Regional Anaesthesia - Braemedbraemed.ca/.../2017/...Regional-Anesthesia-catalog.pdf · Regional...

p. 1Regional Anaesthesia

Regional Anaesthesia

Making life less painful

EpiFuse® Catheter Connector

LockIt Plus® Catheter Securement Device

Epidural MiniPack System

CSEcure® Needle Sets


Contents

I EPIDURAL ANAESTHESIA ............................................................................................4

I SPINAL ANAESTHESIA ................................................................................................14

I COMBINED SPINAL EPIDURAL SYSTEMS...................................................................20

I SELECT CUSTOM KITS .................................................................................................23

I INDEX ...........................................................................................................................24

p. 4 Regional Anaesthesia

For the past 40 years Portex® has pioneered epidural systems. After being the first to produce epidural catheters for Obstetric Anaesthesia in the early 1970’s, Portex® went on to develop ‘single use’ devices in the early 1980’s, quickly establishing a strong reputation for innovation, quality and reliability expected from a market leader. The Portex® Minipack was the first ‘single use’ kit designed specifically for epidural procedures and included the first plastic, low friction Loss of Resistance Device.

The success of this epidural kit has led to the trade name ‘Minipack’ being used generically within the medical profession to describe a basic single use epidural pack.

Today Portex® continues to lead the field in Epidural Anaesthesia with a broad range of epidural procedure kits and components, including the EpiFuse® Catheter Connector. Closing with one hand, with a definitive click, the EpiFuse® Catheter Connector is a response to your request for an epidural catheter connector that locks securely and opens easily.

Recognising that procedural techniques vary, Portex® has pioneered a custom kitting service, allowing clinicians to customise a procedure tray to suit individual needs.

Epidural Anaesthesia



Needle Gauge Length Product Code

16G 80 mm 100/395/160

18G 80 mm 100/395/180

18G 80 mm (clear hub) L728-61 *

16G 110 mm (clear hub) 100/395/560

18G 110 mm (clear hub) 100/395/580

Supplied sterile in packs of 10* Supplied sterile in packs of 20

ORDERING INFORMATION

Designed to provide accurate and reliable access to the epidural space.

• Optimised tip profile to maximise the all-important feel during insertion

• Internal stylets help minimise tissue coring during insertion

• Optional snap on wings allow maximum flexibility in use

• Depth of needle insertion is easily determined by clear 10 mm graduations

• Extra length and paediatric sizes available

Tuohy Needles


Capacity Product Code

10 mL 100/398/000

Supplied sterile in packs of 10

Tuohy Needle Gauge Length Product Code

16G 80 mm 100/380/016

18G 80 mm 100/380/018




The Portex® ‘Loss of Resistance’ Device is a single use, low friction syringe specifically designed to facilitate successful location of the epidural space.

• Designed with low and consistent frictional movement of the plunger to provide excellent sensitivity for epidural space detection

• Graduated barrel indicates degree of plunger advancement

• Suitable for use with both air and saline techniques with standard Luer slip connection to epidural needles

• Latex-free

• 3-part

Loss of Resistance Device and Tuohy needle set. Ideal for use in chronic pain clinics for bolus injections into the epidural space.

Contents: (Tuohy Needle - length 80 mm, with attachable wings, a 10 mL plastic LORD, 10mL syringe: 3-part/luer slip/latex-free and a 18G Filter needle)

Epidural ‘Loss of Resistance’ Device

Epidural Single Shot Packs



• Manufactured from a clear polyether block amide for optimum clarity, strength and kink resistance

• Available in various gauges with a choice of distal tip eye geometry

• Smooth tip forming to help minimise trauma during insertion

• Standard 1 cm catheter marking to facilitate accurate catheter positioning

• Confirmed patency and consistent flow rates achieved through 100% flow testing after manufacture

• Distal tip mark to aid visual confirmation of complete catheter on removal

• Paediatric catheters available in 18G or 19G with option of closer helically placed eyes for even distribution of drugs, helping to reduce the likelihood of multi-compartmental spread of local anaesthetic1

• All catheters are supplied with the EpiFuse® Catheter Connector

Epidural Catheter

Open End Catheter

Closed End Catheter - 3 Lateral Eyes

Closed End Catheter - 3 Closer Eyes (Paediatric)

