Your Need ... Our Innovation® AIRWAY MANAGEMENT SOLUTIONS company for Masked Laryngeal Airways Disposable ® Endoscope Repair www.mercurymed.com Contents Flow-Safe® CPAP Systems n Flow-Safe II 2-3 n Flow-Safe Mask Styles 6-7 n Flow-Safe II EZ 4-5 air-Q® Masked Laryngeal Airways n air-Q sp (Self-Pressurizing) Disposable n air-Q Disposable n 8-9 air-Q Blocker Disposable 10-11 12-13 Face-Cradle® 14-15 Endoscope Repair 16-19 Troop Elevation Pillow & Accessories 20 VividTrac® 21 ShurSleeve™ 22 Insufflator “Dual Tank Kit” 23 Parker Flex-Tip® Endotracheal Tube 24-25 Parker ThinCuff® Tube with Parker Flex-Tip 26-27 Parker EasyCurve™ Endotracheal Tube 28 Parker Flex-It™ Directional Stylet 29 ORDERING INFORMATION: 800.835.6633 or 727.573.0088 References to manufacturers, trademarks and/or trade names contained within this publication are the property of the respective manufacturer. © 5/2013 www.mercurymed.com ML2013-240 Rev. A 1 ONLY ONE Flow-Safe II Disposable CPAP System ® A Revolution in Anesthesia CPAP Care A major leap in product innovation, Flow-Safe II CPAP System takes PACU & Surgery Center CPAP Care to a whole new level—totally disposable CPAP system, uses standard flowmeters and includes a manometer for verifying pressure. Its advantages are many. Which clearly puts you at an advantage. Product Advantages - Built-In Manometer Verifies delivered CPAP pressure & Pressure Relief Valve Automatically adjusts to avoid excess pressure. - Consistent CPAP pressure during inhalation & exhalation - Accepts standard CO2 Sampling Port - Advanced Mask Design Lightweight contoured mask and elastic head harness provide a better seal and comfort. - Nebulizer (In-Line Capability) Clinicians can administer meds without the need for mask removal. - Over 50% Less Oxygen Consumption Uses less oxygen while delivering high FiO2. ADVANTAGE NO 1 SAFE. SURE. SUPERIOR. CPAP When time is of the essence. When accuracy is critical. Count on the new Flow-Safe® II CPAP System. Experience the advantages! ADVANTAGE NO 2 ADVANTAGE NO 4 Built-in Manometer/ Measures Consistent CPAP Pressure ADVANTAGE NO 3 ADVANTAGE NO 5 Accepts Standard CO2 Sampling Port Deluxe Face Mask Uses 50% less oxygen 2 Patents: US 5,557,049 Nebulizer (In-Line Capability) Other patents pending 50% Less Oxygen High FiO2 ONLY ONE Flow-Safe II Disposable CPAP System Part # #10-57209 #10-57210 #10-57211 #10-57221 #10-57222 #10-57223 #10-57103 #10-57104 #10-57105 ® ORDERING INFORMATION* Description Packaged Flow-Safe II CPAP System with large adult deluxe mask with straight swivel port, head harness 5/Box Flow-Safe II CPAP System with small adult deluxe mask with straight swivel port, head harness 5/Box Flow-Safe II CPAP System with child deluxe mask with straight swivel port, head harness 5/Box Flow-Safe II CPAP System with large adult mask with straight swivel port, headstrap, nebulizer, tee, O2 tubing 5/Box Flow-Safe II CPAP System with small adult mask with straight swivel port, headstrap, nebulizer, tee, O2 tubing 5/Box Flow-Safe II CPAP System with child mask with straight swivel port, headstrap, nebulizer, tee, O2 tubing 5/Box Large adult deluxe contoured mask, straight rotating port (22mm female), head harness 5/Box Small adult deluxe contoured mask, straight rotating port (22mm female), head harness 5/Box Child deluxe contoured mask, straight rotating port (22mm female), head harness 5/Box * Other configurations available CPAP/PEEP (cm H2O) 01.5 02.0 04.0 06.0 08.0 11.0 - 02.0 03.0 05.0 07.0 09.0 12.0 For Transport O2 Tank Time Chart** Flow/L/min 5 6 8 10 12 15 D Cylinder 70 58 44 35 29 23 Minutes of oxygen by cylinder size based on full 2000 PSI cylinders ** Conducted by an Independent Test Lab E Cylinder 123 102 77 61 51 41 M Cylinder 703 598 498 374 299 199 ORDERING INFORMATION: 800.835.6633 or 727.573.0088 3 ONLY ONE Flow-Safe II EZ Disposable CPAP System ® . . . With Integrated Nebulizer. A major leap in product innovation, it takes PACU CPAP Care to a whole new level. When lives hang in the balance, you need a disposable CPAP System that lives up to the challenge. The Flow-Safe II EZ Disposable CPAP System from Mercury Medical is the only system that has so many advantages, it gives you an advantage. - Completely Disposable CPAP/Nebulizer System with manometer - Less Parts — Easy Set-up - Only One O2 Source Integrated mask port Off On On/Off nebulizer switch incorporated in new integrated design Product Advantages SAFE. SURE. SUPERIOR. CPAP - Integrated Nebulizer The Flow-Safe II EZ offers the capability of an in-line nebulizer. - Uses only one oxygen supply source. - Easy Set-up, less parts. - Built-in Manometer and Pressure Relief Valve Only the Flow-Safe II EZ system features a built-in manometer for verified pressure readings. No assembly of separate apparatus. And the pressure relief valve automatically adjusts to avoid excess pressure. - Consistent CPAP pressure during inhalation & exhalation - Accepts standard CO2 Sampling Port 4 - Advanced Mask Design The Flow-Safe II EZ mask is lighter, easier to handle and is designed to form a better anatomical seal. The elastic head harness is easy-to-place with velcro straps that easily adjust for patient comfort. - Includes Quick Connect Clips - Straight Rotating Port - Soft Forehead Padding easily adjusts reducing pressure on the nose - CPAP System Consumes 50% Less Oxygen The Flow-Safe II EZ conserves oxygen while maintaining high