gestore, Autore presso P1H

Handfiller

is a manual device able to host a 50ml-Luer lock-syringe connected to tubing system used to “pump” the drug from the container to fill the elastomeric pump acting on the plastic level arm.
HANDFILLER IS a TOOL NOT A MEDICAL DEVICE ACCORDING TO MEDICAL DEVICE DIRECTIVE 93/42
Handfiller could be used to facilitate the operations of filling elastomeric pumps with liquid drugs. It is common practice for the nurses to charge the liquid drug into a 50ml or 60ml syringe and to fill the elastomeric pump
directly connecting the syringe to the pump, usually under aspirating and protecting box. Handfiller reduces the nurse’s effort and discomfort during this operation, thanks to the possibility of accommodating the syringe in a
proper position and manually acting on a lever, which fills and flushes the syringe once connected to a 2-way tubing system. The tubing system should have one termination connected to the syringe and the other two, after the selector, one to the drug container and the other to the elastomeric pump.

Ref.

203.09.10.30

MATERIALS
White	Compound Body, rod holder, syringe holder, levers and supports
Stainless Steel	Screws, pins, syringe block
PVC	removable base suction cups, base rubbers
PACKAGING	Product unit: Labelled Cardboard box
CLEANING METHOD	Resistant to common disinfectants, acids and basic solutions
STERILISATION	Autoclave permitted (remove PVC parts suctions cups and base rubbers)

Handfiller

Ultra Cath Novo-Straight

90080-90185

Ultra Cath Novo-Trocar

90173-90181

Ultra Cath Novo-Angled

90090-90186

Thoracic Drainage Catheters-Straight

Suitable for effective drainage after cardio-thoracic & thoracic surgery
Atraumatic & rounded open distal end with smooth eyes
Proximal end is fitted with pull through tapered tongue
With radio-opaque line and markings at every 2 cm from the last eye
Cross side eyes to prevent tissue aspiration
Matching size connector for easy connection to the drainage system
Soft, frosted and kink resistant PVC tubing
Length: 45 cm
Sizes: 8, 10, 12, 14, 16, 18, 20, 22, 24, 28, 32, 36, 40FG
DEHP Free

Thoracic Drainage Catheters-with Trocar

Marking provided at 5, 10, 15 & 20 cm from the last eye to help ascertain depth of placement
Two lateral eyes for efficient drainage
Proximal end fitted with tapered connector for easy connection to the drainage bottle
Sizes: 8, 10, 12, 14, 16, 18, 20, 22, 24, 28, 32, 36, 40FG
DEHP Free

Thoracic Drainage Catheters-Angled

Catheter is provided with curved (90°) angle for easy aspiration of drainage
DEHP Free

Novovac Set

90050-90135

Polyvac Set

90070-90199

Neovac Set

90650-90651

Closed Wound Suction Unit with Spring

Closed wound drainage system with graduated Transparent Spring bellow, suitable for drainage under negative pressure post operatively with the options to operate one or two catheters simultaneously
Sizes of Bellow Chamber : 200 & 400ml

Closed Wound Suction Unit

Suitable for close wound drainage under negative pressure post operatively with the option to operate one or two catheters simultaneously
Graduated Bellow Chamber
Sizes of Bellow Chamber : 600 & 800ml

Closed Wound Suction Unit

Suitable for minor surgery and plastic surgery
Unit consists of:
1. Bellow container capacity: 50ml
2. Curved trocar with redon catheter
Sizes : 6 FG & 8 FG

Common features

Unit consists of:
- 1. Bellow unit connector
- 2. Connecting tube with clamp and “Y” connector
- 3. Curved trocar with catheter
- 4. Perforated DEHP Free Redon drain catheter
Sizes : 10, 12, 14, 16 & 18FG

Redon Drain

90060-90186

Provided with radio-opaque line and smooth eyes
Cross perforated length of tube: 14cm
Markings on the tube at 19 cm from the distal tip
Soft, frosted & kink resistant PVC tubing
Length: 50, 70, 120 & 170 cm
Sizes: 8, 10, 12, 14, 16 & 18 FG
DEHP Free

200 Ml

400 Ml

600 Ml

1000 Ml

Trocar & Redon Drain (Optional)

Extension Tube with Clamp

Ultravak Set

High Pressure Vacuum Bottle with Extension Tube

90500-90518

Rigid suction containers are predominantly connected to wound drainage containers and temporarily, applied to evacuate wound exudates and for contraction of wound surfaces in the post-operative phase.
Clear transparent bottles with bold marking facilitates proper and easy reading.
Graduated bottle chamber available in 200 ml, 400ml & 600ml.
Kink resistant 105 cm PVC tubing
Suitable for high pressure vacuum drainage under negative pressure for post-operative phase
Accessory: Extension tube with clamp, vacuum indicator & bottle unit with connector
Also available with Trocar & Redon Drain

Model	Capacity
X Large	1000 ml
Large	600 ml
Medium	400 ml
Small	200 ml

CONTINUOUS WOUND INFUSION

Continuous Wound Infusion (CWI) is a technique which uses a multi-holed catheter to deliver local anaesthetics or analgesics directly into the wound for postoperative pain relief.
It can be used as a single technique or as part of a multi-modal analgesic approach.