Clear Catheter Type

For use withneedle gauge Length Catheter

ID LabelCatheter Guide

Catheter Connector

Length Product Code

Internal External

Closed End 3 Eyes 16G 915 mm • • • 0.55 mm 1.03 mm 100/382/116CZ 100/382/116

3 Closer Eyes 16G 915 mm • • • 0.55 mm 1.03 mm 100/382/816CZ 100/382/816

Closed End 3 Eyes 18G 915 mm • • • 0.45 mm 0 83 mm 100/382/118CZ 100/382/118

3 Closer Eyes 18G 915 mm • • • 0.45 mm 0.83 mm 100/382/818CZ 100/382/818

Paediatric Open End 19G 650 mm • • • 0.38 mm 0.63 mm 100/382/019

Catheter size reflects the compatible epidural needle gauge. Supplied sterile in packs of 10

20G Closed End 3 Eyes 18G 915 mm • • 0.46 mm 0.86 mm G997-61

Actual catheter gauge. Supplied sterile in packs of 50


1 Collier, C.B., Gatt, S.P., A new epidural catheter. Closer eyes for safety? Anaesthesia 1993: 48; 803-806


Catheter Gauge Product Code

16G/17G/18G 4909E


For catheters used with: Product Code

16/17G needle 100/399/216

18G needle 100/399/218




At Smiths Medical, we always look for innovative ideas that help improve customer satisfaction and the clinical performance of our products. Many times our best ideas come from you. You told us you want a catheter connector for epidurals that locks securely and unlocks easily. We listened.

Secure, yet easy to open when necessary, the EpiFuse® Catheter Connector, is now the standard component in the Portex® Continuous Epidural Trays, Kits, and Packs. It is also available packaged separately.

• Accepts catheters that fi t through 16G, 17G, and 18G epidural needles

• One-hand activation for ease-of-use

• Tamper resistant

• Defi nitive closure click

• Yellow body for easy identifi cation as an epidural catheter

• Flat profi le for increased patient comfort

Security with a click. The LockIt Plus® device securely sticks to the insertion site while minimizing catheter migration and kinking with an audible click.

• Transparent locking mechanism protects catheter patency and permits monitoring of the exit site

• Low profi le for patient comfort

• Reversible lock secures the catheter in place and allows for clinical access when necessary

• Solid puncture site cover helps minimize kinking of the catheter exiting the body

• Large foam adhesive pad makes application easy and minimizes patient discomfort

• Peel-away liner over the adhesive backing enables easy and straightforward application

• Medical grade adhesive helps decrease skin irritation

EpiFuse® Catheter Connector

LockIt Plus® Catheter Securement Device



Filter Type

Membrane Pore Size

Maximum Pressure Unit (psi)

Filter Area

Priming Volume Product Code

Flat 0.2µm hydrophilic 2-way 115 psi, 792 kPa 5.25 cm2 0.8 mL 100/386/010CZ 100/386/010



Epidural Flat Filter

Designed for the in-line filtration of low volume doses of aqueous solutions — the flat filter is designed for patient comfort and is especially suitable for filtration of drug solutions during injection into the epidural space to help prevent infection.

• The 0.2 µm hydrophilic supported membrane allows two-way filtration and the ability to test aspirate

• Male and female Luer lock connections for maximum security

• Flat profile for patient comfort

• Transparent to allow visual monitoring of filtration and low priming volume

• Suitable for 96 hours period of use

Note: We recommend use of this filter with a syringe no smaller than 10 mL capacity to avoid undue pressure.


A cost-effective and convenient procedure pack, containing all the essential components needed to perform an epidural procedure. Available in four variants providing flexibility and choice. All products are single-use and offered in space saving packs.

A

B

Epidural MiniPack System 1



A

B


Tuohy NeedleGauge

LengthWith AttachableWings

Clear Catheter with Connector & Guide

Plastic LORD Size10mL: Luer slip7mL: Luer Lock

Catheter Identification Label

0.2µm Epidural Filter

Product Code

16G 80 mm • Open End 10 mL • • 100/391/016CZ 100/391/016

16G 80 mm • Closed End 3 Eyes 10 mL • • 100/391/116CZ 100/391/116

16G 110 mm • Closed End 3 Eyes 10 mL • • 100/391/516

16G 80 mm •Closed End 3 Closer Eyes

10 mL • • 100/391/816CZ 100/391/816

17G 80 mm • Open End 7 mL • G747*

17G 80 mm • Closed End 3 Eyes 7 mL • G998*

18G 80 mm • Open End 10 mL • • 100/391/018CZ 100/391/018


18G HD (Higher Stiffness)