FiO2 delivery. Saves resources and represents a major advantage on long transports. Increasing flow may be necessary when activating the nebulizer. Patents: US 5,557,049 Other patents pending ONLY ONE Flow-Safe II EZ Disposable CPAP System ® ADVANTAGE NO 1 ADVANTAGE NO 2 ADVANTAGE NO 3 Integrated Nebulizer One Oxygen Source Built-in Manometer/ Measures Consistent CPAP Pressure Accepts Standard CO2 Sampling Port ADVANTAGE NO 4 ADVANTAGE NO 5 Uses 50% less oxygen Deluxe Face Mask 50% Less Oxygen* Clinicians can now deliver aerosol & CPAP therapy with just one integrated oxygen source. Part # #10-57318 #10-57319 #10-57320 #10-57321 ORDERING INFORMATION Description Flow-Safe II EZ CPAP System, large adult deluxe mask with ports and EZflow Max Nebulizer Flow-Safe II EZ CPAP System, small adult deluxe mask with ports and EZflow Max Nebulizer Flow-Safe II EZ CPAP System, child deluxe mask with ports and EZflow Max Nebulizer Flow-Safe II EZ CPAP System, without mask with EZflow Max Nebulizer CO2 Sampling Port Fits In-Line (supplied separately) * Increasing flow may be necessary when activating nebulizer ORDERING INFORMATION: 800.835.6633 or 727.573.0088 Packaged 5/Box 5/Box 5/Box 5/Box 5 ONLY ONE Flow-Safe Disposable CPAP System Mask Styles ® The First Disposable CPAP System with built-in Safety Features for less. Features - 4 Mask Styles - Accepts Standard Nebulizers - Accepts CO2 Sampling Port - Highly Portable, Easy Set-Up Intermediate Cushioned Mask Deluxe Mask w/ Straight Rotating Port - Latex-Free Cushioned Mask Flow-Safe CPAP Mask Descriptions: Deluxe Mask w/90° Swivel Port & Anti-Asphyxia Valve Deluxe Mask with Straight Rotating Port This Flow-Safe mask style is ideal. The netted headgear fabric is cool and easily stretches when placing on patients. The velcro straps allow easy adjustment for proper fit. Soft cushion tabs on the forehead decrease pressure on the patient’s nose. This deluxe CPAP mask port style accepts a standard nebulizer in-line and is key to agencies that have added asthma patients to their CPAP protocols. Should the patient require medication delivery after the mask has been placed, the mask easily lifts up and/or the blue quick connect clips can be removed providing easy access for delivering nitroglycerin or other meds. — Available with or without supplemental oxygen ports. Deluxe Mask with 90° Swivel Port & Anti-Asphyxia Valve This mask style is well suited for hospital use where they may prefer the anti-asphyxia valve for their CPAP patients. The Mercury Flow-Safe CPAP system is an open system so asphyxia is not a concern. It includes the same headgear fabric that stretches and is easy to place on patients and the velcro straps easily adjust to fit. Soft cushion tabs on the forehead decrease pressure on the patient’s nose. This deluxe CPAP mask port style accepts a standard nebulizer in-line. Due to the swivel feature, this mask will require an additional adapter to maintain the nebulizer in the upright position. Should the patient require medication delivery after the mask has been placed, the mask easily lifts up and/or the blue quick connect clips can be removed providing easy access to the patient’s mouth. — Available with or without supplemental oxygen ports. 6 ONLY ONE Flow-Safe Disposable CPAP System Mask Styles ® The First Disposable CPAP System with built-in Safety Features for less. Features - 4 Mask Styles - Accepts Standard Nebulizers - Accepts CO2 Sampling Port - Highly Portable, Easy Set-Up Intermediate Cushioned Mask Deluxe Mask w/ Straight Rotating Port - Latex-Free Cushioned Mask Flow-Safe CPAP Mask Descriptions: Deluxe Mask w/90° Swivel Port & Anti-Asphyxia Valve Intermediate Cushion Mask with Fabric Headstrap Similar to the original cushion mask, this mask also includes an inflation valve. It features a comfortable material headstrap, in place of the blue headstrap, offering an affordable option. This mask also features quick connect clips to the cushion mask allowing for easier access for administering medication after CPAP therapy is implemented. Cushion Mask with Blue TPR (Thermoplastic Rubber) Headstrap The original cushion mask with blue headstrap is available when cost is a consideration. Standard nebulizers connect in-line. The cushion mask contains a color-coded hook ring for attaching the blue neoprene headstrap. If the patient requires medication after CPAP therapy has begun, they can detach the blue headstrap to access the oral cavity and re-attach the straps to the hook rings to continue CPAP. ORDERING INFORMATION: 800.835.6633 or 727.573.0088 7 ONLY ONE air-Q sp Masked Laryngeal Airways Disposable ® The Only Self-Pressurizing Mask Cuff Takes the Guesswork out of Mask Cuff Inflation - No inflation line necessary - Eliminates the extra step of inflating the mask cuff - Eliminates mask cuff overinflation - Creates a good seal SAFE. SIMPLE. SELF-PRESSURIZING. Product Advantages n The New air-Qsp eliminates the extra step and guesswork for mask cuff inflation and the potential for over-inflation. - The new design allows Positive Pressure Ventilation to self-pressurize the mask cuff. The increase in cuff seal pressure occurs at the exact time you need it, during the upstroke of ventilation. n On exhalation, the cuff decompresses to the level of the PEEP. - The intra-cuff pressure cycles between the Peak Airway Pressure usually 15 - 30 cm H2O and the level of PEEP < 10 cm