Temperature Sensor Tympanic Temperature Sensor Cable Sensor Series Anatomical Probes Therminster Therminster 700 Oesophageal Stethoscope General purpose (Oesophageal /Rectal) Skin Tympanic Foley Myocardial Ordering Information ESTC-9 ESTC-12 ESTC-18 ESTC-24 400 Series ES400-9 ES400-12 ES400-18 ES400-24 700 Series ES700-9 ES700-12 ES700-18 ES700-24 ERTC-9 ERTC-12 400 Series ER400-9 ER400-12 700 Series ER700-9 ER700-12 STS-TC 400 Series STS-400 700 Series STS-700 Ordering Information FSTC-14 FSTC-16 FSTC-18 400 Series FC400-8 FC400-10 FC400-12 FC400-14 FC400-16 FC400-18 MTS-TC8 MTS-TC15 MTS-TC30 400 Series MTS-4008 MTS-40015 MTS-40030 TTS-TC TTSP-TC 400 Series TTS-400 TTSP-400 Smiths Medical brings to you a series of high quality Level 1 Temperature Monitoring Probes designed to provide reliable and accurate measurements. Special attention has been given to superior product manufacturing to reduce the possibility of patient irritation, providing your patients with the best possible care for maintaining normothermia. Smiths Medical has the capability to standardise all your hospital s multiparameter patient monitors to a single temperature monitoring series with our full line of patient temperature monitoring products. This Single Series System enables the clinician to use a Reusable Monitor Cable with a choice of temperature monitoring probes. Level 1 is the Connection You Can Count On Insert moulded for connection uniformity. Keyed for a one-way fit. Colour coded by series type. Durable pin to socket connection. Moisture resistant, sealed connection. Key Features Oesophageal Stethoscope Exceptional sound quality. Smooth, heat bonded cuff to tube transition minimises potential for oesophageal irritation. Long lead wires ensure that the connection to the cable is away from the patient s face. Insulated sensor cap decreases risk of patient shock or burn during electrocautery. Wide range of oesophageal stethoscopes. General Purpose Probe 30" (76cm) white PVC sleeve prevents exposure of the lead wire and is a barrier to moisture. Insulated and capped sensor tip reduces risk of electrical shock or burn. Smooth, rounded tip for non-traumatic insertion. Skin Temperature Sensor Mylar reflective backing reflects operating room lighting; insulates sensor from heat created by lamps. Soft, flexible foam with hypoallergenic adhesive allows for easy placement and removal. Thin 36-gauge lead wire provides accurate temperature readings by reducing the potential for the ambient air to affect temperature monitoring. Embedded sensor lies flat against patient s skin. Key Features Foley Catheter Temperature Sensor Dual monitoring: accurate core body temperature readings. 100% silicone decreases risk of urethritis. Offered in wide range of sizes, including paediatric. Available in closed system tray reducing chances of infection entering the system. 13" (33cm) side arm acts as strain relief; ensures electrical connection is sealed and away from patient. Myocardial Temperature Sensor Ultrathin sensor inserted into the distal tip of a 22g needle provides for accurate temperature reading. Long 6 (1.8m) lead wire allows connection to be away from patient and also out of sterile field. Thin 36-gauge lead wire provides accurate temperature readings by reducing the potential for the ambient air to affect temperature monitoring. 400 Series used for direct connection to heart and lung machines, patient monitors and hypo/hyperthermia machines. Tympanic Temperature Sensor Soft memory cell foam conforms to ear canal, minimising risk of injury to tympanic membrane; acts as a barrier to seal out ambient air. Push tube provides aid during insertion and acts as strain relief on wire. Thin 36-gauge lead wire provides accurate temperature readings by reducing the potential for the ambient air to affect temperature monitoring. Available in paediatric and adult sizes. 14 15 16