80 mm • Closed End 3 Eyes 10 mL • • 100/391/318CZ 100/391/318

18G 110 mm • Closed End 3 Eyes 10 mL • • 100/391/518


10 mL • • 100/391/818CZ 100/391/818

18G 80 mm • Open End 7 mL • G749*

18G 80 mm • Closed End 3 Eyes 7 mL • G748*

19G 90 mm • Open End 10 mL • • 100/391/190

Supplied sterile in packs of 10 * Supplied in packs of 20

Epidural MiniPack System 1 Paediatric

Tuohy NeedleGauge



Plastic LORD Size(Luer slip)



Product Code


10 mL • • 100/391/180

19G 50 mm • Open End 10 mL • • 100/391/019CZ† 100/391/019

Supplied sterile in packs of 10†Subject to availability

Epidural MiniPack System 1 with LockIt Plus® Fixation Device

Tuohy NeedleGauge



Plastic LORD Size(Luer slip)



Product Code






A B

C

Epidural MiniPack Systems 2/3/4




Tuohy Needle Gauge LengthWith Attachable Wings




Product Code

16G 80 mm • Closed End 3 Eyes • • 100/392/116CZ 100/392/116

17G 80 mm • Open End • E623*

18G 80 mm • Closed End 3 Eyes • • 100/392/118CZ 100/392/118

Supplied sterile in packs of 10 * Supplied sterile in packs of 20


Tuohy Needle Gauge LengthWith Attachable Wings



Product Code

16G 80 mm • Closed End 3 Eyes • 100/394/116CZ 100/394/116

18G 80 mm • Closed End 3 Eyes • 100/394/118CZ 100/394/118







Product Code

16G Closed End 3 Eyes • • 100/393/116CZ 100/393/116

18G Closed End 3 Eyes • • 100/393/118CZ 100/393/118


A

B

C


Epidural Maxipacks

A convenient, single-use procedure pack offered in a logical two-layer format with the upper tray containing a selection of patient preparation components and the lower tray containing all the essential epidural procedure components. Available in 16G, 17G and 18G.



Epidural Maxipacks

Patient Preparation Procedure Components

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22G

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18G

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8 m

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22G

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16G

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Tuoh

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With

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Win

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20 m

L Lu

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Cat

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Pro

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16G • • • • • • • • • • • 16G • • 10 mL Plastic L/SClosed

End 3 Eyes• • • 100/390/116

17G • • • • • • • 17G • • 10 mL Glass L/L Open End • E622*

18G • • • • • • • • • • • 18G • • 10 mL Plastic L/SClosed

End 3 Eyes• • • 100/390/118

18G • • • • • • • 18G • • 10 mL Glass L/L Open End • G745*

18G • • • • • • • 18G • • 10 mL Glass L/LClosed

End 3 Eyes• G895*

18G • • • • • • • 18G • • 7 mL Plastic L/SClosed

End 3 Eyes• L794*

17GSingleShot

• • • • • • • • 17G • • 10 mL Glass L/L E621*

Supplied sterile in packs of 10Syringes are latex-free

*22G x 38 mm hypodermic needle supplied pre-attached to 3 mL syringe



Spinal Anaesthesia

Complementing the epidural systems products, Smiths Medical applies the same meticulous attention to detail and quality to a range of precision-engineered spinal needles, including the Portex RapID® spinal needle range. Designed to provide maximum performance without compromise to safety, the Portex RapID® spinal needle selection delivers the high performance demanded by today’s healthcare professionals. Spinal needles are available in Lancet (Quincke) and Pencil Point (Whitacre) tip designs, and offered as either individual needles supplied with a matched introducer needle or in convenient procedure trays.

Recognising that procedural techniques vary, the Portex RapID® range of spinal needles are also available through the Select Custom Kitting service, allowing clinicians to customise a spinal procedure tray to suit individual needs.


Spinal Anaesthesia

The Portex RapID® range of Spinal Needles are available either as a needle set or in a Midi-Tray format.

The Midi-Tray provides a systematic presentation of the key components necessary for the administration of single shot Spinal Anaesthesia.