H2O. Seal Pressure on exhalation averages 17 - 20 cm H2O. n The result is a safer, efficient, low-pressure seal during the majority of the case. The cyclical lowering in intra-cuff pressure may assist in diminishing complications such as: - Mucosal and nerve trauma that result from overinflating traditional peripheral laryngeal mask cuffs. n Allows intubation like the regular air-Q®. n The SP version can be used as an “everyday” airway that facilitates intubation. air-Q®sp 4.5 Large Adult 8 air-Q®, Property of Cookgas, LLC Patents: 5,937,860 / US 6,422,239 B1 / US 6,892,731 B2 / US 7,331,347 B2 / US 6,705,321 B2 / US 7,357,845 B2 / US 7,900,632 B2 / US 7,780,900 B2 / US 7,934,502 B2 / US 7,784,464 B2 Patents Canada: 2,231,331 / 2,371,435 / 2,410,043 Patents UK: GB2357437B / GB2407293B / GB2405589B / GB2324040B Other patents pending ONLY ONE air-Q sp Masked Laryngeal Airways Disposable ® 7 Sizes* 4.5 3.5 2.5 2.0 1.5 1.0 0.5 *AVAILABLE SOON With the new SELF-PRESSURIZING air-Qsp there is no need to inflate the mask; it self-pressurizes to the proper inflation pressure automatically during Positive Pressure Ventilation. Part # #10-4005 #10-4010 #10-4015 #10-4020 #10-4025 #10-4035 #10-4045 #10-1006 #10-1005 #10-1004 Size 0.5 1.0 1.5 2.0 2.5 3.5 4.5 #00 #0 #1 ORDERING INFORMATION Description air-Qsp (Self-Pressurizing) Masked Laryngeal Airway air-Qsp (Self-Pressurizing) Masked Laryngeal Airway air-Qsp (Self-Pressurizing) Masked Laryngeal Airway air-Qsp (Self-Pressurizing) Masked Laryngeal Airway air-Qsp (Self-Pressurizing) Masked Laryngeal Airway air-Qsp (Self-Pressurizing) Masked Laryngeal Airway air-Qsp (Self-Pressurizing) Masked Laryngeal Airway Disposable Removal Stylet for 1.0 & 1.5 airway Disposable Removal Stylet for 2.0 & 2.5 airway Disposable Removal Stylet for 3.5 & 4.5 airway Disposable Disposable Disposable Disposable Disposable Disposable Disposable (pink connector) (light blue connector) (light green connector) (orange connector) (yellow connector) (red connector) (purple connector) Packaged 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box ORDERING INFORMATION: 800.835.6633 or 727.573.0088 Patient Weight <4 kgs 4-7 kgs 7-17 kgs 17-30 kgs 30-50 kgs 50-70 kgs 70-100 kgs 9 ONLY ONE air-Q Blocker Masked Laryngeal Airways Disposable ® The Everyday Disposable “Rescue” Airway designed to facilitate intubation. . . and manage the upper esophagus A new design incorporating a soft, flexible guide tube allowing access to the posterior pharynx and upper esophagus. - Use as a primary airway device when an oral endotracheal tube is not necessary. - As an aid to intubation in difficult airway situations. - Well suited when access to posterior pharynx and upper esophagus is desired. Blocker Tubes are designed to suction the pharynx or suction, vent and block the upper esophagus. Removable Color-Coded Connector allows intubation through the airway tube with any standard ET tubes. (Color-coding sets the standard for masked laryngeal airways.) New Blocker Channel accepts NG or Blocker Tubes for accessing posterior pharynx and managing the esophagus. Built-up Mask Heel for Improved Seal. BLOCKER Product Features Advantages - Heel of mask cuff Built-up for improved seal Allows for use with an NG tube or Blocker Tube for managing the esophagus - Blocker Channel Facilitates placement, directs ET tube toward laryngeal inlet - Elevation Ramp (built into airway outlet.) Easier positioning and improved airway alignment - Specially-designed ridges inside mask cavity - Keyhole-Shaped Airway Outlet - Removable, tethered connector for direct access to airway tube 10 air-Q®, Property of Cookgas, LLC Elevates epiglottis to provide unobstructed access to laryngeal inlet Allows intubation through tube with any standard ET tube Patents: 5,937,860 / US 6,422,239 B1 / US 6,892,731 B2 / US 7,331,347 B2 / US 6,705,321 B2 / US 7,357,845 B2 / US 7,900,632 B2 / US 7,780,900 B2 / US 7,934,502 B2 / US 7,784,464 B2 Patents Canada: 2,231,331 / 2,371,435 / 2,410,043 Patents UK: GB2357437B / GB2407293B / GB2405589B / GB2324040B Other patents pending ONLY ONE air-Q Blocker Masked Laryngeal Airways Disposable ® Blocker Channel air-Q Blocker with Blocker Tube in place BLOCKER 3 Sizes Available Suction air-Q Blocker Tube Further blocks the esophagus 4.5 3.5 2.5 Vent Part # #10-5025 #10-5035 #10-5045 #10-5026 #10-5036 #10-5046 #10-5027 #10-5037 #10-5047 #10-1005 #10-1004 Size 2.5 3.5 4.5 2.5 3.5 4.5 #0 #1 ORDERING INFORMATION Description air-Q Blocker Masked Laryngeal Airway Disposable only (yellow connector) air-Q Blocker Masked Laryngeal Airway Disposable only (red connector) air-Q Blocker Masked Laryngeal Airway Disposable only (purple connector) air-Q Blocker Disposable kit w/lubricant & 10 cc syringe with swivel elbow air-Q Blocker Disposable kit w/lubricant & 10 cc syringe with swivel elbow air-Q Blocker Disposable kit w/lubricant & 10 cc syringe with swivel elbow air-Q Blocker Tube for airway size 2.5 air-Q Blocker Tube for airway size 3.5 air-Q Blocker Tube for airway size 4.5 Disposable Removal Stylet for 2.5 airway Disposable Removal Stylet for 3.5 & 4.5 airway Packaged 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box ORDERING INFORMATION: 800.835.6633 or 727.573.0088 Patient Weight 30-50 kgs 50-70 kgs 70-100 kgs 30-50 kgs 50-70 kgs 70-100 kgs 11 ONLY ONE air-Q Masked Laryngeal Airways Disposable ® Original air-Q with inflatable cuff Developed