LEVEL 1 TEMPERATURE PROBES Temperature Monitoring Connections Level 1 cables connect to all of the major brands of patient monitors. Patient monitor Level 1 Cable TM-200D, TM201D CTC-10, C400-10 TM-300D CH1 C700-10, C70S-10 TM-300D CH2 CTC-10, C400-10 TM-400D C700-10, C70S-10 Agilent C400-10HP Arrow C400-10 American Optical (400/700) Baxter K-Thermia C400-10KT BCI C400-10 Beckton Dickson C400-10 Burdick C700-10 Cambridge (AO) (400/700) Cincinnati Sub Zero C400-10 Colin C400-10 Corometrics C400-10 Criticare Systems C400-10 Datascope Passport Datascope 3000 Series C700-10/C70S-10A Datascope Point of View Datascope 2000, 2000A, 800 C700-10/C70S-10 Datex C400-10 Datex - Ohmeda Astiva/5 Datex - Ohmeda Anesthesia Delivery Unit (ADU) Drager - Maromed 6000, AS3 & AS5 C400-10 DeRoyal DTS1000 C400/C700-10 E for M C400-10 Fukuda Denshi (peach coloured pigtail) C400-10 Fukuda Denshi (grey coloured pigtail) C700-10,C70S-10 G.E C700-10 Gaymar C400-10 Gilson Medical C700-10 Patient monitor Level 1 Cable Gould C700-10 Heart Lung Pumps (most types) C400-10 Hewlett Packard 78200 C400-10 Hewlett Packard 78300 M1175A/76A C400-10HP Hewlett Packard Merlin C400-10HP Honeywell C400-10 Invivo C400-10 K-Thermia C400-10KT Kon Tron C400-10 Kon Medical 568 C700-10, C70S-10E Litton Medical C400-10 MCC 8200, Conv 90164, 90163, 90162 CTC-10S MCC/Monatherm 4070 (Mallinckrodt) C400-10, C700-10 Monatherm (All) (Mallinckrodt) TCTC-MTH *Marquette 8000 Solar C400-10 *Marquette 7000 (w/temp modules: Dual temp, Extended Range, BP/Temp, General Patient Care) C700-10, C70S-10A *Marquette 7000 (w/temp modules: 200SL, 400SL and Tram A.R.) C400-10, C700-10 *Marquette Tram (w/temp modules: Dual temp, Extended Range, BP/Temp, General Patient Care) C700-10, C70S-10A *Marquette Tram (w/temp modules: 200SL, 400SL and Tram A.R.) C400-10, C700-10 *Marquette Eagle C400-10, C700-10 Medical Data Electronics C400-10 Mennen Horizon 2000 C400-10 Nihon Kohen C400-10 Patient monitor Level 1 Cable N. American Drager Vitalert C400-10, C700-10, C70S-10G Ohmeda C400-10 Philips C400-10HP Physio Controls VSM1, VSM2 C700-10, C70S-10 Physio Controls VSM4, VSM5 C700-10, C70S-10F Puritan Bennet C400-10 Protocol Systems C400-10 PPG C400-10 SARNS Heart-Lung Pump C400-10 Shiley Monitor CTC-10S Siemens Sirecust C400-10 Spectrum Anesthesia C700-10 Spacelabs 400 Series C700-10, C70S-10C Spacelabs 500 Series C700-10, C70S-10B Spacelabs Alpha 14, 90700 C700-10 Spacelabs 90600, 90400 90300 C400-10, C700-10 Spacelabs 1825 Cardule C700-10, C70S-10S Tektronix 500 Series C700-10, C70S-10B Tektronix 400 Series C700-10, C70S-10C Vidco C700-10, C70S-10D Vitatek 500 Series C700-10, C70S-10B Vitatek 400 Series C700-10, C70S-10C Yellow Springs 400 C400-10 Yellow Springs 700 C700-10 *Marquette now distributed by GE HP=> Agilent=> Philips Smiths Medical believe that temperature monitoring, especially in the operating room and during general anaesthesia, is a crucial aspect of patient care. Level 1 Temperature Monitoring connections are superior in their manufacture and design, providing reliability, durability and accuracy. The connection is the key. It offers the clinician several important integral features. The colour-coded, keyed and insert-moulded connections ensure an error-free fit between the temperature monitoring probe series and its appropriate cable. The pin-to-socket connection is engineered to maintain accuracy with repeated use. The connection is fully encased, preventing moisture or body fluids from seeping into the system, thus maintaining temperature monitoring precision. 17