• Available in both Pencil Point and Lancet tip variants from 22G through to 29G depending on patient and procedural requirements; Extra length needles available in 26G and 27G

• Pencil Point tip needles incorporate precision engineered tip and eye geometry for atraumatic insertion and promote reduction in Post Dural Puncture Headache (PDPH)

• Size and positioning of the lateral eye helps minimise the potential for transdural positioning, promoting accurate delivery in the subarachnoid space

• Clear hubs and excellent cerebrospinal fluid (CSF) flashback performance provides rapid identification of correct needle placement

• Colour-coded stylets allow easy identification of needle size

• Supplied with a matched introducer needle to facilitate accurate and safe needle placement within the subarachnoid space

Portex RapID® Spinal Needle Sets and Midi-Trays


Spinal Needle

Length Introducer Needle

RapID® Product Code Quantity Per Pack

22G 90 mm 18G • 100/496/122 20

24G 90 mm 20G • 100/496/124 20

25G 90 mm 20G • 100/496/125 20

25G 90 mm L741-61 100

25G 90 mm 20G M122 60

26G 90 mm 20G • 100/496/126 20

25G 115mm 20G • 100/492/815 10

26G 115 mm 20G • 100/492/816 10

27G 90 mm 20G • 100/496/127 20

27G 115 mm 20G • 100/492/817 10

Spinal Needle

Length Introducer Needle

RapID® Product Code Quantity Per Pack

22G 90 mm 18G • 100/496/022 20

22G 90 mm L746-61 100

24G 90 mm 20G • 100/496/024 20

25G 90 mm 20G • 100/496/025 20

26G 90 mm 20G • 100/496/026 20

27G 90 mm 20G • 100/496/027 20

29G 90 mm 22G M341 60



Pencil Point Spinal Needle Sets (Whitacre)

Lancet Point Spinal Needle Sets (Quincke)


Spinal Anaesthesia

Spinal Needle

Length 20G X 38 mm Introducer Needle

25G X 16mm Intradermal Needle

22G X 38 mm Hypodermic Needle

Syringe3ml: 3 part/Luer Slip5ml: 3 part/ Luer Lock

Filter Kwill

Product Code

25G 90 mm 20G 25G 22G 3 mL & 5 mL • 100/497/125

26G 90 mm 20G 25G 22G 3 mL & 5 mL • 100/497/126



Midi-Trays are available in Pencil Point format, containing a spinal needle and introducer, supported by the key components necessary for administration of the local anaesthetic prior to needle insertion.

Filter kwill (5µm, priming volume of 0.3 mL) removes particulate matter when drawing up, maximising patient safety.

Midi-Trays


Spinal Maxipacks

Spinal Maxipacks, Pencil Point Needle, Lancet Tip Needle

The spinal Maxipack provides all the essential components required for spinal anaesthesia in a single pack.

Presented in a logical two layer format, the upper tray contains a selection of patient preparation components and the lower tray contains the essential components to perform the spinal block.

Available in 22G to 27G Pencil Point or Lancet tip format dependent on the patient and procedure requirements.


Spinal Anaesthesia

Spinal Maxipacks

Patient Preparation Procedure Components

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21G

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22G

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25G

x 1

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16G

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22G • • • • • • • • • • 22G L R • 18G 100/389/022

22G • • • • • • 22G L BD • 18G E619*

24G • • • • • • 24G A A • 19G G888*

25G • • • • • • • • • • 25G P R • 18G 100/389/825

25G • • • • • • 25G P A • 19G G973*

25G • • • • • • 25G L BD • 19G E620*

26G • • • • • • • • • • 26G P R • 18G 100/389/826

26G • • • • • • 26G L BD • 20G G421*

27G • • • • • • 27G L BD • 20G G972*

Supplied sterile in packs of 10* 21G x 38 mm hypodermic needle supplied pre-attached to 3 mL syringe

25G x 16 mm hypodermic needle supplied pre-attached to 5 mL syringe



Bringing together the well documented advantages of epidural and spinal anaesthesia, the Smiths Medical range of Combined Spinal Epidural products includes the unique CSEcure® locking needle system.

Launched in 1998, the CSEcure® needle system promotes patient safety and is an effective solution to needle control during

the CSE procedure, without compromising the all important feel. The CSEcure® needle system is available in a wide range of pack options from individual sets of needles through to full procedure packs.

Recognising that procedural techniques vary, the CSE needle range is also available through the Select Custom Kitting service, allowing the clinician to

customise a CSE procedure tray to suit their individual needs. In addition, the CSE range offers a selection of traditional non-locking needle systems supplied as either matched needle sets or in full procedure trays. These traditional non-locking CSE needles are offered in ‘needle-through-needle’ or ‘back eye’ design to facilitate spinal needle placement.