and designed by an anesthesiologist following 8 years of clinical research... for use with Confidence! The new and improved design has evolved into a superior airway providing: - New Infant Sizes - Ease of placement - Better Seal in “Everyday” Use - Improved Intubation Success Removable Color-Coded Connector allows intubation through the airway tube with any standard ET tubes. The New, Removable Tethered Connector Avoids Misplacing the Connector. Integrated Bite Block - Easier to place - Reinforces the tube - Diminishes the need - for separate bite block Built-up Mask Heel for Improved Seal. Elevation Ramp...Facilitates Intubation. Directs the ET Tube toward the Laryngeal Inlet. air-Q® 3.5 Small Adult Disposable Product Features Advantages - Elevation Ramp (built into airway outlet.) Facilitates placement, directs ET tube toward laryngeal inlet Built-up for improved seal - Heel of mask cuff Easier positioning and improved airway alignment - Specially-designed ridges inside mask cavity - Keyhole-Shaped Airway Outlet - Removable, tethered connector for direct access to airway tube 12 air-Q®, Property of Cookgas, LLC Elevates epiglottis to provide unobstructed access to laryngeal inlet Allows intubation through tube with any standard ET tube Patents: 5,937,860 / US 6,422,239 B1 / US 6,892,731 B2 / US 7,331,347 B2 / US 6,705,321 B2 / US 7,357,845 B2 / US 7,900,632 B2 / US 7,780,900 B2 / US 7,934,502 B2 / US 7,784,464 B2 Patents Canada: 2,231,331 / 2,371,435 / 2,410,043 Patents UK: GB2357437B / GB2407293B / GB2405589B / GB2324040B Other patents pending ONLY ONE air-Q Masked Laryngeal Airways Disposable ® 7 Sizes* 4.5 Part # #10-3005 #10-3010 #10-3015 #10-3020 #10-3025 #10-3035 #10-3045 #10-3016 #10-3021 #10-3026 #10-3036 #10-3046 #10-1006 #10-1005 #10-1004 3.5 Size 0.5 1.0 1.5 2.0 2.5 3.5 4.5 1.5 2.0 2.5 3.5 4.5 #00 #0 #1 2.5 2.0 ORDERING INFORMATION Description air-Q Masked Laryngeal Airway Disposable (pink connector) air-Q Masked Laryngeal Airway Disposable (light blue connector) air-Q Masked Laryngeal Airway Disposable (light green connector) air-Q Masked Laryngeal Airway Disposable (orange connector) air-Q Masked Laryngeal Airway Disposable (yellow connector) air-Q Masked Laryngeal Airway Disposable (red connector) air-Q Masked Laryngeal Airway Disposable (purple connector) air-Q Disposable w/lubricant & 10 cc syringe air-Q Disposable w/lubricant & 10 cc syringe air-Q Disposable w/lubricant & 10 cc syringe air-Q Disposable w/lubricant & 10 cc syringe air-Q Disposable w/lubricant & 10 cc syringe Disposable Removal Stylet for 1.0 & 1.5 airway Disposable Removal Stylet for 2.0 & 2.5 airway Disposable Removal Stylet for 3.5 & 4.5 airway 1.5 1.0 Packaged 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box ORDERING INFORMATION: 800.835.6633 or 727.573.0088 0.5 *AVAILABLE SOON Patient Weight <4 kgs 4-7 kgs 7-17 kgs 17-30 kgs 30-50 kgs 50-70 kgs 70-100 kgs 7-17 kgs 17-30 kgs 30-50 kgs 50-70 kgs 70-100 kgs 13 ONLY ONE New & Improved Face-Cradle Prone Support System ® ® - Simple set-up, “no waiting” - Fully adjustable cushion set accommodates most adult head sizes - Greater patient stability - Greater visibility of patient’s eyes & ET tube “When vision matters... ...you have control” ADJUSTABLE AD J B TA US LE Fully Adjustable The Face-Cradle is for use in prone position surgeries offering the clinician greater visibility of the patient’s face. 14 Patent Pending ONLY ONE New & Improved Face-Cradle Prone Support System ® ® The Face-Cradle System consists of a mirror, a base and a soft, contoured foam set. Mirror Base Specifications: Foam Set Mirror Weight Base Weight Foam Set Weight 488 grams 785 grams 242 grams Adjustment Range, Height Adjustment Range, Horizontal 26.4 mm - approx. 1” 40.0 mm - approx. 1.5” Polycarbonate Polycarbonate Polyurethane Stainless Steel ORDERING INFORMATION Part # 10-520-00 10-520-01 10-520-02 10-520-03 Description Prone Base and Mirror Set Replacement Prone Mirror Replacement Prone Base Prone Contoured Foam Cushions (2/set, 5 sets per box) Accessories Catheter Mounts DM-3504 Flexible Catheter Mounts DM-3511 22 F Mirror Material Base Material Foam Set Material Base Hardware Material 70mm compressed 150mm extended DM-3504 Description Packaged Superset straight catheter mounts 50/Box Flexible straight catheter mounts 50/Box 22M/15F 22 F 170mm DM-3511 ORDERING INFORMATION: 800.835.6633 or 727.573.0088 22M/15F 15 ONLY ONE company for Endoscope Repair Flexible Endoscopes Our technicians have been instrumental in the design and development of numerous components and repair techniques used throughout the service industry today. With our dedication and attention to detail, you know your scope is being repaired by industry experts. Program Highlights - Quick turnaround time within 72 hours of receipt. - Cost savings of 40% - 70% over OEM. - Each scope undergoes a comprehensive multi-level inspection process. - We service large and small diameter scopes from most major manufacturers. - Replacement parts and materials are tracked by lot number and by scope. Quick - 6 month Warranty against defects in Materials and Workmanship. - Bronchoscopes Colonoscopes Choledochoscopes Duodenoscopes ERCP Scopes Gastroscopes Sigmoidoscopes Turnaround All Repairs Under Warranty 16 ORDERING INFORMATION: 800.835.6633 or 727.573.0088 ONLY ONE company for Endoscope Repair Endoscopic Video Equipment Camera OEM’s do not manufacture the