Effective Postoperative Analgesia
The continuos wound infusion of local anaesthetics or analgesics has benn proven to provide effective postoperative analgesia for patients undegoing abdominaL, gynecological¹, thoracic ^2-3 and orthopedic surgeries^{4 – 7} as well as C section⁸ and hernia. ⁹
Reduces Opioid Usage
Continuous wound infusion reduces the need for systemic opioids in the postoperative period.^{1 – 9}
Safe Technique
Continuous infusion of local anaesthetics or analgesics in the surgical wound for postoperative analgesia is a safe technique as it does not increase
the number of wound infections^{5 – 7 – 8}, does not impair the wound healing process ^{5 – 7 – 8}, and does not generate toxic levels of local anaesthetics in the patient’s plasma.^1-5-7-8
Reduces Hospitalisation
Some studies found that continuous wound infusion can reduce a patient’s lenght of stay in hospital.^{1 – 2 – 5}
Excellent Patient Satisfaction
Continuous wound infusion for postoperative analgesia provides excellent patient satisfaction. ^{5 – 6 – 8}

Radioopaque catheter with advanced design feature
to optimise uniform flow distribution
High tensile strength
indicating low risk of breakage¹⁰
Convenient, easy to use system
with peel-away Introducer needle, dressing and catheter fixation
Range of 19 gauge catheters
to cover various incision lengths
Markings
to allow identification of multi-holed section, distance from the beginning of the multi-holed section and catheter integrity
Preconnected hub and hub sleeve
minimize the risk of disconnection or kinking after removal

CATHETERS FOR CONTINUOUS WOUND INFUSION

REF	Name	Fenestred lenght	Overall lenght
203.06.10.02P	PAINFUSOR Catheter 2.5	2.5 cm	37.5 cm
203.06.10.07P	PAINFUSOR Catheter 7.5	7.5 cm	42.5 cm
203.06.10.15P	PAINFUSOR Catheter 15	15 cm	50 cm
203.06.10.22P	PAINFUSOR Catheter 22.5	22.5 cm	57.5 cm
203.06.10.30P	PAINFUSOR Catheter 30	30 cm	65 cm

REFERENCES

1. Beaussier M, El’ayoubi H, Schiffer E, Rollin M, Parc Y, Mazoit JX, Azizi L, Gervaz P, Rohr S, Biermann C, Lienhart A, Eledjam JJ. Continuous preperitoneal
infusion of ropivacaine provides effective analgesia and accelerates recovery after colorectal surgery: a randomized, double-blind, placebo-controlled study.
Anesthesiology. 2007 Sep;107(3):461-468.
2. Dowling R, Thielmeier K, Ghaly A, Barber D, Boice T, Dine A. Improved pain control after cardiac surgery: results of a randomized, double-blind, clinical trial.
J. Thorac. Cardiovasc. Surg. 2003 Nov;126(5):1271-8.
3. Karakaya D, Baris S, Ozkan F, Demircan S, Gok U, Ustun E, et al. Analgesic effects of interpleural bupivacaine with fentanyl for post-thoracotomy pain.
J Cardiothorac Vasc Anesth 2004 Aug;18(4):461-5.
4. Axelsson K, Nordenson U, Johanzon E, Rawal N, Ekback G, Lidegran G, et al. Patient-controlled regional analgesia (PCRA) with ropivacaine after arthro-
scopic subacromial decompression. Acta Anaesthesiol Scand 2003 Sep;47(8):993-1000.
5. Bianconi M, Ferraro L, Ricci R, Zanoli G, Antonelli T, Giulia B, et al. The pharmacokinetics and efficacy of ropivacaine continuous wound instillation after spine
fusion surgery. Anesth Analg 2004 Jan;98(1):166-72 table.
6. Blumenthal S, Dullenkopf A, Rentsch K, Borgeat A. Continuous infusion of ropivacaine for pain relief after iliac crest bone grafting for shoulder surgery.
Anesthesiology 2005 Feb;102(2):392-7.
7. Gottschalk A, Burmeister MA, Radtke P, Krieg M, Farokhzad F, Kreissl S, et al. Continuous wound infiltration with ropivacaine reduces pain and analgesic
requirement after shoulder surgery. Anesth Analg 2003 Oct;97(4):1086-91, table.
8. Fredman B, Shapiro A, Zohar E, Feldman E, Shorer S, Rawal N, et al. The analgesic efficacy of patientcontrolled ropivacaine instillation after Cesarean
delivery. Anesth Analg 2000 Dec;91(6):1436-40.
9. LeBlanc KA, Bellanger D, Rhynes VK, Hausmann M. Evaluation of continuous infusion of 0.5% bupivacaine by elastomeric pump for postoperative pain
management after open inguinal hernia repair. J Am Coll Surg 2005 Feb;200(2):198-202.
10. D. Thiveaud, V. Demazières, J. Lafont. Comparison of the performance of four elastomeric devices. EJHP 2005; P.2:56-6.