Combined Spinal Epidural Systems




TuohyNeedle

With AttachableWings

SpinalNeedle

Spinal NeedleType

CSEcure® Lock

Product Code

18G • 27G Lancet • 100/396/318

16G • 26G Pencil • 100/396/916

16G • 27G Pencil • 100/396/716

18G • 27G Pencil • 100/396/718


CSEcure® Minipacks

TuohyNeedle


SpinalNeedle

Spinal Needle Type

CSEcure® Lock

Product Code

18G • 27G Lancet • 100/491/318

16G • 26G Pencil • 100/491/916

16G • 27G Pencil • 100/491/716

18G • 27G Pencil • 100/491/718

Contents: CSEcure® needle set with lock, Catheter (closed end 3 eyes) and EpiFuse® connector, Filter (0.2µm), 10ml/ Luer Slip LORD, Fixation sponge, Catheter ID label



CSEcure® Minipacks

CSEcure® Needle Systems

• Providing the rapid onset and reliability of a spinal block, allowing anaesthesia to be prolonged both intra and post-operatively via an epidural catheter

• Designed for optimal performance, helping to minimise drag of needle through needle and maximise feel of dural puncture

• Rapid CSF flashback to confirm correct needle tip position

• CSEcure® needle system’s unique locking needle hub feature enables tip relationships to be maintained after dural puncture, providing increased confidence of correct spinal needle tip position during injection of the anaesthetic

• Maximum of 15 mm spinal needle tip protrusion from Tuohy needle

• In locked position the spinal needle is free to rotate, enabling 360o freedom for drug dispersal in preferred direction

• Pencil point needles provide a satisfactory solution to the problem of Post Dural Puncture Headache (PDPH) and atraumatic entry into the sub-arachnoid space

• Excellent drug distribution is achieved through three helically located lateral eyes within the clear catheter, helping to minimise the potential for the localised pooling of drug solutions within the epidural space




Traditional (non-locking) Needle Sets

TuohyNeedle


SpinalNeedle

Spinal NeedleType

Back Eye

Product Code

18G 25G Pencil • MI45*

16G • 26G Lancet 100/396/116

16G • 26G Pencil 100/396/816

Supplied sterile in packs of 10 * Supplied sterile in packs of 30


Traditional (non-locking) Needle Sets

Traditional (non-locking) CSE Minipacks

TuohyNeedle


SpinalNeedle

Spinal NeedleType

Back Eye

Product Code

18G 25G Pencil • M146*

16G • 26G Lancet 100/491/116

18G • 27G Pencil 100/491/618

16G • 26G Pencil 100/491/816

18G • 26G Pencil 100/491/818

Contents: CSE needle set, Catheter (closed end 3 eyes) and EpiFuse® connector, Filter (0.2µm), 10ml/ Luer Slip LORD, Fixation sponge, Catheter ID label


* No catheter label, no fixation sponge


Traditional (non-locking) CSE Minipacks


Select Custom Kits

• With a simple ordering system, custom kits provide exactly the right components for each individual, with no extras to assemble and nothing wasted

• Considerable time-savings are made from set up to procedural application as all the items are present in one package

• Helps reduce risk of infection as all items are only handled once

• Stockholding is reduced as packs can be held by your local distributor according to forecast and demand

Select Custom Kit Service

Select Custom Kits

Smiths Medical recognises that health professionals are as individual as their patients. The Select Custom Kitting service allows clinicians the opportunity to customise their own kits to suit their personal component preferences and operational needs. The service offers the following benefits to both users and purchasers:


Index

100/395/160 ........................................... 5

100/395/180 ........................................... 5

L728-61 .................................................. 5

100/395/560 ........................................... 5

100/395/580 ........................................... 5

100/398/000 ........................................... 6

100/380/016 ........................................... 6

100/380/018 ........................................... 6

100/382/116CZ ....................................... 7

100/382/116 ........................................... 7

100/382/816CZ ....................................... 7

100/382/816 ........................................... 7

100/382/118CZ ....................................... 7

100/382/118 ........................................... 7

100/382/818CZ ....................................... 7

100/382/818 ........................................... 7

100/382/019 ........................................... 7

G997-61.................................................. 7

4909E ..................................................... 8

100/399/216 ........................................... 8

100/399/218 ........................................... 8

100/386/010CZ ....................................... 9

100/386/010 ........................................... 9

100/391/016CZ ...................................... 11

100/391/016 .......................................... 11

100/391/116CZ ...................................... 11

100/391/116 .......................................... 11

100/391/516 .......................................... 11

100/391/816CZ ...................................... 11

100/391/816 .......................................... 11

G747 ...................................................... 11

G998 ...................................................... 11

100/391/018CZ ...................................... 11

100/391/018 .......................................... 11

100/391/118CZ ...................................... 11

100/391/118 .......................................... 11

100/391/318CZ ...................................... 11

100/391/318 .......................................... 11

100/391/518 .......................................... 11

100/391/818CZ ...................................... 11

100/391/818 .......................................... 11

G749 ...................................................... 11

G748 ...................................................... 11

100/391/190 .......................................... 11

100/391/180 .......................................... 11

100/391/019CZ ...................................... 11

100/391/019 .......................................... 11

100/391/126CZ ...................................... 11

100/391/126 .......................................... 11

100/391/128CZ ...................................... 11

100/391/128 .......................................... 11

100/392/116CZ ...................................... 13

100/392/116 .......................................... 13

E623 ...................................................... 13

100/392/118CZ ...................................... 13

100/392/118 .......................................... 13

100/393/116CZ ...................................... 13

100/393/116 .......................................... 13

100/393/118CZ ...................................... 13

100/393/118 .......................................... 13

100/394/116CZ ...................................... 13

100/394/116 .......................................... 13

100/394/118CZ ...................................... 13

100/394/118 .......................................... 13

100/390/116 .......................................... 15

E622 ...................................................... 15

100/390/118 .......................................... 15

G745 ...................................................... 15

G895 ...................................................... 15

L794 ...................................................... 15

E621 ...................................................... 15

100/496/122 .......................................... 18

100/496/124 .......................................... 18

100/496/125 .......................................... 18

L741-61 ................................................. 18

M122 ..................................................... 18

100/496/126 .......................................... 18

100/492/815 .......................................... 18

100/492/816 .......................................... 18

100/496/127 .......................................... 18

100/492/817 .......................................... 18

100/496/022 .......................................... 18

L746-61 ................................................. 18

100/496/024 .......................................... 18

100/496/025 .......................................... 18

100/496/026 .......................................... 18

100/496/027 .......................................... 18

M341 ..................................................... 18

100/497/125 .......................................... 19

100/497/126 .......................................... 19

100/389/022 .......................................... 21

E619 ...................................................... 21

G888 ...................................................... 21

100/389/825 .......................................... 21

G973 ...................................................... 21

E620 ...................................................... 21

100/389/826 .......................................... 21

G421 ...................................................... 21

G972 ...................................................... 21

100/396/318 .......................................... 23

100/396/916 .......................................... 23

100/396/716 .......................................... 23

100/396/718 .......................................... 23

100/491/318 .......................................... 23

100/491/916 .......................................... 23

100/491/716 .......................................... 23

100/491/718 .......................................... 23

MI45 ...................................................... 24

100/396/116 .......................................... 24

100/396/816 .......................................... 24

M146 ..................................................... 24

100/491/116 .......................................... 24

100/491/618 .......................................... 24

100/491/816 .......................................... 24

100/491/818 .......................................... 24

Product Code Page Product Code Page Poduct Code Page


Notes

MKEECA-0087

For more information visit our website at www.smiths-medical.com

Find your local contact information at: www.smiths-medical.com/customer-support Smiths Medical is part of the global technology business Smiths Group plc. Please see the Instructions for Use/Operator’s Manual for a complete listing of the indications, contraindications, warnings and precautions. Portex, CSEcure, Portex RapID, LockIt Plus, EpiFuse, Point-Lok and the Portex and Smiths design marks are trademarks of Smiths Medical. The symbol ® indicates the trademark is registered in the U.S. Patent and Trademark Office and certain other countries. All other names and marks mentioned are the trademarks or service marks of their respective owners. ©2016 Smiths Medical. All rights reserved. SM194611ENZH-052016

Smiths Medical ASD, Inc. Keene, NH 03431, USA Phone: +1-603-352-3812www.smiths-medical.com

PRODUCT(S) DESCRIBED MAY NOT BE LICENSED OR AVAILABLE FOR SALE IN CANADA AND OTHER COUNTRIES

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