vast majority of the components in their cameras. Principal parts such as prisms and cables are purchased from outside sources. We use these and similar sources for our repair components. Program Highlights - Quick turnaround time within 72 hours of receipt. - All cameras undergo a series of performance tests to determine control functions, electrical performance, safety, and image quality. - Camera couplers with leakage or mechanical problems can be repaired. We calibrate alignment, focus, seal, test, and restore couplers to “as new” condition. - Repaired cameras are compared to new OEM units for performance prior to entering two final quality assurance tests. - Using state of the art laser welders, molding machines and etchers to assure quality repairs that is second to none. Cameras are tracked by serial number, model and date as well as the repair that was completed on each. - Camera Heads Camera Consoles Camera Cables Couplers Light Sources Olympus Monitors & Video Printers Loaner Program Available - 90 day Warranty against defects in Materials and Workmanship. ORDERING INFORMATION: 800.835.6633 or 727.573.0088 17 ONLY ONE company for Endoscope Repair Rigid and Specialty Scopes Each rigid and specialty endoscope received undergoes a complete multi-function inspection process. Our technicians restore your scope to original standards using only German made optical components. Program Highlights - Most repairs are completed within 48 hours of receipt. Operating Laparoscopes and refiber work may take longer. - We use German made optical components and component assemblies that meet or exceed OEM standards. - Only FDA approved USP Class 6 epoxants are used. All objective lenses are sealed with an epoxant rated at 400 degrees Fahrenheit. - Each Scope is evaluated for proper Length, Field of View (FOV), and Angle of View (AOV) to insure replacement lenses and assemblies meet original specification. - Arthroscopes Cystoscopes Laparoscopes Operating Laparoscopes Resectoscopes Sinus Scopes Ureteroscopes - Digital photos record each incoming and outgoing image. - An extensive Quality Inspection that includes Leak Tests, Condensation Tests, Shock Tests, Fine Focus, and Photometer Tests that insure proper light output follows each repair. Quick Turnaround - 12 month Warranty against defects in Materials and Workmanship. All Repairs Under Warranty 18 ORDERING INFORMATION: 800.835.6633 or 727.573.0088 ONLY ONE company for Endoscope Repair Powered Surgical Equipment The condition of O-rings, Bearings, Gears, Springs, Blades, Collets, and Switches are inspected for excessive wear and corrosion with each Powered Surgical Instrument we receive. Repair costs are based only on the parts and labor required to restore your instrument to OEM performance standards. Program Highlights - Most repairs are completed within 72 hours of receipt. - We restore handpieces and attachments that have been deemed obsolete and are no longer serviced by the OEM. - Diagnostic checks include revolutions or strokes per minute and instrument torque is measured at various RPM or SPM. Readouts are then compared to OEM standards and your instrument is brought into compliance. - The instrument’s temperature is evaluated. We search for hot spots that indicate future bearing failure. Push In/Pull Out Forces are measured to evaluate the force required to install and remove burrs and blades. Loaner Program - We repair related attachments such as Burr Guards, Chucks, Collets and Air Hoses. Selected Batteries can be refurbished as well. - 90 day Warranty against defects in Materials and Workmanship. Available - Powered Drills Drill/Reamers Reciprocating Saws Oscillating Saws Sagittal Saws Sternum Saws Wire Drivers Dermatomes Micro Drills Micro Saws Trauma Drills Shavers Cast Cutters Dental Handpieces ORDERING INFORMATION: 800.835.6633 or 727.573.0088 19 ONLY ONE Troop Elevation Pillow & Accessories The Troop Elevation Pillow facilitates airway management for obese and large-framed patients. Designed and developed by a practicing anesthesiologist, the Troop Elevation Pillow addresses the inherent problem of “stacking blankets.” The pillow quickly achieves the “head-elevated laryngoscopy position, (H.E.L.P.).” This position is recommended for airway management of obese patients and is ideal for intra-op and post-op care. Indications for Use - General and Regional Anesthesia for obese patients - Local Anesthesia with I.V. Sedation for obese patients - Aid to improve mask and spontaneous ventilation - Obstetric C-Section cases - ENT, Head & Neck, Facial Surgeries - Neurosurgery; positioning aid for Anterior Cervical Fusion - Bariatric Surgery - X-Ray/Cath Lab Procedures - Bariatric Clinics Benefits - Aids Airway Management for obese patients. - Improves “Ease-of-Breathing.” - Obese patients breathe more comfortably during pre-oxygenation (pre-induction) and during regional anesthesia. - The Elevation Pillow greatly facilitates mask ventilation. - Helps align the Upper Airway Axes. - Easier, faster set-up eliminating “stacking of blankets.” - Stable patient positioning is maintained during surgery. - Helps decrease Acid Reflux (aid to manage GERD). - Disposable, barrier cover helps prevent infection. 