Poly Lead OTN

Over the Needle – Poly Lead – OTN

I.V. Cannula for Quick Flashback “Adva Needle Technology”

13440-13531

Advantages: Safety and Comfort

> The New Mini-Midline kit Over-the-needle is suitable for “dificult insertion vascular access”and needs approach to vessels by “Internal Juglar Vein”
> The kit contains also a Soft flexible Kink resistant straight Nitinol Guide wire for conversion into a over-the wire
> Made of specially formulated and biocompatible radio opaque Polyurethane material providing strength during insertion
> Specially designed soft tip for smooth & easy insertion of catheter
> Needle free connector (5cm) provides closed system

Compatible with Power injectors upto 325-330 PSI

Size	Catheter O.D.mm	Catheter Length mm	Flow Rate (ml/mnt)
14G Orange	2.0	45	305
16G Grey	1.7	45	200
17G White	1.5	45	142
18G Green	1.3	45/32	90

Common Features

central venous catheter made of biocompatible polyurethane which promotes resistance during insertion and softens at temperature to conform to body tissues and reduces the risk of vascular trauma.
soft, tapered tip designed for easy catheter insertion
J guide wire advances the perforation of the vessel and also guarantees an effective resistance to torsion which facilitates the advancement inside the vein.
radiopaque catheter with clear and defined marking facilitating correct tip positioning
Novocent Pro available with flexible and kink-resistant J-tip guidewire made of nickel and titanium (nitinol) and lipid-resistant three-way stopcock

Size		ø catheter		Product Code			Flow
		Int./Ext.(mm)		Lenght catheter (mm)			(ml/min)
				60	70	80	60	70	80
14G	Orange	1.7	2.0	13440	13441	13442	295	290	285
16G	Grey	1.3	1.7	13443	13444	13445	190	185	180
17G	White	1.1	1.5	13446	13447	13448	130	125	120
18G	Green	0.9	1.3	13449	13530	13531	80	75	70

Compatible with injectors for pressures up to 325 PSI

PolyFlush

PolyFlush Pre-ﬁlled syringe addresses most of your line ﬂushing needs.
Pre-filled Saline Syringes (PFS) offer safety over manually prepared flush syringes by reducing the risk of catheter related blood stream infections.

Features

Reduces the risk of CR-BSI: Compared to conventional syringe preparation involving multiple steps, PolyFlush prefilled syringe is ready to use, it also minimizes cross contamina- tion & may reduce the risk of CR-BSI.
Improves workﬂow efﬁciency: Ready to use, limits number of steps, less chances of error and saves time.
Eliminates the risk of Needle Stick Injuries: Poly flush provides safety to the healthcare professionals by reducing the risk of needle stick injuries unlike conventional systems.
Avoids catheter damage: Syringe diameter is inversely related to pressure generated at the distal end of syringe. Smaller diameter syringes generate greater amounts of pressure than larger diameter syringes and can risk catheter damage. Polyflush prefilled syringe offers all the syringes in consistent 10 ml syringe diameters to lower the risk of catheter damage.
Gamma sterilized:Avoids leaching of volatile organic compound formation, resulting in the absence of any odour.
PVC free, DEHP free & Latex free

90315	Prefilled Syringe with 0.9% Sodium Chloride	10 ml	Externally Sterile
90316	Prefilled Syringe with 0.9% Sodium Chloride	5 ml
90317	Prefilled Syringe with 0.9% Sodium Chloride	3 ml
90318	Prefilled Syringe with 0.9% Sodium Chloride	10 ml	Sterile Fluid path
90319	Prefilled Syringe with 0.9% Sodium Chloride	5 ml
90311	Prefilled Syringe with 0.9% Sodium Chloride	3 ml

Author: gestore

Handfiller

Plan 1 Health S.r.l.

Corporate Governance