20 Patents: US 6,751,818 B2 / US 7,077,141 B2 Part # #10-910-00 #10-910-03 #96-8815 #10-910-02 #10-910-04 ORDERING INFORMATION Description Disposable, Barrier Covered Troop Elevation Pillow (TEP) Disposable, Barrier Covers for Troop Elevation Pillow (TEP) Disposable Head Cradle, Foam/Adult (item sold separately) Reusable, Vinyl Head Cradle Disposable, Barrier Covered Troop Elevation Pillow Addition (TEPA) Packaged 4/Box 30/Box 24/Box 4/Box 2/Box References to the Troop Elevation Pillow found in these Anesthesia Textbooks 1. Benumof’s Airway Management 2nd Edition (2007) 2. Clinical Anesthesia/Barash 5th and 6th Edition (2006 & 2010) 3. Management of the Difficult and Failed Airway - Hung & Murphy (2008) 4. Anesthesia Student Survival Guide (2010) ORDERING INFORMATION: 800.835.6633 or 727.573.0088 ONLY ONE VividTrac Single Use Video Intubation Device ® VividTrac is a Single Use, USB Video Intubation Device that works on many computer systems equipped with USB II port (Windows, Linux, MAC) as a Standard USB Video Camera. The VividTrac requires a USB II port and works with many available video camera applications on Windows, Mac and Linux systems. Alternatively, a simple automated video display software can be downloaded from www.VividMed.com. Be sure to confirm the interoperability of the device with your computer webcam software before engaging with a patient. 1. 2. Single Use Video Intubation Device SIZES ETT 6.0-8.5 ETT > 8.5 use with Bougie 3. Product Advantages - Portable & Affordable - NO Cleaning, NO Maintenance, Recyclable. - Open System - Single Use Video Intubation Device, utilizing standard USB II interface that works on any Windows based (PC, Laptop, Tablet, UMPC), MAC, or Linux computers, with NO proprietary system cost. Adult Size IQ-VT-A100 5/Box - Superior Imaging - Wide Angle, High Resolution, Digital Video of airway displayed on the computer screen allows the user to Store, Display on TV, Transmit or Broadcast over WiFi or 3G networks, with off-theshelf computing and connectivity solutions. - NO Batteries - 100% powered through USB cable, with automatic Anti-fog. - NO Head Tilt - Blade tip positions easily at the epiglottic vallecula to facilitate direct visualization of the cords, with the patient in any position. - NO Stylet - Integrated ETT Channel guides the ETT precisely through the vocal cords and trachea. ORDERING INFORMATION: 800.835.6633 or 727.573.0088 21 ONLY ONE ShurSleeve ™ A housing system for hoses and cables in the O.R. Untangling hoses, cables and cords in surgery suites takes serious time and costs money, not to mention the daily damage created because you have no way to protect them. Consider the New ShurSleeve housing system for cords, hoses and cables. Finally a reliable way to secure your anesthesia cables & hoses. Some of the advantages you can expect when using the ShurSleeve include: - Available in a variety of 7 mix and match colors, lengths and widths. Custom sizes never a problem. - Easy-to-clean, durable vinyl surface with industrial strength zipper. - Anti-bacterial and microbial-resistant to minimize infection control concerns. - Fire retardant fabric. - Keeps hoses and cables organized, Makes moving anesthesia machines safe and easy. - Decreases trip hazards in the surgical suites and saves time & money used to clean and untangle dirty hoses. - Made in the U.S.A. Designer Color Options Available Mix & Match No More Braiding & Twist Ties! 22 ORDERING INFORMATION: 800.835.6633 or 727.573.0088 ONLY ONE Insufflator “Dual Tank Kit” Never Stop a Procedure Again to Change an Empty CO2 Tank Switch from your insufflator’s empty cylinder to a full cylinder in seconds. Advantages of the Insufflator Dual Tank Kit - Never stop a procedure to change CO2 tanks again! - Connect two CO2 tanks simultaneously to any insufflator. - Easy-to-operate handle to switch CO2 sources. - Low profile, lightweight set-up. - Dual tank kits are configured to fit any brand of insufflator applications. Mercury has kits available to accommodate all insufflator and tower combinations. Contact Mercury Medical’s Customer Service today for additional information. BEFORE AFTER switch-over valve “switch-over” in seconds ORDERING INFORMATION: 800.835.6633 or 727.573.0088 23 ONLY ONE Parker Flex-Tip Endotracheal Tube ® When Softness Counts The tapered tip of the Parker tube is designed to flex and slide gently along the airway, and to ski easily through the larynx and down the trachea on its curved backside, without catching on or traumatizing the airway anatomy. The rigid edge of standard tubes often catches on and impacts deeply into the fragile airway anatomy. The flexible tip of the Parker tube is designed to prevent such trauma by diffusing any force over a much broader area, and by yielding and sliding away from potential hang-ups. 24 Feel, compare and believe! ONLY ONE Parker Flex-Tip Endotracheal Tube ® Parker Flex-Tip (flexible, tapered, curved, rounded, centered, resilient) - The long, rigid, distal edge of standard tubes is replaced by the Parker tube’s flexible, tapered tip. - Instead of being laterally-oriented, the tapered tip is centrally-oriented, so it can be advanced down the midline of the airway, without catching on lateral structures. - When the Flex-Tip is advanced against any airway structure, its tip flexes and briefly overhangs the distal opening of the tube to prevent that opening from snagging on the airway structure as it is advanced past that structure. After passing Standard Tip - The rigid, long, distal edge of standard tubes is fully exposed to the airway anatomy. It tends to become impacted in soft tissues of the airway and is capable of scraping, lacerating and amputating airway structures. - The side-beveled, distal opening of standard tubes is fully exposed to, and capable of snagging on, tearing, and dislocating the lateral structures of the airway. - The standard tube’s tip usually forms a gap with introducers. The gap frequently traps the tube on the airway structure, the resilient tip springs back to its anatomical features of the larynx, so it cannot be on its smooth, rounded, curved, posterior surface. and repositioned. Attempting to achieve such original position, and continues to glide through the airway - When the Flex-Tip encounters anatomical irregularities in the airway, it tends to flex and slide past them, or “ski” over them, like a ski tip. - The flexible tip tends to lie flush against most introducers, advanced into the trachea without being retracted repositioning frequently results in laryngeal trauma, due to repeated, blind poking of the larynx with the tube tip. such as bougies and flexible fiberoptic scopes, thereby preventing a gap between the tube tip and the introducer that could snag on airway anatomy. Standard Tip Parker Flex-Tip Part # #IT-H-PFHV-40 #IT-H-PFHV-45 #IT-H-PFHV-50 #IT-H-PFHV-55 #IT-H-PFHV-60 #IT-H-PFHV-65 #IT-H-PFHV-70 #IT-H-PFHV-75 #IT-H-PFHV-80 #IT-H-PFHV-85 #IT-H-PFHV-90 #IT-H-PFHV-95 Size (mm ID) 4.0 mm 4.5 mm 5.0 mm 5.5 mm 6.0 mm 6.5 mm 7.0 mm 7.5 mm 8.0 mm 8.5 mm 9.0 mm 9.5 mm ORDERING INFORMATION Description High Volume High Volume High Volume High Volume High Volume High Volume High Volume High Volume High Volume High Volume High Volume High Volume Low Low Low Low Low Low Low Low Low Low Low Low Pressure, Cuffed Pressure, Cuffed Pressure, Cuffed Pressure, Cuffed Pressure, Cuffed Pressure, Cuffed Pressure, Cuffed Pressure, Cuffed Pressure, Cuffed Pressure, Cuffed Pressure, Cuffed Pressure, Cuffed ORDERING INFORMATION: 800.835.6633 or 727.573.0088 Packaged 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 25 ONLY ONE Parker ThinCuff Tube with Parker Flex-Tip ® ® Now, a thinner, gentler cuff mounted on DEHP-free tubing to accompany the unique Parker Flex-Tip. No other endotracheal tube offers this combination of features designed to make intubation faster, easier and safer. Comparative clinical studies in the U.S. and Japan found Parker Flex-Tip tubes to be “significantly less traumatic” to the airway than standard tip endotracheal tubes. The tapered, flexible tip of the Parker tube is designed to flex and slide easily through the airway without catching on or traumatizing the airway in any way, so as to make intubation significantly faster and safer. The new polyurethane ThinCuff is designed to seal against the Two types of Parker ThinCuff tubes are available. PVC cuffs, so as to reduce cuff pressure on the tracheal capillary Magill-type: has a shorter cuff, closer to the tip of the tracheal wall at a lower intracuff pressure than is required for thicker, circulation. For sound medical and environment reasons, there is a growing international preference for DEHP-free medical products. Parker ThinCuff tubes comply with this preference. Magill-type: Part # #IT-H-PTCL-30 #IT-H-PTCL-35 #IT-H-PTCL-40 #IT-H-PTCL-45 #IT-H-PTCL-50 #IT-H-PTCL-55 #IT-H-PTCL-60 #IT-H-PTCL-65 #IT-H-PTCL-70 Murphy-type: Part # #IT-H-PTCY-60 #IT-H-PTCY-65 #IT-H-PTCY-70 #IT-H-PTCY-75 #IT-H-PTCY-80 #IT-H-PTCY-85 #IT-H-PTCY-90 #IT-H-PTCY-95 26 Size (mm ID) 3.0 mm 3.5 mm 4.0 mm 4.5 mm 5.0 mm 5.5 mm 6.0 mm 6.5 mm 7.0 mm Size (mm ID) 6.0 mm 6.5 mm 7.0 mm 7.5 mm 8.0 mm 8.5 mm 9.0 mm 9.5 mm tube, No Murphy eyes, DEHP-free tubing. Sizes 3.0-7.0 Murphy-type: has a longer cuff and 2 Murphy eyes, DEHP-free tubing. Sizes 6.0-9.5 ORDERING INFORMATION Description DEHP-free, Low DEHP-free, Low DEHP-free, Low DEHP-free, Low DEHP-free, Low DEHP-free, Low DEHP-free, Low DEHP-free, Low DEHP-free, Low Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Cuff, no Cuff, no Cuff, no Cuff, no Cuff, no Cuff, no Cuff, no Cuff, no Cuff, no Murphy Murphy Murphy Murphy Murphy Murphy Murphy Murphy Murphy eyes eyes eyes eyes eyes eyes eyes eyes eyes ORDERING INFORMATION Description DEHP-free, Low DEHP-free, Low DEHP-free, Low DEHP-free, Low DEHP-free, Low DEHP-free, Low DEHP-free, Low DEHP-free, Low Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Pressure, Polyurethane Cuff, 2 Cuff, 2 Cuff, 2 Cuff, 2 Cuff, 2 Cuff, 2 Cuff, 2 Cuff, 2 Murphy Murphy Murphy Murphy Murphy Murphy Murphy Murphy eyes eyes eyes eyes eyes eyes eyes eyes ORDERING INFORMATION: 800.835.6633 or 727.573.0088 Packaged 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box Packaged 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box 10/Box ONLY ONE Parker ThinCuff Tube with Parker Flex-Tip ® ® These unique, new Parker tubes differ from conventional ET tubes in several ways: n The Parker ThinCuff is made of polyurethane instead of PVC. The polyurethane membrane is much thinner than the PVC membrane typically used to form conventional ET tube cuffs. The thinner, more pliable polyurethane cuff membrane is designed to provide a gentle cuff seal against the tracheal wall at a lower intracuff pressure than is commonly used to inflate thicker, PVC cuffs. The lower cuff pressure exerted against the tracheal wall is intended to reduce the risk of compromising the capillary blood flow in the tracheal mucosa. n The cuff and the shaft of Parker ThinCuff tubes are DEHP-free. Experts have determined that DEHP-free plastic is medically and environmentally safer than plastic which contains DEHP. 1,2,3 Widespread efforts to mandate adoption of DEHP-free plastic in medical products are gaining momentum in U.S. and European hospitals.4,5,6,7 n The distal end of the ThinCuff tubes features the patented, Parker Flex-Tip. This revolutionary, flexible, curved, centered, tapered tip has been reported by independent clinical investigators to cause “significantly less trauma and significantly less bleeding,” and less post-intubation nasal pain after nasal intubation, when compared to standard-tip tubes.8,9 Other clinical studies comparing Parker Flex-Tip tubes to standard-tip tubes have reported that the Parker tubes facilitated significantly faster and easier intubations, with a 100% first-attempt success rate, little or no impingement on surrounding tissues, and less post-operative hoarseness.10-17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Tickner JA, et al. Health risks posed by use of DEHP in PVC medical devices: A critical review. Am J of Industrial Medicine. 2001 ;39(1): 100-111. http://onlinelibrary.wiley.com/doi/10.1002/1097-0274(200101)39:1%3C100::AIDAJlMl0%3E3.0.CO;2-Q/abstract Ruzickova K, et al. Preventing Harm from Phthalates, Avoiding PVC in Hospitals. Health Care Without Harm:Europe. June, 2004. http://www.pehsu.org/research/hsostenible/dehp/detailsdehp.pdf Schettler T. Phthalate Safety Concerns Merit Substitute Products. Risk Policy Report via EPA.com. 2/28/2006; vol 13,no 9. http://www.sehn.org/Phthalate_Safety.html Wood D. Health Care Leaders. NursingJobs.com. 2005. http://www.nursingjobs.com/healthcareleaders.asp?id=10602 At Abington Memorial Hospital: Decision to go DEHP-free pays off in waste reduction and staff satisfaction. White Paper. 2009. http://www.hospira.com/Files/VislV_Abington_ Memorial_White_Paper.pdf Atrium Clinical Update. DEHP-Free: Important for You and Your Patients. Atrium Medical Corporation. March, 2010. http://www.atriummed.com/en/chest_drainage/Clinical%20Updates/ClinicalUpdateMarl0.pdf King B. Kaiser Permanente Converts to PVC- and DEHP-Free IV Equipment. Sustainable Brands. Jan. 20, 2012. http://www.sustainablebrands.com/news_and_views/articles/kaiser-permanente-converts-pvc-and-dehp-free-iv-equipment T. Sanuki, et al. The Parker Flex-Tip tube for nasotracheal intubation: the influence on nasal mucosal trauma, Anaesthesia. 2010;65:8-11. Prior S, et al. Parker Flex-Tip and Standard-Tip Endotracheal Tubes: A Comparison During Nasotracheal Intubation, Anesth Prog. 2010;57:18-24. Kristensen MS. The Parker Flex-Tip Tube versus a Standard Tube for Fiberoptic Orotracheal Intubation: A Randomized Double-blind Study. Anesthesiology. 2003;98(2):354-358. Takahashi TF, et al. Light-Guided Tracheal lntubation with Parker Flex-Tip Tube and Upper Airway Complications. Proc. of 2009 Annual Meeting of Amer. Soc. of Anethesiol. 10/17/2009;Abstracts:A72. Suzuki A, et al. The Parker Flex-Tip tracheal tube makes endotracheal intubation with the Bullard Laryngoscope easier and faster. European J of Anaesthesiology. 2008;25:43-47. Kitagawa H, et al. An Evaluation of Airwayscope-Assisted lntubation Using Parker Flex-Tip or Standard Endotracheal Tube. Proc. of 2009 Annual Meeting of Amer. Soc. of Anethesiol. 10/18/2009;Abstracts:A537. Gutierrez F, et al. A Pilot Study Comparing the Ease of lntubation over an Eschmann's Stylette of the Parker vs. the Mallinckrodt Endotracheal Tubes. Anesthesiology. 2001;95:A595. Ozaki M, et al. A less-traumatic way of light-guided intubation with Parker Flex-Tip tube. J Anesth (2005);19:185. Baraka A, et al. Posterior-beveled vs lateral-beveled tracheal tube for fiberoptic intubation. Canadian Journal of Anesthesia. 2002;49:889-890. Sanuki T, et al. Comparison of Parker-tipped and Murphy-tipped tracheal tubes in Airway Scope-assisted intubation in a manikin. J Anesth. 2009;23:530-533. 27 ONLY ONE Parker EasyCurve Endotracheal Tube ™ - Allows easy, continuously variable, finger-tip control of tube curvature - Soft, resilient Parker Flex-Tip® replaces hard, chisel-shaped, conventional tips - Remotely curvable tip increases versatility and speed of intubations - No stylet needed ORDERING INFORMATION Part # #IT-H-PFEC-50 #IT-H-PFEC-60 #IT-H-PFEC-70 #IT-H-PFEC-80 28 ORDERING INFORMATION: 800.835.6633 or 727.573.0088 Size 5.0 6.0 7.0 8.0 Packaged 10/Box 10/Box 10/Box 10/Box ONLY ONE Parker Flex-It Directional Stylet ™ The Parker Flex-It™ Directional Stylet is an articulating stylet whose curvature may be selected and fixed before intubation, or controlled by easy thumb action during intubation. Its convenient, one-hand operation is designed for quick, accurate, gentle intubation. It is suitable for oral and nasal use. Part # #IT-FLEX-7580 #IT-FLEX-6570 #IT-FLEX-5560 #IT-FLEX-5000 ORDERING INFORMATION Description For use in 7.5 & 8.0 tracheal tubes For use in 6.5 & 7.0 tracheal tubes For use in 5.5 & 6.0 tracheal tubes For use in 5.0 tracheal tubes Packaged 25/Box 25/Box 25/Box 25/Box ORDERING INFORMATION: 800.835.6633 or 727.573.0088 29 PRSRT STANDARD U.S. POSTAGE PAID PERMIT NO. 579 ST. PETERSBURG FL PLEASE CONTACT MERCURY MEDICAL WITH ANY NEW PRODUCT IDEAS. 11300 - 49th Street North • Clearwater, Florida 33762-4807 USA ORDERING INFORMATION: 800.835.6633 or 727.573.0088 Fax: 727.571.3922 www.mercurymed.com